Diane Wema
Allen,Texas
Summary
Dedicated Critical Care Registered Nurse with 6 years of direct patient care experience. Adept at doctor communication and patient education with extensive knowledge of cardiovascular treatments and planning long-term for patients. Successful at advocating patient needs and quick diagnoses.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Registered Nurse, CVICU
Medical City Of Plano
01.2023 - Current
- Managed critically ill patients on mechanical support ECMO to provide optimal pulmonary/cardiac support such as VA ECMO, VVECMO, VAV ECMO, VVAV ECMO.
- Participated in ECMO cannulation and decannulation.
- Monitored patients’ blood gas, chemistries, anticoagulants and hematologic status as well as client status including status including and hemodynamic changes.
- Cared for unstable post cardiac arrest patients requiring therapeutic hypothermia, as well as able to provide continuous renal replacement therapy( CRRT)
- Proficient with using NMB agents along with use of BIS monitor and Train of four.
- Managed Intubated patients and proficient in interpreting arterial blood gas(ABG).
- Experienced with various Inotropes /vasoactive medications such as Epinephrine, Norepinephrine, Neosynephrine, Dopamine, Dobutamine and Vasopressin in the ICU setting.
- Expert in applying hemodynamics data from PA, CVP and arterial lines for patient care.
- Experienced with usage of antiarrhythmics and vasodilators such as Amiodarone, Diltiazem, Esmolol, Nitroglycerin, and Nitroprusside.
- Managed immediate post open heart and great vessel surgical patients (CABG)
- Provided care to patients requiring cardiac support such as IMPELLA, IABP and TVAR/EVAR.
- Implementation of Massive Transfusion protocol following 1;1;1 ratio and proficient at using Rapid Transfuser.
- Assisted Physician in bedside procedures; Intubation, bronchoscopy, chest tube placement , arterial line and central line placement.
- Assisted wit h 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.
- 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.
- Educated patients and families on post-discharge care, promoting adherence to medication regimens and reducing readmission rates.
- Served as a preceptor for nursing students during their clinical rotations in the CVICU setting, facilitating hands-on learning experiences tailored to each student''s needs.
- Mentored new nurse graduates, fostering professional growth and development through guidance and support.
- Trained and coached new employees on protocols and best practices to promote ideal patient outcomes.
- Assisted in life-saving procedures following ACSL guidelines , defibrillation, and advanced airway management during critical events.
- Collaborated with multidisciplinary teams to develop individualized care plans for high-risk cardiac patients.
- Maintained competence in the latest cardiac care practices and technologies through ongoing professional development and participation in relevant educational offerings.
Neuro ICU Registered Nurse
Medical City Of Plano
01.2022 - 01.2023
- Participated in Code situations following BLS, ACLS, ENLS protocols.
- Conducted neurological assessments at regular intervals, detecting subtle changes in clinical status that could signal worsening conditions or potential complications.
- Managed Ventilated / Sedated patients, arterial line, CVP, Central lines, EEG monitoring.
- Provided care to patients with neurological deficits, patients with stroke, hemorrhagic stroke, ischemia stroke, and post op Craniotomy and coiling of aneurysm.
- Assisted with EVD placement, ICP monitoring, and Lumbar drain placement and monitor for signs of brain death and herniation.
- Administered medications such 3% Hypertonic saline , Sodium Acetate, Mannitol and Nimodipine
- Provided care to patients post TPA administration and monitored for signs of bleeding and acute neurological deficits.
- Provided care for post angiogram and surgical interventions.
- Collaborated with physicians and other multidiscipline team to provide and manage care for critically ill patients.
- Collaborated with and educated patient’s family as appropriate in critical care setting and provide education without technical phrase.
- Provided end of life care for patients / family as appropriate in critical care setting.
- Provided care to patients on CRRT, Arctic Sun, implemented massive blood transfusion protocol and post cardiac arrest.
- Implemented life gift protocol for organ donation candidates.
- Managed ventilator settings for critically ill patients, ensuring optimal respiratory support while minimizing complications.
- Managed patients recovering from medical or surgical procedures.
Medical Surgical Licensed Practical Nurse
Palo Pinto General Hospital
12.2018 - 05.2022
- Provided patient care to patients from OR, ER and ICU experienced in low to high acuity levels in patients.
- Monitored patient vital signs to perform thorough condition assessments.
- Managed caseload of 7 patients simultaneously by providing bedside care, treatments, IV therapy, and wound care.
- Performed assessment, provided intravenous therapy; complex wound, monitored various drainage devices.
