Summary
Overview
Work History
Education
Certification
Timeline
Generic

Alycia Brehm

West Sunbury,PA

Summary

Dedicated registered nurse with a strong background in medical-surgical nursing, committed to providing exceptional care to a diverse patient population. Eager to contribute my skills and experience in a challenging role at your facility, serving veterans and their families.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Registered Nurse, Pre-Op/PACU Nurse

Butler Ambulatory Surgery Center LLC
12.2022 - Current
  • Educated family members and caregivers on patient discharge instructions.
  • Thorough, efficient, confident assessment and communication skills.
  • Outstanding organizational and multi-tasking skills.
  • Excellent and thorough documentation of patient assessments, care provided, and outcomes by facility standards.
  • Actively instruct and educates patients and family members on the Plan Of Care and discharge instructions for gastroenterology, ENT, plastics, opthalmology, urology, podiatry, orthopedic, and general procedures.
  • Offer exceptional, safe, competent care and support to patients and family members throughout the surgical experience.
  • Inspect the facilities and act to maintain excellent hygiene and safety (decontaminating equipment, sanitizing surfaces, and preparing beds).
  • Recognize post-operative complications quickly and initiate appropriate interventions in a timely manner.
  • Clear communication with patients and family members using the AIDET method: Acknowledge, Introduce, Duration, Explanation, Thank You.
  • Strong communication with surgeons, anesthesiologists, and other interdisciplinary team members while caring for patient's in the pre-operative and post-operative setting.
  • Ensure compliance with facility protocols, policies, and guidelines while caring for all patients.
  • Manage patients recovering from medical or surgical procedures.
  • Proficient in assessing patient's pain and appropriate pain management post operatively.
  • Review discharge instructions with patient's and family members prior to discharge.
  • Proficient in insertion of urinary catheter and monitoring patients for signs of complications.
  • Proficient in establishing intravenous access for fluid administration and medication delivery.
  • Successfully access implanted ports.
  • Documentation of IV and oral medication administration and effectiveness.
  • Assess CMS after orthopedic procedures per doctor order.
  • Evaluate patients' pain levels, implementing correct dosage of medication to alleviate discomfort.
  • Connecting patient's to a cardiac monitor upon transfer to PACU to obtain vital signs.
  • Able to obtain a 12-lead EKG in a fast pace work environment per a physician order.
  • Assist with other roles such as answering the telephone, discharging patients, stocking, preparing for next day assignments, completing beginning and end of day checklists, post-operative follow-up phone calls, cleaning rooms and gurneys.
  • Monitor pediatric patients after receiving anesthesia per facility guidelines.
  • Precept new staff members and resource to new hires throughout orientation.
  • Recover patient's receiving local, MAC, and general anesthetic after ENT, gastroenterology, general, orthopedic, opthalmology, plastic and cosmetic, podiatry, and urology procedures.
  • Provided comprehensive nursing care to a diverse patient population, including pediatrics, adults, and geriatrics, tailoring interventions to age-specific needs in the pre-operative and post-operative setting.
  • Monitor patient reactions after administering medications and IV therapy.
  • The ability to remain calm and focused during a fast pace work environment.
  • Access patient charts to review and evaluate past medical history, medication reconciliation, pre-operative testing, and other pertinent information to ensure patient is appropriate to proceed with scheduled procedure.
  • Contact patients via telephone prior to their procedure to review past medical history and home medications prior to procedure.
  • Evaluate patients' pain levels, implementing correct dosage of medication to alleviate discomfort.
  • Audit charts to ensure staff documentation is appropriate, accurate, and complete within facility and state guidelines.
  • Assess patient incision site, monitored body temperature, and tracked other indicators of stability or complications.
  • Monitor vital signs and levels of consciousness to verify sedation wore off properly and patient regained consciousness.
  • Evaluate patients pain, nausea, difficulty breathing, vital signs, oral intake, dressings, bowel sounds, and neurovascular in the recovery room.
  • Provide instant medical care in emergencies.
  • Proficient in conducting thorough pre-operative assessments including medical history, allergies, current medications, and physical examinations to identify potential risks and coordinating necessary interventions.
  • Proficient in maintaining accurate documentation of patient assessments, interventions, and vital signs throughout the pre-operative phase
  • Utilization of interpreter services to provide culturally sensitive care to non-English speaking patients.

