AILEEN GUALIZA
Davenport,US
Summary
Distinguished for excellence at Genesis Medical Center Hospital, I leveraged critical care nursing and cultural competence to enhance patient outcomes. Adept in telemetry monitoring and embodying a positive attitude, I significantly contributed to interdisciplinary collaboration and quality improvement initiatives, ensuring high standards of patient safety and care. I have also awarded several times the fastest in navigation during my work with United Health Group as Clinical Claim Review Nurse. I am trained with the InterQual and the flow of reviewing cases and maintaining member's data privacy.
Overview
9
9
years of professional experience
Work History
Cardiac Registered Nurse
Genesis Medical Center Hospital
06.2024 - Current
- Prioritized and revised patient care activities based on acuity of symptoms and patient preferences.
- Administered nursing care to cardiac patients undergoing diagnostic, therapeutic or emergency services.
- Cared for culturally-diverse patients, liaising with family members and specialists to address changing needs and enhance individual experience.
- Changed dressings, cleaned wounds and monitored vital signs of up to 4-6 patients concurrently with focus on quality care.
- Maintained detailed records of patient conditions, reactions and progress in alignment with physician orders.
- Assisted in diagnosis and treatment of conditions such as unstable angina, cardiomyopathy, coronary artery disease and cardiac dysrhythmia.
- Supported healthcare team by maintaining responsibility for electrocardiogram monitoring, defibrillation and cardio rehabilitation training.
- Contributed to high-quality, cost-effective healthcare as key member of cardiac nursing team caring for up to 4-6 patients daily.
- Assessed patients, collecting data and prioritizing cases in accordance with standards, policies, procedures and guidelines.
- Liaised with patients following cardiothoracic surgical procedures, providing support and education on post-surgical care.
- Produced care plans in alignment with physical, psychosocial and learning needs of patients, achieving commendations for compassionate treatment.
- Administered medication, pain management and analysis of patient responses to interventions to improve individual performance.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
Clinical Claim Review Nurse
United Heath Group
10.2023 - 05.2024
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Review charts and understand the entire admission to determine if services and care levels are clinically indicated by using InterQual appropriately.
- Collaborates with the MD accordingly to maintain the accuracy of the outcome of the decision if the admission is medically necessary.
- Maintaining fast navigation to different tools provided in reviewing cases to ensure cases were done in timely manner.
Staff Nurse, Mother-Baby Unit
Saint Anthony Mother and Child Hospital
03.2020 - 10.2023
- Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Developed and implemented individualized patient care plans for optimal outcomes.
- Coordinated patient discharge planning to provide post-discharge patient care, promoting healing and recovery.
Staff Nurse, Medical Intensive Care Unit
Cebu South General Hospital
11.2015 - 06.2018
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
- Developed and implemented individualized patient care plans for optimal outcomes.
- Coordinated patient discharge planning to provide post-discharge patient care, promoting healing and recovery.
Education
Bachelor of Science - Nursing
University of Cebu Banilad Campus
6000 Governor M. Cuenco Avenue Cebu City Philippin03.2015
Skills
- Best in Multi-tasking and Navigation
- Positive attitude
- Hardworking
- Open to more shifts
- Fast learner
- Telemetry monitoring
- Cultural competence
- Critical Care Nursing
- Quality Improvement
- Discharge Planning
- Cardiac monitoring
- Advanced cardiac life support
- Clinical Documentation
- Cardiopulmonary Resuscitation
- Clinical judgment
- Interdisciplinary Collaboration
- Patient Safety
- Physical assessments
- Health Promotion
Timeline
Cardiac Registered Nurse
Genesis Medical Center Hospital
06.2024 - Current
Clinical Claim Review Nurse
United Heath Group
10.2023 - 05.2024
Staff Nurse, Mother-Baby Unit
Saint Anthony Mother and Child Hospital
03.2020 - 10.2023
Staff Nurse, Medical Intensive Care Unit
Cebu South General Hospital
11.2015 - 06.2018
Bachelor of Science - Nursing
University of Cebu Banilad Campus
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