Hi, I’m
ARLINDA RAMIREZ
League City,TX
Summary
Experienced and hardworking Dialysis Nurse with 15+ years of diverse experience in direct patient care, staff supervision and department operations. Enthusiastic and driven with desire to provide high level of compassion in patient care to improve overall outcomes. Seeking a PRN or Part time position only.
Overview
15
years of professional experience
1
Certification
Work History
University Of Texas Medical Branch- Galveston
Nurse Clinician III - Hemodialysis
05.2023 - Current
Job overview
- Demonstrates skills necessary to successfully initiate, monitor and discontinue hemodialysis, peritoneal dialysis and dialysis related treatments and therapeutic plasma exchange procedure.
- Rinse, prime, position all appropriate equipment, attach all required tubing, prepare dialysate, calibrate and check alarms, set monitors and perform a system check as required.
- Continuously monitor patients condition and appropriate vital parameters before, during and after dialysis treatments. Keep Nephrologist informed of changes in patients condition.
- Analyzed emergency situations and took prompt action to save lives.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
- Monitored patient reactions after administering medications and IV therapies.
- Worked with healthcare team to develop new dialysis treatment flow sheet and other log forms, improving clinical documentation and accountability.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Evaluated patient histories, complaints, and current symptoms.
- Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Recorded details regarding therapies to keep patient charts updated.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
Luxury Dialysis
Charge Nurse - Hemodialysis (Part Time)
09.2022 - Current
Job overview
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
- Conducted daily shift briefs to inform staff of changes in patient care assignments.
- Collaborated with other healthcare professionals to provide quality patient care.
- Monitored nursing care, patient assessment processes, and HD treatment implementations.
- Administered medications and treatments to patients as ordered by physician.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Implemented quality patient care techniques to align with safety, health, and organizational regulations.
- Developed and maintained close relationships with patients and families to facilitate smooth communications, provide encouragement and build trust.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
- Used first-hand knowledge and clinical expertise in the field of Nephrology to advocate for patients under care and enacted prescribed treatment strategies.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Educated family members and caregivers on patient care instructions.
DaVita Baymont Dialysis
Charge Nurse
11.2022 - 04.2023
Job overview
- Collaborated with other healthcare professionals to provide quality patient care.
- Monitored nursing care, patient assessment processes, and HD treatment implementations.
- Administered medications and HD treatments to patients as ordered by physician.
- Implemented quality patient care techniques to align with safety, health, and organizational regulations.
- Developed and maintained close relationships with patients and families to facilitate smooth communications, provide encouragement and build trust.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
- Evaluated patient histories, complaints, and current symptoms.
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
- Conducted daily shift briefs to inform staff of changes in patient care assignments.
- Supervised and managed daily scheduling, tasking, and administration.
Prince Sultan Military Medical City
Staff Nurse 1
10.2019 - 08.2022
Job overview
- Demonstrates skills necessary to successfully initiate, monitor and discontinue hemodialysis, peritoneal dialysis and dialysis related treatments and therapeutic plasma exchange procedure.
- Rinse, prime, position all appropriate equipment, attach all required tubing, prepare dialysate, calibrate and check alarms, set monitors and perform a system check as required.
- Continuously monitor patients condition and appropriate vital parameters before, during and after dialysis treatments. Keep Nephrologist informed of changes in patients condition.
- Analyzed emergency situations and took prompt action to save lives.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
- Monitored patient reactions after administering medications and IV therapies.
- Worked with healthcare team to develop new dialysis treatment flow sheet and other log forms, improving clinical documentation and accountability.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Evaluated patient histories, complaints, and current symptoms.
- Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Recorded details regarding therapies to keep patient charts updated.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
EXL Service Philippines
Utilization Review Nurse - Anthem BC/BS
06.2019 - 10.2019
Job overview
- Outtowin.exlservice.com
- EXL Service - Serving organizations in insurance, healthcare, banking and financial services, utilities, travel, transportation and logistics, we deliver solutions from whenever clients need them.
King Fahad Armed Forces Hospital
Specialist Renal Dialysis Nurse
06.2011 - 05.2019
Job overview
- Demonstrates skills necessary to successfully initiate, monitor and discontinue hemodialysis, peritoneal dialysis and dialysis related treatments and therapeutic plasma exchange procedure.
- Rinse, prime, position all appropriate equipment, attach all required tubing, prepare dialysate, calibrate and check alarms, set monitors and perform a system check as required.
- Continuously monitor patients condition and appropriate vital parameters before, during and after dialysis treatments. Keep Nephrologist informed of changes in patients condition.