- Educated patients regarding their medications, procedure, and treatments.
Collaborated with healthcare team members, patients, physicians, and family members to implement and evaluate patient care plans. - Ensured efficacy of treatments through monitoring of treatment regimens.
Cross train within other units, ICU, ER and Labor and delivery. - Improved quality of care with thorough documentation of patient conditions, treatments, and responses to interventions.
- Collaborated with interdisciplinary healthcare teams for optimal treatment plans and positive patient outcomes.
- Demonstrated keen attention to detail while conducting head-to-toe assessments on medical surgical patients.
- Reduced risk of complications by closely monitoring vital signs, administering medications, and promptly addressing patient concerns.
- Minimized potential medication errors by verifying orders and carefully administering prescribed therapies as directed by physicians.
- Fostered trusting relationship with patients'' families addressing their concerns and keeping them informed about patients'' progress.
- Expedited recovery times by implementing appropriate wound care measures and providing timely pain management.
- Promoted patient education through clear explanation of diagnoses, treatment plans, medications, and discharge instructions.
Registered Nurse, MICU
Medical Weatherford
06.2021 - 01.2022
- Worked as charge nurse, providing leadership to nurses on unit
- Responsible for 1-2 patients every shift including COVID, Septic , Ventilator, Surgical, COPD, RDS, Alcohol/drug withdrawal and End Stage renal disease.
- Proficiency in titrating multiple vasoactive drugs .
- Assisting Physician in bedside procedures; Intubation, bronchoscopy, chest tube placement , arterial line and central line placement.
- Monitored vital signs, adequacy of ventilation, and levels of consciousness and pain.
- Communicated patient’s condition to family members in a compassionate and non-technical manner.
- Collaborating with multidisciplinary medical teams for patient’s comfort and treatment.
- Performing complex assessment and interventions for better health and faster recovery of patients.
- Monitored and cared for patients on ventilators and other lifesaving equipment.
- Performed emergency medical procedures such as BLS, ACLS and other condition stabilizing interventions.
- Monitored hemodynamic variances to identify signs of life-threatening complications.
- Collaborated with interdisciplinary teams for comprehensive care plans, promoting optimal patient recovery.
- Assessed and documented changes in patient's condition and prepared patient for transfer to higher level of care.
Education
Bachelor of Science - Nursing
Weatherford College
Weatherford, TX08.2022
Associate Degree in Nursing - Nursing
Weatherford College
Weatherford, TX03.2021
Practical Nurse - Nursing
Weatherford College
Weatherford, TX08.2018
High School Diploma -
North Crowley High School
Fort Worth, TX05.2016
Skills
- ECG Interpretation
- Expert in Hemodynamic Interpretation
- Skilled in Ventilator management and Arterial blood gas interpretation
- Medical Equipment Setup
- Collaborative Teamwork
- Patient Advocacy
- Vasoactive Medication Administration and Titration
- Adaptable and Flexible
- Task and Work Prioritization
- Electronic Charting
- Pulmonary Assessments
- Advanced Cardiovascular Life Support
- Pediatric Advanced Life Support (PALS)
Affiliations
- AACN, STN, AANN, ENA
Certification
Nation Certifications: TCRN, CCRN, CMC, CSC
- PALS - Pediatric Advanced Life Support
- Basic Life Support
- Advanced Cardiac Support
- Trauma Care After Resuscitation (TCAR)
- Trauma Nurse Core Course (TNCC)
- National institute of Health Stroke Scale (NIHSS)
- Emergency Neurological Support ( ENLS )
Languages
French
Swahili
Timeline
Registered Nurse, CVICU
Medical City Of Plano
01.2023 - Current
Neuro ICU Registered Nurse
Medical City Of Plano
01.2022 - 01.2023
Registered Nurse, MICU
Medical Weatherford
06.2021 - 01.2022
Medical Surgical Licensed Practical Nurse
Palo Pinto General Hospital
12.2018 - 05.2022
Bachelor of Science - Nursing
Weatherford College
Associate Degree in Nursing - Nursing
Weatherford College
Practical Nurse - Nursing
Weatherford College
High School Diploma -
North Crowley High School
Nation Certifications: TCRN, CCRN, CMC, CSC
- PALS - Pediatric Advanced Life Support
- Basic Life Support
- Advanced Cardiac Support
- Trauma Care After Resuscitation (TCAR)
- Trauma Nurse Core Course (TNCC)
- National institute of Health Stroke Scale (NIHSS)
- Emergency Neurological Support ( ENLS )
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