Deborah Bryant
Hastings,FL
Summary
Compassionate Registered Nurse with over 20 years of experience in offering comprehensive patient care in inpatient Maternal/Child Health environments. Works well with diverse patient population and fosters trusting relationships to improve outcomes. Effective and collaborative Nurse Leader with over 20 years experience in leadership roles. Dedicated to providing an environment that fosters transformational leadership, collaborating with each staff member's diverse experiences and utilizing evidence-based practice to provide the best patient experience and outcomes.
Overview
24
24
years of professional experience
Work History
Registered Nurse, NICU
Flagler Hospital St. Augustine
04.2015 - Current
- Current Position: NICU RN Team Lead, started October 2022. Responsibilities include staffing and scheduling, managing daily operations, assisting with NICU Unit Based Council, NICU employee evaluations, NICU nurse skills check-offs, updating and developing policy and procedure for NICU and Newborn Nursery, Ensuring equipment necessary for function in the NICU is repaired and available, overseeing donor milk depot and ordering donor milk for use on Maternal Child Unit, chart audits and QI for NICU, Nurse Champion for Homeward Bound Quality Initiative, EPIC superuser and participating with NICU EPIC chart build, Initiated and oversees Department of Health Newborn Screening Portal, Assists with community outreach as Child Passenger Safety Technician, and obtaining grant money for NICU. Collaborates with and reports to Nurse Manager and Nurse Administrator for Maternal Child Health to improve work flow, patient safety, and employee satisfaction.
- Served as permanent weekend night shift charge nurse from hire date until 2019, when charge nurse positions in NICU were dissolved. Responsibilities included staffing, collaborating with OB2 and OB4 to staff units for call-outs, being a resource for infant care and concerns for all units, ensuring NICU was ready for admissions, collaborating with coworkers to problem-solve and collaborating with Neonatologists and NICU Nurse Manager to improve care and outcomes in NICU when obstacles were encountered.
- Precepts nursing students and new hires.
- Obtained CLC certification during a week-long course and performed a more active role in breastfeeding assistance and education between L&D, PostPartum, and NICU.
- Participated in Unit Based Council, Lactation Council, and Baby Friendly Hospital Initiative.
- Floats to L&D and performed transitional care of the newborn, assisted with breastfeeding, attended deliveries and provided supportive and resuscitative care for the neonate.
- Floats to Newborn Nursery and provides care for neonates.
- Primarily work Level II NICU providing care for infants with a variety of conditions including NAS, RDS, Prematurity, and Hypoglycemia. Provide care for infants with UACs, UVCs, PICC lines, TPN and Lipids, chest tubes, nasal cannulas, high flow nasal cannulas, CPAP, NIPPV, and endotracheal intubation. Infants under 32 weeks are transferred to Shands UF Jacksonville or Wolfson's Children's Hospital in Jacksonville. Infants requiring more than 4 days of ventilator support are also transferred.
- Collaborated with administration, marketing, and the Mother's Milk Bank of Florida to obtain vendor's agreement, then opened Flagler Hospital OB Milk Depot in October 2017. Drafted policy for Milk Depot. Began partnership with Mother's Milk Bank of Florida, opening the door to obtain donor milk for use in the NICU.
- Assisted with writing and implementing policy and procedures under the direction of Carolyn Kraly, Clinical Coordinator for NICU. (Wrote Milk Depot Policy and Collection, Safe Handling, and Storage of Expressed Breast Milk Policy).
- Completed BSN August 2019.
- Nominated for three Daisy Awards.
Registered Nurse, Maternal/Child Health
AdventHealth Ocala
09.2006 - 04.2015
- Started PRN position from February 2006 until September 2006 when a full time position became available.
