Heather Brillhart

Med/Surg/Tele unit of ~50 beds; 1:5-6 ratio; Population heavy on detox/WD, oncology patients (non chemo), sepsis, orthopedics. Facility relied heavily on LPNs. and new graduates with < 2 years experience, I was relied upon heavily based on personal nursing experience in general.

Precepted new grads.

• Progressive Care Unit ~30 beds, 1:6 ratio, primary care typical with overflow med/surg population, high turnover from leadership as well as staff.
• Managed critical situations calmly/ efficiently, providing guidance to the nursing team during emergencies.
• Approachable leader who consistently addressed concerns raised by both nursing staff and families regarding patient care issues or operational challenges within the unit effectively with attempts at resolve whenever possible.
• Consistently acted as a strong advocate for patients and their families, ensuring that their needs were met while navigating complex healthcare systems.
• Established strong relationships with interdisciplinary teams for seamless coordination of patient care services.

• PCU unit, ~30 beds, 1:5-6 ratio, usually primary care; heart cath pre/post op, pacemaker placements, Tikosyn loadings typical with heart failure end of life care along with general med/surg tele overflow patients. Would float as needed and was relied upon as charge RN.
• Provided comprehensive patient care, ensuring high standards of safety and comfort.
• Coordinated with interdisciplinary teams to enhance patient outcomes.
• Monitored vital signs and updated patient records accurately.

Ortho unit, ~40 beds, 1:6, ratio, mostly primary care; pre/post hip fx, shoulder sx/fx, knee replacements; quick turnover.

Ortho/Trauma Unit, ~28 beds, ratio 1:5-6, Level 1 trauma hospital and teaching hospital; very busy; Required heavy multi-tasking, constant change and need of urgency. Traction, PCAs, various fractures from MVA/MVC, various rarely seen skeletal conditions, plastic surgery etc. Required daily interaction with plethora of services with various levels of education. Occasional charge. Often precepted staff.

Same as previous, took time off between contracts. Heavily used to float to Covid Units.

MS/Tele unit, ~50+ beds, 1:5-6 ratio, combined unit for hospital so all patients except ICU/Mother/Baby. Many long term care patients in need of antibiotics or difficulty with placement.

MS/Tele unit, ~36 beds, 1:6 ratio; heavy on repeat patients from community requiring help with education on long term health concerns, hemodialysis, wound care, trach care, generally more medical than surgical. Performed charge and would float to telemetry and float to unit that was just myself and tech alone with patients often. Often precepted.

same as previous entry; time taken off between

same ortho/trauma unit as Prisma Health Richland prior entry, just wasn't associated with Prisma at this time. Same population. Level 1 trauma hospital and large teaching hospital.

MS/Tele, Primary Stroke Unit, Level 2 trauma hospital, 1:6-7 ratio; wold receive all potential stroke patents, mostly medical some surgical, heavy population of patients needing wound care post inaccurate self injection s, heavy psych care as only local hospital with unit as well.

MS/Tele unit, ~40+ beds; 1:4-5 ratio; was used as extra staff as the hospital was transitioning to EPIC, required to take EPIC superuser classes as well. Did not have pharmacy on site at night, made own medications as times. Magnet hospital.

MS/Pulmonary Telemetry; ~36 bed unit; 1:3-5 ratio; started as new grad and went to charge and unit supervisor around 2011/2012, all pulmonary patients, chest tubes (multiple at once), stable trachs, TB, lobectomies, end of life care, many psych patients (etoh WD) waiting on beds as only psych unit was on site, many 1:1 patients, usual patients came straight from ICU when step down beds unavailable. Common drips of heparin, cardizem and insulin drips.

Supervisory tasks included running multi-disciplanry rounds daily, completing schedules, monthly meetings w leadership team, required joining of committee (Policy & Procedure committee for me) with return education to unit monthly, mid year and end of year evaluations and delivery of evaluations, conflict resolution between staff and at times between staff and patients. Often precepted new graduates and served as first staff RN to work with nursing student to complete their 1:1 clinical rotation at Mission Hospital.

• Answered incoming phone calls and addressed questions from customers and healthcare providers.
• Stocked, labeled, and inventoried medication to keep accurate records.
• Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
• Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
• prepared chemo, dialysate, neonatal and pediatric solutions, performed pyxis refills, responsible for narcotic counting throughout hospital (St. Joseph and Memorial campus)