IRMA PAGULAYAN
Magnolia
Summary
Dedicated Registered Nurse with a proven track record at Capital Health Regional Medical Center, showcasing expertise in patient assessment and medication administration. Excelled in delivering compassionate care, significantly improving patient outcomes. Skilled in IV therapy and renowned for exceptional interpersonal abilities, ensuring effective patient and family education.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Registered Nurse
Capital Health Regional Medical Center
04.2024 - Current
- Neuroscience Unit: Management and care of adults with stroke, brain, or spinal injury, and assistance in patient rehabilitation.
- Provided direct patient care in a Neuro Critical Care Unit, including assessment of neurological status and implementation of treatment plans.
- Performed bedside nursing interventions such as wound care, tracheostomy care, catheterization, medication administration and IV therapy.
- Detected emerging problems by monitoring patients' behavior, vital signs and fluid intake and output.
- Managed a caseload of up to six patients while ensuring the timely completion of assignments.
- Coordinated care for critical issues such as hemodynamic instability and spinal injuries.
- Supervised cardiac monitors, alarms, and oxygen delivery devices.
- Performed comprehensive physical assessments on critically ill patients upon admission or transfer from other units.
- Educated patients and families on disease processes, medications, treatments and lifestyle modifications.
- Developed individualized plans of care that addressed both medical needs and psychosocial concerns.
- Actively participated in interdisciplinary meetings focused on developing effective strategies for improving patient outcomes.
Registered Nurse
Select Special Care Hospital
07.2022 - 04.2024
- Company Overview: Long-Term Acute Care
- Management and care of adults, especially.
- The elderly person, recovering from surgery, needs wound care, is weaning from ventilation (long-term tracheostomy), and is receiving antibiotic therapy.
- Monitoring patient pain levels and administering pain medications as necessary.
- Performing physical assessments of patients, such as taking vital signs, blood pressure, checking weight and height, and recording pertinent data in the patient's chart.
- Maintaining accurate records of the observation and care provided to clients, including but not limited to patients' behavior, reactions to treatment, and progress notes.
- Administering medications as per M.D.
- Providing holistic support and education to patients and their families that can help them manage their conditions more efficiently, as well as discharge planning.
- Wound management and implementation, maintenance of infection control measures.
- Giving patient education on the basics of bathing, dressing, and bathroom use, with minimal assistance.
Registered Nurse
Rutgers University (UBHC)
10.2022 - 10.2023
- Company Overview: Garden State Correctional Facility.
- Conducting an initial prisoner assessment.
- Observing inmates for signs of mental or physical distress, and reporting to the appropriate department/unit.
- Providing basic nursing care: wound care, medication administration, and taking vital signs.
- Maintaining accurate documentation of inmate health care needs, progress, response to treatment, and activities affecting health.
- Providing education regarding health issues.
- Ensuring inmates are receiving adequate medical care, despite being in a correctional facility.
- Working with other members of the health care team to deliver holistic care.
- Delivering the best health service without breaking correctional protocols.
Registered Nurse
Zuckerberg San Francisco General Hospital
01.2022 - 04.2022
- Company Overview: NICU Level III.
- Evaluated patient vital signs and laboratory data to assess needs and provide emergency interventions.
- Assisted with the admission process of newborns into the NICU unit and provided necessary education to parents on infant care.
- Utilized evidence-based guidelines when providing nursing interventions for patients with acute illnesses or chronic conditions.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Observed strict safety measures, including checking medication dosages before administration to patients.
Registered Nurse
Brookdale Hospital & Medical Center
03.2020 - 08.2021
- Company Overview: NICU Level III
- NICU, Float to Mother and Baby Unit, Pediatric Unit.
- Performed daily assessments of premature infants and documented findings accurately in electronic medical records system.
- Identified abnormal and critical respiratory patterns through direct pulmonary assessments.
- Provided emotional support to families during stressful times related to their baby's health condition or prognosis.
- Performed routine tracheostomy tube maintenance including changing cannulas, cleaning inner tubing components and assessing patency.
- Collaborated with interdisciplinary teams to develop individualized plans of care for each patient based on their specific needs.
- Administered intravenous fluids, electrolytes and blood products as ordered by physician.