Registered Nurse, Trauma-Surgical Unit

UCHEALTH Medical Center of the Rockies
06.2022 - 10.2022
  • Provided direct patient care, including wound management, medication administration, and pain management for patients recovering from traumatic injuries and surgical procedures such as
  • Cared for a range of surgical patients, from general surgery to complex interventions for cancer, and trauma patients with varying injury severity, including those requiring orthopedic or neurological intervention.
  • Floated frequently to the short stay unit to care for patient's who are under 24-hour observation and/or post-operative such as implanted port, laparoscopic cholecystectomy, total joint replacements, and cardiac catheterization.
  • Administered blood transfusions and monitored patients for adverse reactions, following established protocols.
  • Participated in interdisciplinary team meetings to discuss patient progress, address concerns, and coordinate care.
  • Collaborated with physical therapists and occupational therapists to facilitate patients' rehabilitation and promote their return to functional independence.
  • Maintained accurate and detailed patient records, including documentation of assessments, interventions, and outcomes.
  • Collaborated with surgeons, physicians, and other healthcare professionals to develop and implement individualized care plans.
  • Managed complex wound care, including vacuum-assisted closure (VAC) therapy and specialized dressings, to promote healing and prevent infection.
  • Assessed and managed patient's pain using a variety of pharmacological and non-pharmacological techniques, including patient controlled analgesia (PCA).
  • Coordinated discharge planning for patients, ensuring they had the necessary resources and support for a smooth transition to home or rehabilitation facilities.
  • Provided specialized care for patients with traumatic brain injuries, multiple fractures related to mechanical fall, following established protocols
  • Provided education to patient's and families on appropriate fall prevention measures.
  • Collaborated with case managers and social workers to address patients psychosocial needs related to discharge planning.
  • Manage and care for patients' after surgeries including but not limited to port placements, cardiac catheterization, knee surgeries, laparoscopic cholecystectomy, etc.
  • Assisted patients ambulating post-operative using assistive devices such as walkers or crutches.
  • Prevention of blood clots with anticoagulants, compression stockings, and sequential compression device (SCD).
  • Monitored incision site post-operative for signs of infection.
  • Skilled in maintaining continuous bladder irrigation, adjusting flow rates, troubleshooting issues, and proper documentation.
  • Competent in inserting, maintaining, and removing urinary catheters, preventing infections, and managing complications.
  • Experienced in administering tube feedings, monitoring tolerance, preventing aspiration, and administering medications via NG or PEG tube.
  • Knowledgeable in post-operative care, including ambulation, nutrition, and medication management.
  • Ability to prioritize and manage multiple patients with varying levels of acuity.

Registered Nurse, Inpatient Rehabilitation Unit

Medical Solutions
01.2022 - 06.2022
  • Provided direct patient care, including medication administration, wound care, and pain management, to patients with a variety of medical conditions such as post-fall, post-stroke, post-orthopedic surgery, minimally invasive robotic-assisted procedures.
  • Collaborated with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs.
  • Conducted thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members.
  • Responded to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate.
  • Provided patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions.
  • Implemented and adhered to infection control protocols to prevent the spread of healthcare-associated infections.
  • Promoted patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff.
  • Documented patient care and education thoroughly and promptly in the medical record.
  • Complied with all facility policies and standards.
  • Monitored and operated medical equipment (e.g., IV pumps, monitors, bed alarms) as needed for patient care and safety.
  • Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
  • Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
  • Recorded and documented intake and output for patient's ordered fluid restriction.
  • Assisted with ADLs, including bathing, grooming, and feeding.
  • Assisted patients with transfers, repositioning, and ambulation, ensuring patient comfort and safety.
  • Monitored patients for signs of pressure ulcers and adjusted bed position as needed.
  • Transferred patients from beds to wheelchairs for therapy sessions when appropriate.
  • Administered pain medication to patient's prior to therapy sessions when appropriate.
  • Assisted patients with transfers to and from chairs for meals.
  • Provided patient's with their night time routine including medication administration and hygiene care.

