Assumpta C. Meikalike

Managed critically ill and unstable patients, including those on mechanical ventilation, ensuring optimal care and stability.

• Monitored patients with sepsis, septic shock, respiratory failure, cardiogenic shock, and acute stroke to identify and respond to changes in condition.
• Identified and addressed signs of rapid patient deterioration in a timely manner.
• Titrate vasopressors, sedation, and high risk infusions to maintain stability.
• Facilitated intubation, central line placement, and arterial line management.n
• Assist with intubation, central lines and arterial line management.
• Interpret cardiac rhythms, and invasive monitoring (A-line and hemodynamic).

• Deliver patient-centered care for diverse acute conditions, including post-ED admissions requiring close monitoring.
• Conducted rapid assessments and managed EKGs, wound vacs, BiPAP, and cardiac monitoring to ensure timely interventions.
• Collaborated with ED and rapid response teams to facilitate patient transfers and escalate care.
• Educated patients and families on diagnoses, treatments, and discharge instructions to enhance understanding and compliance.
• Precept new nurses and participate in quality improvement initiatives reducing discharge times by 20%.

• Evaluated and managed patients with acute clinical deterioration on inpatient units.
• Managed care for acutely ill hospitalized patients, addressing complex comorbidities to improve clinical outcomes.
• Developed and implemented comprehensive treatment plans for sepsis, renal failure, cardiac issues, stroke, and respiratory failure.

Identified early warning signs of patient decline, facilitating timely transfer to higher level of care.

Collaborated with interdisciplinary team to optimize patient outcomes and transition of care.

Conducted daily rounds, progress notes, and discharge planning.

Contributed to rapid response team to address acute patient needs.

Managed complex infectious conditions such as sepsis, bacteremia, pneumonia and MRSA.

• Monitored and managed complex care for stroke and COVID-19 patients to ensure optimal patient outcomes.
• Collaborated with physicians to dynamically adjust care plans, improving patient response and treatment effectiveness.
• Maintained patient stability through evidence-based interventions.
• Executed IV therapy, catheter insertions, and assisted with bedside procedures to enhance patient care.
• Documented patient progress accurately, ensuring compliance with hospital standards.

• Oversaw skilled nursing care for 15 patients daily, including wound care and IV starts.
• Managed staff performance, resolved escalated issues, and implemented protocols to ensure quality patient care.
• Mentored graduate nurses, enhancing their clinical skills and confidence in patient care.
• Facilitated conflict resolution among team members, fostering a collaborative work environment.
• Acted as a liaison between families and clinical teams to promote transparency.

• Administered medications, performed wound care, and monitored vitals.
• Assisted with personal care and supported NP-led bedside procedures to enhance patient comfort.
• Reported patient status changes promptly for timely interventions.
• Collaborated with multidisciplinary teams to coordinate care and improve patient outcomes.
• Filled staffing gaps across multiple facilities, ensuring adequate care for 15–25 patients per shift.

• Managed medication administration for 25–32 patients daily.
• Monitored vital signs and escalated critical cases.
• Coordinated hospital transfers for patients.
• Provided wound care and rehabilitation support.
• Supported physicians during treatments and evaluations.

• Led medication aide training programs, enhancing staff knowledge and directly impacting patient care quality.
• Conducted training sessions that improved staff compliance by 30%.
• Implemented self-medication counseling for safe adherence.
• Directed care for 73 residents while coordinating with external providers to ensure comprehensive support.
• Conducted training sessions that improved staff compliance by 30%.

• Assisted patients with activities of daily living and mobility to enhance comfort and independence in a clinical setting.
• Monitored patients for changes in condition.
• Performed therapeutic treatments and basic wound care.
• Performed therapeutic treatments and basic wound care.
• Ensured patient comfort and safety.

• Delivered compassionate rehabilitative and extended care to enhance patient recovery.
• Facilitated daily activities to promote patient dignity and independence.
• Supported patients during supervised therapeutic exercises.
• Recorded care activities to ensure compliance with healthcare standards.
• Documented care activities in compliance with standards.