Experienced nursing professional with nineteen years of experience, bringing demonstrated clinical expertise, leadership skills and technical knowledge. Proficient in updating charts, monitoring medications and working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities.
Delivered information regarding care and chemotherapy to patients and caregivers in comprehendible terminology.
Per diem staff for long term care facilities. I provided medication and treatment administration to residents. Supervision of staff. Monitoring of vital signs, laboratory results, chart and MAR review.
Mixing and administering chemotherapy and biotherapy for the adult oncology/hematology group. Medication, disease, skin care, diet and pain control education provided to patients and their family members in a private physicians office. Tracking of laboratory results such as hematocrit, hemoglobin, neutrophils and cancer markers. Administering IV hydration. Phlebotomy skills to include therapeutic and drawing for testing. Filling of portable chemotherapy CADD pumps for at home, longterm chemotherapy dose infusions. I obtained my Chemotherapy and Biotherapy Certification.
Direct patient care of the critically ill patient in a 16 bed closed unit in a level 3 trauma center. Medication and treatment administration. Telemetry and EKG testing and interpretation. Pre and post heart catheterization care to include patient teaching. Correlating care planning and integration of community based resources to assist patients and their families for continuum of care after discharge. Artificial ventilation management and weaning. Cardiac IV medication titrations, heparin and insulin IV titration administration. Conscious sedation. Assist with bedside procedures such as endoscopy procedures, insertion of central lines and chest tube insertions. Removal of cardiac catheter introducer, groin care and site management. Chest tube management. Kangaroo pump enteral feedings. Plum IV infusion system. Internal and external pacemaker management and monitoring. Attend medical emergencies in house as directed by the unit manager.
Direct care and teaching of the patient undergoing general, burn, urology, gynecological, ENT, optometry, cardiac and orthopedic surgical procedures for a wide patient age base, neonate to adult. Assisted with pediatric dental restorations. Assisted with cataract procedures. Knowledge of equipment, instrumentation and proper positioning of the patient for the specified procedure. Knowledge base of sterile technique, sterile field and sterilization of equipment and instrumentation. Knowledgeable of required preparation of operative area to include proper draping, shaving, prepping solutions and post op dressings required. Scrubbing in to assist with limb manipulations. Member of AORN. Required on-call status. This facility was also a teaching facility.
Direct patient care of the acutely ill respiratory and cardiac patient in a 14 bed unit. Medication and treatment administration to include wound care, dressing changes and blood glucose monitoring. Assist physicians with bedside procedures. Telemtry, EKG testing and interpretation. Assisted with starting the Shared Governance Council for the unit. Created educational packets for the PCU staff regarding post heart catheterization wound care, groin management and patient teaching, EKG interpretation and ACLS study guide information packets for the PCU staff. Floated to ICU as directed by the unit manager. Familiarity with Plum IV medication administration equipment, PCA, Kangaroo enteral feeding system.
Direct care and monitoring of a wide age base patient group undergoing cardiac testing, to include cardiac catheterization for diagnostic and interventional measures, stress tests, cardioversion and TEE. Monitor EKG, vital signs and arterial pressures. Perform lab testing specific to cardiac catheterization, ACT and oxygenation testing utilizing swan ganz catheter. IV sedation, administer and titrate cardiac medications, heparinize procedure solutions and IV hydration. Assist with collection and passing equipment under sterile technique. Collecting medical information and computer entry. Entering of billing codes. Cardiac teaching pre and post procedures for patient and their family members to include education of staff.
Managed and coordinated care of 26 peritoneal dialysis patients for five physicians. Teaching and training of patients and their families to manage their peritoneal dialysis at home. To include diet and nutritional management, specific equipment, medications and management of their peritoneal dialysis catheter. Skin care, signs and symptoms of infection, infections risks and prevention, ordering of dialysate solutions and supplies for home. Phlebotomy and specimen collection for send out to regional lab. Lab interpretation. Epogen dosing, monthly monitoring and tracking of hemoglobin and hematocrit for dosing. Created a tracking flows sheet for monthly calcium and phosphorus monitoring. Preformed adequacy testing to determine effectiveness of dialysis and adjusting treatment accordingly. Established facility clinic days with three of the internists to streamline care of the peritoneal patients under my coordination. Written, verbal and telephone orders and computer entry. Care plan compilation for care plan meetings with the internists, dietician, director and social worker. Collection of medical and billing information. Home visits to include setting up of equipment and establish rapport with patients and their families. I established a support group for my assigned peritoneal dialysis patients and held monthly meetings at the facility. I arranged educational meetings with the Baxter company for a representative to come to the facility for the peritoneal dialysis patients and their family members. This position included an on-call rotation. Attended the National Peritoneal Dialysis Conference in San Antonio, TX in 2004.
Direct patient care of the acute cardiac, respiratory and post-surgical patient with a cardiac history, to include vascular surgical patients in a 40 bed unit of a level 1 trauma facility. Telemetry and EKG interpretation. Assist with bedside procedures such as bronchoscopy, central line insertion, chest tube placement and removal, thoracentesis, cardioversion and provide IV conscious sedation, TEE, wound debridement and wound vac application. Care of the patient pre and post heart catheterization, pre and post non-ventilated CABG patients, pre and post endarectomy patients to include patient teaching. Included in this unit, a private four bed observation unit for neurology, trauma, unstable trach and post endarectomy patients for direct care by one nurse. I obtained ACLS and TNCC certification. I volunteered for four committees in which I was the representative for the PCU department on the Shared Governance Council, Education Committee, Nursing Magnet Council and Nursing Retention and Recruitment Committee. Meditech computer documentation, order entry, care planning and house wide communication program for interdepartmental mail, lab orders and treatments. This facility was also a teaching hospital. Titration of cardiac medications, heparin and insulin. Familiarity with Kangaroo pump enteral feeding system, Plum IV system, Pyxis, Omnicell, Wound Vac, ACT interpretation.
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