Ashley Greenway
Casper
Summary
Registered Nurse with extensive experience in high-acuity cardiac and ICU step-down care. Proficient in managing complex patient conditions, administering advanced therapies, and leading emergency response efforts. Committed to delivering evidence-based, patient-centered care and enhancing interdisciplinary collaboration for improved patient outcomes.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Registered Nurse - Cardiac Progressive Care Unit
Banner Health Wyoming Medical Center
Casper
05.2025 - Current
- Provide comprehensive nursing care for critically ill cardiac patients requiring continuous monitoring, advanced cardiovascular therapies, and ICU step-down level care.
- Manage complex cardiovascular patients requiring continuous telemetry and hemodynamic monitoring.
- Safely manage patient assignments ranging from 1:2 high-acuity ICU step-down patients to 1:5 progressive care patients, prioritizing care based on clinical condition.
- Perform comprehensive nursing assessments and rapidly recognize subtle signs of patient deterioration.
- Administer and titrate vasoactive medications according to evidence-based protocols and provider orders.
- Care for patients recovering from CABG, TAVR, SAVR, myocardial infarction, heart failure exacerbations, and complex dysrhythmias.
- Monitor arterial lines, temporary pacemakers, chest tubes, vascular access sites, wound VAC systems, PCA pumps, and central venous access devices.
- Manage respiratory support including BiPAP and CPAP.
- Provide care for patients experiencing alcohol withdrawal utilizing the CIWA protocol.
- Coordinated multidisciplinary care with physicians, respiratory therapy, pharmacy, rehabilitation, and case management to ensure comprehensive patient treatment.
- Educate patients and families regarding disease processes, medications, procedures, and recovery.
- Responded actively to Code Blue emergencies, assisting in life-saving measures.
- Recorded Code Blue events during resuscitation efforts.
- Responded to hospital-wide Code Heart activations.
- Participated in STEMI, stroke, rapid response, and sepsis protocols.
- Successfully floated to: Intensive Care Unit (ICU), Emergency Department, Neurology, Pediatrics, Medical-Surgical, Telemetry.
- Completed Banner Health's one-year Registered Nurse Residency Program emphasizing: Advanced clinical judgment, Critical thinking, Leadership, Evidence-based practice, Professional development.
- Contributed to Pressure Injury Prevention Team by implementing strategies to improve patient outcomes related to pressure injuries.
- Engaged with Pressure Injury/Skin Committee to develop and promote best practices, improving patient care quality.
Certified Nursing Assistant - Progressive Care Unit
Banner Health Wyoming Medical Center
Casper
12.2017 - 05.2025
- Provided direct patient care for telemetry and progressive care patients, enhancing their recovery experience.
- Monitored patient conditions and promptly communicated changes to nursing staff.
- Supported patient mobility, hygiene, activities of daily living, and safety, contributing to overall patient well-being.
- Acquired extensive cardiovascular knowledge while caring for complex acute care patients, improving patient care strategies.
Education
Associate Degree - Nursing
Casper College
Casper, WY05-2025
Skills
- Cardiac Progressive Care
- ICU Step-Down Nursing
- High-Acuity Cardiac Nursing
- Continuous Telemetry Monitoring
- Hemodynamic Monitoring
- Cardiac Rhythm Interpretation
- STEMI/NSTEMI Care
- Acute Coronary Syndrome
- Heart Failure
- Cardiogenic Shock
- Sepsis Recognition
- Stroke Care
- Rapid Response
- CABG
- TAVR
- SAVR
- Temporary Epicardial Pacing Wires
- Temporary Transvenous Pacemakers
- Chest Tubes
- Arterial Lines
- Femoral Access Sites
- Radial Access Sites
- Brachial Access Sites
- Popliteal Access Sites
- Amiodarone
- Nitroglycerin
- Norepinephrine (Levophed)
- Dobutamine
- Dopamine
- Diltiazem
- Heparin
- Insulin
- Electrolyte Replacement
- Continuous Cardiac Infusions
- IV Antiarrhythmics
- BiPAP
- CPAP
- PCA Pumps
- Blood Product Administration
- CIWA Alcohol Withdrawal Management
- Central Line Care
- Infection control protocols
- Pressure Injury Prevention
- Patient education
- Cerner EMR
- Critical Thinking
- Clinical Judgment
- Emergency Response
- Leadership
- Team Collaboration
- Patient Advocacy
- Evidence-Based Practice
- Quality Improvement
- Adaptability
- Excellent Communication
- Compassionate Patient-Centered Care
- Excellent Communication
- Compassionate Patient-Centered Care
Certification
- Active Wyoming Registered Nurse License
- Active Wyoming Certified Nursing Assistant License
- Active Michigan Registered Nurse License
- Advanced Cardiovascular Life Support (ACLS)
- Basic Life Support (BLS)
- Pediatric Advanced Life Support (PALS)
- NIH Stroke Scale (NIHSS)
Accomplishments
- Over 8 years of acute care experience within a large tertiary healthcare organization.
- Successfully transitioned from CNA to Registered Nurse while remaining employed with Banner Health, demonstrating long-term dedication, leadership, and professional growth.
- Completed Banner Health's comprehensive one-year Registered Nurse Residency/New Graduate Training Program.
- Provide care for high-acuity cardiac patients with assignments ranging from 1:2 ICU step-down to 1:5 progressive care based on patient acuity.
- Extensive experience caring for complex cardiovascular patients recovering from: Coronary Artery Bypass Grafting (CABG), Transcatheter Aortic Valve Replacement (TAVR), Surgical Aortic Valve Replacement (SAVR), Cardiac catheterization and vascular interventions, Acute Coronary Syndrome (ACS), Heart failure, Complex cardiac arrhythmias, Cardiogenic shock.
- Active member of the hospital Code Blue Team, serving as responder and code recorder during cardiopulmonary emergencies.
- Responded to hospital-wide 'Code Heart' activations, rapidly assessing and stabilizing patients with suspected acute coronary syndrome or chest pain emergencies.
- Selected to serve on the Pressure Injury Prevention Team (PIPT) and Pressure Injury/Skin Committee, contributing to evidence-based quality improvement initiatives.
- Successfully floated to ICU, Emergency Department, Neurology, Pediatrics, Medical-Surgical, and Telemetry units while maintaining high-quality patient care across diverse clinical settings.
Personal Information
- Relocation: Michigan
- Title: RN, ADN
Timeline
Registered Nurse - Cardiac Progressive Care Unit
Banner Health Wyoming Medical Center
05.2025 - Current
Certified Nursing Assistant - Progressive Care Unit
Banner Health Wyoming Medical Center
12.2017 - 05.2025
Associate Degree - Nursing
Casper College