Caralee Kraemer Bromme´

Work History

Intensive care

Sutter Memorial Medical Center

07.2023 - Current

Direct patient care of the critically ill medical patient
Skill set includes working with ventilators and vasopressor medication to optimize the patient's status in the medical situations
Promoted a culture of safety within the Medical Intensive Care Unit by participating in quality improvement initiatives focused on reducing preventable errors or adverse events.
Served as a resource for colleagues seeking guidance on best practices related to specific diagnoses or treatments encountered in the Medical Intensive Care Unit setting.
Conducted comprehensive patient assessments upon admission to the Medical Intensive Care Unit, accurately identifying urgent needs and prioritizing interventions accordingly.
Enhanced patient care by implementing evidence-based nursing practices and protocols in the Intensive Care Unit.
Coordinated with other departments within the hospital to provide seamless care transitions for patients requiring intensive care services.

Clinical Nurse 3

Community Medical Centers, Fresno Ca

11.2013 - 04.2023

Provided nursing care for the immediate post-operative cardiovascular and other patients requiring the intensive care department
Skills include LVAD, IABP, ECMO, PRISMA, multiple vasoactive drip titrations, Swan Ganz catheters, ventilators, Epic charting system
Maintained strong working relationships with physicians and ancillary staff, fostering a collaborative approach to patient care delivery.
Collaborated with interdisciplinary teams for optimal patient outcomes and efficient care coordination.
Mentored new nursing staff, fostering professional growth and team building within the unit.
Participated in quality improvement initiatives to improve patient care outcomes.
Responded to patient emergencies to provide prompt and correct intervention .

Clinical Abstractor STS/ CCORP Coordinator

Community Medical Centers, Fresno Ca

11.2014 - 04.2023

Delivered high-quality abstracts all the cardiovascular surgical records for the hospital system under tight deadlines. Managed multiple projects simultaneously without sacrificing attention to detail.
The data was submitted to the Society of Thoracic Surgery for the hospital’s biannual star ratingandrating and the California Cardiac Online Reporting Center
Responsible for interacting with the surgeons on a regular basis relaying current data base information information
Secondary responsibilities include completing mortality and chart reviews looking for potential causative factors
Improved document accuracy by meticulously reviewing and verifying legal descriptions, deeds, and property records.
Demonstrated keen attention to detail when reviewing legal descriptions, deed transfers, mortgages, judgments, and other records pertaining to the title of properties.

Adjunct Lecture- Clinical Instructor

California State University Fresno

09.2013 - 06.2014

N140L Critical Care Nursing at Community Medical Center
Supervised students when administering medications to maintain patient safety.
Fostered a culture of safety within the learning environment by emphasizing proper use of equipment, infection control measures, and patient privacy guidelines.
Supervised students during clinical rotations, providing immediate feedback on their performance and suggesting areas for improvement when necessary.

Clinical Nurse 3

Fresno Heart and Surgical Hospital

05.2012 - 10.2013

Provided Direct patient care for the fresh post-operative cardiovascular and other patients requiring the intensive care department
Skills include CRRT, Ventilators, IABP, ECMO, LVAD, multiple vasoactive drip titrations, Swan Ganz catheters
Assisted with the implementation of the Epic computer system this year after utilizing Meditec charting system
Maintained strong working relationships with physicians and ancillary staff, fostering a collaborative approach to patient care delivery.

Travel Registered Nurse

Trustaff Travel Nursing Rideout-Fremont Hospital

11.2011 - 05.2012

Provided bedside cared for critically ill cardiac, septic and respiratory failure patients in the Intensive Care setting as a traveling RN
Increased patient satisfaction by consistently providing compassionate, empathetic care during hospitalizations.
Skills included- IABP, Swan catheters, SVo2 monitoring, ventilation of the ARDS patients with multiple vasoactive drips, insulin protocols and more
Utilized the Mc Kessen charting and Patient touch medication administration systems
Demonstrated adaptability when assigned to different units or shifts as needed, seamlessly integrating into diverse healthcare teams while maintaining exceptional performance levels.
Administered medications and treatment to patients and monitored responses.

First Line Supervisor

St. Joseph's Medical Center

11.2009 - 11.2011

Provided supervision and directed operations of a 10 bed post-operative surgical unit with the focus on the cardiovascular and neurosurgical patients
The 4 cardiac surgeons averaged 400-480 cardiovascular surgeries a year which included off and on pump bypass, minimally invasive AVR/MVR’s, all valves repair and replacement, Maze procedures, Type I and II dissections and more
Immediate postoperative CV and IABP experienced for over 20 years
implemented and utilized of the Meditech ordering and charting system
Enhanced employee performance through regular evaluations, constructive feedback, and tailored training programs.
Fostered a culture of continuous improvement by encouraging team members to share ideas for process optimization and innovation.

