Diane Duncan

CORE SKILLS - Intermediate Care RN

Neuro/ Stroke Care
• Managed post-stroke + TBI patients with neuro checks, and NIHSS assessments, recognized neuro changes early, initiated rapid response

Respiratory/Advanced Airway
• Provided care for vent-dependent patients with trach + trach care, trach changes, and suctioning q2h PRN
• Managed chest tubes: maintained closed drainage systems, monitored output, assessed for air leaks

GI/Nutrition Support
• Administered tube feeds + meds via NG tubes and gastrostomy tubes, verified placement q4h
• Assessed for residuals, abdominal distention, and feeding intolerance; reduced aspiration risk

Monitoring & Devices
• Interpreted tele-monitoring data for dysrhythmia; notified MD of changes + critical values
• Maintained multiple drainage devices: JP drains, wound vacs, foley catheters, surgical drains
• Managed complex med passes: IV antibiotics, blood administration, anticoagulants, neuro meds.

Psychosocial + Safety Care

• Assessed mental status, suicide risk, and withdrawal symptoms q4h using standardized tools + clinical judgment

• Implemented 1:1 safety precautions and de-escalation techniques to prevent harm to patient/self/others

Substance Use/Withdrawal Management

• Monitored CIWA/COWS scores for alcohol/opioid withdrawal; administered PRN meds per protocol

• Managed complications of substance use: dehydration, electrolyte imbalances, cardiac dysrhythmia on telemetry

• Educated patients + families on harm reduction, relapse prevention, and community resources at discharge

General IMC Competency
• 1:4 patient ratio with high-acuity, step-down level care
• EMR charting: Epic documentation, I&O, wound assessments, neuro flowsheet on-time
• Patient/family education: discharge teaching for trach care, tube feeds, stroke prevention

CORE SKILLS - Intermediate Care RN

Neuro/ Stroke Care/ Cardiac

• Managed post-stroke + TBI patients with neuro checks, and NIHSS assessments, recognized neuro changes early, initiated rapid response

Respiratory/Advanced Airway

• Provided care for vent-dependent patients with trach + trach care, trach changes, and suctioning q2h PRN

• Managed chest tubes: maintained closed drainage systems, monitored output, assessed for air leaks

GI/Nutrition Support

• Administered tube feeds + meds via NG tubes and gastrostomy tubes, verified placement q4h

• Assessed for residuals, abdominal distention, and feeding intolerance; reduced aspiration risk

Monitoring & Devices

• Interpreted tele-monitoring data for dysrhythmia; notified MD of changes + critical values

• Maintained multiple drainage devices: JP drains, wound vacs, foley catheters, surgical drains, EVD drains, and output monitoring.

• Managed complex med passes: IV antibiotics, blood administration, anticoagulants, neuro meds.

Psychosocial + Safety Care

• Assessed mental status, suicide risk, and withdrawal symptoms q4h using standardized tools + clinical judgment

• Implemented 1:1 safety precautions and de-escalation techniques to prevent harm to patient/self/others

Substance Use/Withdrawal Management

• Monitored CIWA/COWS scores for alcohol/opioid withdrawal; administered PRN meds per protocol

• Managed complications of substance use: dehydration, electrolyte imbalances, cardiac dysrhythmia on tele

• Educated patients + families on harm reduction, relapse prevention, and community resources at discharge

General IMC Competency

• 1:4 patient ratio with high-acuity, step-down level care

• EMR charting: Epic documentation, I&O, wound assessments, neuro flowsheet on-time

• Patient/family education: discharge teaching for trach care, tube feeds, stroke prevention

• Monitored patient vital signs and reported significant changes to the nurse.
• Performed activities of daily living, such bathing , feeding, toileting, turn and positioning q2h
• Assisted with ambulation, transfers, and fall prevention
• Measure and record intake and output, weights, vital signs

• Managed filing systems
• Answered multi-line phone system, routed calls, and served as point of contact for clients
• Ordered office supplies, managed inventory, and processed invoices
• Managed front desk, and maintained a professional office environment

• Sold food items to small, medium and large retailers
• Participated in promotional events, where I introduced new items, and provided discounts on bulk orders
• Conducted follow up sales evaluation to determine customer satisfaction, and to assess for areas of improvement

• 3.889 GPA
• Applied evidence-based practice to improve patients outcomes
• Analyzed nursing theories and applied to real life scenarios
• Conducted community health assessments and identified at-risk population for decease preventions
• Critically appraised nursing research articles to guide clinical decision-making

• Dean's List
• Scholarship Recipient
• Analyzed nursing theories and applied to real life scenarios
• Conducted community health assessments and identified at-risk population for decease preventions
• Weekly clinical rotations to acquire real-life nursing skills

• Honors
• Evaluated Suppliers, and cost benefit analysis
• Designed global logistics network, customs, tariffs, and trade compliance
• Demand planning, inventory control, transportation management , and procurement
• Managed 3PL relationships for freight, warehousing and last mile delivery