Duncan Macharia
Wylie,Kenya
Summary
Registered nurse (B.Sc.) with 18 plus years of experience. Active RN compact license Skilled in EKG performance and rhythm interpretation. Skilled in neurological assessment for patient with stroke, seizures, dementia, Prioritizes patient care based on acuity level and available resources. Proficient with, and appreciative of, varied styles of practice. Values safe, positive and respectful care for all the patients. Certified in BLS, ACLS, PALS
Possesses versatile skills in project management, problem-solving, and collaboration. Brings fresh perspective and strong commitment to quality and success. Recognized for adaptability and proactive approach in delivering effective solutions.
Tech-savvy innovator with hands-on experience in emerging technologies and passion for continuous improvement. Skilled in identifying opportunities for technological enhancements and implementing effective solutions. Adept at leveraging new tools and methods to solve problems and enhance productivity. Excels in adapting to fast-paced environments and driving technological advancements.
Overview
21
21
years of professional experience
Work History
Registered Nurse
Medical City Dallas Hospitals
01.2023 - Current
- Admitting and assessing patient with various conditions such as neurological, respiratory, renal, gastrointestinal, integumentary, musculoskeletal by using various assessment tools such as NIHSS, Glasgow scale, mental status test, pain assessment scales
- Performing head to toe assessment
- Caring for patient on continuous EEG monitoring
- Giving pre- and post-operative care
- Inserting and caring peripheral Iv cannular
- Performing lab draws from peripheral and central venous line
- Performing electronic documentation
- Administering medications (I.M., I.V., Subcutaneous, topical, suppository, drop instillations)
- Using smart infusion pumps in fluid and antibiotic administration
- Inserting and caring of urinary catheter
- Caring of patient with drains, peripheral iv, central line, med port
- Performing Patient and family teaching
- Caring for patient on telemetry
- Inserting and caring of NG tube; caring of patient on NG tube
- Performing airway care
- Performing Wound assessment, cleaning and dressing
- Caring for patient with high blood sugar
- Caring for monitored, critically ill patients in med-surg
- Unit
- Performing Input and output monitoring
- Administration of blood and blood products
- Recognizing and intervening patient with emergencies such as cardiorespiratory
- Taking the leadership roles such as orienting new staff, precepting interns, charging, scheduling, managing conflicts, ensuring policies and procedures are safely observed, maintaining high motivation and enthusiasm in the workplace
Registered Nurse
Avant Healthcare Professionals
01.2013 - 01.2015
- Performing head to toe and focused assessment
- Insertion and caring of iv cannula
- Caring of patient with diabetes and ketoacidosis
- Caring patient with respiratory problems, including asthma and COPD
- Medication administration: IV, intramuscular, Subcutaneous, intradermal, infusion with pump, suppositories, nebulization
- Wound care, including diabetic and decubitus wounds
- Setting up PCA pump and caring of patient on PCA pain management
- Caring of patient with hypertension crisis, pulmonary embolism and renal stones
- Assessing and caring of patient with chest pain
- Ensuring patient safety by identifying patient correctly, getting witnessed when preparing and administering high risk medications, and preventing patient’s falls
- Interpreting EKG, and caring of patient with abnormal EKG
- Caring of patient with dementia, drug abuse including alcohol intoxication
- Admitting and discharging patient to and from the med/surgical floor
- Caring of patient with stroke, seizures
- Transferring patient for care to an acute facility or long-term care
- Performing Preoperative care
- Administering blood transfusion, and caring patient receiving blood products
- Postoperative care of patient with: Total knee joint replacement; open reduction internal fixation (ORIF); back and shoulder surgeries; open or laparoscopic appendectomy, cholecystectomy; bladder and prostate surgeries; bowel obstructions
- Caring of patient with surgical drains such as JP, hemovac, chest tubes
- Caring patient with an indwelling urinary catheter
- Caring of patient with NG tube, gastric tube, central lines
- Administering TPN (total parenteral nutrition), and caring the patient on TPN
