Ashleigh Ray

CRISIS Covid Assignment - Contract with Louisiana Department of Health

Ochsner West Bank (60 hours/week)

22 bed capacity

• General and Covid ICU patients
• See 'skills' listed above

CRISIS Covid Assignment - Contract with California Department of Health

Good Samaritan Hospital (60 hours/week)

12 bed capacity

• General and Covid ICU patients
• See 'skills' listed above

CRISIS Covid Assignment - Contract with Louisiana Department of Health

Christus Ochsner St. Patrick Hospital (60 hours/week)

18 bed capacity

• Cardiovascular, surgical, and neurological ICU patients
• See 'skills' listed above

Level 1 Trauma Center, Comprehensive Stroke Center, STEMI Receiving- Approximately 395 beds (36 hours/week)

• Provided skilled, timely and level-headed emergency response to critically-ill patients while on ambulance during interfacility transport.
• Administered medications via oral, IV and intramuscular injections and monitored responses.
• Collaborated with paramedic to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds and thoracic trauma.
• Delivered important IV and venous medications to control symptoms and provide effective treatments.
• Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
• Responded to rapid responses and code blues within hospital.
• Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.

Short Assignment - UPMC Altoona (48 hours/week)

Level II Trauma Center- Approximately 395 beds, 10-12 beds/ICU

• Treated critically ill ICU patients primarily in Surgical Trauma ICU with occasional float to MICU and Neurovascular ICU
• See 'skills' listed above

6 Week CRISIS Covid Assignment - Contract with California Department of Health

Memorial Hospital Los Banos (48 hours/week)

• Treated critically ill patients in general Medical/Surgical ICU
• Covered as charge RN
• See 'skills' listed above

Level 1 Trauma Center, Magnet Facility, About 800 beds

40 hours/week——> 12-24 hours/week PRN

• Plans and coordinates timely bed allocation/assignments of all Emergency Department patients and intra and interfacility admissions based on policy
• Serves as primary visible resource for nursing personnel and responds appropriately to clinical issues; guides and directs staff according to nursing standards and practice
• Works with Nurse Managers and Charge Nurses to ensure safe staffing on patient care units and identify additional staffing needs using appropriate staffing protocols
• Identifies and provides for specialized care needs of post arrest patients until planned transfer to appropriate critical care unit is complete
• Utilizes knowledge of legal principles that affect provision of nursing care and educates nursing staff of those principles related to patient elopement, discharge against medical advice, and other issues
• Collaborates with hospital and physician leadership to define, reduce, and eliminate barriers within system which may cause patient flow issues
• Ensures smooth functioning of bed management process to reduce wait times and avoid unnecessary movement of patients
• Ensures that necessary resources are appropriately deployed, such as housekeeping, to meet timely need for bed access
• Responsible for timely bed allocation/assignment
• Assist code and rapid response teams
• Addresses patient/family/visitor/staff complaints and implements Chain of Command as needed.

Travel Assignment at Jackson Memorial Hospital - ICU

1 week CRISIS Covid Assignment

• Treated critically ill patients in multiple ICUs
• See 'skills' listed above

Travel Assignment at Medstar Georgetown - ICU

4 week CRISIS Covid Assignment (36 hrs/week)

• Treated critically ill ICU patients with chronic and acute health problems such as COVID-19, diabetic ketoacidosis (DKA), asthma, hypertension, hyperglycemia/hypoglycemia, therapeutic hypothermia, subdural hematomas, etc.
• See 'skills' listed above

Travel assignment at National Institutes of Health (NIH)- ICU

GS-11 0610 Nurse- Contractor (40 hrs/week)

