Andrea Ramirez

Stepdown/Med Surg Float Pool

36-48 hours/week

• Regularly precept student nurses and orient new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures, and nursing best practices.
• Educate patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
• Oversaw delivery of care for patients on medical-surgical units participating in a Collaborative Care model, providing direct care, delegating nursing assignments and supervising team comprised of RNs, LPNs and care technicians, working with phlebotomy and Pharmacists to ensure timely, safe, quality patient care.
• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Educated patients on chemotherapy side effects and self-care strategies, improving their overall wellbeing.
• Enhanced patient comfort by administering chemotherapy treatments with precision and care.
• Developed strong rapport with patients and families through effective listening and empathetic communication skills.
• Implemented safety measures to minimize risks associated with chemotherapy administration, protecting both staff and patients.
• Implemented infection control measures diligently during chemotherapy procedures for safe clinical environments.

PCU traveler

36 hours/week

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
• Monitored patient reactions after administering medications and IV therapies.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and multiple IV drip medications.

PCU/Neurosciences traveler

48 hours/week

• Monitored Q 2 hour Lumbar drains
• NIHSS Assessment of Acute Stroke patients
• 2 Daisy Award Nominations
• Extraordinary Team Member of the Month Award
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Assessed stroke patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals.
• Assisted patients in performance of routine recovery and mobility exercises, providing support when getting in and out of bed as well as walking and stretching to promote optimal stroke recovery.
• Assisted patients eating and drinking when necessary for safe consumption of nutrition, following Speech Language Pathologists recommendations and educating families on specific dietary modifications.

Stepdown/Med Surg Float Pool

36 hours/week

Gastrointestinal surgical Stepdown unit traveler

36 hours/week

• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
• Managed patients recovering from complicated surgical procedures including laryngectomies and multiple gastrointestinal surgeries.
• Collaborated with care team to educate patient on lifestyle modifications required to adjust to permanent bodily changes resulting from complicated surgeries.

Covid 19, Ortho, Med Surg/Tele traveler

48 hours/week

• Managed patients recovering from medical or surgical procedures.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Provided emotional support for patients experiencing isolation due to Covid 19 precuations.

Neurosciences Stepdown Core staff

36 hours/week

• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.

Ortho/Neuro Stepdown core staff

36-48 hours/week

• Monitored acute stroke, craniotomy, spinal surgery and epilepsy patients.
• Chosen by Unit Leadership to participate in Joint Commission Stroke Certification interviews for continuing facility Stroke Certification.
• Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care and being chosen by leadership to participate in Stroke Certification interviews.
• Nominated and represented unit as Shared Governance delegate to facilitate shared decision making between bedside nurses and nursing leaders in areas such as resources, nursing research/evidence based practice projects and policy reviews.
• Performed as Charge nurse to oversee operations of the unit, ensuring nursing functions within the department ran smoothly and efficiently.
• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
• Oversaw delivery of care for patients, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks.
• Participated in nursing simulation activities, evidence-based practice project implementation and competency development to further nursing education.
• Participated in Quality Improvement project to reduce risk of Bloodstream infections through implementing nursing process improvements by collaborating with Clinical Nurse Specialist to educate staff regarding Central Line and IV tube capping to maintain sterility and protect patients from potential infection. After implementation, CLABSI occurrence reduced 3% from 22% in a 3 month time frame.
• Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
• Promoted a culture of safety within the healthcare facility by participating in quality improvement initiatives, identifying potential hazards, and advocating for best practices in nursing care delivery.

Medical Surgical unit

36 hours/week

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Managed care from admission to discharge.

Long Term Acute Care Hospital

36 hours/week

• Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
• Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
• Provided compassionate end of life care for patients and families.

Urgent Care Clinic

36 hours/week

• Conducted telephone triage to patient, family and significant others using nursing judgment according to protocol.
• Educated family members and caregivers on patient care instructions.
• Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
• Managed patients with multiple chronic health conditions, acute episodes of care and behavioral health challenges while promoting and supporting prevention and wellness.
• Cared for wounds, provided treatments, and assisted with procedures.

Home Health Care

40 hours/week

• Cared for wounds, provided treatments, and assisted with procedures.
• Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
• Used aseptic techniques to provide sterilized wound care and dressing applications.
• Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
• Monitored patient health conditions to report changes to assigned physician.
• Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
• Took samples to complete diagnostic and routine assessment tests.
• Supported diagnoses by taking blood samples from patients for laboratory testing.