Armanda Batts

Provides remote consultative and supportive nursing care to critical care nursing units to multiple medical centers utilizing in room camera and EPIC technology from a remote centralized HUB. Collaborates with ICU doctors and nurses provide timely intervention for critically ill patients to achieve optimal patient outcomes.

• Maintained thorough, accurate and confidential documentation in electronic medical records.
• Advocated for patients by supporting and respecting basic rights, values and beliefs.
• Alerted physician of diagnostic study results and changes in patient condition.
• Collaborated with interdisciplinary team to develop care plans for patients with complex medical needs.
• Assessed patient conditions, implemented care plans and reassessed conditions continuously.
• Implemented treatment plans, monitored vitals and administered medications for patients in ICU.
• Communicated and collaborated with healthcare team and patient to identify and meet physical, emotional and spiritual needs.
• Monitored efficacy of nursing interventions and revised care plans based upon patient response.
• Spoke with patients to better understand experienced side effects, noting details in charts for physician follow-up.
• Evaluated patient vital signs and laboratory data to assess needs and provide emergency interventions.
• Supervised cardiac monitors, mechanical ventilators and alarms and oxygen delivery devices.
• Checked on patients regularly to track progress with treatments, changes in symptoms and need for emergency interventions.
• Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.

• Developed and implemented clinical protocols for staff to follow in accordance with regulatory standards.
• Coordinated patient care efforts between medical teams, therapists, and other healthcare professionals.
• Conducted regular meetings with the team to ensure quality of patient care delivery is met.
• Monitored staffing levels and ensured adequate coverage at all times.
• Supervised staff performance and provided guidance as needed.
• Provided feedback to staff members regarding their job performance.
• Maintained accurate records of all clinical activities in accordance with HIPAA guidelines.
• Reviewed medical charts to ensure accuracy of documentation prior to submitting for billing purposes.
• Collaborated closely with physicians to develop treatment plans that meet patients' needs and preferences.

• Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
• Monitored and managed various treatment and care interventions for high acuity patients with multiple cardiac devices including IABP, ECMO, Post-CABG, AVR/MVR, Aortic Open and vascular procedures, CRRT, ECKOS, etc.
• Acted as patient advocate and implemented total patient care through team nursing process.

• Managed performance of 30+ person nursing staff, reviewing task completion, prioritization and report quality.
• Received and investigated complaints from families, patients and clinical staff, devising solutions to multifaceted challenges.
• Evaluated patient needs and preferences to build and update tailored treatment plans.
• Performed personnel interviewing, hiring, disciplinary actions and dismissals.
• Monitored staff performance and provided coaching and formal counseling to staff.
• Provided strong leadership and guidance to nurses.
• Mentored and coached nursing staff, listening to concerns and providing counsel.
• Established and maintained positive relationships with residents, physicians, hospital staff, patients and families.
• Collaborated with department managers to correct problems and improve services.
• Reviewed charts for accuracy to reduce errors and verify completion of updates.

• Cared for critically ill patients with high-risk, life-threatening health problems to improve clinical outcomes.
• Delivered high-quality care by following clinical standards and implementing process improvements.
• Performed nursing assessments, collected medical data and analyzed results.
• Assisted physicians during examinations and procedures by operating and monitoring medical equipment.
• Conducted diagnostic tests to determine patient needs and develop appropriate care plans.
• Evaluated intensive care patients, recognized and addressed complications and coordinated treatment with other members of critical care team.
• Monitored efficacy of nursing interventions and revised care plans based upon patient response.
• Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.

• Administered Coaching for Excellence and accountabilty for employee performance deficiencies, infractions and conduct issues after consulting with employees and HR staff.
• Assistance with employee development and care quality management.
• Consistently maintained core measures, patient satisfaction and HCAPs above 92%.
• Addressed unit staff concerns, including staffing ratios, resource management, allocation of responsibilities and optimized workload management.
• Supervised 12-20 bed ICU Trauma unit while overseeing quality measures and implementing COVID-19 precautions to prevent patient harm and influence direct patient care practices for critically and or acutely ill patients.
• Offered clinical leadership and oversight to 16-48 bed Telemetry with and without COVID-19 precautions ,including daily scheduling, tasking and administration.
• Maintained infection control logs, streamlined charting process, and improved patient outcomes through training and leadership.
• Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
• Helped floor nurses make care decisions by applying exceptional clinical judgment and knowledge of facility policies.
• Managed performance of nursing staff of 40+ by reviewing task completion, prioritization and reports.
• Oversaw nursing operations for ICU and MS/TELE unit, delivering leadership, assistance and management for staff of 40+.

