Barbra Dela Merced
Nashville,TN
Summary
A dedicated licensed nurse who has twenty-six years of clinical and leadership experience and is committed to ongoing professional development to ensure currency and innovation in clinical management and problem-solving.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Clinical Staff Leader
Vanderbilt University Medical Center
04.2019 - Current
- Direct supervisory leadership role and a vital member of the Nursing leadership team in a tele, med-surg unit
- Lead a cohort of staff members and actively participate in the overall management of the unit, development of clinical practice, and provision of patient care with accountabilities for implementation and outcomes for people leadership, quality, service, compliance, finance, and scheduling
- Supervises and drive team performance by monitoring and evaluating team performance, providing training, and coaching, and ensuring employee engagement and discipline
- The primary focus is to ensure the unit's optimal performance by engaging staff, patients, and families in effective problem-solving and developing/leading the assigned cohort
- Provide feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture
- Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies
- Manages multiple projects/on-going work activities (timelines, work plans, deliverables) and maintains alignment with strategic plan and vision
- Defines standards for quality patient care
- Acts as clinical leader and facilitates education for staff on clinical standards; routinely provides guidance/coaching to subordinates/peers within clinical specialty(ies)
- Participate actively in interdisciplinary team huddles to help decide and finalize patients care plan
- Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies.
WELLNESS NURSE
Sunrise Senior Living
05.2022 - 11.2022
- Assist in training and monitoring medication care administration
- Communicate with residents’ support services and families
- Ensure quality assurance and regulatory compliance while promoting the highest degree of quality care and service
- Provides clinical care through the direct application of the nursing process; performs and documents resident assessments, completes or updates Individualized Service Plans, provides or delegates hands-on clinical care as indicated by the plan of care and evaluates resident outcomes
- Maintain clinical quality assurance while leading and demonstrating the facility's mission, 'to champion the quality of life for all seniors,' following federal, state, and local standards and Sunrise Senior Living policies to promote the highest degree of quality care and services to its residents.
Staff Nurse, Relief Staffing Leader
Vanderbilt University Medical Center
09.2010 - 04.2019
- Good Catch Awardee 2016
- Outstanding Preceptor Awardee- Acute Surgery Nurse Residents 2012
- Daisy Award Nominee
- Magnet Champion
- Unit Board Chair
- Presenter for evidence-based practice for nurses’ week 2016 'Lidocaine drip for colorectal patients'
- As an RN4, serve as a resource person with new and experienced nurses in clinical skills and policies & protocols beyond the unit
- Collaborate in establishing the plan of care and coordinate and implement care delivery while anticipating patient care needs across the continuum
- Analyze comprehensive information pertinent to the patient's care and management to determine nursing diagnosis
- Continually utilize the nursing process to evaluate the patient's progress toward goals and apply appropriate interventions to ensure effective outcomes
- Provide simple and complex wound care
- Assist the proceduralist with bedside procedures such as paracentesis and chest tube insertion
- Ensure that clinical assignments are based on patient care needs and demonstrated staff competencies
- As the Unit board chair, facilitate meetings and encourage participation from the staff to share their ideas to improve the work environment and staff satisfaction
- As a magnet champion, a unit representative for Magnet designation visits, keep staff updated through a weekly email, visual aids and Q & A, and tips for interview
- Step up to many super user roles and bring back valuable insights and learning to the team
- Put together a shift-change tool for the SL report to give a big-picture view of the patient's condition, focusing on quality, and Bedside report
- Put together a hand-off communication tool for shift change reports that foster coaching/mentoring between tenured and novice nurses
- Precept new and experienced staff and support them beyond orientation.
Staff Nurse- PRN Float Pool
Vanderbilt Stallworth Rehabilitation Hospital
10.2013 - 01.2019
- Provide direct patient care in an acute rehabilitation setting
- Create a plan of care that is individualized to patient needs & is reflective of patients’ goal
- Supervise care, treatment, and patient care services provided by LPNs, RNTs/CNAs, and other staff on assigned units
- Communicate appropriate information with the interdisciplinary team
- Serve as an expected resource in rehabilitation nursing throughout the hospital
- Assume the responsibilities of the charge nurse when needed and as assigned.
Staff Nurse/Charge Nurse – PRN
St. Thomas West
06.2013 - 10.2014
- Provide comprehensive nursing care in tele medical -surgical unit
- Collaborate in establishing the plan of care, coordinates and implements care delivery while anticipating patient care needs across the continuum
- Continually utilize the nursing process to evaluate patient's progress towards goals and applies appropriate interventions to ensure effective outcomes
- Employ strategies to promote health and a safe and healthy environment
- Provide education to patients and families
- Prepare patient for surgery
- Weekend charge nurse on Orthopaedics unit, ensure that clinical assignments are based on patient care needs and demonstrated staff competencies.