- Analyzed emergency situations and took prompt action to save lives.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
- Monitored patient reactions after administering medications and IV therapies.
- Worked with healthcare team to develop new dialysis treatment flow sheet and other log forms, improving clinical documentation and accountability.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Evaluated patient histories, complaints, and current symptoms.
- Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Recorded details regarding therapies to keep patient charts updated.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
Cagayan De Oro Medical Center
Hemodialysis Registered Nurse
04.2009 - 06.2011
Job overview
- Hemodialysis: Demonstrates skills necessary to successfully initiate, monitor & discontinue hemodialysis.
- Rinse, prime, position all appropriate equipment, attach all required tubing, prepare dialysate, calibrate & check alarms, set monitors & perform a system check as required
- Continuously monitors patient’s condition & appropriate vital parameters before, during & after dialysis treatments
- Keep Nephrologists informed of changes in patient’s condition
- Prepares, checks, monitors & clean all needed equipment for hemodialysis.
- Has a working knowledge of all equipment in Renal Dialysis Unit
- Initiate & discontinue dialysis utilizing an established access including administration og intradermal anesthetic as needed
- Obtain blood samples & other specimens indicated by patient’s condition or as ordered
- Administer appropriate intravenous fluids & medications, blood & blood products
- Assess, evaluate & provide care for patient’s related blood pressure & weight changes or other physical conditions, access patency, dialysate composition, blood & fluid flows, transmembrane pressure & anticoagulation according to established protocols
- Maintain proper & complete nursing notes & sign them
- Demonstrates understanding of clinical manifestations of renal disease & its treatmentI.e
- Anemia, fluid overload, hyperkalemia, renal osteodystrophy, etc
Cagayan de Oro Medical CenterCagayan de Oro, Philippines
OR/DR Complex Nurse
10.2008 - 03.2009
Job overview
- Area: Operating/Delivery Room/ In-patient Area/Medical-Surgical/ OB-GYNE Ward/ Pediatrics
- ROLES AND RESPONSIBILITIES
- OR/DR/PACU Facilitate transfer of patient from ward to the unit (special endorsements, pre-op checklist, consent for the operation, and etc.) Provide pre-op care (attend to patients need, continuous vital signs monitoring, provide
- O2 inhalation, employ I.V
- Infusion and etc.) Assist the anesthesiologists for the lumbar prep before the induction of anesthesia
- Prepares the sterile field, do skin prep @ operative site and documentation of the entire procedure
- Assist Surgeons in both major and minor surgeries with emphasis on the principles of sterility
- Sponges & instruments count before and after operations
- Post-op Care at the Recovery room (continuous monitoring of patient until vital signs are stable and carry out post-op orders) Proper endorsement of patient from the unit to the ward NOD
- Cases Handled: Gynecological & obstetric surgery – cesarean section, dilatation & curettage, vaginal hysterectomy , salphingo - oopherectomy Neck Surgery – thyroidectomy & parathyroidectomy Breast surgeries – Mastectomy Abdminal Extraintestinal surgery – abdominal explore laparoscopy, cholescystectomy & cystectomy
- Gastrointestinal surgery – Small bowel resection, Appendectomy & colostomy Cardiovascular surgery – Intra-jugular insertion, AVF creation Orthopedic surgery – Open Reduction of Carpal bone fracture/humerus/Radius & ulna, total hip replacement & below knee amputations Neurosurgical Surgery – Craniotomy & craniectomy Ocular Surgery – Glaucoma surgery, cataract surgery & laser Cosmetic surgery – blepharoplasty, rhinoplasty, breast augmentation and liposuction
- Normal Vaginal deliveries
- IN-PATIENT AREAS Admission & discharge of patients Continuous assessment & monitoring of admitted patients (vital signs/O2 saturation/Intake & Output/Cardiac monitoring and etc.) with emphasis on the nursing process
- Perform Routine nursing procedures (I.V
- Cannulation, wound dressing, ECG taking and etc.) Attend to needs of patients (providing comfort, assisting ADL’s, etc.) Give health teachings regarding disease process, medications and treatment
- Assist Physician’s during rounds and carry out their orders
