Fumie Arreza

• Prepared the operating room for various spine and orthopedic procedures while maintaining sterile technique
• Ensured the operating room had the equipment, supplies, medications, and dressings for a smooth procedure
• Safely positioned the client and worked closely with the anesthesia provider for intubations, nerve blocks, and laryngeal mask airways
• Supported successful procedures by coordinating communication between surgeons, anesthesia providers, and the rest of the surgical team
• Advocated for patient safety by ensuring time-out was performed, counts (baseline, first, and final), and gave adequate report to PACU nurse upon client transfer
• Completed client requisition forms and implant sheets, if applicable, promptly called the lab for specimen pickup.

• Assessed the client’s medical history and communicated with the client and pre-operative nurse for current health status, allergies, and pre-existing conditions to inform the surgeon and anesthesia provider of pertinent information that may affect the procedure
• Administered pain medications and monitored patient reactions after administering medications and IV therapies
• Ensured that informed consent was signed, educated the client on what to expect to alleviate anxiety, and that the client understood the risks and benefits of the procedure
• Proficient circulating with various pain management procedures such as transforaminal epidural steroid injections, platelet-rich plasma injections, bone marrow aspirate concentrate injections, radiofrequency ablations, and medial branch blocks
• Gave adequate report to PACU nurse and assisted with client respiratory needs if needed by performing jaw-thrust maneuver, suction, and administering oxygen.

• Reduced recovery times through effective pain management and close collaboration with the surgical team.
• Evaluated patients' pain levels, implementing correct dosage of medication to alleviate discomfort.
• Enhanced patient safety by diligently monitoring vital signs and administering medications post-surger
• Maintained accurate records of medication administration, vital signs monitoring, and other critical data points for proper evaluation of patient’s progress during recovery
• Assessed patient readiness to be discharged and provided discharge instructions, including follow-up care and medications.

· Promoted continuity of care by collecting vital signs, assessing health status, administering medications via G-tube, tracheostomy, and nebulizer, and maintaining detailed documentation.

· Assisted patients in managing their daily living activities, including bathing, dressing, grooming, meal preparation, and mobility support.

· Supported patients during difficult transitions to home-based care, providing emotional support and practical guidance.

· Performed ventilator care and suctioning, wound care, dressing change, range of motion exercises, intake and output, patient and family education and communication, and documentation.

• Collaborated with physicians, nurses, social workers, and other healthcare professionals to develop an individualized plan of care for hospice patients
• Advocated for personalized treatment options that address a patient’s unique care needs
• Served as a liaison between patients and their healthcare team to promote quality care that addresses physical, mental, emotional, and spiritual needs.

• Provided care for medically fragile students (cerebral palsy, seizure disorders, respiratory failure, muscular dystrophy, chromosomal anomalies, diabetes, and asthma)
• Performed blood glucose monitoring, suctioning, medication administration via G-tube, SubQ, rectal, and nebulizer routes, G-tube feeding, tracheostomy care, ventilator management, seizure intervention, ambulation, grooming, managing safety equipment, head injury prevention, and patient transport.