Jenalyn Gajisan

Delivered acute hemodialysis in ICU, ED, and medical-surgical units.

• Operated and managed treatments using Fresenius 2008T machines. • Monitored hemodynamic status and adjusted treatment parameters in collaboration with nephrology.

• Assessed vascular access patency and prevented catheter-related complications.

• Responded to rapid clinical changes and coordinated care during emergencies.

• Educated patients and families on fluid restriction, renal diet, and treatment expectations.

• Collaborated closely with dialysis technicians each shift; typically worked with two assigned technicians.

• Led a small care team managing up to five acute dialysis patients per shift, prioritizing acuity and treatment timing.

• Provided clinical oversight to technicians regarding machine troubleshooting, access concerns, and patient safety issues.

• Provided acute dialysis using the Tablo Dialysis System across multiple units.

• Worked independently in high-acuity environments including ICU and step-down units.

• Collaborated with intensivists, nephrologists, and primary teams to optimize outcomes.

• Maintained strict infection control and dialysis safety protocols.

Delivered acute hemodialysis in ICU, ED, and medical-surgical units.

• Operated and managed treatments using Fresenius 2008T machines. • Monitored hemodynamic status and adjusted treatment parameters in collaboration with nephrology.

• Assessed vascular access patency and prevented catheter-related complications.

• Responded to rapid clinical changes and coordinated care during emergencies.

• Educated patients and families on fluid restriction, renal diet, and treatment expectations.

• Collaborated closely with dialysis technicians each shift; typically worked with two assigned technicians.

• Led a small care team managing up to five acute dialysis patients per shift, prioritizing acuity and treatment timing.

• Provided clinical oversight to technicians regarding machine troubleshooting, access concerns, and patient safety issues.

• Delivered acute hemodialysis in ICU, ED, and medical-surgical settings.

• Operated and troubleshot Fresenius 2008T machines while adhering to safety and infection control standards.

• Conducted vascular access assessment and timely escalation of complications to nephrology.

• Monitored fluid balance, electrolytes, and hemodynamic status throughout treatments.

• Provided patient and family education on renal disease, fluid management, and treatment expectations.

• Provided Peritoneal Dialysis (PD) care for adult patients, including:

➢ PD catheter assessment and maintenance ➢ Monitoring of dialysate effluent and ultrafiltration ➢ Recognition of complications such as infection, leakage, or inadequate clearance

• Partnered with two dialysis technicians per shift to deliver coordinated care.

• Led a small care team managing up to five acute patients simultaneously, prioritizing acuity, safety, and efficiency.

• Supported technicians through real-time clinical guidance and escalation to nephrology when needed.

• Precepted rotating student nurses, including skills demonstration, supervision, documentation review, real-time feedback, and competency evaluation.

March 2015 – May 2021

• Delivered both acute and chronic hemodialysis to adult and pediatric patients in ICU and specialized renal units.

• Performed comprehensive vascular access assessment, troubleshooting, and infection prevention for CVC, AVF, and AVG.

• Monitored fluid balance, electrolytes, and hemodynamic stability throughout treatments in high-acuity settings.

• Skilled in Peritoneal Dialysis (PD) for adult and pediatric patients, including:

• PD catheter care and troubleshooting

• Assessment of dialysate effluent and ultrafiltration

• Recognition and management of PD complications (e.g., peritonitis, catheter malfunction, fluid imbalance)

• Led Home Peritoneal Dialysis Teaching Program, including:

➢ Training patients and families on sterile technique and infection control ➢ Step-by-step instruction on PD exchanges and machine use ➢ Education on early signs of complications and when to seek care ➢ Ongoing competency evaluation and follow-up support for home patients

• Performed therapeutic plasmapheresis using the Optia Apheresis System, ensuring safe treatment delivery, hemodynamic monitoring, and coordination with the medical team.

• Served as Preceptor for new nursing staff, providing bedside training, mentoring, and competency validation.

• Functioned as Charge Nurse, coordinating assignments, workflow, and safety compliance; acted as liaison between nursing staff and physicians.

• Actively participated in nursing grand rounds, presenting and discussing clinical cases to enhance patient safety and practice standards.

• Contributed to JCI and Magnet accreditation preparedness, including policy review, documentation audits, and quality improvement initiatives.