BRENDA SILVA
Registered Nurse
Lovell,Wyoming
Summary
Hardworking Registered Nurse with success providing individualized patient care. Committed to delivering best-in-class patient care through effective education and counseling. Highly focused on increasing and enhancing patient care and satisfaction. Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.
Overview
18
18
years of professional experience
5
5
Certificates
1
1
Language
51
51
years of post-secondary education
Work History
RN, Staff Nurse
South Big Horn Hospital
Basin, WY
03.2020 - Current
- Provide in/out-patient, long term, and skilled swing bed care
- Monitors, records and reports symptoms or changes in patient's conditions
- Administers medication and treatment; Educates patients, family and community
- Shift: 12 hour; flexible; available for day, night, or combination of both
- Plan, coordinate, administer or supervise nursing care given by others, evaluate outcomes to the patients in the medical/surgical and emergency room settings within a rural critical access hospital
- Provided bedside care and clinical documentation for multiple patients on the med/surg floor and Emergency Department.
- Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection.
- Gathered patient health data through interviews and observation, documenting data in electronic records.
- Managed care from admission to discharge.
- Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
- Provided didactic and clinical instructions to orient new nurses and potential student nurses to achieve training outcomes.
Registered Nurse, Medical-Surgical Unit/Telemetry Registered Nurse
Mission Regional Medical Center
Mission, Texas
10.2021 - 12.2021
- Provided direct patient care, stabilized patients and determined next course of action.
- Administered medications via oral, IV and intramuscular injections and monitored responses.
- Managed care from admission to discharge.
- Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
- Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
EMT-A
EMT, North Big Horn Hospital
LOVELL, WY
06.2014 - 05.2020
- Volunteer services which included being on call for up to 72 hours
- Responsibilities included being within a 2 mile radius and being able to respond to the facility within 5 minutes
- Emergency calls include but not limited to motor vehicle accidents, injuries caused by falls, horse accidents, ATV accidents, STEMI, NSTEMI, etc
- Understanding and being able to activate trauma team when indicated
- Duties also included transferring stable clients who are in need of advanced medical treatment or specialty diagnostic testing not available at this critical access hospital
- Ensuring that the ambulance remained stocked with supplies needed on a daily basis to be able to properly care for clients in need of pre hospital treatment
- Advanced training on the use of advanced airway supplies, LUCAS, 12 lead EKG monitors, glucometers, and medications including a variety of cardiac medications
- Understanding rules and regulation for CMS regarding EMTALA compliance
LPN
New Horizons Care Center
LOVELL, WY
12.2018 - 01.2020
- Managing day to day care of clients in the long-term care setting
- Prioritization of daily tasks to be completed
- Daily assessment of clients in the LTC setting
- Communication with physician regarding any acute changes in clients
- Transferring clients to acute care settings including Emergency Department and being able to provide a thorough nurse to nurse report as well as report to the accepting physician
- Providing wound care for clients in the LTC setting and frequent skin assessments on clients who have or are at risk for developing sores
- Communication and relationship building skills with family members as well as providing updates and reporting acute changes to family members
- Medication administration in a timely manner to approximately 18-20 clients in the AM, PM, and HS
- Ensuring adequate staffing for the day and finding replacement staff during a call in
- Closely working with the interdisciplinary team to meet goals and/or continue current care to progress towards current goals
- Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Cared for wounds, provided treatments and assisted with procedures.
CNA
North Big Horn, LOVELL
Lovell, United States
11.2015 - 11.2018
- Communication skills to communicate with nursing staff
- Assister with procedures such as changing dressings and insertion of indwelling catheters, initiate and discontinue peripheral intravenous peripheral intravenous access
- Assisted with ADL’s for clients who were physically unable to do so independently
- Implementing and following care plans to prevent further complications related to clients treatment plan and communicate with Registered Nurses about possible complications.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
- Supported ambulation and physical therapy needs by conducting planned exercise routines.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing.
- Checked patient vitals such as temperature, blood pressure and blood sugar levels.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Oversaw and maintained patients' rooms, group living areas and nurse stations.
