ANNA MARIE RAMOS, BSN, RN, CDN, CNN
Bronx,NY
Summary
Compassionate Nephrology Nurse with over 13 years of specialized experience adept at providing high quality patient care and education. Certified as Dialysis Nurse and Nephrology Nurse by Nephrology Nursing Certification Commission.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Staff Nurse - Renal Dialysis
New York City Health and Hospitals / Lincoln
06.2023 - Current
- Duties & Responsibilities: Staff Nurse
- 1. Performs nursing care responsibilities as specified in the policies, procedures and protocol of the hemodialysis unit.
- 2. Meets the prescribed dialysis regimen for each individual patient, as assigned. Performs therapeutic measures, as delegated and described by the physicians, as a thorough knowledge of medications and treatments being administered.
- 3. Prepares dialysis equipment necessary for the administration of hemodialysis.
- 4. Accurately records observations, treatments, medications and other pertinent clinical information. Evaluates the nursing care provided for patients; reviews and revises patient care plans.
- 5. Keeps/Charge nurse and Head Nurse informed of pertinent information continuously throughout tour of duty.
- 6. Maintain safe and therapeutic environment for patients. Has an awareness of the safety hazards in the unit and take responsibility for corrections, when possible reports and records incidents and accidents.
- 7. Makes assignments and assumes the responsibility for the performance of team members through guidance and supervision of their activities.
- 8. With other nursing personnel, provides a tour-to-tour report which includes the necessary information for safe nursing practice and quality patient care.
- 9. Recognizes and applies the legal aspects of nursing in all areas of performance.
- 10. Cooperates with other personnel in the Hemodialysis Unit to maintain adequate staffing at all times. Is available for emergency calls, at designated times, during off duty hours. Rotate to other shifts, if necessary.
- 11. Explains, involves and instructs patients/families concerning the therapeutic regimen and environment of care.
- Data Coordinator/ QAPI Surveillance/ Access Manager
- Collects data monthly to all chronic patients and presents to interdisciplinary team to identify opportunities for improvement.
- Give reports to CMS and CDC thru NHSN and EQRS for patients and healthcare providers.
- Complies with the requirements of IPRO ESRD.
- Coordinates with transplant institutions for patients who are on the waitlist, ongoing evaluation and referrals made by the Social Worker.
- Coordinates with access centers and hospital Interventional Radiologist for patients who need access surveillance, routine evaluation or any access problem for faster accommodations and treatment.
- Ensure that all patients have access monitoring every 3-6 months as part of the Performance Improvement project.
- Educate new patients the importance of having permanent access.
- Educate all patients on access care.
Registered Nurse II ICHD Advanced
Davita Bronx Dialysis Center
04.2022 - Current
- Job Description:
- The Registered Nurse II Chronic is responsible for the delivery of all dialysis related nursing services for the End Stage Renal Disease patient in a chronic setting. This position reports to the Facility Administrator.
- Supervises and perform direct patient care including but not limited to taking and monitoring vital signs, initiation and termination of dialysis, documentation, physical assessment of patients and patient treatments, taking and transcription of physician’s orders, drawing and documentation of ordered laboratory work
- Notes signs of trauma, patients’ general physical and mental condition, reviews dialysis orders, documents observations in patient medical records
- Analyzes patient assessments, laboratory data and, when concerns are noted, brings issues to the attention of the physician
- Communicates all emergencies, patient life-threatening complications and related incidents to supervisor, Medical Director, Regional Operations Director, Facility or Group Facility Administrator
- Assesses patient and family learning readiness and provides appropriate information on renal disease, prescribed dialysis treatment, and medical regimen and its impact on the patient’s state of health and wellbeing
- Provides dialysis therapy, including but not limited to formulating dialysis plan per physician orders, weight and rate of ultrafiltration, verifying safety measures are in place and complied with, administering medications or other appropriate treatments, discontinuing dialysis according to established procedure, documenting all activity appropriately
- Instructs patients on pre- and post-dialysis care
- Administers patient quality care in a considerate, respectful manner
- Participates in the development and implementation of the patient’s short- and long-term plan of care and monthly progress note
- Is a resource for new RNs
- Provides unsupervised patient care
- Supervises day-to-day work of Patient Care Technicians
- Demonstrates the ability to transfer skill set to other clinics and works at other clinics when required
- Meets qualification for Charge Nurse; CQI program and outcome management
- Other duties as assigned. A facility may be selected to participate in research study(ies) under the guidance of DaVita Clinical Research. Any clinical or administrative duty required by the study protocol, which is provided during the course of a patient’s treatment, is considered an essential duty of the job.