RN staff and Charge Nurse in busy CVICU caring for patients with Cardiovascular disease and care of these patients in the post-operative period. Specialties include care of patients with Right and Left Impella, Post-op CABG, MVR, AVR, ECMO intraoperative care, IABP, vascular procedures with EKOS catheterization, revascularization, stents, high risk PCI etc.

Based on John Muir Health Nursing's Vision of being the innovative leader for the professional role of the registered nurse. Through evidence-based practices and relevant patient care models, the nursing culture will create a compassionate healing environment, ensure interdisciplinary collaboration and foster professional growth and satisfaction. The staff registered nurse (RN) is a licensed professional caregiver who assumes responsibility and accountability for planning, delegating, and coordinating the nursing care of a group of patients during a designated time frame utilizing the John Muir Medical Center Standards of Care, ANA's Standards of Practice and Professional Performance, and the California Nurse Practice Act, Title 22, and Title 16. The RN coordinates and provides care through the therapeutic use of self, nursing process, and the environment and technology, in partnership and collaboration with interdisciplinary team members.

Provide staffing for Critical Care (CVICU,ICU,SICU,MICU, PCU) for facilities in the Dallas Metroplex affiliated with Baylor scott and white.

Clinical Judgment: Using clinical reasoning, conducts accurate clinical assessments according to practice standards. Identifies and prioritizes patient and family needs. Develops, implements and evaluates the nursing plan of care. Modifies plan to meet clinical outcomes.

Clinical Inquiry: Systematically evaluates the quality and effectiveness of nursing practice, including, but not limited to, nursing sensitive indicators. Supports evidence-based practice changes through research utilization and experiential learning. Participates in quality/performance improvement initiatives.

Caring Practices: Creates a compassionate, supportive, safe and therapeutic environment for patients, families and staff. Develops therapeutic relationships with patient and family and maintains appropriate boundaries. Manages both emotional and physical pain with the aim of promoting comfort and healing and preventing unnecessary suffering.

Response to Diversity: Recognizes, appreciates and incorporates a patient's and family's unique differences, such as culture, spiritual beliefs, gender, race, ethnicity, lifestyle, socioeconomic status, age, and values, into an individualized plan of care.

Advocacy and Moral Agency: Preserves and protects the confidentiality, autonomy, dignity and rights of patient and family and represents their concerns. Creates an individualized plan that accurately reflects patient and family values and goals. Identifies and helps resolve ethical and clinical concerns.

Facilitation of Learning: Facilitates learning for patients and families, nursing staff, other members of the health care team and community; integrating appropriate education throughout the continuum of care to help them participate and/or make informed decisions about their health care and treatments, including health promotion and disease prevention. Assesses and documents learning needs and outcomes.

Collaboration: Works collaboratively and interdependently with colleagues and community to develop and implement an integrated plan of care. Open and sensitive to all team members' unique contributions. Delegates tasks and care to appropriate staff and ensures timely follow-up.

Systems Thinking: Uses strategies and available resources for problem-solving for patients, family and staff. Recognizes that resources are limited and considers factors related to safety, effectiveness and efficiency in planning and delivering patient care.

Professionalism: Improves nursing practice and the work environment through participating in shared governance and decision-making processes and meaningfully recognizing the contributions of others. Participates in the staffing process from education and planning to evaluation. Identifies personal goals and commits to ongoing professional growth through continuing education, networking with professional colleagues, membership and involvement in professional nursing organizations, self-study, professional reading, certification and seeking advanced degrees. Contributes to the professional development of peers, colleagues and others. Demonstrates commitment to community service.

Knowledge and understanding of nursing and patient care standards and procedures.

Knowledge of laws, rules and regulations; standards and guidelines of certifying and accrediting bodies; hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing care applicable to the area of assignment.

Knowledge of medical terminology; principles and practices of health promotion, risk reduction, illness and disease prevention and management; medications and drugs, common dosages, their physical and physiological effects, and possible adverse reactions.

Knowledge of medical and professional nursing ethics and patient privacy rights.

Texas Health Surgery Center Addison is a high performing, multi-specialty ambulatory surgery center with 2 operating rooms, 1 procedure room, and 9 preoperative and recovery bays. Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions and follow-up care.
Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments. RN staff for Preop/PACU for 12 bed outpatient surgical center specializing in orthopedic and pain injection procedures.

