James Collins

Outpatient Surgery Pre and Post Conscious sedation

• Administered medications accurately and safely, ensuring proper dosages were given per physician orders.
• Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Assessed physical, psychological, physiologic, and cognitive status of patients.

• Per Diem Night shift ICU Staff RN II
• Administered patient care, including medication management and monitoring vital signs.
• Collaborated with interdisciplinary teams to develop individualized care plans.
• Supported patients'' emotional well-being by building trust-based relationships and practicing active listening techniques.
• Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
• Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
• Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
• Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.

• Administered medications and monitored patient responses to ensure optimal care outcomes.
• Conducted thorough assessments, identifying critical changes in patient conditions for timely interventions.
• Utilized critical thinking skills to make quick decisions in high-pressure situations, prioritizing patient needs and addressing emergent issues promptly.
• Monitored vital signs, lab results, and other indicators to detect changes in patients'' conditions promptly.
• Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
• Monitored patient reactions after administering medications and IV therapies.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Delivered patient-centered care in diverse clinical settings, ensuring adherence to established protocols and standards.

• ICU STAFF RN NIGHT SHIFT
• Administered medications and treatments in accordance with established protocols and patient care standards.
• Collaborated with interdisciplinary teams to develop individualized care plans for diverse patient populations.
• Delegated tasks to nursing assistants and support staff effectively, ensuring safe and efficient care delivery.
• Implemented appropriate interventions based on assessment findings to maintain or improve patients'' health status.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
• Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.

• STAFF TRAVEL NURSE WORKING AT ALTA BATES SUMMIT MEDICAL CENTER AS NIGHT SHIFT RN. SOME CHARGE EXPERIENCE.
• Administered medications and treatments in accordance with established protocols and patient care plans.
• Monitored vital signs, assessing patient conditions to identify changes and escalate concerns promptly.
• Collaborated with interdisciplinary teams to develop comprehensive care strategies for diverse patient populations.
• Educated patients and families on health management, fostering understanding of treatment plans and preventive care.
• Led quality improvement initiatives, enhancing patient safety measures and reducing hospital readmission rates.
• Conducted staff training sessions on new protocols and technologies, ensuring compliance with industry standards and regulations.
• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.

• GI LAB CONSCIOUS SEDATION NURSE. MONITOR OF PATIENT DURING AND AFTER GI PROCEDURES. GIVING CONSCIOUS SEDATION AND RECOVERY.
• Administered patient care and medication in accordance with established protocols.
• Monitored vital signs, assessing changes and responding to patient needs effectively.
• Collaborated with interdisciplinary teams to develop comprehensive care plans.
• Implemented quality improvement initiatives, streamlining patient care procedures.
• Conducted thorough assessments, ensuring accurate documentation of medical histories.
• Performed accurate documentation of patient assessments, interventions, and outcomes in compliance with regulatory standards.
• Performed routine wound care and dressing changes on schedule.
• Promoted a safe and comfortable healing environment by addressing patient concerns promptly and professionally.
• Remained calm during high-stress, critical situations, demonstrating sustained focus and problem-solving in real-time.

• RESPONSIBLE FOR CARE OF HIGH ACUITY PATIENTS DURING HOSPITAL TO HOSPITAL TRANSPORT, USING FIXED WING AND GROUND TRANSPORT. ACT AS TEAM LEADER. CARE OF PATIENTS ON VENTILATORS, IABP.
• Coordinated critical care transport operations to ensure timely patient delivery and safety.
• Monitored vital signs and provided advanced life support during air and ground transport.
• Collaborated with interdisciplinary teams to develop patient-centered care plans in high-pressure environments.
• Trained and mentored new flight nurses on protocols, equipment usage, and emergency procedures.
• Conducted thorough pre-flight checks of medical equipment to maintain operational readiness.
• Managed complex patient cases requiring swift decision-making under duress while maintaining composure.
• Developed training programs focused on best practices in critical care transportation for staff enhancement.
• Maintained flight medicine knowledge base by attending mandatory meetings, performing chart and equipment reviews, skills labs and clinical rotations and participating in continuing education sessions for care and transport of critically ill and injured patients.
• Planned, organized and positioned equipment and supplies for use in emergency conditions before, during and after transport.
• Evaluated patient response to interventions and adjusted care plans as needed, ensuring optimal outcomes for diverse patient populations.
• Provided compassionate support to patients'' families during difficult times while maintaining a calm demeanor under pressure.
• Assessed for and detected changes in status of patients and demonstrated proactive approach to solving patient problems.
• Streamlined patient handoff process for efficient transfer of care between medical teams.
• Facilitated teamwork among crew members through clear communication channels and mutual respect for individual roles and responsibilities.
• Performed advanced clinical interventions as needed to stabilize patients during transport, improving their chances for recovery upon arrival at receiving facilities.
• Enhanced flight safety by conducting thorough pre-flight checks and ensuring proper equipment functionality.
• Documented appropriate and accurate information for assessment and treatment during stabilization and transport.

• DAY TO DAY OPERATION OF THE TBICU. CARE OF PATIENTS ON VENTILATORS, HEMODYNAMIC MONITORING, CARE OF BURN AND TRAUMA INJURIES.
• Administered patient care, ensuring adherence to established protocols and standards.
• Collaborated with interdisciplinary teams to develop and implement individualized care plans.
• Served as a preceptor for new nurses, sharing knowledge, expertise, and best practices to improve their skills and confidence.
• Participated in unit-based quality improvement initiatives focused on enhancing patient outcomes through process improvements.
• Maintained clinical competency through ongoing professional development activities such as workshops, seminars, conferences, and certifications related to nursing practice.
• Reduced medication errors through meticulous charting and close collaboration with the healthcare team.
• Collaborated with interdisciplinary teams to develop comprehensive care plans tailored to each patient''s needs.
• Provided education on disease management, self-care techniques, and preventive measures to patients and families.
• Streamlined nursing processes for increased efficiency and better time-management within the unit.
• Promoted patient safety by adhering to infection control protocols and conducting regular health assessments.
• Implemented medication and IV administration, catheter insertion, and airway management.
• Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
• Participated in hospital committees to recommend quality improvement initiatives.
• Educated family members and caregivers on patient care instructions.
• Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Implemented care plans for patient treatment after assessing physician medical regimens.

• DAY TO DAY OPERATIONS OF A LEVEL 2 ED. NIGHT SHIFT CHARGE NURSE
• Administered comprehensive patient care, ensuring adherence to established protocols and safety standards.
• Collaborated with interdisciplinary teams to develop individualized patient care plans.
• Monitored patient vital signs and reported changes in condition to healthcare providers promptly.
• Educated patients and families on treatment plans, medications, and post-discharge care instructions.
• Implemented quality improvement initiatives that enhanced patient satisfaction and care delivery efficiency.
• Managed critical situations effectively, facilitating rapid interventions during emergencies or health crises.
• Streamlined documentation processes using electronic health record systems to improve accuracy and accessibility of patient information.
• Enhanced patient care by implementing evidence-based practices and individualized care plans.
• Advocated for the needs of patients within the healthcare system while maintaining confidentiality and respecting patients'' rights.
• Coordinated discharge planning in collaboration with case managers, social workers, and other support staff for optimal continuity of care after hospitalization.
• Assisted physicians during procedures by preparing equipment, monitoring patient status, and ensuring sterile environments.
• Improved patient satisfaction scores by providing compassionate, attentive, and empathetic care.
• Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures, and nursing best practices.
• Developed and implemented individualized patient care plans for optimal outcomes.
• Coordinated patient discharge planning to provide post-discharge patient care, promoting healing and recovery.