Dominique Gale Climaco
Overview
7
7
years of professional experience
Work History
Registered Nurse, Progressive Care Unit
Lake Cumberland Regional Hospital
05.2023 - Current
- In patient unit: 25 beds
- Recorded details regarding therapies to keep patient charts updated.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
Registered Nurse
The Royal Marsden Hospital
08.2021 - 03.2023
- Horder Ward: Symptom Control and Palliative Care
- In Patient Unit capacity: 8 beds
- To complete the first level assessment of patients with cancer and their families to gain an understanding of their physiological, psycho-social, spiritual and cultural needs and to develop a positive, realistic and supportive attitude to ensure that these needs are met
- Counterchecking patients’ vital signs, blood results, patient body surface area, chemotherapy prescription and consent before administration of treatment
- Educating patients on their treatment such as indications and side effects
- Ensuring necessary medication and follow up appointments are obtained
- To plan, document, deliver and evaluate care plans from admission through to discharge / transfer discussing this with the patient, their family and multi-disciplinary teams and to alert the Sister/Charge Nurse of any changes
- To set goals for each of the identified nursing issues and encourage / teach other nursing staff to do the same
- To help the patient achieve set goals through care planning
- As a specialist cancer nurse, to assess the educational and informational needs of the patient and family
- This includes producing and using appropriate materials to ensure optimum understanding of nursing care and the likely outcome.
Multidisciplinary Pain Management Nurse
Perpetual Help Medical Center
09.2019 - 07.2021
- Hope Institute: Multidisciplinary Pain Management Nurse
- Makes patient’s data charts which include the past and present medications (including opioids, adjuvants, NSAIDS etc.,)
- Obtains pain history and makes an initial assessment of the patient as well as rapid assessment of patients in pain crisis
- Verifies consent for pain management in admitted patients
- Initiates rounds every day, notes the patient’s response to the current management and updates the consultant of patient status
- Operates the Patient Controlled Analgesia (PCA) pump and gives instructions on its use to the patient and relatives
- Endorses the PCA setting to nurse in charge and trouble-shooting during the treatment course
- Promotes medication compliance during the treatment course as outpatient
- Explains the expected and potential side effects especially of opioids and adjuvant medications included in the treatment plan
- Executes Pain-Palliative home care visits accompanied by a Pain-Palliative doctor or alike in relation but not limited to cancer patients
- If required during home visit, inserts nasogastric tube, indwelling foley catheter and blood extraction for laboratory examinations
- Performs other related duties as assigned
- Hope Institute: Multidisciplinary Pain Management Nurse
Oncology Nurse
Perpetual Help Medical Center
05.2017 - 09.2019
- Hope Institute: Hope Wing Oncology Nurse
- Oncology Unit In Patient Capacity: 14 beds
- Observes and practices the hospital’s policies, objectives and standards
- Knowledgeable and applies the nursing process in carrying out nursing functions
- Practices comprehensive nursing care in accordance with professional values and moral principles and maintains confidentiality
- Establishing rapport to patient, family and everyone involved in the plane of care
- Implements medical and nursing care plans in adult and pediatric oncology care in coordination with other healthcare team
- Performs admission routines: takes the initial vital signs, assesses the patient’s status, checks the accuracy of records, executes initial treatment, medications, IV fluids, etc., and conducts orientation to the plan of care
- Performs proper endorsement to other staff nurses and healthcare team for continuity of care
- Upon rounds, the following are paid attention to: Assessment of the patient’s condition, reaction to treatment (eg., chemotherapy, blood transfusion, parenteral nutrition therapy)
- Condition of contraptions: IV sites, central line sites, catheters, drainages, ostomy site(s), dressings, etc
- Pertinent information to treatment for the patient and/or doctor
- Renders direct nursing activities such as vital signs monitoring, administration of oral, IV and chemotherapeutic medications, facilitation of diagnostic examinations, coordination with other hospital departments in regards to information needed in the plan of care, health teaching, patient care advocacy, etc
- Evaluates the functions delegated to junior nurses and nursing assistants
- Accompanies doctors to their rounds and clarify orders that would be executed
- Assists doctors in procedures and plans the continuity of care
- Provides health teachings and encourages medication compliance as part of the discharge process
- Hope Institute: Hope Wing Oncology Nurse
- Oncology Unit In Patient Capacity: 14 beds
Education
Bachelor of Science - Nursing
Manila Tytana Colleges-Manila Doctors College of Nursing
01.2014
Skills
- Medication and IV administration
- Direct Patient Care
- Performing EKGs
- Telemetry monitoring
- Advanced Cardiac Life Support (ACLS) certification
- Basic Life Support certification
Licensure
- NCLEX-RN - New York State Board of Nursing and Kentucky Board of Nursing
- Nursing and Midwifery Council - United Kingdom
- Philippine Board of Nursing
References
Available upon request.
Timeline
Registered Nurse, Progressive Care Unit
Lake Cumberland Regional Hospital
05.2023 - Current
Registered Nurse
The Royal Marsden Hospital
08.2021 - 03.2023
Multidisciplinary Pain Management Nurse
Perpetual Help Medical Center
09.2019 - 07.2021
Oncology Nurse
Perpetual Help Medical Center
05.2017 - 09.2019
Bachelor of Science - Nursing
Manila Tytana Colleges-Manila Doctors College of Nursing
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