- Monitored preterm infants for potential complications such as apnea, bradycardia and desaturation episodes requiring immediate intervention.
- Evaluated growth parameters such as weight gain, head circumference, length and height measurements according to established standards of care.
Registered Nurse
SUNY Downstate Medical Center
06.2019 - 03.2020
- Company Overview: NICU Level III
- NICU, Float to Mother and Baby Unit, Pediatric Unit.
- Responded quickly to life-threatening situations in a calm manner while maintaining professional standards of practice.
- Performed daily assessments of premature infants and documented findings accurately in electronic medical records system.
- Evaluated growth parameters such as weight gain, head circumference, length and height measurements according to established standards of care.
- Identified potential risk factors that could affect a baby's health outcome and developed strategies for prevention or management.
- Monitored preterm infants for potential complications such as apnea, bradycardia and desaturation episodes requiring immediate intervention.
- Assessed pain levels in neonates using validated tools such as FLACC scale and implemented appropriate comfort measures accordingly.
- Provided comprehensive nursing care to neonates, including assessment of vital signs, administering medications and treatments, and monitoring for changes in condition.
School Nurse
United Staffing Solutions, Inc.
10.2017 - 03.2020
- Company Overview: per diem School Nurse
- Assesses health complaints, administer medication, and cares for students with special health needs
- Implements mandated health screening programs (vision, hearing tests), verifies immunizations, and reports infectious diseases
- Ensures continuity, compliance and professional supervision of care within the school
- Provides care for injuries and acute illness of students
- Communicate with parents, initiates referral to physicians, and provides or supervises delivery of prescribed nursing care
- Per diem School Nurse
Registered Nurse
St. John Episcopal Hospital
02.2018 - 08.2019
- Company Overview: Pediatric Unit, float support staff to NICU step-down, Mother and Baby Unit, Labor and Delivery as transition nurse.
- Caring for the basic needs of infants: safe feeding, timely diaper changes, cuddling, and care.
- Conducting medical procedures: starting an IV line, blood sugar checks, and administering medications.
- Assisting Physicians in performing procedures and treatments: circumcision
- Using and adjusting specialized medical equipment: bili light, isolette, infant warmer, and bili reading meter.
- Formulating nursing care plans and evaluating the effectiveness of treatment.
- Comforting ill newborns, offering support, and educating anxious parents and family members.
- Implemented strategies to reduce patient anxiety and fear, utilizing age-appropriate communication and interventions.
- Educated parents and guardians on home care procedures, medication administration, and health maintenance.
- Advocated for the rights and needs of pediatric patients, ensuring a child-friendly healthcare environment.
Nursing Home Staff
Sentosa Nursing Services
12.2015 - 02.2018
- Company Overview: Nursing Home
- Management and care of 30-60 geriatric, bariatric, psychiatric, hospice residents
- Collaborate with other members of the health care team to effectively deliver holistic care.
- Record patient history, perform diagnostic tests, administer medications, and develop a nursing care plan in collaboration with the team.
- Initiate and implement the treatment plan based on the nursing care plan.
- Administer IV medications, give vaccinations, and take vital signs.
- Ensuring that patient safety & integrity are being maintained and respected whether the patient is oriented or senile, bariatric or psychiatric
- Provided emotional support to residents and their families during difficult times.
- Collected specimens from patients for laboratory testing purposes.
- Assessed pain levels of residents and provided comfort measures as needed.
- Provided emotional support to families during difficult times while maintaining professional boundaries.
- Facilitated recreational activities designed to improve physical strength and cognitive functioning.
- Assisted with activities of daily living, including bathing, dressing, and toileting.
- Supported end-of-life decisions made by families regarding their loved ones' care.
- Exercised comatose and paralyzed patients to reduce delirium and improve physical function.
- Ensured safety of residents through proper use of assistive devices such as wheelchairs, walkers.
- Adhered to infection control standards while providing personal hygiene services.
- Assisted nurses with wound care for pressure ulcers, bed sores and surgical site wounds.
Community Health Nurse
Quezon City Health Dept
11.2003 - 12.2015
- Company Overview: Community Health Nurse (Philippines)
- Implement, manage, and supervise different health programs, prioritizing the immunization of children, education and safety of pregnant mothers, and other vulnerable sectors of the community.
