James McGraw
Scappoose,OR
Summary
Compassionate Registered Nurse skilled in patient-centered care and interdisciplinary collaboration. Assesses patient conditions and administers medications while effectively coordinating care plans. Applies critical thinking and clinical judgment to manage acute situations, ensuring optimal outcomes. Maintains accurate electronic documentation in compliance with infection control and HIPAA regulations.
Overview
1
1
Certification
2
2
years of post-secondary education
20
20
years of professional experience
Work History
Registered Nurse
Providence Health & Services
Portland, Oregon
11.2012 - Current
- Delivered patient-centered nursing care within Providence health system settings.
- Assessed patient conditions and updated clinical documentation in EHR.
- Administered medications and monitored responses per provider orders.
- Coordinated care plans with interdisciplinary Providence care teams.
- Communicated handoff reports to support continuity of care.
- Collaborated with providers to adjust nursing interventions and priorities.
- Utilized critical thinking skills to assess clinical situations quickly and accurately.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Documented patient progress notes accurately and efficiently in the electronic medical record system.
- Advocated for patients by supporting and respecting basic rights, values, and beliefs.
- Provided patient care and education to patients with chronic illnesses.
- Participated in multidisciplinary team meetings to discuss patient care plans.
- Counseled patients regarding medication side effects or lifestyle changes necessary for improved health outcomes.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Registered Nurse, Emergency Department
Providence Saint Mary Medical Center
Walla Walla, Washington
08.2007 - 10.2012
- Triage emergency patients in Providence Saint Mary Medical Center Emergency Department
- Cared for patients experiencing acute traumas, including cardiac arrests, strokes and gunshot wounds.
- Responded quickly to life-threatening situations utilizing advanced emergency skills.
- Performed initial assessment of patients in the Emergency Department, including vital signs and medical history.
- Assess vital signs, symptoms, and pain levels for incoming patients
- Monitor telemetry, cardiac rhythms, and patient status
- Administer medications and treatments per provider orders
- Administered medications, intravenous fluids, treatments, and other therapies as prescribed by physicians.
- Administered medications as prescribed by physicians.
- Monitor patient vital signs and symptoms, responding rapidly to changes in condition and initiating appropriate interventions.
- Educate patients and families on discharge instructions and follow-up care
- Prepare patients for imaging, procedures, and transfers
- Conducted specified laboratory tests to help detect conditions and determine diagnosis.
- Assisted with diagnostic tests such as X-rays, CT scans, ultrasounds.
- Assisted in minor surgical procedures and provided post-operative care, ensuring optimal patient outcomes.
- Document assessments, interventions, and nursing notes in electronic records
- Maintained accurate records of all assessments, treatments, medications administered, and other pertinent information related to patient's care.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Trained other nurses on patient care and daily tasks, supporting growth, and professional development.
- Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions, and enhance continuum of care.
- Maintained open and clear communication with physicians to coordinate effective patient care.
- Responded quickly to codes and coordinated efficient and skilled care.
- Monitored cardiac rhythm strips and titrated vasoactive medications as ordered by physicians.
- Recorded patient condition, vital signs, recovery progress, and medication side effects.
- Observed nurse administration of oral, intramuscular, and IV medications to patients as prescribed, monitoring responses for adverse reactions.
- Utilized advanced cardiac life support (ACLS) and basic life support (BLS) techniques during critical situations.
- Maintained comprehensive base of unit supplies to meet expected patient demands, public health emergencies, and mass casualty incidences.
- Coordinate care with physicians, technicians, and interdisciplinary teams.
- Conducted specified laboratory tests to help detect conditions and determine diagnosis.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Medical Surgical Registered Nurse
Walla Walla General Hospital
Walla Walla, Washington
07.2006 - 08.2007
- Assessed medical surgical patients on Walla Walla General Hospital inpatient unit.
- Administered medications and monitored patient responses during shift care.
- Monitored vital signs and reported changes to clinical team promptly.
- Administered treatments, therapies, and medication according to prescribed methods and protocols.
- Cared expertly for individuals with wide array of medical issues such as pulmonary, cardiology and infectious disease patients.
- Coordinated care plans with physicians, therapists, and nursing staff.
- Evaluated effectiveness of interventions through observation of clinical indicators such as pain level, breathing rate or laboratory values.
- Identified potential risk factors which could lead to complications during recovery periods.
- Observed patient's heart rate, blood pressure, and respiration for signs of distress.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Educated patients and families on treatments, medications, and discharge instructions.
- Coordinated discharge planning to ensure continuity of care post-hospitalization.
- Maintained a safe environment for patients by adhering to established policies and procedures regarding medication administration and infection control practices.
- Managed multiple tasks simultaneously while maintaining focus on quality patient care.
- Recorded actions or behaviors of clinical significance in EMR system charts and kept physicians informed.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Education
Associate of Applied Science - Nursing
Walla Walla Community College
Walla Walla, WA 09.2004 - 06.2006
Skills
- Medication administration
- IV therapy
- Intravenous therapy
- Cardiac monitoring
- Triage assessment
- Electronic charting
- Reporting and documentation
- Critical thinking
- Clinical judgment
- Patient education
- Patient education and counseling
- Palliative and pain management
- Team collaboration
- Effective communication
- Relationship building
Certification
- Licensed RN in Washington and Oregon
- BLS certification
References
References available upon request.
Timeline
Registered Nurse
Providence Health & Services
11.2012 - Current
Registered Nurse, Emergency Department
Providence Saint Mary Medical Center
08.2007 - 10.2012
Medical Surgical Registered Nurse
Walla Walla General Hospital
07.2006 - 08.2007
Associate of Applied Science - Nursing
Walla Walla Community College
09.2004 - 06.2006