Caroline Base

• Managed central lines, administered vasoactive drugs, and optimized patient condition through strategic medication administration and titration.
• Managed ventilated patients, provided endotracheal suctioning, assisted with intubation, and assessed proper endotracheal tube positioning.
• Obtained arterial blood gas, applied critical thinking for blood gas interpretation, and evaluated treatment options.
• Managed patients undergoing Continuous Renal Replacement Therapy (CRRT), monitored strict intake and output, evaluated fluid status
• Evaluated patient vital signs and laboratory data to assess needs and provide emergency interventions.
• Administered thrombolytic therapy, provided neurological assessment, and assessed for adverse effects of treatment.
• Performed 12 Lead EKG, provided dysrhythmia interpretation, administered antiarrhythmic, and evaluated treatment outcomes.
• Assisted with chest tube placement, assessed effective placement, and provided continual chest tube management.
• Actively participated in performance improvement initiatives within the ICU department.
• Mentored new nurses on practices and procedures to drive patient outcome goals.
• Participated in multidisciplinary rounds involving physicians, nurses, pharmacist and other healthcare professionals.

• Managed and provided compassionate care for the critically ill patient and their families.
• Critical care of the burn patient, including airway safety, dressing changes, and pain management
• Effectively communicated with new team members and physician colleagues.
• Researched unit requirements and policies for providing optimal patient care in the critical care setting.

• Managed and provided compassionate care for the critically ill patient and their families.
• Initiated timely sepsis protocol interventions based on patient presentation and communicated with physician colleagues.
• Learned and became proficient in external jugular vein intravenous line placement.

• Managed patients with a balloon pump, assessed balloon pump waveform, and provided appropriate treatment interventions for patients experiencing angina.
• Managed patients with an Impella, administered emergency medications, assessed labs, and communicated with physician colleagues about any change of condition.
• Learned and became proficient in ultrasound-guided peripheral intravenous line placement.
• Precepted new nurses, oriented travel nurses, and mentored young nurses.
• Improved unit process through involvement in the Unit-Based Council
• Assumed the role of break RN or rapid response RN on a regular basis.

Employed in Telemetry Unit for 7 months:

• Learned and became proficient in cardiac rhythm monitoring, EKG interpretation, and medical interventions for various rhythm abnormalities.
• Supervised Licensed Vocational Nurses (LVN) and co-signed their documentation.
• Became proficient in time management and effective communication skills

Transferred to the Intensive Care Unit:

• Managed the intubated patient who required multiple vasoactive medications, and emergency interventions.
• Became proficient in compassionately discussing goals of care with patient's families.
• Provided comfort care to patients at the end of life.

• Discussed current evidence-based practice (EVP) guidelines for specific nursing interventions and trained to incorporate these guidelines through collaboration with other healthcare professionals.
• Honed the ability to analyze complex healthcare scenarios and make informed decisions.
• Applied critical thinking skills to navigate dynamic clinical environments, contributing to positive unit process improvements.