- Transported patients between rooms and appointments or testing locations.
- Facilitated personal hygiene management, feeding and ambulation.
- Provided care to patients throughout lifespan with consideration of aging processes, human development stages and culture.
CNA
New Horizons Care Center
Lovell, WY
06.2013 - 10.2015
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
- Cared for residents in assisted living facility and delivered high-quality support to meet needs.
- Supported ambulation and physical therapy needs by conducting planned exercise routines.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing.
- Checked patient vitals such as temperature, blood pressure and blood sugar levels.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Participated in fun group activities with patients to boost mood, improve overall memory and provide light entertainment.
- Oversaw and maintained patients' rooms, group living areas and nurse stations.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments and evaluating patient needs.
- Maintained patient stability by checking vital signs and weight and recording intake and outtake information.
- Transported patients between rooms and appointments or testing locations.
- Facilitated personal hygiene management, feeding and ambulation.
- Provided care to patients throughout lifespan with consideration of aging processes, human development stages and culture.
Activity Aide
New Horizons Care, LOVELL
Lovell, WY
06.2012 - 06.2013
- Develop and implementing new and existing activity regimen into the daily lives of elderly population
- Coordination of staff and approving activity calendars made by other staff members.
- Planned and implemented activity programs, special events and outings for residents to improve cognitive functions and emotional and mental health.
- Visited with residents to enhance sensory stimulation and reality orientation and meet individual needs as outlined in activity care plan.
- Transported residents on outings to facilitate community activity initiatives.
CNA: Eagle Cliff Manor: BILLINGS
, MT
10.2009 - 08.2010
- Assisted clients with ADL’s, performance of range of motion exercises and assistance with meals
- Accompanied clients to appointments
- Documentations of ADL’s and other cares provided
CNA, Laurel Health & Rehab
LAUREL, MT
07.2007 - 10.2009
- Assisted clients with ADL’s, performance of range of motion exercises and assistance with meals
- Accompanied clients to appointments
- Documentations of ADL’s and other cares provided
Education
Associates Degree - Nursing
Northwest College
Certificate in Applied Science - undefined
Northwest College
Skills
Intravenous therapy
Patient and family advocacy
Preventive health
Intake and discharge
Medication and IV administration
Patient education
Chronic disease management
Removing sutures
Medication Administration
Fluent in Spanish
Case management
Family Education
Palliative care awareness
Direct Patient Care
Personal care needs
Care Plan Development
EMR / EHR
Managing deadlines
Medical recordkeeping
Proper catheter insertion/removal
Procedure preparations
Oxygen saturation standards
Chest pain management
IV setup
Performing EKGs
Call triaging
Emergency Procedures
Insulin medication assistance
Wound Care
Acute care expertise
Critical care
HIPAA education
Patient Assessments
Foley catheters
Lab result interpretation
Patient Management
Collecting vitals
Patient evaluation
Professional bedside manner
Relationship building
Administering immunizations
Feeding pumps understanding
Medical laboratory procedures
Strong clinical judgment
Family advocacy
Sanitation
Certification
BLS
Timeline
Registered Nurse, Medical-Surgical Unit/Telemetry Registered Nurse
Mission Regional Medical Center
10.2021 - 12.2021
RN, Staff Nurse
South Big Horn Hospital
03.2020 - Current
LPN
New Horizons Care Center
12.2018 - 01.2020
CNA
North Big Horn, LOVELL
11.2015 - 11.2018
EMT-A
EMT, North Big Horn Hospital
06.2014 - 05.2020
CNA
New Horizons Care Center
06.2013 - 10.2015
Activity Aide
New Horizons Care, LOVELL
06.2012 - 06.2013
CNA: Eagle Cliff Manor: BILLINGS
10.2009 - 08.2010
CNA, Laurel Health & Rehab
07.2007 - 10.2009
Associates Degree - Nursing
Northwest College
Certificate in Applied Science - undefined
Northwest College