Allisandra Viera

• Developed strong rapport with students, offering support and guidance throughout their OB and ICU clinical.
• Collaborate with OB lecture instructor to create clinical SBAR tool to guide students through report.
• Mentored 3-4 students during clinical rotations, providing guidance and promoting critical thinking skills.
• Conducted clinical assessments and assisted with OB simulation.
• Provided constructive feedback on weekly clinical paperwork, enabling students to improve their skills.

• Administered Critical OB medications via oral, IV, and intramuscular injections and monitored fetal and maternal responses.
• Utilized critical thinking skills in OB triage to prioritize nursing interventions based on patient acuity levels and individual needs.
• Conducted thorough fetal and maternal assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Travel to outlying lower-level care OB units via EMS to transport critical mother's to higher level of care facilities.
• Attend quarterly education and unit meetings for updates and professional development.
• Implemented evidence-based strategies for post partum hemorrhage preparedness and response.

• · Assist Certified Midwives in birth center to deliver infants of low risk mothers who have an un-medicated birth experience
• Provided compassionate postpartum support, addressing concerns related to newborn care, feeding, and maternal recovery.
• Guided families in creating a nurturing postnatal environment that supported healthy bonding between parents and newborns.
• Attend quarterly birth emergency trainings for out-of-hospital

• Support COVID quarantine floors and nurses during pandemic with ICU-level education.
• Monitored 400 bed hospital system via EMAR and identify potential patient deterioration using risk assessment tool.
• Streamlined communication between various inpatient departments, ensuring all parties were informed of transfer plan of care.
• Participate in emergency phases of care in the Emergency Department and Inpatient setting including but not limited to diagnosis of acute stroke, respiratory distress, cardiac arrest, and emergent blood transfusions.

• Collaborated with physicians to place and manage ventilator support, feeding tubes and central lines in a 24 bed ICU
• Assisted physicians with bedside procedures, ensuring accurate sterile technique, consent, and appropriate equipment used.
• Demonstrated advanced critical thinking skills for trauma, neuro, and surgical patient population while managing complex clinical situations involving multiple organ systems failures.
• Advanced training in use of high-volume IV fluid infuser and massive blood transfusion coordination and administration.
• Participate in NCAT meetings with nurse manager, nursing staff, and clinical nurse specialist to manage unit project and create positive change in unit.
• Educate and orient new staff members and nursing students to ICU setting

· Oversee resident and nursing operations in a 60-bed senior care facility.

· Monitor orders, staffing, critical health issues with residents, and facilitate communication with doctors caring for residents

· Experience with redirecting and implementing behavior plans for demented and confused residents.

• · Worked with diverse nursing staff and resident physicians in a 20 bed MICU to train and develop from New graduate nurse to competent nurse.
• Administered medications safely and effectively, following established protocols and guidelines for dosage calculations and administration techniques.
• · Participated in 1 year on-boarding training for new graduate staff to develop professionalism
• · Monitor critical patient population with multiple health problems including GI bleed, respiratory distress/failure, cardiac arrest, stroke, sepsis, and renal impairment.