Augusta Angela Sanchez

Worked per diem/ agency shifts in a variety of settings to include hospitals, ambulatory surgical centers, alcohol and drug detox centers and pain clinics. Performed in various roles in the pre and post operative settings. Efficiently charted on several computer based charting systems like Meditech, Epic, Cerner, and PowerDoc. Managed critically ill patients in a hospital setting. Managed ventilators, IV continuous infusions, administered medication as ordered.

Coordinated strategies and orders of different disciplines to provide patients' with exceptional care in a rural hospital setting. Documented and carried out directives of primary intensivists. Ensured patient and family remained updated on plan of care.

Worked with physicians and nursing staff to develop treatment protocols addressing patients' current symptom presentation as well as underlying conditions in a Level 1 Trauma teaching facility. Cared for wounds such as surgical sites and pressure sores to prevent infection and promote healing.

Communicated with healthcare team members to plan, implement and enhance treatment strategies in a Level 1 Trauma center. Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations. Investigated and resolved issues affecting hospital operations and patient care. Provided skilled, timely and level-headed emergency response to critically-ill patients. Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies. Administered different therapies and medications in line with physician orders and treatment plan.

Managed care of patients on Stepdown/Telemetry units. Implemented mobility protocols per facility policy. Monitored continuous telemetry and notified physician of changes. Educated patients on Heart Healthy diets.

Served as a replacement worker to provide pre-, intra- and post-procedure care. Followed hospital specific inventory management processes and procedures.

Provided nursing care within Level 1 trauma center. Managed medical emergencies resulting from events such as falls, MVC, hiking accidents, biking accidents, drug overdoses, assaults, gunshot wounds and stabbings, along with a variety of other injuries. Administered mass transfusions, managed ventilators and multiple vasoactive medications.

Delivered outstanding care to patients with various diagnoses and managed care as primary nurse in a variety of critical care settings to include Medical, Neuro, Heart and Vascular and Trauma ICU.

Administered medications and treatments to critically ill patients and monitored responses while working with interdisciplinary team to adjust care plans as needed.

Provided care for patients with neurological insults. Performed hourly assessments for acute or immediate post-op/post intervention clients. Utilized NIHSS during assessments; notified physician in any unanticipated changes in patients condition.

Collaborating with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

Provided supplemental staffing assisting with the influx of Covid-19 patients. Monitor vital signs and notify physicians of emergent events. Titrate IV medications, monitor ventilator weaning tolerance and track tolerance of enteral feedings on intubated patients. Manage patient care on specialty beds. Maintain safety precautions for patients in insolation.

Crisis response RN caring for critically ill patients requiring isolation. Monitored for worsening respiratory status, progressive ARDS and early signs of sepsis. Assisted with intubation, central and arterial line insertions and chest tube placement. Managed ventilators. Administered nebulizer treatments. Titrated sedation and vasoactive infusions.

Provide supplemental staff to all critical care areas in Level 1 trauma center to include Surgical/Trauma, Neuro, Transplant/Cardiothoracic, Medical ICU, PACU, Radiology and ER. Support medical staff in the provision of immediate care for patients suffering from gunshot wounds, head traumas, strokes, motor vehicle collisions, falls, assaults and other medical emergencies.

Experience in Level 1 hospital setting caring for critically injured trauma patients, including Wounded Warriors, MVC, MCC, falls, neurological insults, crush injuries, assaults, stabbings, gun shot wounds and other extensive surgical procedures. Set up and monitor medical equipment and devices such as cardiac/hemodynamic monitors, mechanical ventilators, oxygen delivery devices, transducers and pressure lines. Assist physicians with procedures such as bedside bronchoscopy, endoscopy, intubation, chest tube insertion, central and arterial line placement. Incorporate patient specific safety and infection control measures.

Support nursing staff at various medical facilities to include in hospital intensive care units, long term care centers, and community health/flu clinics. Responsible for assessments, medication administration and wound care for up to six patients at a time.

Performed the duties of an ICU nurse providing care to critically ill patients in a 30 bed unit. Documented assessments, treatments and other interventions according to patients condition. Effectively communicated with patient, significant others and interdisciplinary team members.