Summary
Overview
Work History
Education
Skills
Certification
Timeline
Hi, I’m

Dorothy Carlton-Graff, RN, BSN

BEACON,New York
Dorothy  Carlton-Graff, RN, BSN

Summary

Dynamic RN. Critical Care/Stepdown, Covid Frontliner Nurse with eight years of experience In all Medical Surgery/Telemetry area's as well as Stepdown, PCU ,Visiting Nurse, Hospice Nurse and Correction Nursing.

Epic Superuser and Certified Microsoft Suite user.

My repertoire includes owning and managing a small business including website design and maintenance.

Trained in bedside nursing at Magnet hospitals and then off to change the world. Helping make a difference one patient at a time.

World traveler and California Street Taco aficionados. Lover of the unstoppable coupling of science and technology and proven leader with great multitasking and communications skills and a fantastic eye for detail. Full knowledge of HIPPA compliance.

Overview

9
years of professional experience
1
Certification

Work History

Fishkill Correctional Facility

Registered Nurse
09.2023 - Current

Job overview

  • Served as a preceptor for nursing students during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.
  • Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
  • 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.
  • Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
  • Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.

Ascension Lourdes Hospital

Registered Nurse
04.2023 - 10.2024

Job overview

  • Managed care from admission to discharge.
  • Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
  • Post surgical Unit. Managed s/p bariatric, bowel resection, urology, TURP, CBI, femoral Popliteal Bypass, carotid endarterectomy. Multiple other post surgical patient care.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
  • Adaptable and proficient in learning new concepts quickly and efficiently.
  • Applied effective time management techniques to meet tight deadlines.
  • Developed strong organizational and communication skills through coursework and volunteer activities.

RUHS

Registered Nurse PCU Float
11.2022 - 02.2023

Job overview


  • Educated patients and families about medications and treatment instructions to facilitate continuum of care.
  • Monitored cardiac and other critical vital signs to detect changes and enable intervention of life-threatening or emergency situations.
  • Palliative care and education provided to patient and family during end of life transition
  • Responded to code blue alerts within facility to initiate protocol, special procedures and cardiac monitoring.
  • Administered prescribed medications, changed dressings, cleaned wounds and monitored vital signs to provide high standards of patient care
  • Critically monitoring (implementing appropriate nursing interventions) patients sustaining neurological injury i.e. hemorrhagic/ ischemic stroke, TBI and other neurological insults. NIHSS assessment and interventions.

Department Of Corrections

Registered Nurse
09.2022 - 11.2022

Job overview

  • Administered medications via oral, IV, and intramuscular injections and monitored responses.
  • Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Provided direct patient care, stabilized patients, and determined next course of action.
  • Implemented evidence-based fall prevention strategies, resulting in a significant decrease in patient falls within the unit.
  • Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
  • Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
  • Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.

Kaleida Health

Registered Nurse, PCU-Medical-Surgical Telemetry
01.2022 - 05.2022

Job overview

  • Provided direct patient care, stabilized patients and determined next course of action.
  • Managed care from admission to discharge.
  • PCU
  • Critically monitoring (implementing appropriate nursing interventions) patients sustaining neurological injury i.e. hemorrhagic/ ischemic and TBI and other neurological insults. NIHSS assessment. Post Tpa assessment with interventions.
  • Palliative care and education provided to patient and family members during end of life transition. Utilizing appropriate pain scale to assess level of comfort.

Queens West Oahu

Registered Nurse, Medical-Surgical Telemetry
09.2021 - 11.2021

Job overview

  • Provided direct patient care, stabilized patients and determined next course of action.
  • Managed care from admission to discharge.
  • Critically monitoring (implementing appropriate nursing interventions) patients sustaining neurological injury i.e. hemorrhagic/ ischemic and TBI and other neurological insults. NIHSS assessment. Post Tpa assessment with interventions.

NYCHH Lincoln Level One Trauma Center

Registered Nurse, Medical-Surgical ICU
04.2021 - 08.2021

Job overview

  • Administered medications Including Fentanyl, Versed and Levophed and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
  • Palliative care and education provided to patient and family members during end of life transition. Utilizing appropriate pain scale to assess level of comfort.
  • Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
  • Critically monitoring (implementing appropriate nursing interventions) patients sustaining neurological injury i.e. hemorrhagic/ ischemic and TBI and other neurological insults. NIHSS assessment. Post Tpa assessment with interventions.

Banner Estrella Medical Center

Registered Nurse, Covid Progressive Care Unit
12.2020 - 03.2021

Job overview

PCU Float between Covid positive and or Covid rule out units.

  • Administered medications, tracked dosages and documented patient conditions.
  • Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
  • Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services.

