JAMES CROUCH
Sun Lakes
Summary
Flexible Acute Dialysis Registered Nurse with a gentle demeanor and a strong desire to care for and help patients. A composed professional with experience in dialytic therapy and treating acute kidney conditions. Promoting decision-making, analytical and leadership skills.
Overview
41
41
years of professional experience
Work History
Registered Nurse
Davita Acute Services
Chandler, AZ
07.2023 - Current
- Administered medications and treatments according to established protocols and patient care plans.
- Monitored vital signs and documented changes in patient conditions for timely interventions.
- Collaborated with interdisciplinary teams to develop comprehensive care strategies for patients.
- Educated patients and families on disease management, treatment options, and health maintenance.
- Evaluated patient responses to therapies, adjusting care plans as necessary for improved outcomes.
- Implemented best practices for infection control, ensuring compliance with safety standards.
- Monitored patient reactions after administering medications and IV therapies.
- Performed CCPD exchanges, set up cyclers.
- Charted using EMR
- Supervised Dialysis Technicians performing Hemodialysis Treatments
Staff Registered Nurse
Soleo Health
Tempe, AZ
07.2022 - 05.2023
- Administered patient care and medication management following established protocols.
- Collaborated with multidisciplinary teams to develop personalized care plans.
- Monitored vital signs and documented changes in patient conditions accurately.
- Educated patients and families on treatment plans and health management strategies.
- Started IV access and removed them after medication.
- Gave a variety of IV medications, sometimes over many hours.
- Assessed and changed PICC line and Port dressings.
- Charted using EMR.
Staff Registered Nurse
DCI
Phoenix, AZ
08.2021 - 06.2022
- Implemented infection control measures to ensure patient safety and compliance.
- Mentored junior nursing staff, enhancing team performance and clinical skills.
- Streamlined workflow processes, improving efficiency of daily operations in patient care delivery.
- Participated in quality improvement initiatives to enhance overall patient outcomes.
- Performed Hemodialysis treatments in Skilled Nursing Facilities
- Supervised Dialysis Technicians working in multi treatment area.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Consistently maintained accurate documentation of all relevant information related to patient progress, treatments administered and other pertinent data.
Staff Relief Charge Nurse
CDI
Grants, NM
03.2021 - 07.2021
- Supervised nursing staff during shifts, ensuring adherence to patient care standards.
- Coordinated patient admissions and discharges, enhancing operational efficiency in unit workflows.
- Conducted regular patient assessments to identify needs and adjust care plans accordingly.
- Implemented infection control protocols, reducing risk of hospital-acquired infections.
- Supervised Dialysis Technicians and other RN's in outpatient dialysis unit.
- Travel nurse contract position
- Mentored new nurses on clinical procedures and best practices for patient care.
Staff Registered Nurse/Dialysis Charge Nurse
Banner Healthcare
Mesa, AZ
11.2011 - 03.2021
- Administered medications and treatments according to established protocols and physician orders.
- Collaborated with interdisciplinary teams to develop and implement patient care plans.
- Monitored patient conditions, identifying changes and implementing appropriate interventions.
- Educated patients and families on health management and post-discharge care requirements.
- Mentored junior nursing staff, fostering professional development and adherence to best practices.
- Supervised other RN's in busy Dialysis Unit with 7 bed treatment room and many bedside treatments.
- Provided emotional support for patients and families during difficult times, helping them navigate the healthcare system with compassion and understanding.
- Participated in staff meetings and continuing education programs to stay current on best practices and maintain licensure requirements.
- Achieved timely medication administration by utilizing effective time management skills and prioritizing critical tasks.
- Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies, and methods to improve health and meet recovery goals.
- Identified patient care requirements by establishing personal rapport with patients and families.
Staff Registered Nurse/Charge Nurse
Kindred
Scottsdale, AZ
06.2002 - 08.2010
- Administered medications and treatments following established protocols and patient care plans.
- Collaborated with interdisciplinary teams to develop individualized care strategies for patients.
- Monitored patient vital signs, identifying changes and intervening as necessary to ensure safety.
- Educated patients and families on health management, promoting adherence to treatment plans and lifestyle changes.
- Mentored junior nursing staff, fostering skill development and adherence to best practices in patient care.
