Brian Melio
Canton,OH
Summary
Seasoned Travel Registered Nurse with a robust background in intensive care and emergency services, notably at Cleveland Clinic. Excelled in telemetry monitoring and patient assessment, enhancing patient care through effective healthcare team collaboration. Demonstrated privacy and confidentiality, achieving high patient satisfaction and safety standards. Supporting a positive and uplifting environment is a vital component to maintaining a health and safe work environment. I bring positivity and compassion to patients and my coworkers.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Travel Registered Nurse
Ohio Health Southeast Medical Center
Cambridge, OH
01.2024 - Current
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Coordinated discharge planning to ensure continuity of care post-hospitalization.
- Medical, surgical, telemetry, ED, ICU, pre/post-operative, and step-down care of patients.
- Charge nurse and shift management of staff, patient care, and safety.
- Management of diverse, multiple acute and chronic conditions.
- Safe delivery of a variety of evidence-based practices and therapies, including all body and organ systems.
Travel Registered Nurse
Promedica Toledo Hospital
Toledo, OH
10.2023 - 01.2024
- Contract Assignment.
- Medical, Surgical, Telemetry, and ICU float nurses throughout all of the Promedica facilities.
- Provided care and management to patients in various phases of care, including post-operative, critical care, medical, surgical, telemetry, end-of-life, and palliative.
- Performed assessments and evaluations of patients' health condition, while providing comprehensive nursing services.
- Conducted patient assessments, including monitoring vital signs and identifying potential health issues.
- Facilitated smooth transitions of care for patients moving between units or healthcare facilities.
- Developed nursing care plans based on the needs of each patient.
CCU Registered Nurse
Cleveland Clinic
Canton, OH
08.2022 - 10.2023
- Managed PA catheters and arterials, vasoactive drug administration and titration, thrombolytic therapy, dysrhythmia interpretation, and chest tube management.
- Maintain a safe environment for the patient and staff.
- Provide appropriate emotional and spiritual support for patients and families experiencing traumatic and sudden life disruption due to changes in health status.
- Responded quickly to changes in a patient's condition by initiating appropriate interventions.
- Performed diagnostic tests such as EKG's and chest X-rays to assess patient condition.
- Telemetry and cardiac monitoring, EKG, and strip interpretation.
- Set up and maintain arterial lines, chest tube management, IABP, bedside cardioversion with TEE, post-cardiac catheter management, CRRT, NIH-certified, ECMO, Impella management, and Swan-Ganz management.
- Management of acute critical respiratory and cardiac conditions such as MI, STEMI, Non-STEMI, stroke, PE, cardiac arrhythmias, including chronic ventricular tachycardia with external pacing and cardiac tamponade.
- Administration of blood products, anticoagulation, and other vasoactive titration therapies, including insulin titration.
- Targeted temperature management and conscious sedation, including anticonvulsive therapy.
- Management of DIC, ARDS, severe sepsis, DKA, AKI, neuro disorders, MODS, seizures, CIWA, and wound care.
- Assisted in the orientation and mentoring of new nursing staff, enhancing team capabilities.
- Provided direct care in surgical, cardiac, and neurological critical care units.
- Initiated referrals when needed such as physical therapy or home health services.
- Performed emergency medical procedures, such as advanced cardiac life support (ACLS), when necessary.
- Assessed patients, documented observations and reviewed patient charts to determine care needs.
- Facilitated communication between the multidisciplinary team members involved in the care of the patients.
- Maintained accurate documentation of all patient assessments, treatments, medications, progress notes, and discharge summaries.
- Performed CPR and other emergency medical procedures when necessary.
- Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
- Participated in interdisciplinary team meetings to discuss the plan of care for each patient.
- Administered medications and treatments as prescribed, ensuring compliance with healthcare protocols.
- Administered care to patients suffering from catastrophic traumatic injuries.
- Delivered high-quality care by following clinical standards and implementing process improvements.
- Assisted physicians during examinations and procedures by operating and monitoring medical equipment.
- Identified abnormal and critical respiratory patterns through direct pulmonary assessments.
- Operated and monitored life support systems and medical devices specific to the critical care setting.
- Conducted diagnostic tests to determine patient needs and develop appropriate care plans.
- Instructed patients, families and caregivers on diagnoses, chronic disease management and medication self-management.
- Kept track of patients' changing pain levels and proactively worked to minimize excess pain or discomfort.
- Utilized evidence-based practice guidelines for best practices in providing quality care.
- Managed the care of patients on mechanical ventilation, optimizing respiratory function and monitoring for complications.
- Collaborated with physicians to develop individualized treatment plans for patients.
