Irina Palacios

- Performs a variety of tasks to include but not limited to checking Vital signs, EKGs, immunizations, injections, administration of medications, blood cultures, maintenance of short and long-term intravenous catheters comprehensive, and timely documentation in the patient's medical record.
- Work effectively as a team member using effective interpersonal, organizational, verbal, and written communication skills.
- Coordinates care and collaborates with intra-professional teams to facilitate the best clinical outcomes, quality of life, and a seamless transition between facilities and levels of care.
-Documents changes in patient status such as responses to interventions and findings, communicates handoff information regarding patient status during transfers and makes contact with physicians for emergency needs.
- Provides pre-procedural education and provide Veterans with instructions on planned procedures as well as reviewing patient records and coordinate care as appropriate.
- Delivers nursing pre-procedure, intra-procedure and post-procedure care.
-Proficient in infusion therapy for a variety of intravenous agents to include blood products and trained in cardiac Cath lab recovery.

- Possessed the specialize knowledge and clinical skills necessary to provide care for people with spinal cord injury and traumatic brain injury.
- Conducted systematic data gathering, assessment, appropriate nursing judgment, evaluation of human responses to actual or potential health problems and closed daily encounters.
- Knowledgeable on a range of rehabilitative interventions which includes bladder, bowel, and skin management, wound care, autonomic dysreflexia and patient education for self-care.
- Assessed orientation status of patients and compare it to baseline, checked sensory function as needed, and conducted reassessment for contraindications of administered pain medications.

- Delivered bedside care to patients needing intensive treatment, including those with septic shock, cardiogenic shock, respiratory and kidney failure in a busy 30-beds Intensive Care Unit (ICU).
- Aided doctors by setting up sterile field for procedures, monitored, and stabilize patients' vitals signs during procedures such as bronchoscopies, intubations, chest tube placements, cardioversion etc., and maintain the patient's hemodynamic status as required.
- Managed the care of patient with post-operative, post-procedural and chronic pain.
- Maintained accurate records of the infusion process, the patient conditions, and any adverse effects.

- Assisted during medical procedures such as biopsies, port removals, breast ultrasounds, cyst drainages, and other similar procedures.
- Scheduled surgeries which included arrangement with hospitals , radiology departments, anesthesiologists, and patients' insurance companies.
- Identified and prioritized patient concerns and care problems.
- Conducted pre - op appointments before surgeries for total and partial mastectomies and port placements.
- Performed patient teaching after surgeries during their post-op appointments and removed drainage systems.