Abby L Dufner RN
Newberry,FL
Summary
I began my career in Bone Marrow Transplantion. I was in this position for 1 year until the birth of my son. For 1.5 years I was the Chemotherapy infusion nurse for an inpatient Med Surg Oncology unit. I relocated to Florida to begin working at Shands UF on unit 55. When on unit 55, I was the Charge RN, Preceptor, and Mentored students. I remained on this unit for a little over a year at which time my nurse manager requested that I transfer to a new IMC / Cardiac step-down unit that he was opening. While on Unit 24, I became the IV expert, using traditional and ultrasound technology. I precepted many new nurses, participated in the education committee, was the Magnet designation champion and at two points the interim clinical leader. In 2015 I found the need to be home more with my family. I began nursing at Vista in July 2015, with a primary focus on adolescents and acute psychosis. As well as being a staff nurse, I frequently assumed the responsibility of shift clinical coordinator for the hospital. Duties which included, staffing, resolution of patient/staff complaints and response to all medical and psychiatric codes. In May 2019 I began working at Shands Endoscopy in both the endoscopy focus and motility. During this time I became proficient in pre op preparation, OR circulation and recovery of patients in PACU from anesthesia. Motility studies include Esophageal and Anorectal Manometry, BRAVO, 24 hour pH and impedance monitoring and Smart Pill administration. With the onset of the Covid 19 pandemic I decided to move to the Medical Intensive Care Unit to further my professional development and broaden my clinical skills.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Staff Registered Nurse
Shands Hospital MICU
Gainesville , FL
09.2020 - Current
- Management of medically complex patients
- Conscious sedation and post procedural recovery
- Interpretation of lab values, continuous hemodynamic monitoring including bladder pressures and CVP
- Proficient at the care of ARDS/Covid 19 patients. including paralyzation, proning,vasopressor titrations
- Bedside procedures including bronchoscopy, tracheostomy creation, CVL and arterial line insertion and intubation
- Orienting new staff members and nursing students
- Compassionate care of end of life patients and their families
Endoscopy Staff Nurse/ Motility Specialist
Shands Endoscopy Center
Gainesville, FL
05.2019 - 09.2020
- Performed patient assessment, VS monitoring, IV insertion and other routine procedures and documented in electronic medical record to support interdisciplinary care.
- Educated patients on procedures and facility processes.
- Conducted pre-op calls to review specific instructions prior to surgery and post-op calls to improve patient satisfaction, answer questions and address new or worsening symptoms.
- Prepared rooms according to specific endoscopic procedures.
- Reviewed and documented patient medical history to accurately reflect nursing assessment, changes in clinical state and other pertinent patient information to support multidisciplinary team to deliver great care.
- Studied contraindications, lab results, allergies and potential interactions before administering patient medication and treatments according to physician orders.
- Recovered patient from anesthesia to perform discharge teaching.
- Collected blood, tissue and other laboratory specimens and prepared for lab testing.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
- Administered motility testing and sent results to physician to create focused treatment plans and adjust treatment.
Staff Nurse/fill-in Clinical Coordinator
Shands Psychiatric Hospital at Vista
Gainesville , Fl
07.2015 - 05.2019
- Precepting new staff
- Charging over individual units daily
- On Average, weekly, or more frequently, fill-in clinical coordinator
- Working in conjunction with fellows and resident night floats to provide the best possible care
- I was a frequent resource for medical issues or questions
- IV and lab draw nurse
- I taught several stations at the past 2 skills fairs
- On a daily average cared for 6-8 psychiatric patients. Many in an either acutely psychotic, suicidal or homicidal state. On many occasions completing upwards of 4 admissions in an 8 hour shift
- More recently, I have filled several roles simultaneously to promote patient and staff safety, boost morale and foster teamwork.
Charge RN/Preceptor
Shands Unit 24 IMC (full-time 36+ Hrs/week)
Gainesville, Fl
04.2012 - 07.2015
- Precepting new staff
- Charging over 24 bed unit in a pod setting
- Patient placement with nursing coordinator/STAT RNs
- Resolving patient and family issues
- Triaging patients to a higher level of care
- Working conjunction with physicians to develop a plan of care
- Continuous hardwire tele monitoring
- Ultrasound IV placement
- Floor IV expert
- Assisting bedside procedure including but not limited to, paracentesis, chest tube placement, dialysis catheter placement, intubation, and thoracentesis
- Transportation of hemodynamically unstable patients
- Interim Clinical leader on 2 different occasions
- Bedside nursing and primary care of 3 critically ill patients
Charge RN
Shands unit 55 Med Surg/Cardiology (Full-time 36+ hrs/week)
Gainesville, Fl
12.2010 - 04.2012
- Cardiac rhythm monitoring
- Medication administration
- ADL's
- Monitoring vital sign trends and reporting changes to physicians
- Daily assessments
- Wound care of complex wounds, including vac dressings
- Precepting staff/students nurses
- Charge nursing
- American Heart Association Heart walk team Captain
- Epic super-user
- I left this unit as a unit transfer when my Nurse Manager requested that I come and assist with opening a new IMC.
