Ginna San Jose

Delivered exceptional dialysis care for patients in a per diem capacity. The following are my responsibilities that I performed:

Provided direct patient care in the dialysis unit, including pre and post-treatment evaluation of patients.

Conducted daily quality assurance checks on dialysis machines and other equipment used in the dialysis unit.

Monitored fluid balance of patients during hemodialysis treatments to ensure safe removal or replacement of fluids as prescribed by physician orders.

Observed strict safety measures, including checking medication dosages before administration to patients.

Maintained accurate records of all treatments provided including medications administered, laboratory values obtained and any adverse reactions experienced by the patient.

Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.

Educated patients on their disease process, diet restrictions and lifestyle changes needed to manage chronic kidney disease.
Performed monthly foot checks.

Communicated abnormal findings and critical data directly to healthcare providers, implemented doctor's orders and protocols efficiently.

Ensured compliance with all applicable laws, regulations and standards related to hemodialysis nursing practice.

Delivered exceptional dialysis care for patients in a per diem capacity. The following are my responsibilities that I performed:

Provided direct patient care in the dialysis unit, including pre and post-treatment evaluation of patients.

Conducted daily quality assurance checks on dialysis machines and other equipment used in the dialysis unit.

Monitored fluid balance of patients during hemodialysis treatments to ensure safe removal or replacement of fluids as prescribed by physician orders.

Observed strict safety measures, including checking medication dosages before administration to patients.

Maintained accurate records of all treatments provided including medications administered, laboratory values obtained and any adverse reactions experienced by the patient..

Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.

Educated patients on their disease process, diet restrictions and lifestyle changes needed to manage chronic kidney disease.

Performed monthly foot checks.

Communicated abnormal findings and critical data directly to the Charge RN and Healthcare Providers, implemented doctor's orders and protocols efficiently.

Ensured compliance with all applicable laws, regulations and standards related to hemodialysis nursing practice.

I stepped down from managerial position to regular staff dialysis nurse to dedicate time for my Bachelor's Degree in Nursing. The following were my responsibilities:

Provided direct patient care in the dialysis unit, including pre and post-treatment evaluation of patients.

Monitored fluid balance of patients during hemodialysis treatments to ensure safe removal or replacement of fluids as prescribed by physician orders.

Observed strict safety measures, including checking medication dosages before administration to patients.

Maintained accurate records of all treatments provided including medications administered, laboratory values obtained and any adverse reactions experienced by the patient.

Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.

Educated patients on their disease process, diet restrictions and lifestyle changes needed to manage chronic kidney disease.

Performed monthly foot checks.

Communicated abnormal findings and critical data directly to healthcare providers, implemented doctor's orders and protocols efficiently.

Conducted daily quality assurance checks on dialysis machines and other equipment used in the dialysis unit.

Analyzed clinical outcomes and coordinated with multidisciplinary team to devise comprehensive care plans.

Documented Progress Notes and Care Plan electronically (Initial assessment, 90-day assessment, Semi-Annual Assessment, and Annual assessment, including assessments on unstable patients due to frequent hospitalization, malnutrition, and/or psychosocial problems).

Ensured compliance with all applicable laws, regulations and standards related to hemodialysis nursing practice.

Elevated role to lead clinical coordination as Director of Nursing. The following were my responsibilities:

Anemia: Reviewed lab results, Epogen and Iron dosage per protocol and collaborated with MD for protocol dosage discrepancy.

Access: Monitored new patients for permanent accesses. Provided education on teammates how to assess permanent accesses for infection, aneurysm/pseudoaneurysm, good and poor blood flow like stenosis, unhealing wound/scab. Reported to MD any access abnormalities and assisted on making appointments with patients' Vascular Surgeons.

Albumin: Monitored monthly lab outcomes and collaborated with MD and dietitian for Oral Nutrition Supplement needs.

Adequacy: Monitored monthly kt/v, and collaborated with MD on patients who needed increase in treatment time, needle size; checked for any clotting issues; access needs to be evaluated by access center for problems like stenosis; encouraged patient's adherence to dialysis prescription.