- Conducted comprehensive assessments, documenting findings accurately to inform ongoing patient care decisions.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Increased patient satisfaction by consistently delivering high-quality nursing care with a focus on empathy, communication, and professionalism.
- Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures, and nursing best practices.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Gathered patient health data through interviews and observation, documenting data in electronic records.
- Supervised Dialysis Technicians in Multi treatment room.
- Trained 2 Dialysis Technicians, both of whom passed their certifications
Staff Registered Nurse
Banner Staffing Services
Mesa, AZ
02.2003 - 01.2009
- Managed elements of patient care from admission to discharge or transfer to other units.
- Assisted in the training of nursing students during clinical rotations, fostering an environment conducive to learning and skill development.
- Implemented appropriate interventions based on assessment findings which resulted in improved symptoms management.
- Collaborated with physicians to develop comprehensive treatment plans tailored to individual patient needs.
- Performed Hemodialysis treatments on a per diem basis.
Staff Registered Nurse/Charge Nurse
Banner Healthcare
Mesa, AZ
06.1998 - 02.2003
- Implemented quality improvement initiatives, enhancing workflow efficiency and patient satisfaction scores.
- Led training sessions on new technologies and procedures to improve team performance and compliance standards.
- Promoted teamwork and collaboration with interdisciplinary teams for optimal patient care planning and implementation.
- Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
- Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
- Verified patients had information necessary for ongoing care, providing guidance on diagnoses, management of medications, and prevention methods.
- Streamlined workflow processes within the nursing unit to maximize efficiency while maintaining exceptional patient care standards.
- Educated patients on disease prevention and management strategies, empowering them to make informed decisions about their health.
Staff Registered Nurse/Charge Nurse
Methodist Hospital of Lubbock Texas
Lubbock, TX
05.1985 - 05.1998
- Served as a strong advocate for patients'' rights, ensuring that their needs were met in accordance with ethical guidelines and regulatory requirements.
- Mentored new nurses as they transitioned into practice, providing guidance and support to promote professional growth.
- Participated in quality improvement initiatives aimed at enhancing overall patient care delivery within the organization.
- Facilitated smooth transitions of care for patients by effectively communicating with other healthcare providers.
- Started as a graduate Nurse on Neuro Med-Surg floor, relief Charge on every Med-Surg floor in hospital. Moved to MICU after 2.5 years on Med-Surg. Worked MICU but floated to SICU, CVICU, and CCU over the next 1.5 years, Trained in Dialysis and worked in busy in patient unit until leaving in 1998.
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Coordinated patient discharge planning to provide post-discharge patient care, promoting healing and recovery.
- Participated in hospital committees to recommend quality improvement initiatives.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Managed patients recovering from medical or surgical procedures.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
Education
Nursing Education
Methodist Hospital School of Nursing
Lubbock, TX05-1985
Skills
- Medication and IV administration
- Medication administration
- Direct patient care
- Patient assessments
- Documentation and charting
- Patient assessment
- Strong clinical judgment
- Patient education and counseling
- Patient and family advocacy
- Infection control measures
- Patient care
- IV setup
- Wound care
- Intravenous therapy
- Care planning
- Patient management
- Professional bedside manner
- Telemetry monitoring
- Licensed RN
- Taking vitals
- Critical care
- Nursing staff leadership
- Medication distribution
- Tracheostomy care
- Precepting
- Team coordination
Timeline
Registered Nurse
Davita Acute Services
07.2023 - Current
Staff Registered Nurse
Soleo Health
07.2022 - 05.2023
Staff Registered Nurse
DCI
08.2021 - 06.2022
Staff Relief Charge Nurse
CDI
03.2021 - 07.2021
Staff Registered Nurse/Dialysis Charge Nurse
Banner Healthcare
11.2011 - 03.2021
Staff Registered Nurse
Banner Staffing Services
02.2003 - 01.2009
Staff Registered Nurse/Charge Nurse
Kindred
06.2002 - 08.2010
Staff Registered Nurse/Charge Nurse
Banner Healthcare
06.1998 - 02.2003
Staff Registered Nurse/Charge Nurse
Methodist Hospital of Lubbock Texas
05.1985 - 05.1998
Nursing Education
Methodist Hospital School of Nursing