Registered Nurse, Inpatient Rehabilitation Unit

Maxim Staffing Solutions
11.2021 - 01.2022
  • Provided safe, competent, compassionate, timely nursing care and assessments.
  • Provided specialized care for patients recovering from hip fractures, joint replacements, strokes, Parkinson's disease, and multiple sclerosis. Delivered personalized nursing interventions to promote recovery, enhance mobility, and manage chronic conditions.
  • Performed daily tracheostomy tube cleaning, suctioning, and dressing changes to maintain hygiene and prevent infection.
  • Implemented standard and transmission-based precautions for patients with MRSA/C.Diff/VRE/MDRO/COVID-19, ensuring a safe environment for staff and visitors.
  • Supervised care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.
  • Collaborated and communicated effectively with various departments to ensure coordinated care and provide direct patient care when needed.
  • Served as a resource for fellow staff, supporting them with complex patient needs and inquiries.
  • Celebrated victories and milestones achieved by our patients.
  • Incorporated skin inspection, utilized appropriate support surfaces, encouraged frequent repositioning, and followed a structured risk assessment.
  • Monitored patients' skin integrity and implemented preventive measures to reduce the risk of pressure injuries.
  • Worked as team lead overseeing LPN's during a 12-hour shift.
  • Successfully delegated tasks to LPNs based on their skill levels, ensuring efficient workflow and optimal patient outcomes.
  • Epic electronic documentation.
  • Obtain labs in a timely manner via central lines.
  • Effective organizational and prioritization skills to manage workload and ensure patient safety.
  • Successfully managed a caseload of 10 patients, ensuring timely and appropriate care.
  • Provided compassionate care that guided patients along their path to healing and assisted with their rehabilitation goals.
  • Administered medications, wound care, and pain management interventions.
  • Advocated for patient comfort, safety, and well-being during intensive recovery phases.

Registered Nurse, Medical-Surgical Unit

Medical Solutions
05.2021 - 08.2021
  • Educated patients and families on medical-surgical procedures, therapeutic regimens, and pain management techniques.
  • Started intravenous fluids, administered medications, and documented patient charts by recording food and fluid output and intake.
  • Administered medications and treatment to patients and monitored responses.
  • Monitored patient vital signs to perform thorough condition assessments.
  • Provided health education to patients and families regarding discharge instructions and plans of care.
  • Managed patient pain relief by providing non-pharmacological and pharmacological interventions.
  • Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
  • Assessed various wounds and
  • NG tube placement and proper assessment/ technique.
  • Assess, interact, and care for patient's in alcohol withdraw.
  • Charge nurse duties and a resource to staff.
  • Cared for range of patient's including, but not limited to, acute pancreatitis, alcohol withdrawal, post-laparoscopic cholecystectomy, and end of life comfort measures.
  • Monitored and managed PCA pumps for pain management, ensuring proper dosage, patient safety, and accurate documentation.
  • Documented via Epic electronic medical record.
  • Blood glucose monitoring and proper insulin administration.
  • Effectively communicated with patients' family members to provide updates and support on a fast-paced inpatient hospital unit.
  • Provided comprehensive end-of-shift report to ensure continuity of patient care and effective communication among healthcare team members.
  • Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
  • Proficient in performing wound assessments, proper documentation, implementing appropriate treatment plans, and utilizing wound care products.

Registered Nurse, Medical-Surgical Unit

Butler Memorial Hospital
05.2018 - 05.2021
  • Advocated for and strived to protect health, safety, and rights of patient.
  • Managed patients' pain by implementing pharmacological and non-pharmacological pain management interventions.
  • Educated patients and families on medical-surgical procedures, therapeutic regimens, and pain management techniques.
  • Started intravenous fluids, administered medications, and documented patient charts by recording food and fluid output and intake.
  • Performed nursing assessments and developed patient-specific treatment plans to deliver comprehensive care.
  • Managed patient pain relief and sedation by providing non-pharmacological and pharmacological interventions.
  • Utilized Meditech to document data related to patient care such as medications, interventions and patient responses.
  • Provided health education to patients and families regarding discharge instructions and plans of care.
  • Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
  • Completion of Crisis Management and behavioral health intervention course.
  • Displayed strong teamwork skills by effectively communicating with doctors, nurses, and other healthcare professionals to ensure all patient's were provided with high, quality care.
  • Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
  • Displayed empathy towards patients and their families by providing emotional support during challenging times
  • Communicated with physicians to obtain verbal and written orders.
  • Ability to read and carry out all orders in a timely manner.
  • Interaction/care provided to U.S Veterans and their family members.
  • Delivered quality care and comfort to patients such as, but not limited to bariatrics, geriatrics, oncological, post-operative, and general medical.
  • Assesses patient conditions, monitors behaviors, and updates supervising physicians with observations and concerns.
  • Displayed excellent attention to detail by carefully monitoring patient vital signs and medication dosages.
  • Ensured quality patient care from admission to discharge through direct supervision of all nursing and ancillary staff.
  • Proficient in urinary catheter placement and straight catheter uses to obtain urine samples.
  • NG tube placement and proper assessment/technique.
  • Proficient in IM and subcutaneous injections with proper cleansing techniques.
  • Maintained proper technique to mix medications in IV bags per order and protocol.
  • Management of chest tube and appropriate documentation.
  • Ensured patency of central lines such as a PICC or port.
  • Proficient in collecting blood samples using proper technique via PICC or PORT for lab orders.
  • Proficient in educating patients on diabetes management, including medication administration, blood glucose monitoring, and lifestyle changes.
  • Proficient in maintaining the 5 rights while administering oral, subcutaneous, IV, and IM medications per order.
  • Accessed a port using proper sterile technique.
  • Management and documentation of drains such as bladder irrigation, foley catheter, chest tube, JP, NG or PEG tube.
  • Proper wound management with dressing changes and routine assessment.
  • Completion of comprehensive crisis management/behavioral class.
  • Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
  • Performed various nursing interventions such as dressing changes, wound care, vital sign monitoring, and specimen collection.
  • Displayed excellent attention to detail by carefully monitoring patient vital signs and medication dosages.
  • Administered medications via oral, IV, and intramuscular injections and monitored responses.
  • Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures, and nursing best practices.
  • Participated as a union representative as part of a committee to provide resource to fellow coworkers.
  • Provided a thorough end of shift, bedside hand-off report to fellow coworkers and received report from off going shift to provide excellent patient care.
  • Contacted facilities to provide thorough transfer reports, assisted with gathering or faxing paperwork for discharge, collecting and packing up patient belongings, and ensuring all important documentation was completed.
  • Assisted patients with bathing, dressing, maintaining personal hygiene, moving in bed, standing and walking.
  • Quickly initiated a RRT when a patient had a change in their medical status.
  • Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
  • Administered blood products and monitored vital signs to address immediate concerns.

