Christina DeRamos
Mililani,Hawaii
Summary
Compassionate Registered Nurse with extensive experience at The Queen's Medical Center, skilled in patient assessments and critical thinking skills. Proven ability to enhance patient outcomes through effective care plan development and strong clinical judgment. Committed to providing holistic support and fostering interdisciplinary collaboration for optimal patient care.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Registered Nurse
RCM Technologies
05.2024 - Current
- Cared for medically fragile children while they're in school to ensure safety.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
Registered Nurse Case Manager
Malama Ola Healthcare Services
08.2022 - 07.2023
- Coordinated comprehensive patient care plans with interdisciplinary teams to ensure holistic support.
- Conducted thorough assessments to evaluate patient needs and develop tailored care strategies.
- Educated patients and families on disease management, treatment options, and end-of-life planning.
- Facilitated communication between healthcare providers and families to enhance understanding of care processes.
- Provided emotional support to patients and their families during the end-of-life process, promoting dignity and comfort.
- Collaborated with physicians to optimize medication regimens for symptom control in terminally ill patients.
- Improved patient care by developing and implementing comprehensive hospice nursing plans tailored to individual needs.
- Managed complex caseloads effectively, prioritizing tasks based on patient acuity levels.
- Maintained accurate documentation of patient interactions, assessments, interventions, and responses to care.
- Educated patients and families about illness progression, treatment options, and available resources for additional support.
- Provided high level of quality, compassionate care to patients and caregivers during each nursing shift.
- Taught family members and caregivers various ways to manage patients' pain, how to check for vital signs and proper methods for dressing changes.
- Efficiently managed caseloads while adhering to regulatory guidelines ensuring compliance with Medicare conditions of participation.
- Enhanced interdisciplinary team collaboration through proactive communication and coordination of patient services.
Registered Nurse
The Queen's Medical Center, Punchbowl Street, Honolulu, HI
07.2019 - 08.2022
- This unit was the respiratory and infectious diseases unit with SNF and acute levels of care. Majority of the patients were bed bound on tube feeding with a tracheostomy. Some were on ventilators as well. COVID's impact changed this unit by being the hospital's main COVID unit. I completed the telemetry course and maintained ACLS and telemetry for two years on this unit.
- 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.
- Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
- Collaborated with interdisciplinary teams to develop comprehensive care plans for complex cases.
- Educated family members and caregivers on patient care instructions.
- Maintained accurate patient records using electronic health record systems.
Registered Nurse
The Queen's Medical Center, Punchbowl Street, Honolulu, HI
08.2005 - 10.2014
- This was a med/surg unit focused on respiratory and infectious diseases. Maintained highest nursing standards during patient care. Most patients were bed bound, SNF or acute level of care. Tracheostomies and Ventilators were very common on the unit. Provided quick response to possible emergencies with a quick critical thinking skills.
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Collaborated with multidisciplinary teams for comprehensive patient care solutions.
- Served as a preceptor for nursing students during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.
- Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
Education
Bachelor of Science - Nursing
University of Hawaii At Manoa
Honolulu, HI05-2005
Skills
- Medication and IV administration
- Medication administration
- Direct patient care
- Patient assessments
- Strong clinical judgment
- Infection control measures
- Care plan development
- Professional bedside manner
- Tracheostomy care
- Diabetes management
- Geriatric nursing
- Palliative care awareness
Certification
- Licensed Registered Nurse - 08/01/2005 - 06/30/2027
Timeline
Registered Nurse
RCM Technologies
05.2024 - Current
Registered Nurse Case Manager
Malama Ola Healthcare Services
08.2022 - 07.2023
Registered Nurse
The Queen's Medical Center, Punchbowl Street, Honolulu, HI
07.2019 - 08.2022
Registered Nurse
The Queen's Medical Center, Punchbowl Street, Honolulu, HI
08.2005 - 10.2014
Bachelor of Science - Nursing
University of Hawaii At Manoa
Gaps in Employment
From October 2013 to July 2019 I stopped working as both my sons were diagnosed with type 1 diabetes at ages 3 and 1. They needed a lot of care and were unable to do it for themselves. I used this time to educate my sons on type 1 diabetes from what diabetes is to knowing how to manage emergencies (hypoglycemic or hyperglycemic). They are now 12 and 15 and are independent with their diabetic management, with expert level knowledge of insulin pump management and continuous glucose monitoring.
From July 2023 to May 2024 I took time off to care for my grandmother and grandfather, both passed in home hospice care.
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