CARLA SPENCE

Oncology / Tele

1:5-6

Level I Trauma Center

Cerner

Oncology / Tele

1:5-6

Oncology - Med Surg/Tele - Float

1:6 Ratio

Trauma I

Cerner

Med Surg / Tele

1: 5-6 Ratio

Cerner

Cardiac Tele

1:5 Ratio

Trauma II

Cerner

PCU / Tele

1:6-7 Ratio

Cerner

• Utilized strong assessment skills in identifying early warning signs of complications or deterioration in patients'' conditions, allowing for prompt interventions when necessary.
• Managed a high patient caseload with efficiency and attention to detail, ensuring that each individual received personalized care tailored to their unique needs.

Med Surg / Tele Float

1:6 Ratio

Trauma II

Cerner

• Demonstrated adaptability in rapidly adjusting to changing unit assignments, consistently maintaining high-quality care delivery across various clinical settings.
• Increased patient satisfaction by providing compassionate and timely nursing care to diverse populations.
• Provided medical care to patients in varied settings to offer patients best possible care regardless of location.

Med Surg / Tele

Tele Nurse

1:5 Ratio

Epic

• Delivered high-quality patient care during emergency situations, remaining calm under pressure and effectively prioritizing tasks according to urgency.
• Improved patient outcomes through careful monitoring and thorough documentation of vital signs, medical histories, and treatment plans.
• Administered medications and treatment to patients and monitored responses.
• Assessed patient conditions by taking vital signs and evaluating symptoms to determine appropriate treatment.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.

Telemetry

1:5 Ratio

Meditech

• Provided care for 4-5 patients on a COVID unit.
• Closely monitored patients on IV antiviral medications and cardiac drips.
• Responded to acute changes in patients’ condition and collaborated with the healthcare team.
• Monitored and documented cardiac rhythms.
• Educated patients and family on treatment plans.

Post Surgical Oncology Step Down

1:5 Ratio

Teaching Hospital

Trauma I

Epic

• Managed and implemented nursing care to 3-5 patients on a 30-bed unit.
• Assessed post-op surgical sites and provided wound care as needed.
• Monitored and accurately documented on surgical sites, ostomies, drains, and chest tubes.
• Floated to other units; Med-Surg/Tele, Infectious Disease/Tele.

1:5 Ratio

Trauma II

Cerner

• Provided nursing care in accordance with policies, procedures, and protocols of the healthcare organization.
• Monitored patients’ conditions, cardiac rhythms, and identify changes in stability and acuity.
• Administered and educated patients on medications via oral, IV, IM, including cardiac drips.
• Monitored patients’ before and after heart catherization, ablations, pacers/AICD, etc.
• Managed quality care for patients with varied conditions, including heart failure, A-fib, coronary artery disease, and other conditions.
• Effective communication with multi-disciplinary team as needed.

• Performed assessments on clients admitted to the unit voluntarily or via Baker Act.
• Provided direct care for adults and geriatric clients with psychiatric and substance abuse conditions while under the supervision of a Nurse Manager.
• Administered prescribed medications or sedatives and monitored behavior or status changes.
• Treated and monitored clients who are experiencing acute symptoms.
• Formulated individual Treatment Plans for clients upon admission and as needed.
• Effectively delegated duties to members of the care team to ensure optimal client outcomes.

• Acted as a liaison between the Wound Specialist Physician and the nursing staff.
• Assessed an average of 30 residents per day in a 180-bed facility.
• Collaborated with interdisciplinary team to encompass all aspects of care to promote wound healing.
• Assisted in the implemented of individualized treatment plans for each resident.
• Accurately documented treatment, and follow-up care.
• Acted as a resource person for nursing staff.

• Evaluated an average of 35-40 clients per day, prioritizing treatments, and maintaining client flow.
• Accurately documented patients' medical history, vital signs, test results, treatments, medications, and follow-up care.
• Administered medications (PO, Sub-Q, ID, IM).
• Proficient with 12 Lead EKG.
• Knowledgeable with Siemens DCA Vantage Hemoglobin A1c Analyzer, and PT/INR monitor.
• Performed routine laboratory tests (blood, sputum, urine, stool)
• Provided therapeutic communication and education for patients/ family regarding diagnosis, treatment, medication, and diet.
• Ensured that exam rooms and nurse's stations were clean and organized.