Regi Resume Example

ICU Nurse

• The Critical Care Department has 23 physical beds, 1:2 nurse-patient ratio if level 2 patients and 1:1 if level 3 . Provided care for both elective surgical patients from various specialties such as Hepatobilliary (Oesophageal Gastrecto-Duodenectomy, Whipples surgery/Pancreaticoduodenectomy, Liver resection etc.), Maxillo facial, Gynae oncology (Laparotomy, TAH BSO, Gynae Debulk, etc.) as well as emergency surgical and medical patients.
• Cared for patients suffering from airway insufficiency (asthma, COPD, pneumonia, emphysema, bronchiectasis, cystic fibrosis, acute respiratory distress), pulmonary edema, pulmonary embolism, pneumothorax, cardiovascular diseases such as myocardial infarction (heart attack), congestive heart failure, cerebral vascular attack (stroke), arrhythmias, unstable blood pressure other cardiac and vascular conditions, acute neurosurgery/neurological procedures, CNS diseases (multiple sclerosis, myasthenia gravis, ALS); high acuity post-op abdominal or thoracic cases, trauma, multi-system failure, renal failure, hemodialysis, metabolic disorders, DKA, , diabetes mellitus, need for glycemic control, acute and renal insufficiency- need of CRRT, severe bleeding, wound infections, seizures, DVT, shock, head injury, overdose patient, and spinal cord injury.
• Performed head-to-toe assessment upon admission/transfer. Monitored patients' breathing, respiration saturation, regulated ventilators provided (Ventilator/V60 BIPAP/CPAP Vent/Nasal High Flow setting) tracheostomy care, endotracheal tube care, and use of mechanical ventilator and its settings, promote Ventilator Associated Pneumonia care bundles, administer nebulization as ordered. Check ABGs/ CVBGs and interpret results monitored paO2, CO2, HCO3, Sats, ad lactate, used incentive spirometer and emergency equipment as necessary, initiate suctioning.
• Competent in caring for patients using non-invasive blood pressure, use of cardiac monitors, check BP, heart rate and rhythm recognizing arrhythmias, obtaining 12 lead EKG, interpreting laboratory values, use of AVP/CVP. Observe lab results and act on abnormalities facilitated laboratory and diagnostic works. Assessment utilizing Glasgow Coma Scale, Richmond Assessment Sedation Scoring, CAM-ICU assessment. Monitor/assess pain- administered narcotics/ analgesia as prescribed, check/administer epidural/PCA morphine infusion. Diabetic glucose monitoring, insulin administration.
• Maintenance and care of NG/NJ/JEJ/PEG tube, tube feedings, tube (PEG) care. Assessment of compromised nutritional and metabolic status and those requiring extensive fluid, TPN, and electrolyte management and enteral feeding. Update and made referrals to dietary/nutrition/speech and language therapy department.
• Sought help from social service when need arose.
• Evaluated bedsore potential, refer to tissue viability nurse if needed. Assessment of wound healing, use of pressure ulcer risk assessment (Waterlow Scoring), wound irrigation, dressing.
• Knowledgeable of surgical drains. Check drainage system and note output. Monitor intake and output and over all fluid balance.
• Administration and monitoring of blood and blood components, transfusion reaction management. Monitor for any massive hemorrhage and priority call out if needed.
• Able to assist in the insertion and care of patients with central line following Matching Michigan protocol. Skilled in dressing changes and insertion of peripheral lines.
• Assisted with lumbar puncture, performed NGT insertion, and catheter and drain removal (chest drains, Robinsons abdominal drains). Removal of stitched and use of appropriate dressing using aseptic technique.
• Cared for patients in need or renal replacement therapy via CVVHDF, assisted physicians in performing bedside procedures such as AVP/CVP insertion, IV cutdown, and suturing.
• Completed required documentation and addressed patients' needs through ICIP (computer account documentation) ,Wardwatcher database (admission and discharge of patient),.
• Handled monitoring machines, pumps (Alaris infusion devices), syringe drivers (Alaris GH syringe drivers). Handled medical equipment such as IV pump, PCA/epidural pumps, cardiac monitors, LiDCO machines to provide Goal Directed Fluid Therapy, ventilator (Puritan Bennett 840 Vent, oxylog 3000 portable transport vent), V60 Bi-pap, Doppler, CVP, hemodialysis machine (Baxter), ECG machine, glucometer, pulse oximeter, dynamap and crash carts (airway, defib cart-lifepack 20 defib).
• Coordination with the other health care providers such as doctors, physiotherapist, nutritionist, etc. Providing hygiene and overall care as needed but still promoting independence and fast recovery for patient their family.

Medical/Surgical Nurse

• Handled patient cases involving gynecology, gyne oncology, and breast cases mixed with outliers from medical, surgical, ENT, ortho patients.
• Provided care and managed patient's concerns pre- and post-surgery, managed pain, drainage, mobilization, and their well being.
• Provided health education to both patient and caregiver on self-care to promote independence.
• Administered medication and treatment per doctor's orders and hospital protocols according to patient's needs.
• Performed admission and assessment, and overall in-charge of patient during hospitalization. Planned discharge care together with healthcare team. Collaborated with allied health, patient, and family members.
• Providing nursing care/procedures such as aseptic techniques in wound dressing, managing drains, attending physical and emotional other needs of patients.

I also worked on the following areas:

Emergency Department

Endoscopy Unit

Geriatric Unit

Respiratory Unit

Stroke Unit

Neurology, Neurosurgery, Neuro Rehab Nurse

• Employed at Singapore's second largest acute care general hospital with over 1500 beds and is accredited by the Joint Commission International.
• Provided nursing care and activities according to established hospital policies and procedures, standards of nursing care and practices.
• Cared and managed patients suffering from cerebrovascular stroke, intracranial hemorrhage and spinal cord injuries.
• Performed admission assessment from head to toe , and overall holistic care during hospitalization. Planned discharge care together with healthcare team. Collaborated with allied health, patient, and family members regarding patient care. Followed up care after patient's discharge.Performed tracheostomy care and external ventricular drainage monitoring and management.
• Performed oral and enteral feeding, assisted in ambulation, diaper changing, and wound dressing, setting up intravenous fluids, nebulization, suctioning, nasogastric insertion, and catheterization.
• Provided health education to both patient and caregiver.
• Administered medication and necessary treatment per doctor's orders and hospital protocols according to patient's needs.
• Accurate and timely documentation according to hospital policy.

• Employed at this 600-bed capacity tertiary hospital accredited by the Joint Commission International.
• Provided professional nursing care. Protected and promoted health, prevented illness and injury, alleviated suffering, and helped in advocacy of care of individuals. Provided medical treatment to patients, administered medication and injections, provided health education, and assisted in diagnostic testing
• Managed caseload of 5-6 patients simultaneously by providing bedside care, treatments, IV therapy and wound care.
• Managed patients' pain by implementing pharmacological and non-pharmacological pain management interventions.