Graduated in 1990 with 30 yrs of hospital and acute care nursing experience. Experienced in different bedside procedures like GI/Endoscopy, intubation, central line placement , cardioversion and monitoring. Experienced in different ICU settings including open heart, lung transplant, burn unit, surgical and trauma ICU. I have been critical care float pool nurse and worked in different ICU department like CVICU, Surgical/Trauma, CCU, MICU, NeuroICU, Burn Unit, PACU, PCU, ER, IR and Cath Lab. My experience exposure are both in tertiary and community hospitals. Started traveling in December 2020 and has taken assignments in Washington DC and California.
Assess and manage critically-ill patients, floated and worked at CVICU, PACU, step-down unit and ER.
Monitor hemodynamics, manage ventilator, wean and titrate vasopressors, and sedation.
Assist with different bedside procedures like intubation, central line placement, cardioversion, and EGD.
Provide proper sedation, pain-control management with physician order and supervision.
Participate in multi-disciplinary rounds, setting goals specific for each patient.
Float to all ICU unit and provide care specific to the need of patient assigned.
Works and float to different ICU unit including CVICU, Burn unit, cath lab, EP, and interventional radiology.
Assess and manage critically ill patient such as post-op CABG, ventilated and trauma patients.
Assist with bedside intubation, and other invasive procedures: PA catheter floatation, pacing, chest tube insertion, central line placement, lumbar puncture and arterial line insertion.
Maintain cardiac output, PA pressures, titration of vasopressors, inotropes, fluid boluses, electrolyte and plasma replacement.
Pain management via PCA, Epidural, and nerve block.
Proactive with pt recovery via weaning protocol and extubation parameters.
Coordinate patient care and transfer between Medstar trauma and critical care unit.
Participate with ICU team rounds , collaborate with RT, PT, and other health discipline.
Participated in continuing education programs and Sitel workshops to enhance training and nursing knowledge.
Float to different unit like ICU/IMU, general surgery, joint/spine, oncology, heart vascular unit, neuro, medicine and emergency room.
Assess, collaborate and coordinate meeting patient's care needs during transition from shift to shift.
Incorporates hospital Medication Safety Initiatives, policy/procedures in the safe administration and monitoring of medications specific to department.
Utilizes STEMI, Stroke, Sepsis, and ACLS protocol in emergency situations.
Facilitate patient's discharge and transfer per facility policy.
Utilizes a collaborative and interdisciplinary process to provide appropriate patient/family education , based on plan of care.
Worked in the ICU for couple of years then transferred to post-surgical unit.
Care for 23-hr post-op and AM admit patients monitoring their vital signs, signs and symptoms of bleeding, pain management and overall recovery from surgery.
Conduct neurovascular, flap checks, manage lumbar drain and monitor output..
Collaborate with physician and PA's and implement orders timely for positive patient outcomes.
Facilitate patient's recovery and provides clear time/action specific discharge instructions in clear understandable terminology.
Served as staff nurse in different ICU unit.
Provided care and support to the intubated/ventilated patient.
Monitor and record arterial, pulmonary artery and central venous pressures.
Maintained patient's hemodynamics by weaning/titrating vasopressors and inotropes as needed.
Coordinated with other health professional outlining and meeting each patients plan of care.
Served as a staff nurse caring for patients after coronary artery bypass, heart and lung transplant, thoracotomy, heart valve repair/replacement.
Skilled in PA catheter/SVO2 monitoring, intra-aortic balloon pump, heart mate left ventricular device, ventilator management, vasopressors/inotropes titration, and temporary pacing.
Assisted with special procedures like cardioversion, arterial, and central line placement.
Implement physician orders timely per hospital policy for positive patient outcomes.
Participated in fast-track goal where hemodynamically stable patients were transferred to the step-down unit 6-8hrs post-surgery.
Served as a preceptor.
Served as a charge and staff nurse caring for medical-surgical patients, hemodialysis, and patients receiving peritoneal dialysis.
Participate and lead interdisciplinary team during rounds.
Served as a preceptor for newly-hired nurses.
Served as staff nurse caring for elderly patients.
Supervised 2-3 RN's and 3-4 nursing assistants.
Managed bed assignment, transfer, admission and discharges.
Collaborate with other health discipline formulating plan of care for each patient.
Served as a staff/Charge RN caring for elderly patients.
Complete assessment and documentation of newly admit patients.
Safe administration of medications and treatments as ordered.
Collaborate and coordinate with other health allies in meeting patient's care needs.
Complete assessment /reassessment in accordance to the unit Standards of Practice.
Identify and intervene appropriately to patients needs.
Notifying physician for any changes and executing orders as they arise.
Maintaining patient's safety by identifying and recognizing any potential threat/danger to patient's health.
Allowing patient and their family to participate in their care while maintaining privacy.
Certified in Basic Life Support , Pediatric Life Support, and Advanced Cardiac Life Support, NIH, and CCRN certified.
Registered Nurse, Philippines 1991
Registered Nurse, State of North Carolina 1993
Registered Nurse, State of Maryland 1994
Registered Nurse, State of District of Columbia 2005