Chelsea Kulpa

• Telemetry and Med-Surg units. 1:5 ratio. Charge nurse experience
• Common drips include heparin, bumex, lasix, amiodarone, cardizem, and dobutamine.
• Management of chest tubes, NG tubes, tube feeding, JP drains, colostomy care, tracheostomy care, wound and incision care.
• Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.

• Correction nursing. 1:160.
• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.

• CVU. 1:5 ratio
• Pre-and pos heart cath patients.
• Managed TR bands, femoral, and radial sites.
• Common IV drips included heparin, cardizem, and amiodarone.
• Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.

• Bedside nursing for PCU/telemetry/ER overflow/and observation. 1:5 ratio.
• Common drips for this contract included cardizem, Insulin, milrinone, nicardipine, dobutamine, and bumex.
• Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
• Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.

Thoracic step-down. 1:4 ratio.

• Worked effectively in fast-paced environments.
• Managed chest tubes, GJ tubes, JP's, tube feeds, trachs, ostomy and wound care.
• IV drips: Cardizem, heparin, midodrine, PCA and PCEA's: morphine, dilaudid, or bupivocaine, TPN/PPN, bumex or lasix, amiodarone, and octreotide.

• PCU, Telemetry, ER overflow. This is an oncology hospital, but I am not oncology certified. The ratio was 1:4-6.
• The most common drips were octreotide, TPN, Insulin, and morphine.
• Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
• Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.

• Thoracic stepdown unit that specialized in esophagectomy, pectus excavatum, barrett's esophagus, lung cancer, chest wall sarcoma, pericardial effusions, pneumothorax, nodules, and other diseases and abnormalities. Nurse ratio 1:4.
• Common drips on this unit included amiodarone, Cardizem, heparin, lasix, TPN/PPN, Nitroglycerin, PCA's and PCEA's.
• Common drains and devices included G-J tubes, Chest tubes, JP bulbs, central lines, spit-fistulas, NG tubes, central lines, and tube feeds.
• Demonstrated expertise in incision and wound management techniques resulting in accelerated healing times for patients with complex wounds or pressure injuries.

• Correction nursing. 1:160.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.

• IMC, Telemetry and Med-Surg. 1:6 ratio.
• IV drips included heparin, cardizem, amiodarone, and lasix.
• Demonstrated adaptability when assigned to different units or shifts as needed, seamlessly integrating into diverse healthcare teams while maintaining exceptional performance levels.
• Enhanced patient care by efficiently managing multiple cases in high-stress environments.

• Stepdown Cardiothoracic. 1:4 ratio.
• IV drips often administered and maintained on this unit included: Amiodarone, cardizem, nitroglycerin, heparin, TPN, lipids, midodrine, octreotide, and PCA management.
• Management of chest tubes, tracheostomy care, incision care, transcutaneous pacing, JP drains, nasogastric tubes, and central lines.
• Achieved optimal patient outcomes by carefully monitoring conditions and delivering comprehensive support.
• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.

• Corrections nursing. 1:160 ratio.
• Initiated emergency interventions in response to sudden changes in patient condition or acute medical emergencies.
• Improved patient outcomes by administering medications, monitoring vital signs, and documenting relevant information.
• Managed high-stress situations effectively by maintaining a calm, professional demeanor and prioritizing patient safety above all else.
• Cared for wounds, provided treatments, and assisted with procedures.
• Assisted with admissions, appointments, transfers, and discharges.

• 1:1.
• Reduced patient stress levels through effective communication and active listening skills.
• Participated in fun group activities with patients to boost mood, improve overall memory, and provide light entertainment.
• Changed linens in rooms, keeping spaces fresh and clean for patient health and satisfaction.
• Documented patient information and care activities in paper health record.

• 1:30 ratio.
• ICMCF is a long-term care facility with a secure dementia unit.
• Enhanced patient satisfaction by providing compassionate and attentive care.
• Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
• Assisted patients with daily living activities, promoting independence and dignity.