Courtney Julbes

• Provided nursing care to patients recovering from stroke, cardiac conditions, orthopedic procedures, neurological disorders, and other complex medical conditions.
• Monitored vital signs, neurological status, pain, mobility, skin integrity, and changes in patient condition.
• Administered medications and treatments while monitoring patient response and effectiveness.
• Assisted patients with ADLs and mobility needs, ensuring comfort and promoting independence during transfers and ambulation.
• Implemented fall, seizure, aspiration, and skin-integrity precautions to promote patient safety.
• Provided wound care, catheter care, and other skilled nursing treatments as ordered.
• Collaborated with PT, OT, ST, physicians, nurses, and other interdisciplinary team members to support individualized rehabilitation goals.
• Reinforced education for patients and families on medications, safety practices, disease management, and discharge planning to enhance understanding and compliance.
• Documented assessments, interventions, and patient responses in electronic medical record to maintain accurate and thorough patient care records.

• Provided nursing care to patients with acute and chronic cardiac conditions on a heart telemetry unit.
• Monitored cardiac rhythms, vital signs, oxygen saturation, and changes in cardiac status.
• Identified and communicated abnormal rhythms, chest pain, vital sign changes, and clinical deterioration to ensure timely intervention.
• Assisted with care of patients experiencing MI, CHF, hypertension, arrhythmias, and other cardiovascular conditions.
• Administered cardiac medications, IV medications, and other prescribed treatments while monitoring for therapeutic effects and adverse reactions.
• Instructed patients on medications, cardiac risk factors, diet, activity, and discharge instructions to enhance understanding and promote adherence.
• Collaborated with RNs, physicians, cardiology providers, and interdisciplinary teams to promote safe, timely cardiac care.
• Recorded cardiac assessments, telemetry findings, interventions, and patient responses in electronic medical record to maintain accurate patient information.

Provide comprehensive, individualized nursing care to pediatric patients with complex medical and developmental conditions in the home setting. Partner closely with patients, families, healthcare providers, and therapy teams to ensure safe and effective care.

• Delivered direct nursing care to pediatric patients with complex medical conditions, including autoimmune disease, Rey syndrome, rheumatoid arthritis, seizures, Down syndrome, Lennox-Gastaut syndrome, and polycystic kidney disease, ensuring tailored interventions for each condition.
• Administer prescribed medications safely through oral, enteral, and IV routes according to physician orders and established nursing standards.
• Manage and administer enteral feedings through G-tubes and provide ongoing G-tube assessment and care.
• Provide IV care, including IV flushes and IV medication administration within scope and agency protocols.
• Perform wound care and monitor wounds for signs of infection, deterioration, and delayed healing.
• Provide catheter care and monitor urinary status.
• Obtain, monitor, and document patient vital signs and changes in condition.
• Performed range-of-motion exercises and repositioned patients at least every two hours to promote mobility and prevent pressure injuries.
• Assist with speech therapy, physical therapy, and occupational therapy sessions.
• Monitor patient responses to treatment regimens and communicate changes or concerns to appropriate healthcare providers.
• Provide compassionate support and education to parents and caregivers regarding medications, treatments, equipment, nutrition, and daily care needs.
• Maintained accurate and timely clinical documentation, enhancing patient safety, dignity, comfort, and overall quality of life.
• Work independently while maintaining effective communication with families and the interdisciplinary healthcare team.

• Provided direct nursing care to patients with diverse medical diagnoses, assisting MD with procedures. Cared for patients with dementia and cognitive impairments, redirecting and reengaging those with severe contusions and hallucinations while adhering to plan of care and scope of practice.
• Administered medications via oral, IV, PEG, and intramuscular injections, monitoring patient responses.
• Observed and interpreted patient symptoms, communicated findings to physicians, and collaborated with healthcare team to develop individualized care plans.

• Delivered compassionate, hands-on care to patients in home, enhancing comfort, dignity, safety, and quality of life.
• Assisted patients with ADLs, including bathing, dressing, grooming, toileting, oral care, and meal preparation.
• Facilitated chronic and end-of-life care for patients, ensuring a calm, respectful, and comforting environment.
• Monitored and documented vital signs, pain, appetite, hydration, mobility, and changes in overall condition.
• Assisted with medication reminders and communicated changes or concerns to the appropriate healthcare professional or family caregiver.
• Provided repositioning, mobility assistance, transfers, and fall-prevention measures to promote patient safety.
• Assisted with personal hygiene, incontinence care, skin care, and maintaining a clean and comfortable environment.
• Provided emotional support and companionship to patients and families, helping them navigate difficult and sensitive periods.
• Supported family caregivers with daily routines and patient care needs while respecting individual preferences and cultural values.
• Recognized changes in patient condition and promptly communicated concerns to family members and the healthcare team.
• Maintained patient privacy, dignity, confidentiality, and a safe home environment.
• Demonstrated compassion, patience, reliability, and strong communication skills when caring for patients and supporting their families.