Cardiac Telemetry RN Resume Example

• Pre-procedure client prep, assessment and intervention throughout procedure; IV Therapy; Conscious sedation under the direction of Cardiologist or Electrophysiologist; Defibrillation, Pacing, Cardioversions; Hemodynamic Monitoring; Post procedural monitoring; Procedure documentation; Billing in Ulticare EMR; Educate and update client and family; Report to staff nurse.

As an EP Nurse I was trained to work in the Cardiac Admit and Discharge area of the Heart Cath Lab.  I worked in the area other times as an extra nurse because I was trained.  

• Pre-procedure client preparation; IV placement and initiation of IV fluids and pre-op medication; Site prep; EKG's; Educate client and family; obtain consent.
• Post-procedure the RN continued client care with assessment and monitoring of vital signs, heart rhythm, stability, femoral or brachial artery site; sheath removal per protocol or orders, and dressing application with continued assessment of site patency; IV therapy, oral medication administration; Educate client and family post-procedure and for discharge; Report to staff nurse for inpatients; Discharge and educate clients with outpatient procedures. Charting and billing in Ulticare EMR.

• Public Health RN providing public health services under the direction and protocol of the Arkansas State Department of Health.
• Programs included: Adult and Childhood Immunizations, WIC Certification, Family Planning, Maternity, Communicable Diseases, Sexually Transmitted Diseases, Tuberculosis Program, QA, Laboratory procedures, and client education and counseling.
• Case Management of Tuberculosis Program and clients, including record setup and maintenance, Prophy or Chest Clinic scheduling and attendance for presentation of each client to Pulmonologist for review of record(s) and chest x-rays, issuing medication per physician orders and protocol, client/family education, case follow up to ensure compliance and appropriate care received, scheduling return visits to clinic for convertors/reactors, suspect and actual cases
• Maintenance of client confidentiality
  
• Duties would vary based on staffing, CD outbreaks and other situations.  Trained to work in any of the areas we serviced.

Home Health Contract Nurse for Area Agency on Aging, Hartford, AR office and part time Skilled Care Nurse for Visiting Nurses of Eastern Oklahoma, Spiro, OK office. Contract nurse position ended and Spiro office closed. Mid Lakes Home Health took over the Visiting Nurses office clients and hired me as a Skilled Care Nurse. 

• Skilled care RN for home health and hospice, Eldercare, and MPC state funded programs under the direction of RN Supervisor.  All care provided per state guidelines and per attending physician orders
• Admission using the OASIS assessment tool 
• Development and implementation of a Nursing Care Plan and maintenance per Medicare Guidelines 
  
• Scheduling Client RN Visits 
  
• Communication with physician, families and other healthcare professionals, initiation of rehabilitative and preventative nursing care, and referral for assistance with ADL's, Respite Care, Case Management
• Medication setup, compliance monitoring and obtaining refills
  
• Teaching and counseling clients, family or caregivers in health and safety related issues in the home or long term care setting
  
• CNA Supervision, evaluation, teaching and In-services
  
• Active member of Hospice IDG Meetings
• Case Management and Team Approach to goal achievement

• RN Supervisor for LPN and CNA staff in the care of residents under the direction of the Director of Nursing and Administrator
• Unit Manager for 43 Long Term Care Residents 
• MDS and Care Plan Coordinator
• Infection Control Practitioner
• Pre-admission interview, evaluation, assessment, and recommendations for Medicare, Medicaid, Private Insurance and Private Pay clients performed in the home, hospital, long term care facility or assisted living facility client resided
• Annual, Quarterly, and Significant Change MDS and Care Plan development and implementation with continued evaluation and update
• Responsible for primary care, case management and medication management. Provided quality nursing care in accordance with resident care policies and procedures
• Professional communication with physicians, families and healthcare facilities
  
• Medication administration, oral and IV
• PICC Line Certification
• Skin Audits, treatments, recommendations, orders and continued evaluation with weekly Decubitus and Non-decubitus Report for my units.  Healing of a Stage IV Decubitus on one of my clients.
• Coordination with nursing, rehab, dietary, pharmacology and social services to develop and update care plans
• LPN Scheduling; Staff teaching, training and In-services 
  
• Many other duties within the Scope of Nursing Practice in the Long Term Care setting

