Margaret A.

Nickel, RN, Hospice Director

18625 Elm Court
Macomb, Michigan 48044
586-228-8921
E-mail: mabhn@hotmail.com

Registered Nurse -Professional Experience- 27 years

Registered Nurse with strong clinical skills and many years of experience in the field of Hospice
and Palliative care. Strong professional skills in managing a Hospice InterdisciplinaryTeam,
training, developing and presenting educational offerings. Supervisory success in creating a
work environment that enhances professional practice, customer service, employee satisfaction
and increased productivity. Public speaker and talented marketer of our hospice program,
philosophy and palliative services. Seeking contingent, consulting or temporary
assignment in Macomb county or parts of Oakland and St Clair County

Guardian Angel Hospice Care, Rochester Hills, Michigan Nov 2008 –April 2010
Established, developed and implemented a new hospice program in Rochester Hills, Mi.. Worked
independently to establish policies and procedures, developing additional policies as program
grew. Hired skilled talented professionals, negotiate contracts with facilities and individuals,
established care planning guidelines, developed and conducted IDT groups., Established QA/PI
program, developed patient admission packet forms, hospice brochures, marketing packets, staff
orientation program. Admitted and case-managed first 30 patients in hospice program, did 100%
on-call duties for 9 months. Good knowledge of CHAP, Medicare and State of Michigan
regulations. Passed State License and CHAP survey, obtaining deemed status.

St. John Hospice, Detroit, Michigan 1999-2007 Hospice Clinical Nursing Supervisor

Oversaw day-to-day operations, coordination and supervision of all aspects of patient/family

services for a team of approximately 50 patients in St John Hospice. Led IDT meetings weekly,
actively participated in the development, implementation and evaluation of policies and
procedures, and in the development and accomplishment of annual goals and team objectives.
Professional management expertise in effectively directing the hospice team comprised of Medical
Director, RNs, HHAs, MSW, Spiritual Care Coordinator, Volunteer Coordinator, Bereavement
Services and therapy staff. Providing needed educational and in-servicing of staff in clinical
settings...

While at St. John, served on:

• St. John Hospital Ethics Committee, 2005-2007
• St. John Oncology Improvement Committee, 2004-2007
• St John Cancer Committee. 2004-2007
• New Products Committee – testing and implementing new products to be
used in Home Care and Hospice 2004-2007
 • Went on medical mission to Outer Mongolia with Dr. Sang Lee from St John
Macomb Hospital, where I assisted in training staff of the first hospice in
Mongolia. Also did nursing in the pediatric clinics -2005
• Filmed one hour video on types of pain, symptom management, titration and
conversions of med doses, side effects and adjuvant drug use.
• “Operational Leadership” – 2005
• Six Sigma” – 2004
• “Train the Trainer Pain Management and presented to 100 nurses at St.
John Macomb

St. Joseph Hospital, Clinton Twp, MI Hospice field RN, hospital staff nurse 1991-1999

Hospice – (Home, Nursing Home and In-patient)--contracted to Henry Ford Hospital.

Expert clinical skills, pain management knowledge, assessment skills of patient/family’s physical,
psychological, spiritual and social needs and implementing excellent care planning. Staff inservice
presentations to hospice staff, hospital Oncology units and volunteers on subjects such as end-
stage illnesses, pain control, Nearing Death Awareness, Oncology emergencies, signs of
impending death, AIDS, and Universal Precautions. Nine years experience as a home hospice
nurse and original team member for the first hospice in Macomb County. Pronouncing patient
death, supporting family, working with police, medical examiner, facilitating notification of family
members, clergy, funeral home, staff and physician and overseeing removal of body from the
home.

1988-1991 Float pool, Medical/Surgical- Patient pre-op and post op care and teaching
1983-1988 Oncology Floor- floor nursing, administrating chemotherapy, patient teaching

Professional Activities, Memberships and Awards

1993-1999 Member of Michigan Hospice Nurses Association
1998 Steering Committee 100th Anniversary St. Joseph Hospital
1997 Research Committee – Michigan Hospice Nurses Association
1996 Nominated by MHNA for Hospice Nurse of the Year
1995-1996 Henry Ford Hospital Aids Task Force under direction of Gary Sekerak, MD
1994-1996 Executive Board of Directors MHNA- Treasurer
Education
1994-1998 Passed National Certification Exam for Hospice Nursing CRNH
1981-1983 Macomb Community College – Associates Registered Nursing- magna cum laude
1975-1976 Oakland Community College – Associates Liberal Arts– Cum Laude
References – Upon request

Computer skills: Kronos Timekeeping, Word, Excel, Outlook.