Henry Macharia

13-Week Travel Assignment (Med-Surg Observation Telemetry Unit)

• Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Investigated and resolved issues affecting hospital operations and patient care.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
• Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.

Pre-op/Post-op (Ambulatory Surgery)

• Streamlined the discharge process for PACU patients, ensuring thorough education on home care instructions and follow-up appointments.
• Assessed and identified individual patient educational needs, removing barriers to learning and supporting comprehensive progress.
• Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
• Collaborated with patients and healthcare teams to assess, plan, implement and evaluate custom care plans for each individual.
• Monitored patient reactions after administering medications and IV therapies.
• Equipped patients with tools and knowledge needed for speedy and sustained recovery.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Evaluated cardio-respiratory systems for deviations, providing appropriate treatment as necessary.
• Provided timely interventions to address airway management complications such as respiratory depression or obstruction in post-operative patients.

PRN shifts (SSM Health Midwest City, Oklahoma)

• Decreased medication errors by diligently following the five rights of medication administration and double-checking orders with pharmacy staff when necessary.
• Collaborated with other health care team members to revise and develop treatment plans multiple patients simultaneously.
• Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
• Educated patients and families on disease diagnosis, prognosis and post-operative care.
• Educated patients and families on medical-surgical procedures, therapeutic regimens, and pain management techniques.
• Managed patient pain relief and sedation by providing non-pharmacological and pharmacological interventions.
• Administered blood products and monitored vital signs to address immediate concerns.

Medical-Surgical Unit

• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Demonstrated flexibility in managing multiple priorities concurrently during high-stress periods while maintaining a calm demeanor.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Enhanced patient satisfaction with compassionate, personalized nursing care tailored to each individual''s needs.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
• Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
• Provided education on disease management strategies to empower patients in self-care activities throughout their recovery journey.
• Consistently maintained accurate documentation of patient assessments, interventions, and outcomes in accordance with regulatory requirements.
• Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
• Educated patients and families on medical-surgical procedures, therapeutic regimens, and pain management techniques.
• Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
• Mentored new staff members and nursing students, fostering a supportive learning environment within the unit.

6 Months Home Health(On work-permit restrictions)

• Monitored patient reactions after administering medications and IV therapies.
• Developed strong rapport with patients and families, fostering trust and open communication during challenging times.
• Delivered after-hours care to patients based on strict role-call rotations.
• Facilitated smooth transitions from hospital discharge to home-based care by coordinating necessary resources and support systems.
• Monitored vital signs, developed and implemented care plans, and documented patient progress.
• Administered medications and treatments as prescribed by physicians.
• Contributed to the overall success of the home health agency by maintaining high levels of patient satisfaction and positive outcomes.
• Advised and coached patients progressing from hospitals, rehab facilities, and other medical organizations to at-home treatment settings.

RN Weekend Supervisor (6 months, on work permit restrictions)

• Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks.
• Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
• Monitored patient reactions after administering medications and IV therapies.
• Managed complex medical conditions such as dementia, diabetes, Parkinson''s disease, and cardiovascular disorders among elderly residents within the facility.
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
• Worked with healthcare team to develop new dialysis treatment flow sheet and other log forms, improving clinical documentation and accountability.
• Facilitated family meetings focused on advancing understanding of disease progression, treatment options, and available resources.

6 months (on work permit restrictions)

• Decreased medication errors by diligently following the five rights of medication administration and double-checking
• Provided culturally sensitive care to diverse populations while respecting individual beliefs, values, and preferences.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
• Assisted physicians during medical procedures, ensuring optimal patient comfort and proper sterile technique adherence.
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
• Facilitated smooth patient transitions between units or facilities by effectively communicating pertinent information to the receiving healthcare team members.