James Gaches
Aya Healthcare
Lexington,OK
1
Certification
16
years of professional experience
Dedicated Registered Nurse experienced in patient assessments and education. Enhanced patient safety and satisfaction through strong clinical judgment and strict adherence to infection control measures. Delivered direct patient care and collaborated with multidisciplinary teams to improve workflow efficiency and patient outcomes in high-pressure emergency settings.
Work History
RN, Emergency Department
1 Month- Assessed patient conditions to prioritize care in high-pressure environments.
- Administered medications and treatments according to established protocols.
- Collaborated with multidisciplinary teams to ensure comprehensive patient care.
- Monitored vital signs and documented changes in electronic health records.
- Educated patients and families on treatment plans and discharge instructions.
- Assisted in triaging patients based on urgency of medical needs.
RN, Emergency Department
6 Months- Implemented infection control measures to enhance patient safety standards.
- Participated in training sessions to improve emergency response skills and knowledge.
- Improved patient safety by consistently monitoring vital signs, recognizing changes in status, and initiating appropriate interventions.
- Promoted a culture of teamwork within the Emergency Department by actively participating in unit-based committees aimed at improving workflow efficiency and overall staff morale.
RN, Emergency Department
3 Months- Collaborated with interdisciplinary teams to develop and implement individualized care plans for diverse patient populations.
- Served as a preceptor for new nursing staff, fostering professional development and enhancing clinical skills.
- Administered patient care in high-pressure emergency situations, ensuring safety and comfort.
- Conducted thorough assessments and triaged patients based on urgency of medical needs.
- Utilized electronic health records to document patient information accurately and efficiently.
RN, Emergency Department
2 Years- Engaged in quality improvement initiatives that enhanced patient safety, satisfaction, and overall Emergency Department efficiency.
- Maintained strict adherence to infection control protocols, contributing to a safe and clean work environment for patients and staff.
- Administered critical care interventions in fast-paced emergency environment.
- Collaborated with multidisciplinary teams to optimize patient outcomes and streamline processes.
- Monitored patient vitals and documented findings using electronic health record systems.
RN, Emergency Department
10 Months- Maintained accurate documentation and communicated efficiently with physicians, ensuring timely diagnoses and treatment interventions.
- Assisted physicians with complex diagnostic procedures, including lumbar punctures, central line placements, chest tube insertion, among others.
- Administered emergency care to patients in critical condition, utilizing advanced life support techniques.
- Collaborated with multidisciplinary teams to develop and implement patient care plans and protocols.
- Monitored vital signs and assessed patient conditions to ensure timely interventions and accurate documentation.
RN, Emergency Department
2 Months- Provided emotional support to patients experiencing trauma or medical emergencies, ensuring a positive and compassionate environment.
- Contributed to reduced readmission rates through effective discharge planning and thorough patient education on self-care techniques.
- Delivered high-quality patient care in fast-paced emergency department environment.
- Administered medications and treatments as prescribed, ensuring adherence to safety protocols.
- Collaborated with multidisciplinary teams to develop and implement patient care plans.
RN, Emergency Department
2 Months- Enhanced patient outcomes by providing high-quality, compassionate care in a fast-paced emergency department setting.
- Demonstrated proficiency in performing emergency procedures such as wound care, IV insertion, ECG interpretation, and life-saving interventions following ACLS guidelines.
- Triage patients efficiently to prioritize care based on severity of conditions.
- Administer medications and treatments in accordance with physician orders and protocols.
- Collaborate with multidisciplinary teams to develop comprehensive patient care plans.
RN, Emergency Department
4 Months- Consistently exceeded performance metrics related to quality of care delivery, time management, and customer service within the emergency department.
- Managed multiple priorities simultaneously while delivering exceptional nursing care in a busy 24/7 Emergency Department setting.
- Delivered high-quality patient care in fast-paced emergency department environments.
- Collaborated with interdisciplinary teams to develop and implement effective treatment plans.
- Administered medications and monitored patient responses to ensure optimal outcomes.
RN, Emergency Department
3 Months- Administered medications safely and accurately, adhering to established protocols and procedures.
- Participated in ongoing education programs to maintain knowledge of best practices for emergency nursing care.
- Administered emergency medications and treatments in high-pressure environments.