The Preop/PACU Registered Nurse is responsible for assessing, planning, implementing and coordinating patient care from admission to discharge. The Registered Nurse is responsible for the achievement of patient outcomes through implementation of critical pathways and in accordance with the mission, vision and values of the facility.

Key Responsibilities:
Ability to correlate clinical data with patient's medical and nursing care Assesses patient status on admissions and on an ongoing basis. Demonstrates appropriate knowledge and competence of designated skills identified for position in preoperative patient care duties. History and physical assessment of patient. Completes review of medical record. Assist with preoperative and postoperative patient calls Provides instructions according to patient needs.

The CVICU is a highly specialized adult intensive care unit. It is comprised of 15 inpatient beds. The unit specializes in the immediate post-operative care of coronary artery bypass surgery, heart transplant, heart valves, ventricular assist device placement, esophageal and thoracic procedures, and post-op vascular surgeries. Our population of patients may include MI, heart failure, cardiac dysrhythmias, hypothermia post-cardiac arrest, and cardiogenic shock. RN staff in busy 12-bed CVICU caring for high-acuity patients with cardiovascular disease and care of these patients in the post-operative period. Specialties include care of patients with Impella, Post-op CABG, MVR, AVR, LVAD (Heartmate II/Heartware), IABP, vascular procedures with ECOS catheterization, revascularization, stents, as well as PCI.

• Use therapeutic communication in daily practice.
• Maintain a safe and therapeutic Intensive Care environment.
• Implement and direct care, using the nursing process with emphasis on the needs of individual ACC patients.
• Evaluate the effectiveness of the nursing process.
• Provide emotional support of the patient and significant others to make informed choices regarding health care.
• Promote a supportive environment that treats patients and families with dignity, respect and appreciation of their lifestyle, religion and culture.
• Maintain high quality, age-specific care for adolescent, adult, and geriatric patients as assigned.
• Delegate tasks to the appropriate caregiver.
• Participate in Cardiovascular Department-specific initiatives and process improvement.
• Provide supervision of new employees, patient care assistants, nurse technicians, student nurses, and / or nurse interns.
• Support the mission, vision, and values of the organization.

RN staff and Charge Nurse in busy CVICU caring for patients with Cardiovascular disease and care of these patients in the post-operative period. Specialties include care of patients with Right and Left Impella, Post-op CABG, MVR, AVR, ECMO intraoperative care, IABP, vascular procedures with EKOS catheterization, revascularization, stents, high risk PCI etc.

Based on John Muir Health Nursing's Vision of being the innovative leader for the professional role of the registered nurse. Through evidence-based practices and relevant patient care models, the nursing culture will create a compassionate healing environment, ensure interdisciplinary collaboration and foster professional growth and satisfaction. The staff registered nurse (RN) is a licensed professional caregiver who assumes responsibility and accountability for planning, delegating, and coordinating the nursing care of a group of patients during a designated time frame utilizing the John Muir Medical Center Standards of Care, ANA's Standards of Practice and Professional Performance, and the California Nurse Practice Act, Title 22, and Title 16. The RN coordinates and provides care through the therapeutic use of self, nursing process, and the environment and technology, in partnership and collaboration with interdisciplinary team members.

Contracted RN at John Muir Health. Primary units CVICU/ICU, Stepdown, and Cardiac Telemetry unit.

Intensive care unit travel nurse jobs, otherwise known as critical care unit (CCU) travel nurse jobs, specialize in providing care to the most acutely ill patients in the hospital. An ICU travel nurse might work in ICU burn unit, abdominal transplant acute care, neuro ICU, post-op, surgical ICU (SICU), trauma ICU or cardiovascular ICU (CVICU). Critical care nurses may also care for age-specific patients in the pediatric ICU (PICU) or neonatal ICU (NICU). Aside from clinical care such as skills with ventilators and tracheostomy tubes, travel ICU nurse jobs need a RN who can deliver progress updates and support to patients and/or their family.

Contracted Travel- RN at Communiity Regional Medical Center in Fresno, CA. Primary unit ICU 24 bed/Trauma ICU 24 bed/Neuro ICU 24 bed.

• Manage the care of adult patients experiencing life-threatening problems that require complex assessment, high-intensity therapies, and interventions
• Provide respiratory and ventilator management for patients

Primary Unit Medical/Surgical ICU 16 bed unit. Skilled in patient population of Sepsis management, Post cardiac arrest target temperature management , DKA, Hypovolemic shock.