Gayle Pierce

Total patient care of Emergency department patients.

Triage patients on arrival, assign acuity, notify charge RN, physician and/or begin NIOS-nurse initiated order sets, as indicated.

Assess, then treat patient per order. Reassess and notify Dr of changes in patient status. Keep patient and family updated regarding their care and approximate timeline for emergency department stay.

I would give detailed patient and family teaching regarding diagnosis and treatment during and at end of stay, whether patient is discharged home, admitted or transferred to another facility.

• Administered medications via oral, IV, sub Q, intramuscular injections, anesthetize wounds and monitored responses.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

I have been active in the trauma program and have served as the trauma coordinator for a period of time. I have been a preceptor for multiple students from EMT basics to paramedic, nursing students and new staff.

The first year I worked on the medical-surgical unit, then moved to Emergency department exclusively. Dallas is a small community hospital with a 4 bed ER when I started and on nights I worked with a tech and a Dr so had total responsibility for patients from arrival to discharge, including triage assessment, treatment, reassess then disposition.

I participated in ongoing professional development via mandatory classes and certifications. I initially obtained my CEN-certified Emergency Nurse in 1996.

• Utilized critical thinking skills to make quick decisions in high-pressure situations, prioritizing patient needs and addressing emergent issues promptly.
• Monitored vital signs, lab results, and other indicators to detect changes in patients'' conditions
• this was a very rural hospital- 2 bed ER, 6 bed hospital, 19 bed nursing home.
• only 1 RN, LPN from 7am-7pm for med,surg,ob,nursing home had LPN, CNA staff. no respiratory therapist, pharmacist 8 hours/month, initially 1 Dr in town, later 2 Dr
• Maintained clinical competency through ongoing professional development activities such as workshops, seminars, conferences, and certifications related to nursing practice.
• obtained MICN mobile intensive care nurse-I would dispatch and give paramedic orders as needed vie HEAR system, transported critical patients with EMT-P to closest critical hospital 2 hours away.