MBD Mineral Bone Disease: Collaborated with MD to assess need for Vitamin D adjustments, sensipar administration, or parathyroidectomy considerations.

Fluidwise: Constantly reminded RNs and PCTs to be cautious on patient's weight to make sure it was taken correctly, monitored patients tolerating EDW. Guided teammates how to monitor weight and blood pressure trending. Collaborated with MD the need for EDW reevaluation and/or extra day treatment to avoid hospitalization.

Foot Checks: Ensured timely entry of the Step Ahead Manager's monthly footchecks.

Med Matters: Monitored due dates for patient medication reviews by primary nurses and verified compliance.

Infection: Oversaw Infection Control Manager entered the patient's vaccination and ppd on time. Reviewed SGPT were drawn monthly and Hep C semi annually. Checked that an RCA was done on positive blood culture including notes and AORs. Checked that Infection Control Audits were done monthly.

FHR (Facility Health Meeting): Prepared Facility Health Report or QA meeting, attended the meeting, collaborated with FA, MD, SW and RD to optimize health care strategies.

Assessment, POC and Progress Notes: Monitored scheduled POC meeting was done on time, generated POC on unstable patients (frequent hospitalizations, malnutrition, psychosocial issues).

Clinic Audits: Ensured compliance with all applicable laws, regulations and standards related to hemodialysis practice thru monthly clinic audits.

Teammate Schedule: Created monthly teammate schedule efficiently to avoid unnecessary excess labor hours and overtime hours.

Delivered exceptional dialysis care for patients in a regular staff capacity. The following were my responsibilities that I performed:

• Performed pretreatment and posttreatment assessments for 9 patients each shift.
• Performed treatment to patients with Catheters and permanent accesses.
• Administered treatment medications.
• Performed monthly foot checks.
• Communicated abnormal findings and critical data directly to healthcare providers, implement doctor's orders and protocols efficiently.
• Guided patients in understanding the importance of complying with treatment protocols, nutrition guidelines, and prescribed medicines.

Gained specialized skills as a registered nurse in dialysis treatment.

• Conducted pretreatment and posttreatment evaluations for 9 patients each shift.
• Administered treatment medications.
• Report any pertinent data and abnormal findings to doctors, carry out orders, and implement them.
• Analyzed clinical outcomes and coordinated with multidisciplinary team to devise comprehensive care plans.
• Reviewed anemia, MBD, and adequacy protocols monthly as Anemia Manager, MBD Manager, and Adequacy Manager.
• Documented Progress Notes and Care Plan electronically (Initial assessment, 90-day assessment, Semi-Annual Assessment, and Annual assessment, including assessments on unstable patients due to frequent hospitalization, malnutrition, and/or psychosocial problems).
• Created monthly team schedules aligning with clinic requirements and budget constraints.

I worked in Med Surg/Oncology unit at 5North of Our Lady of Lourdes Medical Center: The following were my responsibilities:

• Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments.
• Recorded patients' medical history, vital statistics and test results in medical records.
• Assisted patients with healing and recovery after surgery.
• Provided education to patients on detox and withdrawal, medications, addiction, recovery, coping skills and community resources.
• Provided necessary health education training for patients.
• Acted as patient advocate and implemented total patient care through a team nursing process covering 6-7 high acuity patients per shift.
• Report to relieving RN important patient information and plan for continuity of care.

I was a Nursing student in Our Lady of Lourdes School of Nursing and got hired as a Nurse Aide in Our Lady of Lourdes Medical Center. As Nurse Aide the following were my responsibilities:

• Took and recorded patients' temperature, pulse and blood pressure, fluid input and output.
• Other duties of nursing assistants include transferring, repositioning and turning patients confined to wheelchairs or beds,.
• Assisted patients with grooming and feeding as needed.
• One on one monitoring of mentally unstable patients every 15 minutes, recording patient's behavior.