- Worked primarily in Level II Neonatal Intensive Care Unit. During times of low census, also worked Neonatal Transition and Treatment Nursery (Treatment Nursery was for infants with NAS, BUFA infants whose biological mothers did not want to room in, DCF holds, infants receiving phototherapy, hypoglycemia protocol, or IV antibiotics, procedures such as lingual frenectomy, circumcision, and digit excision, and annexed infants whose mother's were unable to care for them due to illness, incarceration, or DCF orders.).
- Responsibilities in Newborn Nursery included transitional care of neonates, assisting mothers with newborn care and breastfeeding, bili-scans, and labs.
- All infants were brought from L&D one hour after birth for meds, admission assessment, and bath. Infants were then taken back to room-in with mothers if stable. Rooming-in was encouraged, but a Newborn Nursery was available.
- A Level II Neonatal Intensive Care Unit was available for infants requiring IV fluids, oxygen therapy, phototherapy, IV antibiotics, and infants transferred from Shands UF Gainesville (stable feeder/grower preemies).
- Infants at this hospital are shipped if they require more support than CPAP as there are Neonatologists available.
- AdventHealth Ocala implemented a Couplet Care model which went live February 2013. All Nursery/NICU Nurses were trained in transition and couplet care. Nursery/NICU nurses attend all deliveries and transition newborns with their mothers. All cares for neonate are performed in L&D in front of family as long as mother and infant are stable. Infant stays with mother at all times and is transferred with mother to postpartum unit. Postpartum nurse cares for mother and infant as a couplet unless one or both are unstable. No respite nursery is available for stable newborns.
- Newborn Nursery/NICU Nurses provided supplemental staffing to PostPartum, L&D, Pediatrics, and the Pediatric Emergency Room.
- Served as permanent weekend night shift Charge Nurse. Responsibilities included staffing the unit, making assignments, collaborating with L&D, Postpartum, and Pediatrics to ensure safe patient care by assigning the correct nurses to the correct units when there were call-outs or low census, attending all C/S deliveries, being a resource for L&D and postpartum related to infant stabilization, care, and concerns, critical thinking and decision making throughout shift to provide appropriate assignments to coworkers based on skillset, experience, and level of confidence. Encouraged, mentored, challenged, and empowered coworkers to improve and develop new skillsets and comfort in caring for more complex patients.
- Frequently precepted new hires, nursing students, and graduate nurses.
- Served as frequent chair and a regular participant of the NICU Unit Based Council.
- Hired as a Clinical II, and obtained Clinical III in September of 2008.
- Obtained RNC-LRN in 2009
- Nominated for The Helen Dalton Professional Nurse of Distinction Award, May 2014.
Registered Nurse, CVU, MedSurg Telemetry
Ocala Regional Medical Center
02.2006 - 09.2006
- Returned to Cardiovascular Unit after OB Unit closure.
- Provided care for pre and postoperative open heart, thoracotomy, and vascular surgery patients. Provided care for pre and post procedure cardiac catheterization patients.
- Frequently served as preceptor for nursing students, new grads, and new hires as well as Team Leader for LPNs.
- Frequently served as Charge Nurse. Responsibilities included staffing, monitoring acuity, backup technician for telemetry, resource nurse for all nurses on unit, assisting with admissions, procedures, and customer service recovery, member of code team, and bed control on cardiovascular unit.
- Resigned in September 2006 on good terms when a full time OB position became available at another facility, as OB is my passion. I enjoyed my 10 years of growth and development as a person, and as a nurse at Ocala Regional Medical Center.
Registered Nurse, Maternal/Child Health
Ocala Regional Medical Center
01.2004 - 02.2006
- Transferred to Nursery and began my career in OB. Responsibilities included attending all vaginal and C/S deliveries and providing supportive and/or resuscitative care for the neonate, assisting new mothers with newborn care and breastfeeding, hearing screens, and labs.
- A Special Care Nursery was available for infants requiring phototherapy, oxyhoods, IV fluids for hypoglycemic or ill infants, and antibiotic therapy.
- All infants requiring more support than oxyhoods were shipped to a level III NICU.