- Provide and promote health education to the public regarding health-related issues, e.g., HIV/AIDS, STD awareness and prevention, family planning, and tropical disease information dissemination.
- Member of the HIV blood surveillance team who discovered the outbreak of HIV/AIDS among men having sex with men in the Philippines.
- Anti-rabies vaccinator at the community animal bite center
Instructor
Asian Institute of Health Care/Excel Caregivers' Training Center/Fukumoto
04.2001 - 09.2003
- Company Overview: Caregiver Training Center.
- Planning, development, and implementation of the instructional program for nursing assistants and caregiver course students.
- Developed guides and course materials to reinforce lecture information and help students learn.
- Evaluated performance of students and made provisions to meet learning needs.
- Provided feedback on student assignments such as essays, research papers or lab reports.
- Integrated technology into classroom instruction to enhance learning outcomes.
- Collaborated with other educators to develop innovative approaches to instruction.
Research Nurse/Support Staff
Philippine General Hospital and Research
03.2000 - 03.2001
- Company Overview: NICU Research Nurse/Support Staff.
- Collect, record, and submit the data required for the study to the Research Manager.
- Verified accuracy of data by conducting quality assurance checks on collected materials.
- Employed scientific methods to promote quality of collected samples and stored specimens.
- Organized and analyzed qualitative and quantitative data.
- Utilized knowledge of scientific principles and techniques to troubleshoot problems encountered during the course of research.
- Maintained a database of all research activities conducted during the course of each project.
- Prepared medical equipment and tools to aid physician during examination and treatment of patients.
- Provided support for new parents who were unfamiliar with childcare techniques.
- Instructed families on infant care techniques including breastfeeding support, kangaroo care, nutrition education, bathing and diapering techniques.
Staff Nurse
St. Vincent Clinic
08.1995 - 03.2000
- Company Overview: Pediatric Clinic
- Oversaw patient admission and discharge processes to coordinate related paperwork.
- Evaluated patients, recognized and addressed complications and coordinated treatment with other members of critical care team.
- Collected and documented vital signs to track current patient conditions.
- Acted as patient advocate and implemented total patient care through team nursing process.
- Supported families during times of illness or injury by providing emotional support and assistance with decision making processes.
- Educated patients and families on health care needs, conditions, and options.
- Provide routine care and vaccination to well children.
Education
Bachelor of Science - Nursing
Bicol University
Daraga, Legazpi City, Albay, Philippines03.1995
Some College (No Degree) - Public Administration
University of Rizal System Graduate School
Rodriguez, Rizal, PhilippinesSkills
- Patient assessment
- Medication administration
- Wound care
- Tracheostomy care
- IV therapy
- Intravenous fluid therapy
Certification
- RN, NJ, 26NR21776800, 05/31/26
- RN, NY, 694677, 08/31/26
- RN, NM, 65995, inactive
- RN, VA, 0001268133, inactive
- RN, CA, 95165843, 10/31/25
- ACLS, 255402580633, 08/01/26
Timeline
Registered Nurse
Capital Health Regional Medical Center
04.2024 - Current
Registered Nurse
Rutgers University (UBHC)
10.2022 - 10.2023
Registered Nurse
Select Special Care Hospital
07.2022 - 04.2024
Registered Nurse
Zuckerberg San Francisco General Hospital
01.2022 - 04.2022
Registered Nurse
Brookdale Hospital & Medical Center
03.2020 - 08.2021
Registered Nurse
SUNY Downstate Medical Center
06.2019 - 03.2020
Registered Nurse
St. John Episcopal Hospital
02.2018 - 08.2019
School Nurse
United Staffing Solutions, Inc.
10.2017 - 03.2020
Nursing Home Staff
Sentosa Nursing Services
12.2015 - 02.2018
Community Health Nurse
Quezon City Health Dept
11.2003 - 12.2015
Instructor
Asian Institute of Health Care/Excel Caregivers' Training Center/Fukumoto
04.2001 - 09.2003
Research Nurse/Support Staff
Philippine General Hospital and Research
03.2000 - 03.2001
Staff Nurse
St. Vincent Clinic
08.1995 - 03.2000
Bachelor of Science - Nursing
Bicol University
Some College (No Degree) - Public Administration
University of Rizal System Graduate School
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