- Collaborated with multidisciplinary teams to develop patient care plans.
- Monitored vital signs and assessed patient conditions for timely interventions.
RN, Emergency Department
2 Years 8 Months- Acted as a patient advocate by effectively communicating their needs to the healthcare team and ensuring appropriate follow-up care was arranged.
- Streamlined triage processes for efficient patient assessment and prioritization of care needs.
- Administered critical care interventions in high-pressure situations to stabilize patients effectively.
- Collaborated with interdisciplinary teams to develop and implement patient-centered care plans.
- Utilized advanced monitoring equipment to assess patient conditions and respond to emergencies promptly.
RN, Emergency Department
3 Years 4 Months- Utilized strong critical thinking skills to rapidly assess patients' conditions during high-stress situations while remaining calm under pressure.
- Reduced wait times and improved patient satisfaction by effectively managing resources and coordinating with ancillary departments.
- Administered emergency care to patients in critical conditions using advanced medical equipment.
- Collaborated with multidisciplinary teams to develop and implement patient-centered care plans.
- Monitored vital signs, assessed patient status, and documented responses to treatments accurately.
RN, Emergency Department
3 Months- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
- Administered emergency care to patients experiencing critical health issues in fast-paced environment.
- Coordinated triage procedures, ensuring timely assessment and treatment of incoming patients.
- Collaborated with multidisciplinary teams to develop and implement patient-centered care plans.
RN, Emergency Department
2 Months- Responded to medical codes promptly in a fast-paced environment. and orchestrated efficient, skilled medical care.
- Educated family members and caregivers on patient care instructions.
- Provided direct patient care in high-pressure emergency situations.
- Collaborated with interdisciplinary teams to develop treatment plans.
- Administered medications and monitored patient responses to interventions.
LPN
8 Months- Assisted in developing individualized care plans based on patient assessments and needs.
- Administered medications and treatments to residents, ensuring adherence to care plans.
- Monitored vital signs and reported changes in patient conditions to nursing staff promptly.
- Collaborated with interdisciplinary teams to enhance resident care quality and safety.
LPN
1 Year 2 Months- Trained and mentored new nursing staff on protocols and procedures for effective care.
AUA
6 Years 2 Months- Worked effectively in fast-paced environments.
- Self-motivated, with a strong sense of personal responsibility.
Education
Associate of Science - Nursing
LPN - Nursing
Skills
IV administration
Medication management
Patient assessments
Patient assessment
Patient care
Patient evaluations
Wound care
Patient counseling
Critical thinking
Patient education and counseling
Strong clinical judgment
Clinical judgment
Patient and family advocacy
Direct patient care
IV setup
Compassion and empathy
Accomplishments
Eagle Scout
Certification
BLS
ACLS
PALS
TNCC
ATCN
Timeline
RN, Emergency Department
Aya Healthcare
06.2026 - CurrentRead More
RN, Emergency Department
Aya Healthcare
12.2025 - 06.2026Read More
RN, Emergency Department
Aya Healthcare
08.2025 - 11.2025Read More
RN, Emergency Department
NAH
07.2023 - 07.2025Read More
RN, Emergency Department
Aya Healthcare
09.2022 - 07.2023Read More
RN, Emergency Department
Aya Healthcare
06.2022 - 08.2022Read More
RN, Emergency Department
Norman Regional Hospital
04.2022 - 06.2022Read More
RN, Emergency Department
Maxim Healthcare
10.2021 - 02.2022Read More
RN, Emergency Department
Aya Healthcare
07.2021 - 10.2021Read More
RN, Emergency Department
Aya Healthcare
07.2020 - 10.2020Read More
RN, Emergency Department
Aya Healthcare
04.2020 - 06.2020Read More
RN, Emergency Department
Norman Regional Hospital
10.2018 - 06.2021Read More
RN, Emergency Department
OU Health
02.2018 - 06.2021Read More
LPN
Grace Living Center
07.2017 - 03.2018Read More
LPN
CSL Plasma
08.2016 - 10.2017Read More
AUA
OU Health
06.2010 - 08.2016Read More
Oklahoma City Community College
Associate of Science from Nursing
Read More
Moore Norman Technology Center
LPN from Nursing
Read More