Francesca Paciello
Clinton,NY
Summary
Advanced registered nurse with five years of nursing experience in diverse environments, with primary focus on critical care in Intensive care units. Very organized & skilled at multitasking in high-pressure settings while caring for critically ill patients. Can adapt to many different environments while providing safe care.
Overview
5
5
years of professional experience
1
1
Certification
Work History
RN, ICU
Massachusetts General Hospital
05.2023 - Current
- Worked in 20 bed liver transplant ICU unit, caring for acutely ill pre & post-transplant patients by monitoring labs, implementing appropriate algorithms & administering transplant medications.
RN, ICU
HCA JFK Medical Center
01.2023 - 05.2023
- Worked in 17 bed Neuro ICU unit, caring for critical care patients with focus on brain, spine and other nervous system disorders
- Required to float to Neuro Step-down telemetry with patient ratio 3/4:1
RN, ICU
Kapiolani Medical Center For Women & Children
02.2022 - 11.2022
- Worked in 16 bed Med-Surg/ICU unit, caring for critical care patients with focus on antepartum & postpartum women, ICU 2:1, Med-surg 3/4:1
- Required to float to telemetry unit & Emergency room where I assisted with IV insertion, transferring patients, medication administration, and vitals for patient population ranging from 1-100 within hospital as well as float to Straub Medical Center ICU & PaliMomi Medical Center ICU
- Acted as an Emergency Response/Code RN when codes were called in the hospital
- Used fast and effective nursing assessments while collaborating with other nurses and physicians to diagnosis patient problems.
RN, ICU
Upstate Hospital Medical University
10.2021 - 01.2022
- Bed Medical ICU, 2:1 patient ratio, caring for patients with a wide variety of medical problems, with special focus on sepsis & ARDS
- Required to float within hospital to Neuro & Surgical ICU, as well as Med-Surg units.
RN, ICU
RN, MultiCare Tacoma General Hospital
06.2021 - 09.2021
- Bed Cardiac PACU/CVOR, 2/3:1 patient ratio, caring cardiac patients before & after surgery including TAVRS, cardiac stents, rotoblating, cardioversion, and CABG
- Worked with patients prior to surgery to complete paperwork, help answer questions, and IV insertion
- Monitoring patient immediately after surgery recovering from anesthesia, monitor vitals, assess, and clean bandages, and track progress to ensure patient can safely transition being discharged home.
COVID-19 ICU RN
Sharp Chula Vista Medical Center
02.2021 - 05.2021
- Bed MICU, required to float to PCU/telemetry floors with 1:4 patient ratio & Surgical ICU 1:2 patient ratio
- Worked as frontline RN during COVID pandemic, while also working with non-COVID patients
- Delivered direct patient care, monitoring vitals, stabilizing patients, and identifying treatment options
- Adaptation to new facility protocols paired with split-second decision-making skills ensured continuity in care
ICU Staff Nurse
Upstate Hospital Medical University
11.2018 - 02.2021
- Level 1 Trauma & Stroke Center, 450 beds, 32 bed MICU provided professional and compassionate care to critically ill patients while effectively collaborating with highly skilled physicians & nurses to assess, recognize, and determine plan of care and implement life-saving treatments
- Supported patients during emergencies and delivered life-saving interventions
- Assist patients with ADL's and working alongside physical & occupational therapists to deliver optimal patient outcomes
- Considers principles of death and dying when caring for terminally ill patients
- Provides emotional, spiritual, religious, and cultural support to patients and their families
- Skilled with patients who have hemodynamic pressure lines (CVP lines, arterial lines), pressure monitoring devices, temporary pacing, artificial airway/mechanical ventilation
- Start of COVID pandemic, learned to adapt to constant change of new policies, symptoms, and treatments of patients.
Education
Bachelor of Nursing -
Utica College
Liverpool, NYBachelor of Science -
Franklin Pierce University
Rindge, NHSkills
- ICU delirium and CIWA management
- Assist/management of intubation/ventilated/ trach patients, sedation, and paralytics with BIS & TOF monitoring, chest tubes, NG tubes, ARDS protocol
- Management of central and arterial lines, CVP
- Advanced in CRRT, Acute/Chronic Renal Failure
- Knowledge in disease management & end of life care
- Skilled in care of post cardiac arrest & arctic sun
- IV, IM, & PO Drug Therapy Management
Certification
- ACLS, BLS, NIHSS
Timeline
RN, ICU
Massachusetts General Hospital
05.2023 - Current
RN, ICU
HCA JFK Medical Center
01.2023 - 05.2023
RN, ICU
Kapiolani Medical Center For Women & Children
02.2022 - 11.2022
RN, ICU
Upstate Hospital Medical University
10.2021 - 01.2022
RN, ICU
RN, MultiCare Tacoma General Hospital
06.2021 - 09.2021
COVID-19 ICU RN
Sharp Chula Vista Medical Center
02.2021 - 05.2021
ICU Staff Nurse
Upstate Hospital Medical University
11.2018 - 02.2021
Bachelor of Nursing -
Utica College
Bachelor of Science -
Franklin Pierce University
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