Granel Labitoria
Hayward,CA
Summary
Experienced healthcare professional prepared for this role. Proven ability to deliver high-quality patient care, with strong skills in dialysis procedures and acute patient management. Collaborative team player focused on achieving superior outcomes and adapting to changing clinical needs. Reliable and flexible, with commitment to excellence in patient care and team collaboration.
Healthcare professional prepared for role with substantial experience in acute dialysis. Notable for effectively managing patient care and critical treatments, ensuring high levels of patient satisfaction and safety. Strong team collaborator with focus on achieving optimal results and adapting to changing needs. Possesses exceptional communication and problem-solving skills valued by employers.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Acute Dialysis Nurse
Davita Kidney Care
10.2024 - Current
- Creates and maintains a climate conducive to healing through being present to the patient and family identifying and managing discomforts providing emotional support and information guiding the patient and family through phases of illness and recovery/passage to death and in accordance with the patient’s goals and culture.
- Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration.
- Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement providing the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined – hemodialysis, peritoneal, continuous renal replacement therapies, and ultrafiltration.
- Assesses patients’ responses to treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated.
- Delivers safe, effective care in a timely an efficient manner.
- Gives organized, concise shift reports for patients on assigned shifts. Apply high level thinking skills to shift patient schedules to meet needs of more critical patients due to labs, MD order, or patient assessment.
- Responsible for the implementation, administration, monitoring, and documentation of patient’s response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and to other health care team members.
- Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care.
- Accurately documents all treatment information in the individual patient record and the hospital record, as needed.
- Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures.
- Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate.
- Performs all required pre-treatment dialysis machine alarm testing.
- If applicable, initiates Solution Delivery System.
- Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste.
- Understands, conducts, and documents appropriately Dialysis/Peritoneal/CRRT machine safety tests/alarm tests, equipment calibration, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water & dialysis machines, and complies with the documentation/notification standards per FMS policies.
- Participates in staff meetings as scheduled.
- Participates in staff training and orientation as assigned.
- Acts as a subject matter expert to hospital staff for dialysis related patient/equipment complications.
- Responsible for reporting all new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties per the Adverse Event Report requirements. May be assigned to in-center patient care on an as needed basis
- Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.
- Assist with various projects as assigned by direct supervisor.
- Other duties as assigned.
- Hospitals: Kaiser San Leandro and Fremont, Stanford, Sutter Mills and Eden
Stepdown/Telemetry (Travel Nurse under Medical Solutions)
Mercy Medical Center
Merced, California
02.2024 - 08.2024
- Float nurse to the different floors/areas in the hospital throughout my contract.
- Monitor patient heart's activity and vital signs using specialized equipment, assessing and re-assessing patient's condition.
- Attach electrodes to patients to collect EKG data, set alarm limits on monitors, and keep track of multiple patients simultaneously.
- Report to the doctor if arrhythmias occur.
- Administer medications and treatments per doctor's orders.
- Clear communication, teamwork, and compassion in patient care.
- Perform focused assessments like neuro checks for signs of stroke, abdominal exams to check for internal bleeding, or extremity pulses to detect circulatory issues.
- Perform peritoneal dialysis, assess for any complications and complaints.
- Creates and maintains a climate conducive to healing through being present to the patient and family, identifying and managing discomforts; providing emotional support and information; guiding the patient and family through phases of illness and recovery/passage to death and in accordance with the patient’s goals and culture.
Acute Dialysis Nurse
American Renal Association
Jacksonville, Florida
10.2023 - 12.2023
- Provides acute hemodialysis care and treatment, including developing initial and ongoing assessments, and providing patient training and education as applicable.
- Deliver care to patients who are often dealing with multiple co-morbidities which require unique treatment plans and the ability to leverage a broad range of nursing skills and knowledge.
- Checking and recording patients’ vitals before, during, and after dialysis treatment.
- Ensuring that hemodialysis and peritoneal dialysis treatments are administered to patients correctly.
- Monitoring patients during dialysis treatment to identify any adverse reactions.
- Preparing and updating nursing care plans.
- Promptly notifying the appropriate medical practitioner of any problems that occur during dialysis treatments.
- Teaching patients and their family members how to operate home dialysis machines should they decide on home dialysis therapy.
- Educating patients on dialysis treatment options, kidney disease management, as well as suitable nutrition and exercise regimens.
Stepdown (Cardiac, Neuro, Oncology and Medical-Surgical)
Baptist Medical Center Downtown
Jacksonville, Florida
07.2023 - 12.2023
- Float nurse to the different stepdown units such as cardiac, neuro, oncology and medical-surgical.
- Assess patients including abdominal, neurological, and mental status. Utilize both high-tech monitoring equipment as well as hands-on physical exams to have comprehensive understanding of the patient's condition from all angles.
