Destiny Skains

CVICU

• Highly skilled Critical Care / CVICU Registered Nurse with advanced expertise in hemodynamic monitoring, mechanical circulatory support, and neuro-trauma management. Proven ability to stabilize and manage high-acuity, critically ill patients in fast-paced environments.
• Managed complex mechanical circulatory devices, including Impella and IABP, while performing continuous patient assessment, troubleshooting, and hemodynamic data analysis.
• Provided specialized bedside monitoring and direct care for post-CABG patients, titrating vasoactive drips and continuously evaluating the patient's respiratory and cardiac status.
• Administered and managed Continuous Renal Replacement Therapy (CRRT), closely monitoring fluid balance, electrolyte status, and circuit patency.
• Administered medications and treatments per physician orders, ensuring patient safety and compliance with protocols.
• Collaborated with interdisciplinary teams to develop and implement individualized care plans for critical patients.
• Educated patients and families on post-operative care, enhancing understanding and compliance with recovery protocols.
• Assisted with invasive CVICU procedures, such as central line placements and pulmonary artery catheter insertions, ensuring aseptic technique and patient comfort throughout the process.
• Demonstrated proficiency in titrating vasoactive medications according to physician orders while closely monitoring hemodynamic parameters for early detection of adverse effects or trends that may require intervention or escalation of care.
• Assisted in life-saving procedures such as CPR, defibrillation, and advanced airway management during critical events.
• Participated in daily rounds with physicians, contributing valuable insights into patient conditions based on continuous assessments.
• Managed ventilator settings, invasive lines, and other complex medical equipment, ensuring optimal patient safety.
• Coordinated discharge planning efforts by collaborating with case managers, social workers, and other support staff to ensure smooth transitions of care for patients moving from CVICU to step-down units or home.

Neuro ICU

• Executed comprehensive neurological assessments (NIHSS certified), managed External Ventricular Drains (EVD), and tracked hourly intracranial pressure (ICP) trends.
• Conducted continuous bedside monitoring, anticipated patient needs, and proactively collaborated with interdisciplinary teams to adjust individualized care plans.
• Administered medications and monitored patient responses in neurology unit.
• Educated patients and families on disease management and recovery strategies specific to neurological conditions.
• Implemented evidence-based practices to enhance patient safety and improve clinical outcomes in neurology care.
• Mentored junior nurses, fostering skill development in neurological assessments and interventions.
• Developed strong rapport with patients through active listening, empathy, and effective communication skills.
• Maintained a safe and clean environment for patients by adhering to infection control policies and procedures effectively.
• Enhanced patient care by implementing evidence-based neurological nursing practices and protocols.
• Promoted a culture of teamwork within the neurology unit by fostering open communication channels amongst colleagues from diverse backgrounds working together towards common objectives aimed at enhancing overall performance levels within the department co
• Developed strong therapeutic relationships with patients built on trust, empathy, respect, understanding their unique needs while providing emotional support throughout the healing process.
• Effectively prioritized tasks based on urgency levels during stressful situations or emergencies without compromising quality standards in patient care delivery outcomes achieved within designated timeframes consistently met across all cases handled at different stages along the continuum under supervision from seniors when required involved actively participating team discussions where needed contributing valuable inputs towards better decision-making processes overall growth organization as well personal career development goals set.

MICU/SICU

• Self-motivated, with a strong sense of personal responsibility.
• Worked effectively in fast-paced environments.
• Skilled at working independently and collaboratively in a team environment.
• Proven ability to learn quickly and adapt to new situations.
• Excellent communication skills, both verbal and written.
• Worked well in a team setting, providing support and guidance.
• Demonstrated respect, friendliness, and willingness to help wherever needed.
• Assisted with day-to-day operations, working efficiently and productively with all team members.
• Passionate about learning and committed to continual improvement.
• Managed time efficiently in order to complete all tasks within deadlines.
• Organized and detail-oriented with a strong work ethic.
• Paid attention to detail while completing assignments.
• Used critical thinking to break down problems, evaluate solutions, and make decisions.
• Adaptable and proficient in learning new concepts quickly and efficiently.
• Developed and maintained courteous and effective working relationships.
• Managed patient care plans, collaborating with interdisciplinary teams for optimal outcomes.
• Administered medications and monitored vital signs, ensuring patient safety and comfort.
• Conducted assessments to identify changes in patient conditions, initiating timely interventions as needed.
• Advocated for patient needs, working closely with healthcare providers to ensure individualized care plans were developed and executed accordingly.
• Utilized strong clinical judgment skills in prioritizing tasks based on acuity levels of ICU patients under my care daily routine.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Provided compassionate end-of-life care for terminally ill patients and their families, ensuring dignity and comfort during difficult moments.
• Operated advanced life support equipment proficiently during emergencies, stabilizing critically ill patients swiftly when necessary.
• Proactively addressed potential issues through regular rounds with physicians which led to early identification of deteriorating conditions.
• Developed strong rapport with patients and their families, providing emotional support while addressing medical concerns.
• Managed accurate documentation of patients'' conditions, treatments, and progress to maintain clear records for effective decision making.

• Oversaw daily administrative operations to ensure efficient workflow across departments.
• Implemented process improvements that enhanced productivity and reduced operational delays.
• Managed team performance through effective training, mentoring, and performance evaluations.
• Developed and maintained office policies and procedures to promote best practices.
• Coordinated cross-departmental communication to streamline project execution and information sharing.
• Analyzed operational data to identify trends and drive strategic decision-making processes.
• Led initiatives to enhance customer service standards, improving overall client satisfaction levels.
• Facilitated staff meetings to foster collaboration and align team objectives with organizational goals.
• Ensured smooth daily operations with timely completion of all essential administrative tasks and responsibilities.
• Provided exceptional administrative support for executive-level staff, ensuring that their needs were met promptly and accurately in order to facilitate smooth daily operations.
• Supervised staff and delegated tasks to maintain positive, productive administrative operations.
• Maintained accurate record-keeping systems to ensure easy access to critical information for decision-making purposes.
• Updated reports, managed accounts, and generated reports for company database.
• Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
• Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
• Managed sensitive information discreetly, ensuring proper storage and disposal practices were followed at all times to maintain confidentiality compliance standards.
• Nurtured a positive work environment by addressing employee concerns promptly and fairly, fostering open communication channels between staff members at all levels of the organization.
• Led front-end operations to enhance customer satisfaction and drive sales performance.
• Supervised team members, providing training and guidance to improve service efficiency.
• Led customer service team to enhance client satisfaction and loyalty through improved service protocols.
• Developed training programs that elevated staff performance and streamlined onboarding processes for new hires.
• Collaborated with cross-functional teams to resolve complex customer issues, ensuring timely resolutions and maintaining satisfaction.