- Evaluated patient vital signs and laboratory data to assess needs and provide emergency interventions.
- Supervised cardiac monitors, mechanical ventilators and alarms and oxygen delivery devices.
- Managed the administration of blood products and monitored patients for adverse reactions.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Implemented advanced life support techniques and interventions during emergency situations to stabilize patients.
- Assessed patient condition and planned appropriate interventions accordingly.
- Checked on patients regularly to track progress with treatments, changes in symptoms and need for emergency interventions.
- Collaborated with doctors to plan post-treatment home care and prevent return hospitalization.
- Cared for critically ill patients with high-risk, life-threatening health problems to improve clinical outcomes.
- Provided comprehensive care to critically ill patients, including those with complex medical and surgical conditions.
- Coordinated patient discharge planning, collaborating with healthcare professionals to ensure continuity of care.
- Treated patients with a broad range of acute, life-threatening diagnoses.
- Worked effectively in team environments to make the workplace more productive.
- Exceeded customer satisfaction by finding creative solutions to problems.
- Operated equipment and machinery according to safety guidelines.
- Completed day-to-day duties accurately and efficiently.
- Conducted testing of software and systems to ensure quality and reliability.
- Utilized advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
Nurse Assistant
Cleveland Clinic
Canton, OH
03.2021 - 08.2022
- Changed bed linens, cleaned patient rooms and assisted with transfers of patients in wheelchairs or beds as needed.
- Kept medical supply room and patient rooms stocked with necessary supplies, equipment and instruments.
- Managed and maintained patient rooms, shared-living areas and nursing stations.
- Assisted patients with daily living activities, including bathing, dressing, and grooming.
- Safeguarded patient privacy with strict adherence to HIPAA protocols.
- Supported non-ambulatory residents in range of motion exercises.
- Answered signal lights, bells or intercom systems to determine resident needs.
- Ensured that medical equipment was properly maintained and functioning correctly.
- Documented information in patient charts and communicated status updates to interdisciplinary care team.
- Communicated with patients to determine feelings, need for assistance or social and emotional support.
- Utilized appropriate body mechanics when lifting or transferring patients from one area to another.
- Looked for physical, emotional, and symptomatic changes in patient condition and obtained necessary care for medical concerns.
- Measured and recorded food and liquid intake and output, reporting changes to medical or nursing staff.
- Collected specimens from patients for laboratory analysis.
- Documented activities and recorded information in EMR system.
- Performed vital signs checks such as blood pressure and temperature readings for patients.
- Recorded patient conditions and vital signs before and after medical operations.
- Supported daily living activities by serving meals, feeding, ambulating and turning over and positioning patients.
- Participated in team meetings with other healthcare professionals about individual patient plans of care.
- Rendered hands-on nursing care under direct RN supervision, adhering to medical center policies and procedures.
- Used mobility devices to transport patients.
- Assisted patients with shaving, bathing and oral hygiene to promote healthy habits and overall wellness.
- Helped maintain a safe environment by adhering to infection control protocols such as handwashing techniques before touching any patient or equipment.
Education
Associate of Applied Science - Registered Nurse
Stark State College
Canton, OH05-2022
High School Diploma -
East Islip High School
Islip Terrace, NY05-1995
Skills
- Privacy and confidentiality
- Admission support
- Charting and clinical documentation
- Patient needs assessment
- Wound care
- Nursing documentation
- Medical-surgical nursing
- Telemetry monitoring
- Chronic disease management
- Direct patient care
- Cardiac monitoring
- Regulatory compliance
- Medication administration
- Patient assessment
- Intensive care unit
- Life-sustaining machines
- Airway management
- Central line management
- Hemodynamic monitoring
- Healthcare team collaboration
- Standards of care
- Advanced life support
- Ventilator management
Affiliations
- Veteran of the US Navy
- Volunteer in the community
- Play piano
- Big family
Accomplishments
- Phi Theta Kappa president
- Graduated with Honors
- Chef of the week in Canton Repository Sept 2018
Certification
- ALS
- BLS
- NIH-SS
- CRRT
Languages
Italian
Limited
Spanish
Elementary
References
References available upon request.
Timeline
Travel Registered Nurse
Ohio Health Southeast Medical Center
01.2024 - Current
Travel Registered Nurse
Promedica Toledo Hospital
10.2023 - 01.2024
CCU Registered Nurse
Cleveland Clinic
08.2022 - 10.2023
Nurse Assistant
Cleveland Clinic
03.2021 - 08.2022
Associate of Applied Science - Registered Nurse
Stark State College
High School Diploma -
East Islip High School
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