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
Beacon, United States

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
Binghamton, NY

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
Moreno Valley, CA

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
Beacon, NY

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
Olean, NY

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
Eve Beach, HI

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
The Bronx, NY

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
Phoenix, AZ

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
Poughkeepsie, NY

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
Middletown, NY, NY

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
Newburgh, NY

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
Newburgh, NY

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