Nursing Assistant

Butler Memorial Hospital
08.2015 - 10.2018
  • Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
  • Hourly rounding and safety checks on all patient's and notified nursing staff of any changes.
  • Promoted patient satisfaction by assisting with daily living needs such as bathing, dressing, toileting, and ambulation.
  • Proper PPE usage including universal, contact, droplet, and airborne.
  • Assisted orthopedic nurses with patient ambulation after knee/hip/extremity surgery.
  • Assisted ICU staff with care of patient including hygiene, transporting patient's to testing, and repositioning.
  • Documented hourly rounding, intake and output, ambulation, and repositioning in Meditech.
  • Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
  • Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
  • Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
  • Delivered compassionate care for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
  • Collected biological specimens and packaged for laboratory transport to complete important diagnostic tests.
  • Floated to other units including medical-surgical, ICU, orthopedic, and psychiatric.
  • Monitored patient's on a 1:1, per physician order, to observe behavior, mental status, and reactions.
  • Precepted and oriented new hires to the telemetry unit.
  • Effectively worked together as a team to complete tasks and provide exceptional quality patient care.
  • Obtained EKG's per provider orders.
  • Prepared patient's for testing such as echos, stress test, cardiac cath, CT, and x-ray.
  • Connected patient's to cardiac monitor and obtained vital signs per nursing instruction.
  • Completed nursing assistant course.
  • Assisted patients with ambulation using walkers or canes.
  • Safely transferred patients between bed and wheelchair.
  • Repositioned patients in bed to prevent pressure ulcers.
  • Engaged in housekeeping tasks by replacing linens and cleaning and sanitizing patient rooms.

Education

Bachelor of Science - Nursing

Capella University
10-2020

Associate of Applied Science - Nursing

Butler County Community College
Butler, PA
05-2018

Certification

  • Pennsylvania Professional Nurse License | 09/2018 | RN 711568
  • Basic Life Support | Expiration 01/2027
  • Advanced Cardiovascular Life Support | Expiration 01/2027
  • Pediatric Advanced Life Support | Expiration 01/2027
  • Comprehensive Crisis Management | 08/2015-05/2021



*References Upon Request*

Timeline

Registered Nurse, Pre-Op/PACU Nurse

Butler Ambulatory Surgery Center LLC
12.2022 - Current

Registered Nurse, Trauma-Surgical Unit

UCHEALTH Medical Center of the Rockies
06.2022 - 10.2022

Registered Nurse, Inpatient Rehabilitation Unit

Medical Solutions
01.2022 - 06.2022

Registered Nurse, Inpatient Rehabilitation Unit

Maxim Staffing Solutions
11.2021 - 01.2022

Registered Nurse, Medical-Surgical Unit

Medical Solutions
05.2021 - 08.2021

Registered Nurse, Medical-Surgical Unit

Butler Memorial Hospital
05.2018 - 05.2021

Nursing Assistant

Butler Memorial Hospital
08.2015 - 10.2018

Bachelor of Science - Nursing

Capella University

Associate of Applied Science - Nursing

Butler County Community College
Alycia Brehm