Compassionate Critical Care Float Pool Registered Nurse, with almost 13 years of experience in fast-paced, high acuity critical care environments. Excels in high-pressure care, monitoring and treatment platforms, working closely with surgeons, physicians and nursing team in critical care cases.
Versatile and able to adapt in different areas of critical care and acute care with experience in the TICU, SICU, Neuro ICU, MICU, CVICU, IMC, Telemetry, Med surg, and ER inpatient holds.
Diligent Nursing professional that is team-oriented and reliable with expert healthcare knowledge, clear verbal and written communication skills and sound clinical judgment.
Considered hardworking and driven. Ready for new opportunity to apply exceptional nursing skills in Telemedicine.
2014 NURSE OF THE YEAR of the Pulmonary and Medical IMC unit at Palomar medical center. Delivered compassionate care that exceeded hospital and unit requirements. Successfully provided quality patient care, also demonstrated strong leadership skills when frequently chosen and assigned to be either Team Leader/Charge RN or the go to resource RN for assistance or knowledge. Participated on unit committees to improve patient care and patient outcomes such as the fall prevention team and the IMC unit council. Voted by coworkers and admin to represent unit as nurse of the year in 2014.
Training - Trained team of staff nurses and checked off skills for annual competencies such as restraints, code blue, and skills day in CCU.
Critical Care Float Pool Registered Nurse, 01/2017 to 06/2020Palomar Health, San Diego , CA
Assessed complex medical cases to deliver high-quality patient care in high-traffic critical care settings. CVICU, MICU, SICU, TICU
Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
Updated patient charts using Clarity and Cerner with data such as medications to keep records current and support accurate treatments.
Provided exceptional care and implemented interventions to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care.
Applied nursing expertise to meet needs of various types of patients ranging from stable to critical in multiple environments and departments.
Strengthened training and nursing knowledge by taking part in continuing education programs and Certification workshops.
Ability to be flexible and adapt to any unit. Floated to two different hospitals within a health care system to all types of floors and with varying patient acuities, protocols and ratios. Areas include: ER inpatient holds, EKG tech, CVICU, MICU, SICU, TICU, stroke unit, ortho unit, telemetry unit, IMC unit, surgical and trauma IMC, and med surg Tele.
Always being able to maintain a positive attitude with professionalism and flexibility with the high risk possibility of assignment changes anytime during a shift by being floated to another floor or to another hospital.
Surgical and Trauma Critical Care Registered Nurse, 07/2014 to 01/2017Palomar Health PMC WEST , Escondio, CA
Organized and managed direct care of critically ill patients undergoing various therapies and procedures, including sudden “road trips” to stat CT/MRI/IR/CATH lab/OR or any emergent bedside procedures such as intubation or CVC/Aline placement performed by MD with Rn assistance.
Cared for patients in 12 bed Surgical and trauma unit ( level II trauma hospital) and occasionally floated to a 24 bed Cardiac and medical ICU supporting fellow nurses in delivering outstanding treatment to patients.
Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
Provided skilled, timely and level-headed emergency response to critically-ill patients.
Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care.
Clinical III Registered Nurse Intermediate Care , 01/2007 to 07/2014Palomar Health PMC Downtown , Escondido, CA
Maintained excellent attendance record, consistently arriving to work on time.
Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to a ratio of 1:3 patients daily.
Observed and reported patient condition, progress and medication side effects to accurately document updates.
Oversaw delivery of care for all patients on 30-bed medical-surgical unit and a 24 bed IMC unit delegating nursing assignments and supervising team comprised of nurses, technicians and unit clerks.
Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
Trauma recovery: level 2 trauma, Severe TBI, licox, EVD, and Camino bolt, hypothermia, full axial, traction, life sharing organ donation/harvest, CRRT, Chest tubes, rapid infusions, GSW, wound vacs, BIS, EMS, rotoprone and manual proning. Rapid mass transfusions with rapid infuser. EEG monitoring. GCS , spinal, neuro, and ICP monitoring.
Intravenous therapy: antidysrhythmic drips, vasopressors, paralytics, Inotropic, and vasodilator drips. Sedatives propofol, versed, fentanyl and precedex drips. PIV insertions and ultrasound guided IV insertions. TPN/lipids.
EMR / EHR- Cerner, clarity, Clarvia, and xpand
Medication Administration: all routes PO,IV, NG, SQ, IM, and SL, Rectal, drip titrations, code blue, PCA, epidurals, filtered meds, IVF
Collecting vitals: EKG interpretations, VS, Aline, cardiac index, CPP, CVP, hemodynamic waveforms, frequent vitals, ventilator waveforms and settings, ABG sample retrieval and interpretation. ETCO2 monitoring, Zoll and life pack defibrillator knowledge, intake and output. PA cath.
Insulin medication assistance: DKA and HHNS, insulin drip
Acute care expertise: Relief charge Rn, relief rapid response/ code blue team , and resource RN on critical care floors. Sepsis, PNA, MI, Stroke/NIH, all types of shock. NG/OG insertion. Tube feedings. Foley catheter insertions. Bladder irrigation. Some ballon pump and open heart surgery experience. Temporary pacemakers. Wound vacs and dressings.
Tracheostomy Care/ETT/ VAP prevention/ Ventilator/bipap/HFNC/ bi level
Strong clinical judgment: able to prioritize and triage, able to quickly identify changes in condition
Patient and family advocacy: developing strong rapport with patient and family, simple terms, and keep updated and informed