• Provided Skilled Nursing care under the direction of the Skilled Care Supervisor, President, and CEO, in the home or long term care setting. Professional nursing service was given in accordance with the attending physician orders.
• Primary Nurse for designated number of clients with development and implementation of the Nursing Care Plan, maintaining client charts in accordance with Medicare guidelines
• RN visit scheduling for my clients
• Communication with physicians, staff, and medical professionals involved in client care
• Continued evaluation of client healthcare needs of clients and initiation of client specific rehabiliatative, preventative or specialized care
• Treatments, diagnostic and preventative procedures and evaluation with full report to attending physician and healthcare providers
• Medication setup, monitoring compliance and refill needs 
• Teaching, supervising and counseling client, family or caregiver in client specific needs in the home for optimal care
• Supervision, assignment and training of other nursing personnel for total care
• CNA supervision, evaluation, teaching and In-services
• QA and chart audits

Client care required a Case Management and team approach involving all disciplines involved.  Other duties within the Scope of Nursing Practice. 

• One of two RN's working directly with five Neurologist providing care to adult and pediatric clients in a busy physicians practice
• Recorded patients' medical history, vital statistics and test results in medical records
• Written and verbal communication skills in patient-nurse-physician interaction using online and interoffice computer systems
• Scheduling and coordinating appointments with physicians, diagnostics, referrals and pre-authorizations and obtaining all records related to visit
• Triage Nursing 
  
• Medication administration for neurological procedures and testing, oral, injection or IV Therapy, assisting and monitoring post procedure
• Phlebotomy (drug research and genetics testing)
• Maintained controlled substances, Drug samples, and Drug Study medications
  
• Review of all test(s) for physician review 
  
• Health education training for clients and/or family  
• Multiple Sclerosis client and family education on disease process, medication(s) and need for further support; MS Scholarship Program referral
  
• Coordination of visits by Pharmaceutical representatives 

Numerous other duties of a busy physicians practice nurse.

• Research of Epilepsy and Acute Stroke Study medications prior to FDA approval in the clinical and hospital settings
• Evaluation and Assessment of patients presenting with signs and symptoms of Acute Stroke to determine Drug Study qualification
• Administered and distributed medications per protocol, oral and IV
• Coordinate hospital and clinic visits
• Phlebotomy
• Documentation, Correspondence and Maintenance of client record for monitoring by pharmeceutical staff or FDA Audit
  
• Obtaining orders necessary for Drug Study Protocol on Hospitalized clients
  
• Acute Stroke Study Protocol In-service with Hospital staff
• Sound, ethical and independent decision-making ability consistent with medical study protocols

NEUROLOGY RESEARCH EXPERIENCE:

• Park Davis Phase 3 Acute Stroke Study(Fosphenytoin/Cerebex)
• Beohinger Ingelheim Phase 2 Acute Stroke Study (Cerestat)           
• Parke Davis Neurontin Step Study
• Abbott Tiagamine Adult & Pediatric Studies
• Parke Davis BECTS Study (Neurontin)

• Performed Hemodialysis in the acute and chronic care units (Sparks Regional Medical Center, Holt Krock Dialysis Center & St Edwards Mercy Medical Center), under the direction of Unit Manager and Nephrologists.  Hemodialysis performed using the Fresenius Dialysis Machine and Drake-Wilcox 480UF.
• Patient care and evaluation during treatment in an independent work environment (Hospital Dialysis Unit, ICU, CICU, SICU)
• Accurately documented all elements of nursing assessment, treatments, medications, blood products, lab values, instructions and follow-up care
• Health education training for client and family (renal dialysis graft or access care, diet, activity, exercise, disease process) 
  
• Sterile Dressing Changes of central line access site and Heparinization to maintain patency
  
• Disciplined, energetic employee who worked well with colleagues and independently.
  
• Sound, ethical and independent decision-making ability consistent with medical protocols.
• Charge Nurse per schedule and delegated duties
• On call per schedule
  

THERAPEUTIC APHERESIS RN

One of two Dialysis RN's trained in Therapeutic Apheresis using the Cobe Spectra Apheresis System.

• Responsible for initial assessment, monitoring and documentation of vital signs and machine settings throughout treatment per physician orders and protocol
• Accurately documented all elements of nursing assessment, treatments, medications, lab values and and follow-up care and reported any changes or abnormals to physician
• Utilized strong assessment skills to determine necessary patient care and performed all tasks with a patient-centered focus 
• Sterile dressing changes and Heparinization of central line catheters to maintain patency
• Provided necessary health education training for patients
  
• Worked independently in the hospital setting making sound, ethical and independent decisions consistent with medical protocols
• Worked as part of a team with supervisor and physicians in developing the Apheresis Protocol, Policies and Procedures, Procedure Manual, and Documentation forms and Trained other RN's in Apheresis.