Audrey Adams

• Experienced in Complex PCI, LHC, RHC, pacemaker and AICD implantation, Loop Recorder placement, angiograms, venograms, IVUS, INARI, EKOS, Shockwave, CSI, Laser, Rotapro, and thrombectomies.
• Skilled in moderate and IV sedation, continuous cardiac monitoring, post-procedure recovery, and hemodynamic interpretation including arterial/venous access care, ACT monitoring, and vasoactive drip titration.
• Strong critical-care foundation with ventilator management, Swan-Ganz, Impella, IABP, LVAD/HVAD patients.
• Proficient with Medtronic and Boston Scientific devices, Philips and GE monitors, ACT devices, EPIC Cupid, and Sensis systems.

• Responsible for assessing, planning, implementing and evaluating care for assigned patients.
• Provided on-call care at all times of day and night as a Circulating Nurse for LHC, RHC, EP studies, Pacemaker, AICD insertion, Loop Recorder, LE Angiograms and Venogram, Thrombectomies, EKOS, INARI, Rotapro, CSI. Comfortable with Medtronic and Boston Scientific devices.
• Deep knowledge of moderate sedation protocols and IV sedation management.
• Assumed frequent on-call responsibilities with punctual timing.
• Hemodynamic monitoring and stabilization of vitals with accurate titration of IV medications.
• Assisted with procedures such as PEG placement, Renal biopsy, Lung Biopsy, Liver Biopsy, Bone Biopsy, IVC filter, Nephrostomy tube placement, Kyphoplasty, Cryoablation, Angioplasty, Coiling, Sclerotherapy and Lumbar Puncture.
• Post-procedure recovery monitoring of vital signs, pain management and symptoms of complications with timely communication with providers for intervention. Provide patient teaching, and discharge instructions, ensure timely scheduling of post-procedure follow up.
• Cardiac Cath Lab-Interventional Radiology

• Provided personalized critical care to intubated and non-intubated patients by assessing patients needs and assuring continuity of care using critical thinking and proper implementation of evidence-based practice.
• Proficient with EKOS Targeted Heparin Therapy immediate postop and after discontinuation of therapy.
• Recovery of surgical procedures such as Heart Transplant, HeartMate (LVAD /HVAD), Coronary Artery Bypass Grafting, TAVR, Carotid Endarterectomy, TEVAR, Swan Ganz Catheter, Hemisphere.
• Initiate, monitor, and discontinuation of patients on CRRT (Nxtstage) therapy.
• Intravenous titrations and monitoring of Propofol, Versed, Fentanyl, Amiodarone, Norepinephrine, Nitroglycerin, Insulin, Heparin and Cardizem drips based off patient’s individual clinical presentation and protocol.
• Intensive Care Unit Float Pool- IRJ

• Ben Taub Hospital – Houston, TX | Trauma IR
• St. Clare Hospital – Lakewood, WA | ICU/ER
• Baton Rouge General – Baton Rouge, LA | COVID ICU
• Houston Methodist CVICU – Houston, TX | Level 1 CVICU
• Lincoln Medical Center – Bronx, NY | Trauma COVID ICU
• St. Louis University Hospital – St. Louis, MO | Trauma ICU
• Reading Hospital – Reading, PA | Level 1 Trauma COVID ICU

All contracts completed successfully through multiple agencies during national emergency deployment.

• St. Clare Hospital-Lakewood, WA (October 2021-December 2021) ICU/ER
• Acuity International- contract completed
• 2020-2022 Crisis COVID 19 ICU/ER/IR (Travel)

• Baton Rouge General- Baton Rouge, Louisiana (September 2021- October 2021) COVID ICU
• AMI healthcare-contract completed
• 2020-2022 Crisis COVID 19 ICU/ER/IR (Travel)

• Houston Methodist CVICU- Houston, Texas (April 2021- August 2021) Level 1 CVICU
• Prolink Healthcare- contract completed
• 2020-2022 Crisis COVID 19 ICU/ER/IR (Travel)

• Lincoln Medical Center- Bronx, New York (January 2021-March 2021) COVID 19 Trauma ICU
• Caliburn International- contract completed
• 2020-2022 Crisis COVID 19 ICU/ER/IR (Travel)

• St. Louis University Hospital- St. Louis, MO (October 2020- December 2020) Level 1 Trauma ICU
• Health Source Global- contract completed
• 2020-2022 Crisis COVID 19 ICU/ER/IR (Travel)

• Kindred LTAC-Clear Lake, TX (July 2020-September 2020) COVID 19 ICU
• Supplemental Healthcare-contract completed
• 2020-2022 Crisis COVID 19 ICU/ER/IR (Travel)

• Reading Hospital- Reading, PA (May 2020-July 2020) COVID 19- Level 1 Trauma ICU
• Cross Country Healthcare- contract completed
• 2020-2022 Crisis COVID 19 ICU/ER/IR (Travel)

• Provide excellent nursing care for critically ill medical, surgical and trauma patients.
• Assess and prepare patients for ordered procedures including IV insertion, blood specimen collection, perform 12-lead EKG.
• Administer moderate sedation and monitor patients during bedside procedures.
• Medically manage patients in Diabetic Keto Acidosis, Congestive Heart Failure, and Acute Respiratory Failure.
• Proficient in providing care for mechanically vented patients in coordination with Respiratory Therapists.
• Demonstrate competence with safely titrating intravenous drips to achieve desired parameters per physician order or standardized algorithms.
• Intensive Care Unit

• Assess and implements complex advanced respiratory care to patients with COPD, Asthma, ARDS, Obstructive Sleep Apnea, and respiratory failure. Create plan of care for patient and monitor for accomplishment or regression in plan.
• Invasive ventilation and titration of tracheostomy patients in addition to decannulation of tracheostomy patients.
• Proficient care for patients utilizing Philips Respironics V60, Philip Respironics Vision machines.