CIERRA FANGMAN
Cheyenne,WY
Summary
Experienced Perioperative Registered Nurse with nearly 5 years in perioperative care and over 10 years in healthcare. Specializes in pre-operative assessment, post-anesthesia recovery, and conscious sedation monitoring. Demonstrates expertise in clinical assessment, airway management, pain control, and patient education while collaborating effectively within interdisciplinary teams across diverse patient populations.
Overview
14
14
years of professional experience
8
8
years of post-secondary education
Work History
Registered Nurse
High plains surgery center
Cheyenne, WY
02.2022 - Current
- Provide pre-operative nursing care for adult and pediatric surgical patients in an ambulatory surgery center, including assessment, IV initiation, medication reconciliation, and surgical readiness verification
- Function across the peri-anesthesia continuum of care, providing pre-op, intra-procedure support, and post-anesthesia recovery monitoring as assigned based on patient flow and acuity
- Monitored and managed post-anesthesia patients, ensuring airway patency, oxygenation, hemodynamic stability, pain control, and neurologic status until meeting discharge criteria
- Circulate pain management procedures requiring IV conscious (moderate) sedation, supporting providers with continuous patient monitoring and procedural assistance
- Identified and responded to post-anesthesia complications such as airway obstruction, hypoventilation, hypotension/hypertension, nausea/vomiting, and delayed emergence, escalating to providers as necessary
- Deliver comprehensive discharge teaching for post-anesthesia and post-sedation patients, including activity restrictions, medication instructions, and follow-up care
- Collaborated with anesthesiologists, surgeons, and surgery center teams to facilitate safe patient transitions through pre-op, intra-procedure, and recovery phases
- Maintain readiness for emergency response and critical intervention using ACLS, PALS, and BLS protocol
Registered Nurse
Babson & Associates
08.2021 - 02.2022
- Assessed patients and obtained vital signs, identifying and reporting significant findings to providers
- Started peripheral IVs and administered IM medications as ordered
- Assisted providers with in-office procedures and clinical interventions
- Coordinated referrals, medication management, and immunization administration
- Provided patient education and promoted comfort and safety across all age groups
Nursing Assistant
Cheyenne VAMC
04.2018 - 08.2021
- Collected and documented vital signs, height, weight, and clinical intake data in the EMR
- Reported abnormal findings promptly to nursing staff and providers
- Roomed patients and prepared exam spaces for surgical specialty clinic visits
- Managed phone communication and coordinated patient needs with clinical teams
- Maintained stocked, clean, and efficient clinical environments
Endoscopy Technician
Wyoming Endoscopy Center
10.2016 - 04.2018
- Prepared patients for endoscopic procedures and verified required consents
- Assisted physicians during endoscopy procedures and supported procedural workflow
- Performed scope reprocessing and maintained sterile equipment standards
- Monitored patient safety before, during, and after procedures
- Provided discharge instructions and post-procedure support
Receptionist/Interim Practice Supervisor
Cheyenne Cardiology
11.2015 - 10.2016
- Managed front desk operations including scheduling, check-in/check-out, phones, and document processing
- Supervised front desk workflow and assisted with staff training and onboarding
- Coordinated provider schedules and supported daily clinic operations
- Assisted with billing, reporting, and administrative workflow improvements
- Collaborated with leadership to improve office efficiency and patient experience
Certified Nursing Assistant
CRMC Oncology/Or/Endoscopy
07.2012 - 11.2015
- Assisted patients with activities of daily living and mobility needs
- Supported patient care in oncology, endoscopy, and perioperative settings
- Assisted with procedural preparation and recovery care
- Promoted patient comfort, safety, and dignity during hospitalization
Education
Bachelor of Nursing -
University of Wyoming
Laramie, WY 08.2020 - 12.2021
Associate Degree in Nursing -
Laramie County Community College
Cheyenne, WY 09.2019 - 05.2021
Bachelor of Science - Physiology
University of Wyoming
Laramie, WY 09.2012 - 05.2016
Associate of Science - General Sciences
Laramie County Community College
Cheyenne, WY 08.2010 - 05.2012
Skills
- Pre-op patient assessment and surgical readiness
- PACU Phase I & II recovery
- Conscious sedation monitoring and recovery
- Airway management support and respiratory monitoring
- Hemodynamic monitoring
- IV therapy and medication administration
- Pain management and post-op symptom control
- Post-procedure recovery for pain management cases
- Discharge teaching and criteria-based discharge
- ACLS, PALS, BLS certified
Timeline
Registered Nurse
High plains surgery center
02.2022 - Current
Registered Nurse
Babson & Associates
08.2021 - 02.2022
Bachelor of Nursing -
University of Wyoming
08.2020 - 12.2021
Associate Degree in Nursing -
Laramie County Community College
09.2019 - 05.2021
Nursing Assistant
Cheyenne VAMC
04.2018 - 08.2021
Endoscopy Technician
Wyoming Endoscopy Center
10.2016 - 04.2018
Receptionist/Interim Practice Supervisor
Cheyenne Cardiology
11.2015 - 10.2016
Bachelor of Science - Physiology
University of Wyoming
09.2012 - 05.2016
Certified Nursing Assistant
CRMC Oncology/Or/Endoscopy
07.2012 - 11.2015
Associate of Science - General Sciences
Laramie County Community College
08.2010 - 05.2012