Per Diem Registered Nurse -Acute Hemodialysis
NYU Langone Hospital
07.2024 - 11.2024
- Demonstrates a solid foundation and understanding of organizational goals as outlined within the quality and safety performance improvement plan (QSPIP) and nurse sensitive quality indicators (Include unit based quality measures e.g. HAPU, CAUTI, CLABSI, Falls).
- Collects, assesses and documents patient healthcare data.
- Involves patient/family and Interdisciplinary team to identify a plan of care and outcomes that are realistic and measurable.
- Prioritizes care based upon data collected.
- Documents assessment and reassessment in medical records.
- Implements interventions in the coordination of patient care in a safe, timely and appropriate manner and applies escalation process.
- Considers needs and behaviors of specific patient age groups and cultural groups in all patient care activities.
- Documents interventions per hospital standard.
- Educates the patient/family regarding health status and established plan of care.
- Determines learning needs of the patient/family. Implements an educational plan. Collaborates with the interdisciplinary team to modify expected outcomes.
- Documents learning outcomes of patient/family and revises education plan. (Include utilization of EHR education tools)
- Evaluates the patient’s progress towards expected outcomes. Involves the patient/family and interdisciplinary team in the evaluation process, recognizes changes in patient condition, reports document and evaluates the effectiveness of the intervention(s).
- Participates in and contributes to in unit activities to provide patient care in a healing, humane and caring environment.
- Demonstrates understanding of and contributes to unit throughput efficiencies and metrics. (Include unit throughput measures e.g. DBN, door to triage, assign to occupy, first case starts, room turnover)
- Complies with unit based and organizations professional standards, New York State Nurse Practice Act and regulations of relevant outside agencies, e.g., NY State Department of Health, The Joint Commission, regulatory requirements etc.
- Exhibits appropriate judgement in delegated activities.
- Demonstrates ability to differentiate those activities which are in scope of professional nursing practice, and those that may be delegated to ancillary staff.
- Complies with annual education and mandatory/regulatory requirements (Include learning transcript and supportive documentation).
- Serves as a support and resource for nursing staff and students.
- Engages in self-assessment and peer review; utilizes resources to meet individual learning need and promote professional development in clinical practice.
Dialysis Technician/ Staff Nurse
Prince Sultan Military Medical City
09.2017 - 09.2020
- Job Description (Duties and Responsibilities)
- Perform dialysis treatment for patients. Ensure that the best possible treatment is provided in cooperation with the Senior Dialysis Technicians/ Senior Staff Nurse.
- Keep up-to-date record of patients and ensure that instructions are carried out accurately.
- Assist in dialysis treatment carried out in the unit and ensure that treatment is started and finished with minimum problem.
- Take note of any problems occurring during treatment and take proper corrective action, or seek assistance when necessary.
- Provide emergency dialysis services outside normal working hours as required.
- Communicate with the patients to improve understanding of their treatment.
- Inform senior departmental personnel should patients require the attention of a Consultant.
- Ensure the proper functioning of equipment and report any malfunctions to the Chief Dialysis Technician/Senior Staff Nurse.
- Perform other applicable tasks and duties assigned within the realm of the employee’s knowledge, skills and abilities.
Staff Nurse 1
Armed Forces Hospital Southern Region
06.2013 - 06.2016
- Job Description: (Duties and Responsibilities)
- Will rotate between Renal Dialysis Unit, Renal Transplant Unit, Acute Dialysis Unit and CAPD unit approximately every 6 months to maintain clinical skills in all areas of nephrology nursing.
- Assembles necessary supplies
- Prepares dialysate and prepares according to the dialysis prescription and establish PPG.
- Assembles and prepares the dialysis extra-corporeal circuit according to the dialysis prescription. Test monitors alarms and conductivity. Set monitors and alarms according to unit and manufacturer’s PPG’s.
- Administers anticoagulant accordingly to the prescription and unit PPG’s.
- Measures and adjusts blood flow rates accordingly to the prescription and unit PPG’s.
- Calculates and adjust fluid removal rates according to the prescription and unit PPG’s.
- Monitor’s patients and equipment, reporting unusual occurrences to the RN. Changes fluid removal rate, patient position and administers replacement saline as directed by the RN, Physician order or unit PPG’s.
- Monitors equipment for safe and proper functioning. Responds to alarms, making appropriate adjustments.