Nursing Faculty, Associate Program Director

San Joaquin Delta College

01.2007 - 12.2009

Associate Degree of Nursing Program
Enhanced program efficiency by streamlining processes and implementing data-driven improvements.
Evaluated program performance using key metrics, implementing continuous improvement initiatives based on data-driven insights.
Assisted with program accreditation efforts by compiling data on student outcomes and providing documentation as needed.
Enhanced student learning experiences by incorporating clinical simulations and real-world scenarios into lesson plans.
Fostered a culture of safety within the learning environment by emphasizing proper use of equipment, infection control measures, and patient privacy guidelines.
Supervised students during clinical rotations, providing immediate feedback on their performance and suggesting areas for improvement when necessary.

Assistant Professor – Theory and Clinical Practice

Samuel Merritt College

01.2003 - 12.2005

Entry Level Master’s Prelicensure Program
Critical Care
Medical Surgical Nursing and Nursing Skills
Built strong rapport with students through class discussions and academic advisement.
Evaluated student performance through comprehensive assessments, identifying areas of improvement and providing targeted feedback for growth.
Helped struggling students by providing support outside of classrooms and consistently checking in on progress.
Inspired critical thinking skills among students by fostering a learning environment that encouraged open-mindedness, curiosity, and intellectual exploration.
Revised course objectives, course materials, instructional and assessment strategies for [Type] courses.

Adjunct

San Joaquin Delta College

01.1996 - 12.2005

Full time 2005-2009
Board of Registered Nursing Approved Instructor
Theory and Clinical Practice
Medical Surgical Nursing
Fundamentals through Critical Care
Managed classroom effectively to maintain a positive learning environment for all students.
Monitored student progress through regular assessments, providing constructive feedback for improvement.
Consistently communicated with students to acknowledge and reward positive strides and discuss areas of improvement.

Staff Nurse

St. Joseph's Medical Center

01.1986 - 09.2003

Provided nursing responsibilities in the areas of Critical Care and the Pediatrics
On pediatrics, worked as staff nurse for a 16-bed community pediatric department
Participated in the continuing education of the nursing staff in the areas of Critical Care, Pediatrics, and Float Pool
Administered medications via oral, IV, and intramuscular injections and monitored responses.
Assessed physical, psychological, physiologic, and cognitive status of patients.
Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.

Mobile Intensive Care Nurse (MICN) Relief Charge

St. Joseph's Medical Center

01.1996 - 12.2001

Participated in the quality improvement process for the emergency room with the goal of implement new systems that increased the staff’s ability to meet the growing demands of the department
Conducted thorough assessments of patients'' conditions, initiating appropriate interventions to stabilize health status.
Implemented evidence-based practices to improve overall quality of patient care in the Emergency Room setting.

Shift Manager- Neuro Critical Care Unit

Doctor's Medical Center

01.1995 - 12.1996

Responsible for daily shift operations and employee relations for an 8 bed Neuro Intensive Care Unit
Handled escalated customer issues effectively, demonstrating strong problem-solving skills while upholding company values and standards.
Trained new employees on company policies, procedures, and job responsibilities, ensuring seamless integration into the team.

Transplant Coordinator

California Transplant Donor Network

01.1991 - 12.1994

Developed and implemented a strategic educational plan increasing organ donation by 50% in area hospitals
Conducted professional and public education seminars on a variety of subjects
Coordinated multi-organ recoveries. Effectively managing the unique challenges associated with these complex cases.
Supported families during the donation process, providing compassionate guidance and resources.

First Line Supervisor /Respiratory Medical Intensive Care

St. Joseph's Medical Center

01.1989 - 12.1991

responsible for the daily shift operations and employee relations for a 10 bed Medical Intensive Care Unit focusing on the respiratory and medically compromised patient
Fostered a culture of continuous improvement by encouraging team members to share ideas for process optimization and innovation.
Increased team productivity by implementing efficient work processes and providing consistent leadership.

Summary

Overview

Work History

Intensive care

Clinical Nurse 3

Clinical Abstractor STS/ CCORP Coordinator

Adjunct Lecture- Clinical Instructor

Clinical Nurse 3

Travel Registered Nurse

First Line Supervisor

Nursing Faculty, Associate Program Director

Assistant Professor – Theory and Clinical Practice

Adjunct

Staff Nurse

Mobile Intensive Care Nurse (MICN) Relief Charge

Shift Manager- Neuro Critical Care Unit

Transplant Coordinator

First Line Supervisor /Respiratory Medical Intensive Care

Education

Masters in education - Teaching and Learning

Master of Science in Nursing - Education and Management

Bachelor of Science in Nursing -

Associate of Science in Nursing -

Associates of Arts -

Certification

Skills

Software

Accomplishments

Timeline

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