- Closely monitor all patients throughout their shift, noting any changes in vital signs or symptoms.
- Simultaneously treating patients of different ages with diverse medical needs.
- Managing patients’ medical equipment, such as IVs, feeding tubes, supplemental oxygen, and catheters.
- Monitoring patients who need ventilators and airway management assistance.
- Responding to code blues or other medical emergencies.
- Providing comfort and support to patients, as well as their family members.
- Assesses a patient's and family's learning needs and readiness to learn. Teaches needed information for self-care and illness prevention. Adjusts information and expectations based on responses from patient, developmental levels, physiological and psychological condition, and cultural variations.
- Changing dressings, starting IV lines and inserting catheters.
- Perform peritoneal dialysis, assess for any complications and complaints.
- Monitors own practices and assists in monitoring others for practices related to patient and employee safety and compliance to standards and policies. Looks for opportunities for continual improvement in patient care and the work environment.
Stepdown (International/Travel Nurse under Avant Health Care Professionals agency)
Baptist Medical Center Downtown
Jacksonville, Florida
12.2020 - 07.2023
- Float nurse to the different stepdown units such as cardiac, neuro, oncology and medical-surgical.
- Assess patients including abdominal, neurological, and mental status. Utilize both high-tech monitoring equipment as well as hands-on physical exams to have comprehensive understanding of the patient's condition from all angles.
- Closely monitor all patients throughout their shift, noting any changes in vital signs or symptoms.
- Simultaneously treating patients of different ages with diverse medical needs.
- Managing patients’ medical equipment, such as IVs, feeding tubes, supplemental oxygen, and catheters.
- Monitoring patients who need ventilators and airway management assistance.
- Responding to code blues or other medical emergencies.
- Providing comfort and support to patients, as well as their family members.
- Changing dressings, starting IV lines and inserting catheters.
- Perform peritoneal dialysis, assess for any complications and complaints.
- Monitors own practices and assists in monitoring others for practices related to patient and employee safety and compliance to standards and policies. Looks for opportunities for continual improvement in patient care and the work environment.
Registered Nurse – Telemetry/Med-Surg Unit
Al Khor Hospital
Al Khor, Qatar
03.2018 - 12.2020
- Al Khor Hospital is a 115-bed general hospital and one of Hamad Medical Corporation’s community hospitals delivering high quality specialized care to the population living outside of Doha. Al Khor Hospital is committed to providing these high quality healthcare services to its diverse and growing community in the northern region of Qatar by integrating medical care, education and research. Since opening in 2005, Al Khor Hospital has been recognized for its pioneering achievements in the healthcare service and received Joint Commission International accreditation in 2006 and was re-accredited in 2009, 2012, 2016 and 2019.
- The medical ward has 24 bed capacity and admission criteria includes all adult patients with acute general medical and subspecialty related illnesses including: general medicine, rheumatology, cardiology, nephrology service, infectious disease and TB, dermatology service, and psychiatry service. Moreover, it extends the care to patients with Cardiac conditions who do not meet the criteria for intensive care unit admission with the Telemetry to detect significant and life threatening variations in a patient’s cardiac rhythm to facilitate early therapeutic intervention(s). 24 beds, NTP 1:3-4.
Registered Nurse – Acute Hemodialysis
Ciudad Medical Zamboanga
Zamboanga City, Philippines
10.2016 - 03.2018
- Ciudad Medical Zamboanga a tertiary private hospital accredited by PhilHealth and an Accredited Residency Training Program. Ciudad Medical Zamboanga is also ISO certified. The medical ward comprised of Ward A and Ward B. Ward A has thirty (30) bed capacity while ward B has 20 bed capacity excluding cot beds. 30 beds, NTP 1:30.
- The hemodialysis Unit is one of the specialized areas of Ciudad Medical Zamboanga that take care of patients who need dialysis treatment for acute and chronic renal failure, in both in-patients and out-patients. The unit is open from Monday to Saturday, 7:00am to 3:00 am. The hemodialysis operates four (4) sessions a day, six (6) days a week. Monday to Saturday with the following schedule, Sunday is arranged as the need arises:
- 1st session- 7:00 a.m. to 12:00 p.m.
- 2nd session- 12:00 a.m. to 5:00 p.m.
- 3rd session- 5:00 p.m. to 10:00p.m.
- 4th session- 10:00 p.m. to 3:00 a.m.
- The regular duration of hemodialysis is four hours per session, but we also cater SLED especially ICU patients. As of now we have 80 to 90 regular patients as out-patients. There are eight (8) stations, one (1) station for hep. B positive patients and one (1) station for hep. C positive patients. The other 6 stations are for non-reactive patients. 10 beds, NTP 1:30.
