David Smith
North Port,FL
Summary
Highly skilled and detail-oriented Registered Nurse with extensive experience delivering patient-centered care across trauma stepdown units, float pool assignments, and Emergency Department hold settings. Adept at managing a broad spectrum of adult patient populations with varying levels of acuity, including neurological, cardiac, and behavioral health presentations. Demonstrates strong clinical judgment and critical thinking to quickly recognize and respond to changes in patient condition, preventing deterioration and improving outcomes. Thrives in fast-paced, high-pressure environments as a collaborative member of interprofessional teams, ensuring continuity of care and optimal patient safety. Committed to evidence-based practice, compassionate care, and operational excellence across all clinical settings.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Seasonal High Demand RN
Lee Health System
01.2025 - Current
- Delivered comprehensive acute care to a high-acuity population with complex neurological conditions (stroke, seizures, TBI, altered mental status, dementia, and substance-related encephalopathy) in Emergency Department hold settings, managing rapid changes in status and prioritizing interventions accordingly.
- Conducted frequent neuro assessments including GCS, pupil reactivity, cranial nerve checks, and motor/sensory evaluations to detect early signs of deterioration, collaborating closely with neurology and ICU teams for emergent escalations.
- Managed continuous EEG monitoring, seizure precautions, IV anti-epileptic medication titration, and stroke protocols (including NIHSS scoring and thrombolytic prep), ensuring timely, evidence-based interventions.
- Coordinated multidisciplinary care for neuro patients requiring behavioral interventions, safety monitoring, and psychosocial support due to conditions like delirium, psychosis, or cognitive impairment exacerbated by comorbidities.
- Accurately documented all neurological findings, interventions, and patient responses using EPIC, ensuring legal compliance, continuity of care, and readiness for transfer to ICU, step-down, or neuro units.
- Adapted to the unpredictable volume and acuity of ED holds in Fort Myers' diverse community—ranging from elderly fall-related injuries to stroke alerts and overdose-induced encephalopathy—delivering trauma-informed, culturally sensitive care.
- Utilized flexibility, autonomy, and critical thinking to thrive in unpredictable conditions, supporting ED staff during surge periods.
Registered Nurse
HCA Florida Fawcett Hospital
06.2024 - 01.2025
- Delivered comprehensive neuro-focused care to a 6:1 patient ratio in Cardiac/Neuro PCU and Med/Surg/Stepdown units, managing conditions such as SAH, SDH, IPH, spinal cord injuries, epilepsy, and AMS with limited on-site neurology support.
- Performed detailed and frequent neuro assessments (GCS, cranial nerves, peripheral motor/sensory checks) to identify early signs of neurological deterioration in patients with dementia, delirium, or post-trauma complications.
- Responded to stroke alerts and managed post-tPA monitoring, utilizing NIH Stroke Scale and collaborating with remote neurology services via telehealth to ensure timely escalation of care in a small-hospital setting.
- Coordinated care for patients with spinal cord injuries and paralysis, including bowel/bladder management, pressure injury prevention, and mobility support, often with limited specialty resources or rehab teams.
- Adapted rapidly to changing unit needs as a float RN, maintaining consistent quality of care across high-acuity patients in under-resourced environments, and supporting team communication and patient safety initiatives.
- Recognized for exceptional patient care and interprofessional collaboration by multiple department heads, directors, and the CEO of HCA Florida Fawcett Hospital.
Registered Nurse
Sarasota Memorial Hospital
07.2022 - 03.2024
- Provided comprehensive nursing care for patients with acute and chronic neurological conditions secondary to trauma, including subarachnoid hemorrhages (SAH), subdural hematomas (SDH), intraparenchymal hemorrhages (IPH), spinal cord injuries, and traumatic brain injuries (TBIs).
- Performed detailed and ongoing neuro assessments, including Glasgow Coma Scale (GCS), pupillary response, motor/sensory checks, and stroke scale evaluations (e.g., NIHSS) to detect changes in neurological status and prevent deterioration.
- Monitored and managed patients with complex neurological presentations such as post-traumatic seizures, epilepsy, paralysis, altered mental status (AMS), and preexisting conditions including dementia and hospital-related delirium.
- Collaborated with interdisciplinary teams to develop individualized care plans for patients with central and peripheral nervous system injuries, ensuring continuity of care from ICU through stepdown to discharge or rehab.