- Watch for patient’s condition and refer unusualities or worsening of conditions
- Facilitate requested screening and diagnostic studies
- Do dosage calculation & medicine administration per doctor’s order
- Facilitate recovery and discharge of patient from the unit (instructions for home medications and follow-up checkup)
Education
Liceo De Cagayan UniversityCagayan De Oro City, Philippines
Bachelor of Science from Nursing
10.2006
Skills
- Service-Orientation
- Nursing Staff Support
- Direct Nursing Care
- Nursing Plan Development
- Patient Assessments
- Medication Administration
- HIPAA Protocol Adherence
- Treatment Recommendations
- Complex Problem-Solving
- Speaking
- Learning Strategies
- Intravenous Therapy and Blood Withdrawal Certification
- Microsoft Excel
- Charting Medication Administration
- Monitoring
- Time Management
- Patient and Family Education
- Coordination
- Judgment and Decision-Making
- Critical Thinking
- Electronic Health Records Management
- Patient Rights Advocacy
- Tracheostomy Care
- Therapy and Counseling
- Epic Systems
- Troubleshooting
- Microsoft Windows
- Staff Development and Precepting
- Monitor Vital Signs
- Patient Admission
- Treatment Plan Modification
- Clinical Documentation
- Compassionate and Caring
- Healthcare Ethics
Accomplishments
- Total of 14 years of Clinical Experience
- Total of 13 years of Dialysis Experiencemonths Utilization Nurse with EXL and Anthem
- BLS certified
- Philippine Nursing Association member
- Good knowledge with computer desktop operation, Microsoft office programs
- Exposure to:
- Cerner Electronic Health Record
- Electronic Medical Records
- The Nexadia System – B
- Braun
- Oasis Electronic Health Record, February 9, 2017
- Advance Trauma Life Support
- King Fahad Armed Forces Hospital – Education Department
- November 3-5, 2016
- High Dependency Course
- King Fahad Armed Forces Hospital – Education Department
- October 6-7, 2016
- Continuous Renal Replacement therapy (CRRT) Course
- King Fahad Armed Forces Hospital – Education Department
- August 30, 2016
- Advance Cardiac Life Support – American Heart Association
- King Fahad Armed Forces Hospital – Education Department
- Jeddah, Saudi Arabia
- August 5-6, 2015
- Basic Cardiac Life Support (Provider Course) – American Heart Association
- King Fahad Armed forces Hospital – Education Department
- Jedah, Saudi Arabia
- June 14, 2015
- Basic ECG Course
- King Fahad Armed Forces Hospital – Education Department
- June 9, 2015
- Infection Control Exam
- King Fahad Armed Forces Hospital
- April 9 2015
- Preceptor Course
- King Fahad Armed Forces Hospital
- November 2014
- CAPD (Continuous Ambulatory Peritoneal Dialysis) Workshop
- King Fahad Armed Forces Hospital
- Jedah, Saudi Arabia
Additional Information
- LICENSES AND CERTIFICATIONS , Institution. : Texas Board Of Nursing License #. : 954615 Institution : Saudi Commission for Health Specialties Nursing Registration No. : 12RN0011364
- Date: February 29, 2008 Update on Nursing Documentation, ANSAP Venue: Northern Mindanao Medical Center, Cagayan de Oro City Date: January 17, 2008 I.V. Therapy Training, ANSAP Venue: Northern Mindanao Medical Center, Cagayan de Oro City Date: January 14-16, 2008 Basic Life Support, The Philippine National Red Cross Venue: PNRC, Misamis Oriental Chapter, Cagayan de Oro City Date: September 3-5, 2007 Standard First Aid, The Philippine National Red Cross Venue: PNRC, Misamis Oriental Chapter, Cagayan de Oro City Date: September 6-8, 2007 Advance Cardiac life Support Seminar Venue: Cagayan de Oro Medical Center, Cagayan de Oro City Date: March 22, 2006 Care of the Elderly & Dying Venue: Liceo de Cagayan University, Cagayan de Oro City Date: March 13, 2006
Certification
- Licensed USRN (Texas) - October 2018 - present
- BLS certification
Languages
English
Full Professional
Arabic
Limited Working
Timeline
Nurse Clinician III - Hemodialysis
University Of Texas Medical Branch- Galveston
05.2023 - Current
Charge Nurse
DaVita Baymont Dialysis
11.2022 - 04.2023
Charge Nurse - Hemodialysis (Part Time)
Luxury Dialysis
09.2022 - Current
Staff Nurse 1
Prince Sultan Military Medical City
10.2019 - 08.2022
Utilization Review Nurse - Anthem BC/BS
EXL Service Philippines
06.2019 - 10.2019
Specialist Renal Dialysis Nurse
King Fahad Armed Forces Hospital
06.2011 - 05.2019
Hemodialysis Registered Nurse
Cagayan De Oro Medical Center
04.2009 - 06.2011
OR/DR Complex Nurse
Cagayan de Oro Medical Center
10.2008 - 03.2009
Liceo De Cagayan University
Bachelor of Science from Nursing