Heather Richey-Sizemore

Registered Nurse since 2010, compact state license, Associates Degree. Geriatric, Pediatric, and Rehab Hospital Nursing Experience. Also have past experience in Home Care, Nursing management, and Case Management, and Nurse Care Planning experience as well. Experience with wound vacs and wound care, trach care and suction, feeding tubes and feeding pumps and/ or intermediate gravity feeding; colostomy care and assist with educating  and evaluation of patient self care and/or caregiver ability to mange and care for  upon discharge of care and understanding of healthy  stoma appearance and what should be done if abnormal appearance, abnormal drainage, or signs and symptoms of infection, increased/uncontrollable bleeding with or without notation of wound formation,  no stool noted in drainage for extended amount of time  and last time of last stool noted, emptied or bag appliance changed and actions to take for the observations that are noted. CPAPs/Bipaps - appropriate administration and removal of ; Settings and proper care/cleaning/maintenance  of equipment, Oxygen administration, equipment and monitor and  appropriate care for Decreased  Oxygen Saturation readings and equipment to utilize if high flow rate or humidification indicated. Nebulizer treatments and equipment replacement needed and Inhalers with and without spacers, continued patient educating by nurse on proper technique and timely oral care   application/rinsing to prevent or reduce thrush infections.  Cough assist machine application and care, vest chest treatment machine  and/or manual applied chest treatments by caregiver if no machine available or ordered. Previous Residential School Nursing (12 yrs to 18 yrs); including experience with immunization nurse training for school nurses and experience with reviewing, updating power school and school immunization  records, Informing caregivers/parens of upcoming immunizations needed and/or missing and appropriate procedure for obtaining and documentation of religious exemptions. Past nusing experience with breathalyzer test administration and interpretation of results and urine drug screening with documentation of findings and notification of appropriate  personal of positive results and Employment Health and TB screening and documentation. Identifying patient and/or caregiver deficits/needs of teaching and nursing instruction to assist with self care, equipment and supply   usage/management and to assist in providing  education for   reducing infection and transmission of infection or communicable disease  and reducing Increasing risking  behaviors with education of practices to reduce/prevent transmission of  and Prevention and reduction of suicide and/or self harming behavior, and education of possible injuries that may result from engaging in risky behaviors or making risky choices. Also, experience and training in   identifying   possible  mental health needs and assistance obtaining continued  services  and/or educating of caregivers/patients of services that can be utilized for treatment and management of identified possible mental health care deficits  And explanation of what and when to call or obtain  emergency services. Also previous training in Think Kids Program and Safely apply physical restraints without causing injury to restrained individuals and identifying appropriate situations to administer physical restraints to prevent harm to self and/or others and utilizing recognition of and utilization of  verbal  reduction  techniques that may prevent/reduce the need for physical restraint application. 

 Geriatric, Pediatric, and Rehab Hospital Nursing Experience. Also have past experience in Home Care, Nursing management, and Case Management, and Nurse Care Planning experience as well. Experience with wound vacs and wound care, trach care and suction, feeding tubes and feeding pumps and/ or intermediate gravity feeding; colostomy care and assist with educating and evaluation of patient self care and/or caregiver ability to mange and care for upon discharge of care and understanding of healthy stoma appearance and what should be done if abnormal appearance, abnormal drainage, or signs and symptoms of infection, increased/uncontrollable bleeding with or without notation of wound formation, no stool noted in drainage for extended amount of time and last time of last stool noted, or time  last emptied or bag appliance changed and actions to take for the observation identified. Experience with  CPAPs/Bipaps - appropriate administration and removal of ; Settings and proper care/cleaning/maintenance of equipment, Oxygen administration, equipment and appropriate care for Decreased Oxygen Saturation readings and equipment if high flow rate or humidification indicated. Nebulizer treatments and when equipment replacement needed and how often and Inhalers with and without spacers.  Continued patient educating by nurse on proper technique and timely oral care application/rinsing to prevent or reduce thrush infections in mouth after inhaler use. Cough assist machine application and care, vest chest treatment machine and/or manual applied chest treatments by caregiver if no machine available or ordered. Previous Residential School Nursing experience and  Nurse for youth enrolled  in Wilderness Programing  (youth ages 12 yrs to 18 yrs old) ; including experience with immunization nurse training for school nurses and experience with reviewing, updating power school and school immunization records, Informing caregivers/parents of upcoming immunizations students needed/scheduled to receive and/or missing and appropriate procedure for obtaining and documentation of religious exemptions. Past nursing experience with breathalyzer test administration and interpretation of results, equipment calibration and documentation of equipment collaboration record and urine drug screening with documentation of findings and notification of appropriate personal of positive results. Previous experience with  Employment Health and TB screening and documentation. Identifying patient and/or caregiver deficits/needs of teaching and nursing instruction to assist with self care, equipment and supply usage/management and to assist in providing education for reducing infection and transmission of infection or communicable disease and reducing Increasing risk behavior with education of practices to reduce/prevent transmission of and Prevention and reduction of suicide and/or self harming behavior, and education of possible injuries that may result from engaging in risky behaviors or making risky choices. Also, experience and training in identifying possible mental health needs and Drug abusing behavior and assisting patients with obtaining the appropriate  continuation  in services and/or educating caregivers/patients of services that can be utilized for treatment and management of identified possible mental health care deficits/ drug abuse treatment and reduction in drug abse .  And educating  of when to call or obtain emergency services. Previous training in “Think Kids” Program and how to safely apply physical restraints without causing injury to restrained individuals and identifying appropriate situations to administer physical restraints to prevent harm to themselves and/or others. Think Kids main concept is the  utilizing recognition of situations that are likely to escalate and utilization of verbal reduction techniques that may prevent/reduce the need for physical restraint application.

Associates Degree in Science and Nursing.