Registered Nurse – Medical Surgical Unit
Zamboanga City Medical Center
Zamboanga City, Philippines
07.2011 - 10.2012
- Zamboanga City Medical Center, the only government run level 4 Medical Center in Zamboanga Peninsula (Region IX), The Philippines. This facility is committed to the development of specialized health care services in the region.
- Zamboanga City Medical Center is a 300 bed tertiary level hospital, Zamboanga City Medical Center is PhilHealth accredited and an Accredited Residency Training Program. Zamboanga City Medical Center is also ISO certified. The medical ward comprised of Ward A and Ward B. Ward A has thirty (30) bed capacity while ward B has 20 bed capacity excluding cot beds. 30 beds, NTP 1:30.
- Weigh the patient accurately.
- Take vital signs and record appropriately.
- Perform cephalocaudal assessment.
- Auscultate breath sounds using proper technique (apices to base, bilateral compression), recognize adventitious breath sounds (crackles, wheezes, rhonchi, stridor) and identify appropriate nursing interventions for abnormal breath sounds such as reposition, bronchodilators, increase UF and oxygen.
- Administer medication via oral, intravenous, optic, rectal intramuscular and subcutaneous route.
- Administer blood products during the treatment and monitor any complications.
- Administer nebulization medication.
- Perform tracheostomy care to the patient esp from ICU.
- Wound care assessment and its proper management such pressure ulcer, laceration, abrasion and taken samples for wound culture
- Oxygen administration via nasal cannula, face mask, venture mask, tracheal mask and bag valve mask
- Coordinates to other physicians with regards to in-patients especially from ICU.
- Do health teaching to the patients for their well-being.
- Assist the physician on the bedside re-insertion of femoral or IJ catheter, paracentesis, endotracheal insertion, suturing, tracheostomy insertion.
- Obtain wound culture from the central line.
- Diagnostic studies such as ECG taking, blood glucose, urine samples for culture.
- Assess pain and address the problem appropriately.
- Do cardiac monitoring and recognize lethal dysrhythmias in order to management correctly.
- Administer NGT feeding and total parenteral nutrition.
- Obtaining/interpreting results of serum urea, creatinine, electrolytes, blood counts, ABG.
- Demonstrate care for patient with mechanical ventilator.
- Initiate emergency measures as needed and Activate Code Blue if needed
- Systematically evaluate the quality and effectiveness of nursing practice and nursing services.
- Do proper suctioning for patient with endotracheal tube.
Education
Master of Arts - Nursing
Ateneo de Zamboanga University
Zamboanga City, Philippines03-2016
Bachelor of Science - Nursing
Universidad de Zamboanga
Zamboanga City, Philippines04-2009
Skills
- Hemodialysis procedures
- Nursing documentation
- Continuous renal replacement therapy
- Peritoneal dialysis
- Electrolyte monitoring
- Blood transfusion administration
- HIPAA compliance
- Lab result interpretation
- Emergency response
- Continuous quality improvement
- Interdisciplinary collaboration
- Infection control practices
- Time management
- Teamwork
- Vascular Access management
- Quality improvement
Certification
- CNN Certified Nephrology Nurse-Nephrology Nursing Certification Commission
- R.N. license #95269409 USA-California issued December 2021, expires October 2027
- BLS American Heart Association, expires December 2026
- ACLS American Heart Association, expired December 2026
Profile
- Profile for: Granel I. Labitoria, B.S.N., R.N., M.A.N., C.N.N.
- Clinical Focus: Hemodialysis, Stepdown, Medical Surgical
- Total years of experience: 15 years
- Contact No: 904-775-8561
Timeline
Acute Dialysis Nurse
Davita Kidney Care
10.2024 - Current
Stepdown/Telemetry (Travel Nurse under Medical Solutions)
Mercy Medical Center
02.2024 - 08.2024
Acute Dialysis Nurse
American Renal Association
10.2023 - 12.2023
Stepdown (Cardiac, Neuro, Oncology and Medical-Surgical)
Baptist Medical Center Downtown
07.2023 - 12.2023
Stepdown (International/Travel Nurse under Avant Health Care Professionals agency)
Baptist Medical Center Downtown
12.2020 - 07.2023
Registered Nurse – Telemetry/Med-Surg Unit
Al Khor Hospital
03.2018 - 12.2020
Registered Nurse – Acute Hemodialysis
Ciudad Medical Zamboanga
10.2016 - 03.2018
Registered Nurse – Medical Surgical Unit
Zamboanga City Medical Center
07.2011 - 10.2012
Bachelor of Science - Nursing
Universidad de Zamboanga
Master of Arts - Nursing
Ateneo de Zamboanga University