Jarred Moreash
Registered Nurse
Summary
Compassionate and experienced Registered Nurse specializing in hemodynamic monitoring and bedside procedures. Valued for strong clinical judgment and commitment to fostering effective collaboration among multidisciplinary teams to optimize patient outcomes.
Overview
22
22
years of professional experience
Work History
Registered Nurse
Westchester Medical Center
Valhalla, NY
10.2010 - Current
- Staff Registered Nurse in the 15 bed Cardio Thoracic ICU.
- The unit is managed by a group of 5 attendings and Physicians Assistants.
- The patient population consists of heart transplants, transcatheter aortic valve replacement (TAVR), thoracic endovascular aortic repair (TEVAR), kidney transplants, extracorporeal membrane oxygenation (ECMO), intra-aortic balloon pumps (IABP), Impella and ventricular assist devices (VAD).
- Responsibilities include recovering of the patients in the immediate postoperative phase which includes managing ventilated patients, titrating vasopressors and inotropes.
- Managing CVVHD, passing medications and basic nursing care.
- Additional responsibilities include responding to codes, rapid responses, precepting new hires into the CTCU and floating to the other intensive care units including medical, surgical, coronary and trauma.
- Also collaborating with the care team and family to provide emotional support during their time in such an intense setting.
Registered Nurse
Duke Hospital
Raleigh, NC
05.2010 - 10.2010
- Travel Nurse with Sunbelt Staffing, contracted to the Medical Intensive Care Unit.
- This 10 bed ICU was managed by Physician assistants and Attending.
- Nursing responsibilities included management of ventilators, titrating IV medications, blood transfusions, basic and advanced nursing care.
- Managing complex cases as a nurse and collaborating with the care is imperative to providing safe care in the ICU setting.
Registered Nurse
Benedictine Hospital
Kingston, NY
06.2009 - 04.2010
- Employed as a staff nurse in the Emergency room the patient population ranged from toddlers to geriatric.
- The patient population consists of medical patients ranging from CHF and MI’s to pulmonary complications related to COPD.
- In addition to the traditional ED, there was a 5 bed psychiatric emergency room is in place as well.
- The social worker and bedside nurse work together to develop a care plan that encompasses the patient’s medical and social needs to determine if one should be admitted to the psychiatric floor or an outside facility.
- Responsibilities include triage nurse and bedside nurse.
- Blood work and IV line placement is sole responsibility of the bedside nurse, additional responsibilities include assisting the doctor, physician assistants and nurse practitioners with varies bedside procedures.
- Each nurse is a member of the code team and is responsible for attending all calls.
Registered Nurse
Benedictine Hospital
Kingston, NY
10.2007 - 06.2009
- As a staff nurse in this 10 bed ICU, there is a ratio of two to three patients to one nurse.
- Job duties included titrating IV drips, managing ventilators, and monitoring vital signs.
- Working with doctors to perform bedside procedures such as inserting arterial lines for frequent ABG draws and continuous blood pressure readings, along with the placement of central venous lines was something I participated in.
- Patient population consisted primarily of pulmonary patients with frequent terminal weaning and post-operative care of surgical patients who need a higher level of nursing care.
- Being an ICU nurse also meant that I responded to all in house codes and rapid response excluding the emergency room.
Registered Nurse
Vassar Brothers Hospital
Poughkeepsie, NY
06.2006 - 07.2008
- Contract/travel nurse for AdvantageRN at Vassar Brothers Hospital for 18 months in the CT-ICU.
- In this unit admitting and recovering open heart surgery patients in the immediate post-operative period was my role.
- During this time frame I would continuously monitor hemodynamics with thermo-dilution cardiac outputs, constantly assess the titration of inotropic and vasoactive medications to maintain set hemodynamic parameters.
- Initiate manage and maintain temporary pacemakers with epicardial wires, IABP, chest tubes and ventilators.
- Frequently changing settings as directed by arterial blood gas results and moving toward the goal of.
- Also, safely wean IABP and monitor for hemodynamic changes as directed.
- Set up, initiate and manage CVVH as per orders.
- Assist physicians and physicians’ assistants with bedside procedures.
- Frequent floating to other intensive care units with patient to nurse ratio two to one.
Registered Nurse
Veterans Administration Hospital
Syracuse, NY
01.2006 - 05.2006
- As a Naval Veteran myself, I managed two to three patients in the ten bed medical surgical intensive care unit.
- Titrating IV drips per orders, participating with bedside procedures, surgical wound care management, manage ventilators, and assist with extubation when appropriate are some aspects of care that was given.
- The client population ranged from craniotomies to abdominal aortic aneurysm repairs, with most clients having numerous co-morbidities requiring long term care.
- Patient education and emotional support through this time of healing was a goal that I aspired to.
Registered Nurse
Rochester General Hospital
Rochester, NY
02.2004 - 10.2005
- Rochester General’s 12 bed Cardio thoracic ICU provided a more intense clinical experience for me with admitting CABG cases from the operating room at a rate of 5 to 6 cases per day.
- Nursing care consisted of managing the recovery of open heart surgery clients in the immediate post-operative period.
- The patients needed constant hemodynamic monitoring, continuous cardiac output, external pacemaker temporary management, ventilator management and frequent clinical reassessment.
- Some ways to assess the patients’ progress included continuous cardiac outputs, ABG interpretation along with lab draws.
- It was imperative that I collaborate any changes and abnormal results with the care team.
- Communicating progress to the patient and family, leads to a better hospital experience for all members involved.
Education
Baccalaureate of Science - Nursing
Chamberlain College of Nursing
Chicago, IL09.2018
Applied Associate degree - Science
Crouse School of Nursing
Syracuse, NY09.2003
Skills
- Ventilator management
- Hemodynamics monitoring
- IV medication titration
- Bedside procedure assistance
- ECMO management
- Code response participation
- Precepting new hires
- Strong clinical judgment
- Cardiac care
- Intravenous therapy
- Palliative and pain management
- Intake and discharge
- Medication and IV administration
- Clinical assessment
- Critical thinking
- Patient education
Timeline
Registered Nurse
Westchester Medical Center
10.2010 - Current
Registered Nurse
Duke Hospital
05.2010 - 10.2010
Registered Nurse
Benedictine Hospital
06.2009 - 04.2010
Registered Nurse
Benedictine Hospital
10.2007 - 06.2009
Registered Nurse
Vassar Brothers Hospital
06.2006 - 07.2008
Registered Nurse
Veterans Administration Hospital
01.2006 - 05.2006
Registered Nurse
Rochester General Hospital
02.2004 - 10.2005
Baccalaureate of Science - Nursing
Chamberlain College of Nursing
Applied Associate degree - Science
Crouse School of Nursing