Rn Staff Nurse resume example

Provided Nursing Care to up to 32 LTC residents and up to 18 skilled residents on evening shift. Nursing care for up to 15 residents on Brain injury unit. Completed admission and discharge assessments. Managed all types of IV's. Inserted peripheral IV's. Provided tracheostomy care. Provided care to resident's on Ventilators. Managed care of residents with PleurX Catheters. Managed and inserted indwelling and supra pubic catheters. Managed and measured all wounds including surgical, pressure, diabetic, vascular, traumatic, arterial. Highly competent with wound vacs and ostomy care. Made recommendations for treatment. Staged pressure ulcers based on most current guidelines. Lymphedema care. Managed and educated diabetic residents, CHF management. Post cardiac surgery care. Post surgical care on multiple types of surgeries. Thorough documentation including behaviors, nursing assessment based on Medicare guidelines: BIMS/CAMS, AIMS, PHQ9, PAIN, SKIN, FALLS, BRADEN SCALE, ELOPEMENT, SIDERAIL EVALS, PSYCHOTROPICS, MED REQUISITIONS, VACCINATION AND MEDICAL/MENTAL/FAMILY HISTORY. Monitored I&O , po intake, swallowing ability, appropriate diet texture. Completed skilled nursing notes based on diagnosis and included therapy progress and barriers to meet goals in my notes. Thorough documentation on response to pain medication , Vital signs. Use of oxygen , respiratory hygiene including elevating HOB, breathing techniques, incentive spirometry use, flutter valve use etc... Provided emergency care including initiating codes and CPR. Worked closely with CNA's to ensure excellent care including following toileting plans, repositioning, correct transfer techniques, hygiene/incontinence care. Closely monitored nail , facial, peri-anal , genital mouth /teeth care, dignity and privacy, resident rights. Assisted CNA's with team work focused care. Provided education/ discipline to CNA'S professionally with focus on learning and feeling proud of giving excellent care. Praised CNA's and gave encouragement. Educated family and residents on all aspects of care. Set up care plans and adjusted interventions and goals. Worked closely with all therapies for safe discharge planning and individualized care plans. Called family/POA with changes. Provided end of life care to residents and to family for support and education. Worked closely with hospice agencies as needed. Assisted and educated new graduate nurses and new employees. Discussed issues/concerns with supervisor as needed.

• Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
• Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
• Monitored post-op vitals, set up PCA, fluids, reviewed post-op orders and assimilated patients to unit.
• Treated patients using pharmacological and non-pharmacological treatment modalities to address various disorders, diseases and injuries.
• Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
• Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
• Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
• Administered oral, intramuscular and IV medications to patients and monitored responses.
• Maintained infection control logs, streamlined charting process, and improved patient outcomes through training and leadership.
• Administered scheduled medications and therapies intravenously, rectally, orally, subcutaneously and via intramuscular injections while overseeing pain management plans.
• Delivered quality care and comfort to patients with heart failure, pulmonary hypertension, pulmonary embolisms and end-stage renal disease.
• Evaluated and adjusted life support equipment, tubing and peripheral devices providing critical assistance to fragile patients.
• Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
• Immunized patients against diseases such as influenza and pneumonia to protect vulnerable populations from serious illnesses.
• Observed strict safety measures, including checClairemedication dosages before administration to patients.
• Executed appropriate steps for patient treatment following careful review of physician medical regimen.
• Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
• Reached out to patients to convey lab results and provide care instructions.
• Administered oral, IV and intra-muscular medications and monitored patient reactions.
• Provided skilled direct nursing care to [Type] patients in [Type] department.
• Documented all therapies, including [Type] and [Type] to keep patient charts up-to-date.