Donnalyn Arellano

Clinical Nurse B-Peri-Anesthesia

Loma Linda University Medical Center

10.2021 - Current

Demonstrates competency in procedural and perianesthesia nursing for stable, unstable and fragile patients
Utilizes skilled discretion and independent judgment to prioritize, coordinate, provide and document direct and indirect age-specific and developmentally appropriate quality patient-centered care in a fast-paced environment
Exhibits interpersonal skills that portray professionalism and maximize excellence in customer service and safe patient care
Planning and implementing nursing interventions, Providing pre, and post procedure education to the patients, families, significant others, and/or caregivers
Providing health promotion strategies and education to patients and their support system
Administering and evaluating pharmacological and other therapeutic treatment regimens mandated by the particular situation, evidence-based practice, and recent advancements in gastroenterology
Performs the nursing process (assessment, care planning, intervention, evaluation) in a dynamic environment. To achieve proficient individualized physical, psychosocial and spiritual wellness and provide compassionate bereavement support as appropriate
Demonstrates a solid body of knowledge and understanding of the specialty practice of procedural and perianesthesia nursing which includes, but is not limited to: Pre Anesthesia Phase: validates existing information and ensures consents are signed, history and physical is completed within designated time frame, pre-operative or procedure check list is completed, the patient, family, and caregiver as applicable understands procedure and perianesthesia processes and how to receive updates, reinforces pre-procedure teaching, reviews discharge instructions and provides nursing care to complete preparation for the pre-anesthesia experience
Post Anesthesia Phase I: provides immediate post anesthesia recovery and transition to Phase II, which may be the in-patient setting or to an intensive care setting for continued care
Post Anesthesia Phase II: prepares the patient, family, and caregiver as applicable, for care in the home or an extended care environment and provides discharge instructions and evaluates discharge readiness
Obtains sign-out by anesthesiologist or procedural physician
Outpatient Extended Care: provides care when extended observation and intervention after anesthesia discharge from Phase I or Phase II is required
Recognizes signs and symptoms that indicate a patient is at increased risk for complications or adverse reactions following procedure and type of anesthesia (general anesthesia, regional anesthesia, monitored anesthesia care, moderate and deep sedation) administered
Complications and adverse reactions include, but may not be limited to: respiratory and/or cardiac failure, stroke, herniation, allergic reaction, rapid response, emergency situations
Takes appropriate action and functions calmly and effectively in emergency and high stress situations
Utilizes available resources to keep current in nursing practice
Participates in educational programs to increase professional competence and meet professional goals
Applies solid theoretical concepts to clinical practice and exhibits self-motivation to continually expand knowledge base and clinical skills with a focus in perianesthesia and procedural nursing
Seeks assistance from other professional resource persons to improve skill, knowledge and practice
Supports research initiatives and the implementation of evidence into practice to optimize patient outcomes
Provides age-specific patient education and anticipates patient, family and caregiver knowledge deficits
Evaluates readiness to learn and presents information in age-appropriate simple language non-healthcare population will understand
Utilizes interpretation services (including sign-language) by accessing in-house interpreters, language line and in-house video interpretation as needed
Evaluates effectiveness and modifies education approach, methods and materials as needed
Informs patient, family and caregiver about care, medications, treatments and procedures
Encourages them to be active participants in their care and to ask questions and participate with caregivers in the development of their plan of care
Functions in a skills mix environment and supervises and delegates tasks to a team of licensed and unlicensed staff in accordance with level of competency, e.g., Unit Secretaries, Patient Care Assistants, float personnel, contract staff, nursing students, new staff
Identifies discharge needs and plans accordingly in collaboration with the healthcare team
Facilitates continuity of care and includes patient, family and caregiver in discharge planning and education
Performs successful discharges and influences decreased patient re-admission rates by ensuring patient, family and caregiver understand discharge instructions
Collaborates with case management and social work as needed for a smooth discharge and safe transition to home or other living arrangement for follow-up and continuity of care
Completes nursing orientation and achieves competencies as required for area of specialty and as defined in the department-specific Plan for Providing Care
Functions within the registered nurse scope of practice, follows the American Society of Perianesthesia Nursing (ASPAN) recommendations, and complies with established policies, procedures, protocols, techniques, and guidelines
Demonstrates service excellence best-practices to improve the patient and family experience and performance scores
Utilizes all electronic components of the medical record and documents in the medical record according to established policies
Records patient care delivered in 'real time' as much as possible to ensure other healthcare team members have the most recent information about the patient to appropriately plan care, treatment, services and discharge
Documents nurse-sensitive quality measures, e.g., pain management, skin integrity, fall risk, restraints, immunization status, discharge information, other nurse-sensitive indicators and core measure elements applicable to diagnosis, treatment and procedure
Maintains knowledge Electronic Access Portal (LLEAP) downtime procedures and functions in accordance with policy
Maintains safe delivery of care during planned and unplanned downtimes
Functions within the expectations of a professional nurse and contributes to nursing excellence standards to maintain Magnet Recognition as outlined by the American Nurses Credentialing Center
Represents nursing as an empowered profession and readily embraces new knowledge, innovations and improvements
Provides a positive influence to facilitate change and optimize patient satisfaction and outcomes
Engages in opportunities to directly or indirectly influence decision-making for point-of-care clinical practice by supporting and participating in professional governance councils, committees, task forces and staff meetings
Demonstrates behaviors that contribute to a highly motivated and high-performance team
Portrays professionalism in dress, attitude and clinical practice, e.g., arrives in department at shift start time ready to receive assignment and report, accepts assignments readily and graciously, flexes and adapts to changing assignments as needed, willingly floats to other departments as requested, follows established hand-off processes when transferring care to another member of the healthcare team
Assists in orienting new employees and serves as a preceptor as requested
Serves as a 'buddy' for float nurses, registry personnel and students when needed
Embraces new nursing staff and facilitates their integration into the department environment and workforce
Collaborates with clinical nursing instructors and facilitates meaningful learning experiences for students
Recognizes when team members are struggling and skillfully intervenes to maintain department morale
Develops skills that contribute to a work environment of caring and cooperation among a culturally diverse workforce and patient population
Intervenes as a patient advocate as necessary
Uses available resources to address ethical issues
Understands national patient safety goals and established core measures applicable to department and patient population served
Complies with national patient safety goals and core measure practices
Maintained strong working relationships with physicians and ancillary staff, fostering a collaborative approach to patient care delivery.
Identifies and reports processes or systems and risks that could potentially lead to errors or adverse events
Respectfully seeks resolution for patient and department-related problems using available resources and chain of-command
Minimizes the existence of unsafe conditions in the work environment and clinical practice
Demonstrates knowledge of and implements emergency management procedures as appropriate, e.g., power failures, equipment failures, threats to the environment, natural disasters, workplace violence
Participates in disaster drills, fire drills, safety rounds, etc., with favorable attitude
Keeps medical device alarms on when connected to a patient
Takes malfunctioning equipment out of service and sends for repair
Participates in on-call rotation based on department business needs

Summary

Overview

Work History

Clinical Nurse B-Peri-Anesthesia

Home Health Nurse (Per Diem)

Clinical Nurse B Unit 1100

Education

Bachelor of Science - Nursing

Skills

Languages

Certification

Work Availability

Work Preference

Work Type

Work Location

Timeline

Clinical Nurse B-Peri-Anesthesia

Home Health Nurse (Per Diem)

Clinical Nurse B Unit 1100

Bachelor of Science - Nursing

Similar Profiles

Vanessa SerratoVanessa Serrato

Riley BreauxRiley Breaux

Mishell ElmquistMishell Elmquist