- Responds appropriately to dialysis related emergencies such as cardiac or respiratory arrest, needle displacement or infiltration, clotting episodes, blood leaks, air emboli, etc. Initiates CPR.
- Discontinues dialysis and establishes haemostasis via the AV Fistula access following unit PPG’s.
- Discontinues dialysis via the temporary/permanent access following unit PPG’s.
- Inspects, cleans and dresses access according to unit PPG’s. Reports unusual findings and occurrences to the RN.
- Obtains and records post dialysis VS, and weight.
- Discards dialysis supplies according to manufacturers and unit PPG’s.
- Communicates patient’s emotional, medical, psychosocial, and nutritional concerns to the In-charge.
- Maintains professional conduct, good communication skills and confidentiality in the care of patients. Participates in the multidisciplinary process.
- Collaborates with the patient educator/ CNS in identifying and meeting patient education goals.
- Monitor’s patient’s throughout their dialysis session and document all relevant information/ VS.
- Discontinue dialyzing ensuring haemostatic in peripheral access or that dual lumen catheter is heparin/ TPA locked, according to unit policy.
- Will perform all duties and responsibilities of RN according to NUR/PRAC/J004.
Staff Nurse
Mary Mediatrix Medical Center
08.2009 - 04.2013
- Job Description:
- Provides direct, competent nursing care for chronically ill patients undergoing Hemodialysis treatment
- Monitors clients continuously through the efficient utilization of nursing process pre-, intra-, and post treatment
- Properly operates Hemodialysis machine, Fresenius 4008-B and 4008-S advanced; safely performed priming, initiation, and termination procedures
- Collects and sends specimen to the laboratory as ordered
- Adheres to strict infection control protocols on access management and proper disposal of wastes
- Assists on troubleshooting process with an experienced certified renal nurse under institutional guidelines and policies
- Performs Slow Extended Dialysis (SLED) to severely azotemic clients to prevent hemodialysis complications
- Collaborates effectively with the healthcare team through on going communication
- Provides health teachings to client and significant other regarding treatment
- Documents Nursing care proficiently
Education
Bachelor of Science - Nursing
University of Batangas
Hilltop Batangas City, Philippines03-2008
Skills
- Nephrology Nursing
- Dialysis Management
- Patient education
- Clinical Competence
- Quality Improvement
- Time Management
- Interdisciplinary team Collaboration
- Data Coordination
Certification
- REGISTERED NURSE – STATE OF NEW YORK Valid Until: September 30, 2028
- REGISTERED NURSE – STATE OF CALIFORNIA Valid Until: November 30, 2027
- REGISTERED NURSE Issued by: Professional Regulation Commission (PRC)
- NURSE TECHNICIAN Issued by: Kingdom of Saudi Arabia, Saudi Commission for Health Specialties
- Certified Dialysis Nurse by Nephrology Nursing Certification Commission
- Certified Nephrology Nurse by Nephrology Nursing Certification Commission
- Basic Life Support Provider American Heart Association Exp. April 2028
- Advanced Cardiovascular Life Support Provider American Heart Association Exp. April 2028
Qualifications
- Total of 13 years of Dialysis Experience
- Certified Nephrology Nurse issued by Nephrology Nursing Certification Commission
- Certified Dialysis Nurse issued by Nephrology Nursing Certification Commission
- Good knowledge with computer desktop operation and Microsoft office programs
Equipments handled
- Nikkiso DBB 098
- Fresenius 4008S/ Fresenius 4008B
- Fresenius 5008 Cordiax
- NX stage Dialysis Machine
- Nikkiso EXA
- Fresenius ADR-88 – Multifiltrate for LDL Apharesis
- Fresenius 2008T/2008K
- Fresenius 2008T Bluestar
Timeline
Per Diem Registered Nurse -Acute Hemodialysis
NYU Langone Hospital
07.2024 - 11.2024
Staff Nurse - Renal Dialysis
New York City Health and Hospitals / Lincoln
06.2023 - Current
Registered Nurse II ICHD Advanced
Davita Bronx Dialysis Center
04.2022 - Current
Dialysis Technician/ Staff Nurse
Prince Sultan Military Medical City
09.2017 - 09.2020
Staff Nurse 1
Armed Forces Hospital Southern Region
06.2013 - 06.2016
Staff Nurse
Mary Mediatrix Medical Center
08.2009 - 04.2013
Bachelor of Science - Nursing
University of Batangas