Hudson Valley Hospice

Registered Nurse
08.2020 - 11.2020

Job overview

  • Performing evaluations and assessment to determine if patient meets criteria for admission into hospice services.
  • Providing education on services available through hospice.
  • Providing literature and education regarding end of life transition, answering questions.
  • Providing comfort
  • Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.

ORMC Level II Trauma Center

Registered Nurse, CCC, Covid ICU
09.2019 - 10.2020

Job overview

  • Provided direct patient care for the Covid-19 + patient in the ICU setting.
  • Managed multiple high-risk, titratable IV medications simultaneously including vasopressors, narcotics and paralytics.
  • Administering blood and blood product transfusions
  • Proning
  • Implemented interventions, including medication and IV administration, catheter insertion and airway management.
  • Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
  • Provided exceptional care high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
  • Maintained quality care and comfort for patients with heart failure, pulmonary hypertension and other conditions.
  • Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit to achieve optimal outcomes.
  • Documented patient information obtained from interviews concerning symptoms, medications and prior treatment.
  • Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
  • In-depth background research of patient history, labs and diagnostics.



Montefiore SLCH Level III Trauma Center

Cardiac Stepdown Registered Nurse
10.2018 - 09.2020

Job overview

  • Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans
  • Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
  • Guided and educated patients and caregivers on diagnoses, disease management, preventative measures, medication use and self-care to foster consistency in care administration.
  • Assessed and managed various patient treatments for numerous patient diagnoses from sepsis to acute respiratory distress.

Montefiore SLCH Level III Trauma

Registered Nurse, Medical-Surgical Tele
12.2016 - 10.2018

Job overview

  • Provided direct patient care, stabilized patients and determined next course of action
  • Managed care of ESRD patients undergoing various therapies and procedures, including PD and HD
  • Organized and managed care of urology patients undergoing various therapies and procedures, including s/p care of cystoscopy, CBI and penile implants
  • Monitored and assessed cardiac telemetry patients
  • Organized and managed care of bariatric patients s/p various procedures, including gastric bypass
  • Assessed vital signs and skin integrity
  • Administered medications; PO/SQ/IM/IV/SL and rectally

Julie Eads

Private Duty Nurse
05.2015 - 12.2016

Job overview

  • Provided total care for patient with end-stage neuro-degenerative disease
  • Provided comfort for patient and family during end of life transition
  • Collaborated with care team and family for best possible goals of care

Education

Mount Saint Mary College
Newburgh, NY

Bachelor of Science from Nursing
05.2016

Skills

  • Skilled ICU/Critical Care RN providing highly competent nursing care for high acuity patients
  • Certified in BLS, ACLS
  • Immediate assessment and interpretation of vital signs in critical care setting
  • Mechanically vented/tracheostomy and vented
  • Pharmacological knowledge of tiratable sedation, paralytics, vaso-pressors and narcotics
  • Monitoring and providing best nursing care of the trauma patient
  • Working closely with the patient, family and multidisciplinary team
  • HIPAA education
  • Lab result interpretation in critical care setting
  • Physical assessment
  • IV drug therapy management including; Amiodarone, Diltiazem,
    Nitro, Dobutamine, Precedex, Heparin and Insulin drips
  • Organization
  • Proficiencies in navigating EPIC, Microsoft Office, MEDITEC, Cerner and patient EMAR
  • Complete compliance with HIPPA, per hospital protocol

Certification

  • Registered Nurse in New York State 2016
  • BLS, ACLS
  • Epic Super User
  • Microsoft Office

Timeline

Registered Nurse

Fishkill Correctional Facility
09.2023 - Current

Registered Nurse

Ascension Lourdes Hospital
04.2023 - 10.2024

Registered Nurse PCU Float

RUHS
11.2022 - 02.2023

Registered Nurse

Department Of Corrections
09.2022 - 11.2022

Registered Nurse, PCU-Medical-Surgical Telemetry

Kaleida Health
01.2022 - 05.2022

Registered Nurse, Medical-Surgical Telemetry

Queens West Oahu
09.2021 - 11.2021

Registered Nurse, Medical-Surgical ICU

NYCHH Lincoln Level One Trauma Center
04.2021 - 08.2021

Registered Nurse, Covid Progressive Care Unit

Banner Estrella Medical Center
12.2020 - 03.2021

Registered Nurse

Hudson Valley Hospice
08.2020 - 11.2020

Registered Nurse, CCC, Covid ICU

ORMC Level II Trauma Center
09.2019 - 10.2020

Cardiac Stepdown Registered Nurse

Montefiore SLCH Level III Trauma Center
10.2018 - 09.2020

Registered Nurse, Medical-Surgical Tele

Montefiore SLCH Level III Trauma
12.2016 - 10.2018

Private Duty Nurse

Julie Eads
05.2015 - 12.2016

Mount Saint Mary College

Bachelor of Science from Nursing
Dorothy Carlton-Graff, RN, BSN