• Supported biomedical research protocols
• Provided clinical care to research participants in ICU
• Utilized advanced critical thinking to assess, plan, perform, and evaluate nursing care of research participants
• Participated in multidisciplinary rounds regarding patient care and implementing protocols
• Closely monitored acute conditions and record changes in status and communicate changes to research team
• Adjusted interventions based on evidence-based nursing practices and reporting adjustments to research team
• Managed care for post-operative patients through discharge
• Liaised between patients and physicians or other healthcare professionals to ensure patient comprehension of treatment plans
• Pharmacological and non-pharmacological management and treatment of various disorders and diseases
• Cared for COVID-19 research participants
• See 'skills' listed above

Travel assignment with Seton Healthcare- ICU

Per Diem (30-36 hrs/week)

• Cared for critically ill patients in ICUs
• Floated between 3 hospitals- Seton Northwest-general ICU, Dell Seton Medical Center-MICU & SICU (level one trauma center), and Seton Medical Center Austin-mixed ICU (heart transplant hospital)
• See 'skills' listed above

STEMI- Receiving, Stroke- Receiving

Full-Time (40+ hrs/week + Call)

• Performed patient assessments
• Prepared patients for catheterization, angioplasty, pacemaker implantation, cardiac procedures, interventional radiology procedures, vascular procedures, and neurological procedures
• Ensured patient charts are up to date
• Inserted peripheral intravenous lines (IVs)
• Administered medication including moderate sedation during procedures
• Witnessed patient consents for procedures
• Assisted during emergencies and perform lifesaving procedures
• Closely monitored patients during procedure
• Closely monitored patients during recovery
• Provided instructions and education to patients and family
• Responded to STEMI alerts

Travel assignment at University Hospital & Clinics- ICU

(36 hrs/week)

• Cared for critically ill patients in ICU taking up to 3 patients
• Floated as needed to telemetry unit taking up to 4 patients
• Acted in role of charge nurse in ICU and Telemetry
• Acted as code and rapid response team
• See 'skills' listed above

Per-Diem (24 to 36 hrs/week)

• Chronic patient care on long-term acute care unit, adeptly handled all aspects of treatment from medication to wound care to monitoring for up to 7 patients per shift
• Closely monitored acute conditions
• Followed infection control procedures
• Assisted patients with daily functions
• Performed complete physical assessments of adult and geriatric population
• Managed patients on critical drips

Level 2 Trauma Center, Magnet Facility, About 600 beds

Full-Time (36+ hrs/week)

• Provided direct care to variety of patients, from young adult to geriatric population, on variety of units such as step-down unit (Progressive Care) and intensive care units (Medical Intensive, Surgical Intensive, Neuro Intensive, Cardiac Intensive, and Trauma Neuro Critical Care)
• Covered as Charge RN
• Treated patients with chronic and acute health problems such as MI, arrhythmias, asthma, alcohol withdrawal, chronic obstructive pulmonary disease (COPD), and pneumonia. Also treating medical emergencies, such as respiratory failure, strokes, car accidents, and gunshot wounds
• Closely monitored acute conditions and record changes in status
• Managed care for post-operative patients through discharge
• Assessed need for, order, obtain and interpret appropriate lab tests
• Monitored patient reactions to drugs and treat any adverse drug reactions
• Assisted patients with daily functions
• Monitored fluid intake and output levels
• Collected and delivered specimens to lab
• Experience with various medical conditions including Parkinson's, Dementia, Diabetes, Cancer, Alzheimer's and Stevens-Johnson's Syndrome
• Assisted doctors with invasive and non-invasive bedside procedures
• Liaised between patients and physicians or other healthcare professionals to ensure patient comprehension of treatment plans
• Instructed patients and family members on proper discharge care
• Pharmacological and non-pharmacological management and treatment of various disorders and diseases
• Self-directed with astute judgment skills. High level of personal accountability
• Ensured HIPAA compliance
• Developed and implemented patient care plans, including assessments, evaluations and nursing diagnoses
• Documented patient information obtained from interviews
• Ensured efficacy of treatments through monitoring of treatment regimens
• Followed infection control procedures
• Apart of code and rapid response teams