- Frequently served as Charge Nurse. Responsibilities included staffing, resource nurse for PostPartum and L&D related to infant care, collaborating with coworkers, Pediatricians, and upper management to provide safe, evidence-based care, Assisted with purchasing and stocking items for unit.
- Cross trained to L&D as well as Post-Partum the last six months of employment.
- Advanced from a Clinical II to a Clinical III during this time period.
- The OB unit was a closed unit, so nurses were not required to float, however, I frequently floated to other units when needed.
Registered Nurse, CVU, MedSurg Telemetry
Ocala Regional Medical Center
07.2000 - 01.2004
- Registered Nurse on Cardiovascular Unit. Provided care for pre and postoperative open heart, thoracotomy, and vascular surgery patients. Provided care for patients with chest tubes, epidurals, and temporary epicardial pacemakers. Provided care for patients who were pre and post cardiac catheterization, medical telemetry observation, and Medsurg telemetry.
- Frequently served as a preceptor for nursing students, new grads, and new hires as well as Team Leader for LPNs.
- Frequently served as Charge Nurse. Responsibilities included staffing, monitoring acuity, backup technician for telemetry, resource nurse for all nurses on unit, assisting with admissions, procedures, and customer service recovery, member of code team, and bed control on cardiovascular unit.
- Advanced from a Clinical I to a Clinical II during this time period.
Graduate Nurse/ Nurse Intern CVU
Ocala Regional Medical Center
05.2000 - 07.2000
- After graduating from Nursing School, began nursing career as a Nurse Intern on the Cardiovascular Unit.
- Responsibilities included ADLs, vital signs, monitoring and recording I&O, Accuchecks, ambulating postoperative patients, sterile dressing changes, lab draws, monitoring telemetry, and foley catheter insertions.
Education
Bachelor of Science - Nursing, RN-BSN
St. Johns River State College
Saint Augustine, FL08.2019
Associate of Science - Nursing
College of Central Florida
Ocala, FL05.2000
Certificate - Critical Care Tech/Emergency Department Tech
College of Central Florida
Ocala, FL10.1997
Certificate - Certified Nursing Assistant/Home Health Aide
College of Central Florida
Ocala, FL12.1994
High School Diploma -
Vanguard High School
Ocala, FL06.1994
Skills
- Basic Life Support: Certified since 1993
- Advanced Cardiac Life Support: Certified since 2002
- NRP: Certified since 2004
- STABLE: Certified since 2004
- Registered Nurse, Certified-Low Risk Neonatal Nursing: Certified since 2009
- Certified Lactation Counselor: Certified since 2016
- Certified Child Passenger Safety Technician: Certified since 2024
- Completed Perinatal Continuing Education Program (PCEP) including Skills checkoff February 2006
- Completed AWHONN's Neonatal Orientation Education Program (NOEP) March 2022
- Proficient in computer charting I have utilized Meditech, McKesson Care Manager, and Allscripts Each system utilized eMar
Timeline
Registered Nurse, NICU
Flagler Hospital St. Augustine
04.2015 - Current
Registered Nurse, Maternal/Child Health
AdventHealth Ocala
09.2006 - 04.2015
Registered Nurse, CVU, MedSurg Telemetry
Ocala Regional Medical Center
02.2006 - 09.2006
Registered Nurse, Maternal/Child Health
Ocala Regional Medical Center
01.2004 - 02.2006
Registered Nurse, CVU, MedSurg Telemetry
Ocala Regional Medical Center
07.2000 - 01.2004
Graduate Nurse/ Nurse Intern CVU
Ocala Regional Medical Center
05.2000 - 07.2000
Bachelor of Science - Nursing, RN-BSN
St. Johns River State College
Associate of Science - Nursing
College of Central Florida
Certificate - Critical Care Tech/Emergency Department Tech
College of Central Florida
Certificate - Certified Nursing Assistant/Home Health Aide
College of Central Florida
High School Diploma -
Vanguard High School
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