Staff RN/ Chemotherapy Infusion Nurse
Southwest General Health Center 4W Med Oncology (Full -time 36+hrs/week)
Cleveland, Ohio
02.2009 - 11.2010
- Administration of chemotherapy
- Monitoring for reactions of chemotherapeutic drugs
- Care of med surg patients
- Admissions/discharges with education
- Implementation of electronic medical record
- Precepting new staffers/students
- Charge Nursing and caring for a team of patients
- ADLs
- Medicine pass for 7 patients
- Physical assessment of 7 patients
Staff RN
University Hospitals Case Medical Center Lerner Tower 6 BMTU (Full -time 40+hrs/week)
Cleveland, OH
02.2008 - 02.2009
- Administration of chemotherapy
- Monitoring for signs of reactions to chemotherapeutic drugs
- Monitoring for signs of infection
- Monitoring of lab values and reporting lab values to physicians
- ADLs
- Admission and discharge education and paperwork
- Post transplantation monitoring
- Family and patient support/ education regarding disease processes
- End of life care
Home Health PCA
Maxim Health Care Services (Part -Time 26+hrs/wk)
Cleveland, Ohio
12.2003 - 03.2008
- ADLs
- Light house work duties
- Daily transportation to medical visits
- Various supportive tasks
PCA
Cleveland Clinic Adolescent Oncology/Seizure monitoring unit (Part- time 26+hrs /week)
Cleveland, Ohio
12.2006 - 06.2007
- Traditional PCA duties
- ADLs
- Vitals
- Assisting with various nursing duties within my scope of practice
PCA
Lakewood Hospital- Med oncology (Full-time 40+Hrs/week)
Cleveland, Ohio
06.2004 - 01.2005
- Traditional PCA duties
- ADLs
- Vitals and assisting the bedside nurses with daily tasks
Education
Associates Degree Nursing - Nursing
Lorain County Community College
2007
Currently in progress - Geology
Cleveland state university
Skills
- Skilled in conducting physical examinations
- Skilled cardiac care nurse
- Culturally sensitive
- Strong medical ethic
- Diabetes, Hospice and Stroke Patient Care
- Mobility assistance
- Colostomy care familiarity
- Wound care
- Timely charting in Epic
- Great bedside manner
- Strong working relationship with other practitioners
- Pre-procedure assessments
- Skilled Trach Care
- Skilled in Advanced Bedside procedures including Paracentesis, CVL insertion, Intubation, Chest Tube Placement
- Proficient in ultrasound IV placement as well as traditional IV placement
- Chart auditing, Drill downs and staff education
- Precepting staff and students
- Patient placement
- Staffing assignments
- Intake and discharge
- Psychiatric and mental health care management
- Sound decision-making
- Medical and Psychiatric Code team leader
- Moderate sedation administration
- Paralyzation and proning
- Vasopressor and sedation titration
- Monitoring management and transportation of critically ill patients
Certification
Registered Nurse In The state of Florida , License number RN 9300860
CPR/ACLS certified through American Heart Association
Professional References
Oka Wright RN
MICU Clinical Leader Shands UF
1(352)283-5895
Sarah Graciani RN
MICU Charge RN Shands UF
1(727)415-4315
James Steiner RN
Shands UF STAT RN
809 SW242 Terrace Newberry FL 32669
1-352-219-5092
Kristin Burns RN
Shands UF Endoscopy/Motility RN
17222 SCR 325 Hawthorn FL 32640
1-352-665-0808
Timeline
Staff Registered Nurse
Shands Hospital MICU
09.2020 - Current
Endoscopy Staff Nurse/ Motility Specialist
Shands Endoscopy Center
05.2019 - 09.2020
Staff Nurse/fill-in Clinical Coordinator
Shands Psychiatric Hospital at Vista
07.2015 - 05.2019
Charge RN/Preceptor
Shands Unit 24 IMC (full-time 36+ Hrs/week)
04.2012 - 07.2015
Charge RN
Shands unit 55 Med Surg/Cardiology (Full-time 36+ hrs/week)
12.2010 - 04.2012
Staff RN/ Chemotherapy Infusion Nurse
Southwest General Health Center 4W Med Oncology (Full -time 36+hrs/week)
02.2009 - 11.2010
Staff RN
University Hospitals Case Medical Center Lerner Tower 6 BMTU (Full -time 40+hrs/week)
02.2008 - 02.2009
PCA
Cleveland Clinic Adolescent Oncology/Seizure monitoring unit (Part- time 26+hrs /week)
12.2006 - 06.2007
PCA
Lakewood Hospital- Med oncology (Full-time 40+Hrs/week)
06.2004 - 01.2005
Home Health PCA
Maxim Health Care Services (Part -Time 26+hrs/wk)
12.2003 - 03.2008
Associates Degree Nursing - Nursing
Lorain County Community College
Currently in progress - Geology
Cleveland state university