Jamie Custode

Pediatric Nephrology & Renal Transplant Nurse Clinician

• Deliver specialized outpatient care for pediatric patients with complex nephrology conditions, renal insufficiency, and post‑transplant needs within CCS‑approved Specialty Care Clinics.
• Apply advanced clinical judgment and disease‑specific expertise to independently perform comprehensive assessments, develop care plans, implement interventions, and evaluate patient outcomes.
• Educate patients and caregivers on disease processes, treatment plans, potential complications, and long‑term self‑management strategies, adapting communication to developmental stage and literacy level.
• Utilize interpreter services— language line, and video interpretation—to ensure culturally and linguistically appropriate patient education.
• Coordinate continuity of care across the clinical continuum, including pre‑admission planning, post‑procedure/surgical follow‑up, and post‑discharge transitions.
• Participate in multidisciplinary team conferences to align treatment plans and support cohesive, collaborative care for medically complex pediatric patients.
• Oversee and mentor Licensed Vocational Nurses and unlicensed assistive personnel, ensuring adherence to clinical standards and safe patient care practices.
• Teach, coach, and mentor nursing students by providing clinical guidance, modeling evidence‑based practice, and supporting skill development in a high‑acuity pediatric specialty environment.
• Serve as a clinical resource and preceptor, fostering professional growth and reinforcing best practices in pediatric nephrology and transplant care.
• Maintain up‑to‑date knowledge of evidence‑based guidelines, CCS requirements, transplant protocols, and evolving best practices in pediatric nephrology.
• Integrate new clinical knowledge, innovations, and technology to enhance patient experience, safety, and clinical outcomes.
• Demonstrate strong critical thinking, prioritization, and problem‑solving skills in a fast‑paced outpatient specialty environment.
• Collaborate with multiple specialty clinics and hospital services to support seamless care coordination for children with chronic and complex renal conditions.

Outpatient Pediatric Rheumatology & Infectious Disease RN

• Provide specialized outpatient nursing care for pediatric patients with chronic rheumatologic conditions, including lupus, juvenile idiopathic arthritis, vasculitis, and other autoimmune disorders.
• Conduct comprehensive assessments focused on symptom progression, medication tolerance, pain management, and functional limitations in children with long‑term inflammatory diseases.
• Administer and monitor disease‑modifying therapies, biologics, immunosuppressants, and long‑term antibiotic regimens, ensuring safe dosing and early identification of adverse reactions.
• Collaborate closely with pediatric rheumatologist's, infectious disease physicians, home health agencies, and allied health professionals to coordinate individualized treatment plans.
• Provide developmentally appropriate education to patients and caregivers regarding chronic disease management, medication adherence, flare prevention, and infection control practices.
• Acted as clinical resource for families navigating new diagnoses, guiding symptom tracking, lifestyle modifications, and long‑term care expectations.
• Facilitated continuity of care through proactive follow‑up, coordinated diagnostic testing, and communicated with primary care providers and specialty services.
• Maintain detailed documentation and ensure compliance with outpatient clinic protocols.

• Provide inpatient care to children undergoing chemotherapy and complex cancer treatments.
• Administer chemo, blood products, and supportive meds safely and accurately.
• Monitor symptoms, manage side effects, and respond quickly to changes in condition.
• Perform frequent assessments and maintain precise, high‑acuity documentation.
• Collaborate with oncology teams to coordinate comprehensive inpatient care.
• Educate patients and families on treatment plans and symptom management.
• Maintain strict infection‑prevention practices for immunocompromised patients.
• Perform central line care, including access, flushing, and dressing changes.
• Prioritize care effectively in a fast‑paced pediatric oncology unit.

• Provide high‑acuity care to critically ill pediatric patients requiring intensive monitoring and rapid intervention.
• Perform frequent assessments and respond quickly to changes in patient condition.
• Managed ventilators, drips, and advanced life‑support equipment to ensure optimal patient care under supervision.
• Manage ventilators, drips, and advanced life‑support equipment under supervision.
• Supported families through stressful situations by providing clear, compassionate communication to facilitate understanding and comfort.
• Document assessments, interventions, and patient progress with accuracy and attention to detail.
• Maintain strict infection‑prevention practices for vulnerable pediatric patients.
• Documented assessments, interventions, and patient progress with accuracy to ensure continuity of care and effective treatment planning.
• Build strong foundational skills in critical thinking, prioritization, and emergency response.

• Performed essential bedside care including vitals, hygiene, mobility assistance, and comfort measures.
• Adapted quickly to diverse patient populations and unit workflows, enhancing care delivery across various settings.
• Supported patient care across all hospital units, including adult and pediatric floors, ICU, ED, and specialty services.
• Gained broad clinical exposure by adapting quickly to diverse patient populations and unit workflows.
• Cultivated effective communication skills through consistent interaction with patients, families, and interdisciplinary teams, fostering collaborative care.
• Maintained a safe environment by following infection‑prevention protocols and unit‑specific safety standards.
• Demonstrated reliability and flexibility while floating to high‑acuity and fast‑paced units as needed.
• Demonstrated reliability and flexibility while floating to high‑acuity and fast‑paced units.