Sandralene Hawkins Combs
Waycross
Summary
Dedicated RN with over 30 years of experience including clinical and community management. A RN with experience ensuring high standards of culturally competent care for a wide variety of patients with diverse needs.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Outpatient Clinic RN
Wesley Medical Staffing
09.2024 - Current
- Coordinate daily huddles and assign responsibilities to clinic RNs and CNAs.
- Provide direct assistance to physicians during clinic visits and minor procedures.
- Perform wound care and dressing changes as required.
- Promptly notify physicians of any significant changes in patients’ conditions.
- Uphold professional nursing standards to ensure comprehensive patient care.
- Administer medications, including behavioral health treatments and pediatric vaccinations.
- Triage walk-in patients and support telehealth services for both medical and behavioral health needs.
- Monitor patients’ conditions, medications, vital signs, and manage follow-up for any adverse effects.
Registered Nurse II
Gateway Community Services
11.2023 - 08.2024
- Conduct admission assessments for clients with substance use disorders and/or mental health conditions.
- Evaluate patients’ physical and behavioral health needs; develop and implement individualized nursing care plans.
- Document all patient interactions and care provided using electronic medical records (EMR).
- Provide patient education related to health conditions, medications, and treatment plans.
- Assist Advanced Registered Nurse Practitioners (ARNPs) with clinic operations and procedures as needed.
- Respond promptly and appropriately to medical and behavioral health emergencies.
- Communicate significant changes in patient condition to the nurse practitioner in a timely manner.
- Administer medications in accordance with established protocols.
- Monitor patient status, medication effects, and vital signs; ensure appropriate follow-up for adverse reactions.
- Rotate through various roles including intake admissions nurse and team leader as required.
Reception Youth Detention Center
Augusta State University (DJJ) Waycross Reception Youth Detention Center
12.2019 - 05.2023
- Collaborate in assigning duties to licensed and unlicensed personnel to ensure efficient patient care delivery.
- Assist physicians with clinic visits and minor procedures; perform wound care and dressing changes.
- Respond promptly to medical emergencies and notify physicians of any significant changes in patient condition.
- Uphold professional nursing standards to meet the physical and behavioral health needs of incarcerated individuals.
- Administer medications in accordance with protocols and patient care plans.
- Participate in confinement care by monitoring patients, triaging sick call requests, and conducting assessments when indicated.
- Rotate responsibilities including telemedicine appointments and supporting mental health services.
- Monitor patients' vital signs, medication adherence, and follow up on any side effects or complications.
- Serve as a committed team member focused on delivering high-quality care within the correctional healthcare setting.
Transition May
HCA-Memorial Satilla Health
05.2017 - 02.2018
- Administer chemotherapy, manage pain, and monitor treatment response.
- Assist physicians with minor procedures, including wound debridement, Mahurkar insertion, bone marrow aspiration, chest tube insertion/removal, and lumbar punctures.
- Administer blood products, perform wound care (with/without wound vacs), and monitor patients in isolation.
- Coordinate shift care delivery, provide direct patient care, and ensure thorough patient/family education during transitions of care.
- Respond to medical emergencies and notify physicians of condition changes promptly.
- Support admissions by completing assessments, coordinating stat labs, imaging, medications, and obtaining necessary consents.
- Provide discharge education and assist with outpatient scheduling.
- Float to other departments as needed and support Day Stay patients with wound care, IV antibiotics, blood transfusions, and monthly port-a-cath maintenance.
- Operate and monitor essential equipment including IV and PCA pumps, cardiac monitors, defibrillators, chest tubes, and port-a-caths.
Owner and Administrator, RN Manager
Combs Care, Inc.
09.2004 - 11.2015
- Developed and enforced facility policies and procedures.
- Provided skilled nursing care for clients with tracheostomies, G-tubes, colostomies, and diabetes (Type I & II).
- Oversaw and managed 20–30 staff, ensuring high-quality care and staff professionalism.
- Led Case Management and Utilization Management, ensuring AHCA compliance through audits, documentation, and billing oversight.
- Recruited, hired, and supervised employees and contractors; managed performance reviews and regulatory compliance.
- Maintained 24/7 on-call responsibility for client needs and operations.
- Created individualized care plans and monitored client progress through ongoing assessment.
- Coordinated appointments, transportation, and provider schedules.
- Managed payroll preparation and administrative duties
Education
Associate of Science - Nursing
Lake City Community College
Lake City, Florida01.1988
Skills
- Quality improvement
- Vital signs monitoring
- Postoperative care
- Emergency care
- Immunizations
- Pediatric nursing
- Diabetes management
- Disease prevention
- Medication administration
- Patient care
- Intake assessments
- Clinic scheduling
- Chronic disease management
- Immunization administration
- Discharge planning
- Telephone triage
- Patient education
- Treatment implementation
- Telehealth
Certification
Registered Nurse Compact Georgia license number 146330
Timeline
Outpatient Clinic RN
Wesley Medical Staffing
09.2024 - Current
Registered Nurse II
Gateway Community Services
11.2023 - 08.2024
Reception Youth Detention Center
Augusta State University (DJJ) Waycross Reception Youth Detention Center
12.2019 - 05.2023
Transition May
HCA-Memorial Satilla Health
05.2017 - 02.2018
Owner and Administrator, RN Manager
Combs Care, Inc.
09.2004 - 11.2015
Associate of Science - Nursing
Lake City Community College
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