Jazel Rose Sierra

• Facilitated seamless transitions between shifts by ensuring thorough handoffs of critical patient information and updates on any ongoing clinical or administrative tasks requiring attention.
• Advocated for continuous process improvements within the organization by identifying inefficiencies in current workflows then suggesting actionable solutions that were ultimately implemented.
• Ensured compliance with all state regulations regarding licensing requirements for dialysis centers by maintaining accurate records of staffing credentials, equipment maintenance logs, inspections reports.
• Collaborated with interdisciplinary teams to develop individualized patient care plans that addressed unique medical needs and promoted optimal health outcomes.
• Maintained high-quality care standards by conducting regular audits of clinical documentation, treatment plans, and medication administration records.
• Maintained a positive, patient-centered culture by modeling exceptional nursing care and reinforcing the value of empathy, compassion, and professionalism among team members.
• Developed strong relationships with referring physicians, fostering a collaborative approach to patient care across multiple healthcare disciplines.

· Providing hemodialysis (in-center dialysis) care to acute and chronically ill patients.

· Medication administration and stabilization of patients

· Supervision 3-4 PCTs and 1-2 LPNs per shift, providing patient care

· Advanced knowledge of lab values specific to renal failure

· Extensive and continuous patient education and motivation

· Advanced cannulator of dialysis accesses, fistulas, grafts.

· Use and troubleshooting access issues and central line complications.

· Cohesive work within a multidisciplinary team of nephrologists, dietitians, social workers, lab, and pharmacy personnel.

· Evaluate patient care needs, prioritize treatment, and maintain patient flow. Accurately document all elements of nursing assessment, treatments, medications, and follow-up care. Utilize strong assessment skills to determine necessary patient care. Partner with team of other Licensed Nurses to ensure over all well-being of all patients. Coordinate with doctors and licensed nurses to develop care plans for patients.

· Educated family members and caregivers on patient care instructions.

• Participated in continuous professional development opportunities such as conferences, workshops, and trainings to stay current on best practices in acute dialysis nursing.
• Assisted with quality improvement initiatives, identifying opportunities for enhancing patient care and team efficiency.
• Coordinated discharge planning for patients transitioning from acute dialysis settings to outpatient or home-based care.
• Administered medications as prescribed by physicians, monitoring for potential side effects or adverse reactions.
• Provided education on self-care management to patients living with chronic kidney disease or undergoing dialysis treatment.

• Improved patient outcomes by developing and implementing comprehensive care plans tailored to individual needs.
• Supported organizational goals for professional development by precepting new hires, mentoring colleagues, and participating in ongoing training programs.
• Contributed to improved quality metrics by analyzing data trends and identifying opportunities for process improvement initiatives.
• Managed complex cases involving multiple comorbidities or psychosocial issues by utilizing critical thinking skills to develop personalized intervention strategies.