I left my position at UTSW in the Aston Infusion Clinic in February of 2020. I loved that clinic and the people I worked with but my daughter had just obtained her FNP and accepted an internship with Presbyterian Healthcare System here in Ruidoso, NM and I want to remain a large part of my grandchildren's lives, so I sold my home in Dallas, bought an RV and moved here to stay close to them. Shortly after I left my position COVID hit and my grandchildren needed home schooling so, while not planned, the timing of my leaving my position coalesced with my family's need for me to be available and I am grateful I can be there for them. I am currently seeking weekend work with the possibility of one weekday being available depending on my grandchildren's school schedule through the week and my family's ability to cover that week day. I feel my strongest area currently is IV care and maintenance and infusion, as this is my most recent experience. I have ICU experience but it has been many years since I've been in that environment so I do not want to present myself as a Critical Care expert, but I have a strong and varied knowledge base and I feel I could be "up to speed" in short order If I needed to function in that environment. I have been semi-retired for nearly a year and my grandchildren and their education remain my primary focus but in these times I feel I can help when I am available (on weekends) and I would like to do that whether it is home infusions or hospital shifts, I am open to discussing it.
Initially hired into the Float Pool for ambulatory care clinics but was invited to accept a full time position in the Aston infusion Clinic on the UTSW Campus. The main patient population of the clinic were receiving immuno-modulating agents (monoclonal antibody therapies), IVIG. Limited chemotherapy's, mostly Cytoxan. Additionally, Biphosphonates, RANKL inhibitors, and antibiotic therapies.
Duties included establishing/discontinuing IV access, implanted port, central line and/or PICC access and maintenance, and discontinuation when ordered. Heavy emphasis on patient education regarding the action and purpose of the medications, signs and symptoms to report, medication interactions, monitoring labs and scheduling for continuity of therapy for optimal patient experience and outcomes. Also coordinated with referring provider in the event of infusion reaction and arranged for transfer to higher level of care if indicated.
Accepted a full time position as a staff nurse in the Post Coronary Intervention Unit at Methodist Medical Center of Dallas. Duties included care for pre and post procedure patients who had undergone Cardiac Catheterization with/without PTCA, removal of radial/femoral arterial lines/sheaths, hemodynamics monitoring, obtaining 12 lead ECG, initiation/monitoring/titration of vasoactive/antiarrhythmic/anticoagulant IV meds. IV access and maintenance, lab draws and patient education.
Transferred per invitation into electrophysiology/cardiac cath lab where duties included scrubbing in to assist with placement of ICD, BiV ICD/pacemaker, EP study and ablation A-Fib/flutter, AVNRT, SVT dysrhythmias In EP Lab. Scrub in to assist with Cardiac Catheterization right/left heart, PTCA with/without stent placement, IVUS, IABP placement, and radial/femoral arterial sheath removal post procedure.
The patient population in this Long Term Acute Care environment had a heavy emphasis on mechanical ventilation monitoring/maintenance, weaning and extubation and rehab/wound care. Cardiac monitoring, hemodynamic monitoring, arterial line management/monitoring, vasoactive drug management along with basic patient care. At this time I was PICC line certified and was responsible for PICC line placement and management throughout the facility. I also acted as relief House Supervisor when needed.
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