Charge Nurse, Supervisor
Vanderbilt Stallworth Rehabilitation Hospital
07.2006 - 06.2013
- Nurse of the Year Awardee 2009
- Provide direct patient care in an acute rehabilitation setting
- Work with the interdisciplinary team to implement and evaluate an individual care plan for each patient and set appropriate goals
- Assign RNs, LPNs, and RNTs to provide direct patient care appropriate to the patient’s needs and staff skill level and establish a staffing plan
- Oversee care treatment & services of patient care provided by nursing & other staff
- Participate in identifying training needs for nurses’ development & implementation of educational sessions
- Serve as a mentor/preceptor to new nursing staff
- Lead code and Rapid response team
- Implement emergency response to crisis
- Work with the nurse educator to help check off staff for annual competencies
- Allocate staff based on different units’ needs.
Staff Nurse, PRN Float Pool
Saint Thomas Midtown
04.2008 - 09.2010
- Provide direct and life-saving patient care in medical-surgical settings
- Assess and evaluate patient needs for, and responses to, care rendered and apply sound nursing judgment in patient care
- Work collaboratively with the health care team to provide optimum care to the patients
- Assess and coordinate patient's discharge planning needs with members of the healthcare team
- Serve as a primary coordinator of all disciplines for well-coordinated patient care
- Implement and monitor patient care plans
- Monitor, record and communicate patient condition as appropriate.
Staff Nurse, PRN
Health Center at Richland Place
02.2007 - 04.2008
- Provide direct patient care in a skilled nursing setting
- Collaborate with interdisciplinary team
- Provide simple and complex wound care
- Responsible for care and documentation of hospice patients
- Supervise care, treatment, and services of patient care provided by LPNs, RNTs/CNAs
- Respond to emergency needs and provide first aid treatment to the residents in the assisted living facility when assigned.
Clinical Instructor
Cognizant Technology Solutions
05.2005 - 07.2006
- Oversee 10 to 12 student nurses in clinical learning experience in Newborn nursery and community health nursing
- Train student nurses in the skills laboratory
- Plan the syllabus and track student progress
- Reinforce classroom rules and worked with school administration to prepare students for nursing board examination.
Staff Nurse
Saint Peter and Surgical Clinic
07.2004 - 05.2005
- Facilitate patient care, by assisting the surgeon before, during and after surgical procedures
- Follow up and provide wound care to patients at home
- Assist surgeon on surgical procedures with hemodynamics, suturing, retracting
- Assist OR staff as requested
- Demonstrates knowledge of and the ability to apply the Principles of Asepsis in creating and maintaining the sterile field
- Perform sharp, sponge and instrument counts according to policy
- Provide education to patients and families in clinic and home settings
- Work with the surgeon to establish plan of care after discharge
- Work as a scrub nurse, assist the surgeon in surgeries.
Head Nurse
Sagrada Familia Hospital
08.1997 - 05.2005
- Supervise and evaluate the care RNs and midwives provide in the post-partum unit
- Review and evaluate staff performance
- Provide direct coaching to staff for professional development
- Participate in staff training & team building
- Direct and guide ancillary personnel and maintain standards of professional nursing
- Participate in the setting, monitoring, and auditing clinical standards and policies
- Balance and approve staff schedule.
Education
Master of Science in Nursing Informatics -
Capella University
Minneapolis, MN02.2024
Bachelor of Science in Nursing -
Baliuag University
01.1997
Skills
- Proficient in using Microsoft 365 and Google Drive
- Proficient in using EMRs such as Epic and Cerner
- Strong problem-solving and analytical abilities
- Well organized and detail-oriented
- Ultrasound trained Intravenous Insertion
- High oral and written communication skills
- Solid organizational skills with the ability to multitask, work under pressure, and meet deadlines
- Quick learner and adaptable to work in changing environment
- Equipment Troubleshooting
- Expense Control
- Quality Assurance Controls
- Continuous Improvements
Certification
- Registered Nurse, 000157091, Tennessee, Active, 10/31/24
- Certified Rehabilitation Registered Nurse, 001906711, Active, 06/30/26
Affiliations
- Philippine Nurses Association of Nashville TN, Active, 10/31/24
- Philippine Nurses Association of America, Active, 10/31/24
- Association of Rehabilitation Nurses, Active, 06/30/24
Personal Information
Title: BSN, RN
Timeline
WELLNESS NURSE
Sunrise Senior Living
05.2022 - 11.2022
Clinical Staff Leader
Vanderbilt University Medical Center
04.2019 - Current
Staff Nurse- PRN Float Pool
Vanderbilt Stallworth Rehabilitation Hospital
10.2013 - 01.2019
Staff Nurse/Charge Nurse – PRN
St. Thomas West
06.2013 - 10.2014
Staff Nurse, Relief Staffing Leader
Vanderbilt University Medical Center
09.2010 - 04.2019
Staff Nurse, PRN Float Pool
Saint Thomas Midtown
04.2008 - 09.2010
Staff Nurse, PRN
Health Center at Richland Place
02.2007 - 04.2008
Charge Nurse, Supervisor
Vanderbilt Stallworth Rehabilitation Hospital
07.2006 - 06.2013
Clinical Instructor
Cognizant Technology Solutions
05.2005 - 07.2006
Staff Nurse
Saint Peter and Surgical Clinic
07.2004 - 05.2005
Head Nurse
Sagrada Familia Hospital
08.1997 - 05.2005
Master of Science in Nursing Informatics -
Capella University
Bachelor of Science in Nursing -
Baliuag University
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