- Provided specialized care and frequent reassessments for spinal cord injury patients, including autonomic dysreflexia monitoring, bowel/bladder regimen support, and pressure injury prevention in patients with immobility or paralysis.
Student Nurse Technician
Sacred Heart Medical Center
05.2021 - 06.2022
- Ensured timely responses to call lights, attending to patients' needs quickly and efficiently.
- Successfully administered medications under direct supervision of registered nurse.
- Managed multiple tasks simultaneously while maintaining accuracy of documentation records.
- Assessed patient conditions per nursing standards of practice and reported changes to RNs immediately.
Warehouse Manager, CDL Mobile Crane Operator, Delivery Material Handler/Roof Loader
ABC Supply Co. Inc.
05.2016 - 08.2020
- Conducted periodic audits of inventory levels to ensure accuracy, identifying discrepancies for swift resolution.
- Maintained a safe work environment by enforcing strict adherence to OSHA guidelines and company policies.
- Evaluated incoming shipments for quality issues and processed unacceptable materials for return.
- Redesigned warehouse layout to accommodate new equipment, maximize space utilization, and optimize processes.
- Provided excellent customer service in a friendly and professional manner.
- Documenting every step of each delivery by taking and uploading photos via camera phone system.
- Completed thorough load checks on truck before leaving the branch, ensuring that all delivery materials firmly secured, and all parts of truck in compliance with all federal, state, and local regulations.
- Responsibilities included assisting with delivery of materials to customers or jobsites and delivery functions including unloading and staging of product at jobsites as assigned.
Operator
Archer Daniels Midland
10.2014 - 03.2016
- Operated various types of machinery, demonstrating versatility and adaptability in diverse work environments.
- Maintained a safe working environment by enforcing strict adherence to safety guidelines and protocols.
- Assisted in training new operators, sharing knowledge of best practices and promoting a culture of teamwork amongst peers.
- Collaborated with team members to ensure seamless coordination of tasks and efficient completion of projects.
Hospital Corpsman
United States Navy
02.2008 - 02.2014
- Managed 7 subordinates in day-to-day operations, improved company medical readiness from 42% to 96% for 151 personnel, completion of 130 periodic health assessments, and maintained medical records for 188 personnel.
- Instructed 12 Combat Life Saver courses, which teach the basics of hemorrhage control, airway management, IV fluid administration, and management of life-threatening injuries.
- Provided medical and safety support for 94 live-fire weapons exercises, 41 multiple-day field exercises, 47 combat vehicle convoys, and 203 combat foot patrols with 39 combat and training-related casualties with a 100% survival rate.
- Promoted team effort when working with Marines and corpsmen of the Battalion Aid Station, foreign ally nation armed forces, and healthcare providers.
Education
Bachelor of Science - Nursing
Washington State University
Spokane, WA05.2022
Associate of Science - Pre-Nursing
Spokane Falls Community College
Spokane, WA12.2019
Skills
- Critical thinking
- Clinical judgement
- Patient assessment
- Cardiac drips
- Advanced cardiac life support
- Airway management
- Compassionate care
- Telemetry monitoring
- Clinical documentation
- Patient safety
Certification
- AHA BLS - exp. 5/2027
- AHA ACLS - exp. 5/2027
- AHA PALS - exp. 5/2027
- NIHSS - exp. 1/2027
- FL RN License #9601337 - Multi-state
Affiliations
- Sigma Theta Tau International Honor Society of Nursing
- Phi Theta Kappa International College Honor Society
Timeline
Seasonal High Demand RN
Lee Health System
01.2025 - Current
Registered Nurse
HCA Florida Fawcett Hospital
06.2024 - 01.2025
Registered Nurse
Sarasota Memorial Hospital
07.2022 - 03.2024
Student Nurse Technician
Sacred Heart Medical Center
05.2021 - 06.2022
Warehouse Manager, CDL Mobile Crane Operator, Delivery Material Handler/Roof Loader
ABC Supply Co. Inc.
05.2016 - 08.2020
Operator
Archer Daniels Midland
10.2014 - 03.2016
Hospital Corpsman
United States Navy
02.2008 - 02.2014
Associate of Science - Pre-Nursing
Spokane Falls Community College
Bachelor of Science - Nursing
Washington State University
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