- Teaching Patient and family on medications use and adverse effects, on how to prevent postoperative complications
- Administering venous thromboembolism prophylaxis measures to all admitted surgical patients as ordered
- Application of telemetry and caring of patient on cardiac telemetry
- Preparing patient for radiological studies such as CT scan, MRI, colonoscopy, x-rays, sonography
- Playing the role of charge nurse at least three days a week
- Playing the role of Preceptor to new nursing staff
Registered Nurse - ER
Aga Khan University Hospital
01.2008 - 03.2013
- Company Overview: Nairobi, Kenya
- Performing a head-to-toe assessment on all patients; and reassessment as per the policy
- Using triage process (Canadian Triage Acuity Scale) to ensure timely and appropriate care to patients
- Pain management
- Monitoring hemodynamic status of patients and correctly interpreting the results
- Monitoring and identifying dysrhythmias in patients with cardiac conditions, and intervening appropriately
- Preparing, hanging, monitoring, and discontinuing IV fluids
- Maintaining accurate nursing documentation on patients’ health histories, current conditions, treatments, responses and responses to medication
- Receiving and calling for laboratory critical values to physicians
- Resuscitating patients with cardiopulmonary complications by utilizing BLS, ACLS and stroke protocols
- Responding to code blue (cardiac arrest) alerts throughout the hospital
- Administering medication (IM, IV, PO intradermal, nebulization, dermal patches, rectal,)
- Admitting, discharging and transferring patients within and without the facility
- Wound caring, assisting in suturing and staple removal
- Immobilizing fractures by application of full or half plaster or synthetic casts
- Preparing and performing procedures such as the Enemas, ear syringing, intravenous cannulation, suctioning, blood sugar levels, urine dipstick tests
- Assisting in intubation, ventilation and catheterization of patients
- Infusion of IV fluids and blood products, applying nasal packing, isolating patients with infectious conditions and immunosuppression
- Playing the role of shift charge once a week
- Teaching patients and families
- Managing the patients complains and reporting to the manager
- Performing the ECG and interpreting the results and reporting the arrhythmias
- Receiving and Ordering of DDA
- Receiving and giving of handing over reports
- Use of GCS score in assessing patient with a suspected neurological problem
- Caring of patient with stroke, convulsive disorder and burns
- Nairobi, Kenya
Registered Nurse - Medical-Surgical Unit
Providers Hospital
11.2004 - 12.2007
- Company Overview: Nairobi, Kenya
- Pre and postoperative management of patients
- Performing ongoing assessments and documenting the findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution
- Administrating medication as ordered by the physician in an accurate and timely manner - I.M
- Injections, I.V., insulin pump, oral, SQ injections, suppositories, transdermal
- Wound care
- Resuscitation of patients
- Neurological assessment using Glasgow coma scale
- Care of patients with musculoskeletal conditions (casts, skin traction, the cervical head halter; skeletal traction; total hip replacement)
- Administration and monitoring of blood transfusions
- Nutritional assessment of patients and management of TPN infusions, GI feeds
- Accurately and timely electronic documentation of all care given
- Orientation and mentorship of new staff and patients
- Playing the role of Charge nurse as assigned
- Patient with medical conditions including asthma, HIV-AIDS patients, Diabetes, Congestive heart failure
- Pre-and post –operative: stabilization and pain management, assessing pain level, administering narcotic analgesia, and non-narcotic analgesia
- Nairobi, Kenya
Registered Nurse
City Park Hospital
01.2004 - 10.2004
- Company Overview: The hospital was closed due to cash flow problems
- The hospital was closed due to cash flow problems
Education
BScN - Nursing
UNIVERSITY OF NAIROBI
11-2002
Skills
- Medication and IV administration
- Medication administration
- Direct patient care
Timeline
Registered Nurse
Medical City Dallas Hospitals
01.2023 - Current
Registered Nurse
Avant Healthcare Professionals
01.2013 - 01.2015
Registered Nurse - ER
Aga Khan University Hospital
01.2008 - 03.2013
Registered Nurse - Medical-Surgical Unit
Providers Hospital
11.2004 - 12.2007
Registered Nurse
City Park Hospital
01.2004 - 10.2004
BScN - Nursing
UNIVERSITY OF NAIROBI
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