Grenelle Nave

• Completed Travel Nurse Assignments in various Post Anesthesia Care Units in hospitals throughout California. 
• Demonstrated flexibility and williness to float across areas of the PACU.
• Assignment details below:

            UCSF Medical Center, San Francisco, CA

            Travel RN, 11/2108 - 01/2019

            Facility Type: Acute Care Magnet Hospital  Trauma Level: I 

            Hospital Beds: 796          Unit: PACU                   Unit Beds: 30

            Surgeries managed: General, GI, Orthopedic, Kidney Transplant,

            Vascular,  Urology, gyne and post electroconvulsive shock    

            therapy (ECT) procedures.

            Utilized standards of care and patient safety in recovering 

            patients from general anesthesia and conscious sedation.
            Prepared patient for surgery and communicated with the  multi- 

            disciplinary team regarding surgery specific lab draws and 

            standard preoperative medications

            Coordinated and communicated with Charge Nurse and Co-wor-

            kers to facilitate unit workflow.

           Kern Medical Center, Bakersfield CA

           Travel RN,   04/2018 - 10/2018

           Facility Type: Acute Care Teaching Hospital  Trauma Level: II

            Hospital Beds:  222          Unit: PACU                 Unit Beds: 12
          Surgeries managed: Orthopedic, GI, ENT, Pediatric ENT, Vascular

            Assessed, monitored and evaluated patients recovering from

            anesthesia. Ensured interventions were culture- specific and 

            age-appropriate.

            Took charge of the daily management of the Phase II area,    

            including patient care, communication and coordination with

            Phase I staff to complete patient care activities and ensure   

            smooth unit workflow.
            Prepared patients in the preoperative stage, including IV   

            insertion, blood collection and notifying the multidisciplinary    

            team of abnormal lab results.

            Kaiser Permanente Medical Center, San Rafael CA

            Travel RN,  01/2018 - 03/2018

            Facility Type: Acute Care Hospital                               Beds: 120 

            Unit: PACU                                                                              Unit Beds:15 

            Surgeries managed: Orthopedic and some General

            Complied with Kaiser's policies, procedures and standards of     

            care, including reducing surgical site infection (SSI) and 

            enhanced recovery after surgery (ERAS) protocol in the preop 

            area.
            Monitored patient progress during anesthesia recovery,  

            responded to changes in patient condition and communicated 

            these changes with physicians and members of the health care 

            team for immediate intervention and treatment.

            Provided patient/family education, identified barriers to 

            learning and ensured understanding of the discharge plan.

• Rendered professional and supportive care to patients in various outpatient surgery centers in the Greater Los Angeles area.
• Surgery Centers specialization: orthopedic, Opthalmology, GI lab, Vascular Interventional Radiology, Spine surgery and Plastics.
• Managed patient from admission in the preoperative area, to post operative monitoring and education on discharge plan and instructions.
• Ensured patient understanding of discharge instructions, including the purpose of medications and follow up appointments.

• Contributed to the Resource Team's aim to fill staffing need in the PACU and ICU areas.
• Monitored patient's progress towards recovery from anesthesia, establishing a safe environment in the process.
• Surgeries managed: orthopedic, general, Interventional radiology and cardiac catheterization.
• Contributed to evaluating assigned patient's plan of care in the ICU, basing evaluation on assessment findings and changes in patient condition.

• Administered comprehensive critical care to patients undergoing general surgery, and other surgeries, including spinal, orthopedic, GI, vascular, plastics, gynecology, and transplant of kidney, liver and pancreas.
• Assisted physicians in providing conscious sedation to patients undergoing GI procedures, bronchoscopy and tracheostomy at the bedside.
• Selected as Unit Practice Council Chairperson. Led and directed various practice committees tasked to develop, test and implement projects to improve patient outcomes.
• Piloted a project that would reduce by 50%, the incidence of accidental self-extubation of patients in the ICU.
• Assigned in charge of shift in recognition of leadership and teamwork skills.
• Selected as Epic Ambassador during the initial house-wide Epic Electronic Medical Record (EMR) implementation. Supported staff in the use of computer systems and EHR to reflect accurate charting while providing optimal patient care.
• Received a Patient Safety Award for championing a change in the labeling of Patient Controlled Analgesia (PCA) syringes, that would reduce the incidence of medication administration errors.

• Established safe and adequate preparation of patients for neurosurgery, spinal surgery and liver resection.
• Coordinated with coworkers to ensure timely preparation of all patients for surgery.
• Monitored progress of patients recovering from anesthesia, continuously assessing, planning and evaluating care provided.