Jeraline Hernandez

Coordinates pre and post-operative appointments, of over 70 patients, completes patient education according to ambulatory surgical services guidelines, coordinates surgical dates, initiates consent, orders, con-leave, medication teaching, and pre-op surgical documentation . Maintains patient satisfaction scores through consistent delivery of compassionate and culturally competent, and gender aware care.

• Educates patients and families to increase understanding of condition and best ways to manage care post operatively. Provides patient specific educational information.
• Collaborates with interdisciplinary teams, PACU, Anesthesia, case management, and pharmacy for optimal patient outcomes.
• Provided clinical support to Orthopedic clinic for phlebotomy, PRP's, and pre-operative teaching, verifies referrals, durable medical equipment, and consults.
• Maintains patient confidentiality (HIPPA) by protecting unauthorized access to personal information.
• Assisted in developing continuing education programs, enhancing staff knowledge ensuring all techs have pyxis access
• Utilized advanced assessment skills to identify early indications of deterioration in patient's conditions prompt intervention , provider notification ,and documentation.
• Ensured accurate documentation in patient records, utilizing AHLTA, CHCS, Essentris, HAIMS, JLV , and Genesis electronic medical records.
• Completes patient discharge follow-up calls, document patient progress reported, schedule follow-up care appointments.
• Facilitated patient and family education and counseling for virtual appointment when needed.
• Educate the patient on benefits and side effects of medications, Provide education literature to patients as related to scheduled surgeries. Submits surgical scheduling request, created, maintains, and coordinates cancer care tracker, coordinates appointments through military healthcare system, VA, and civilian healthcare. Monitors and maintained clinical supplies, materials and inventory.
• Review patient procedure reports, lab, radiology, MRI, CT scan, hearing and audiology reports or histories, and repot adverse findings to providers. document reported finding and report to provider with any new symptoms.
• Manage workflow.
• Identified clinical risks and took appropriate preventative actions on unlabeled medication.
• Created educational materials and made available for staff and patients for new Inspire procedure.
• Documented patient progress and care interventions in medical records.
• Served as clinical resource to staff, patients and families.
• Verify consent and pre-op documentation complete, upload to genesis EMHR.
• Mentored 2 new staff, fostering professional growth and team building within unit.
• Conducted comprehensive assessments of complex medical conditions, health history.
• Coordinates transition to pre-op to surgery by effectively communicating with multidisciplinary team members and practicing closed-loop communication.
• Access Pyxis med system for Administration of medications, treatments to manage patient's condition, set-up procedures, and assist provider with in clinic procedures.
• Maintained accurate and comprehensive patient records in line with professional nursing standards.
• Serves as advocate for patients, ensuring individual needs and concerns are met, and addressed promptly.
• Developes treatment plans.
• Stayed current with continuing education in Relias, JKO, and ANA journals.
• Responds to T-cons within 72 hours initiates and verify referrals for continuity of care, enter orders, acknowledges pending ENT referrals for initial appointment, request surgical clearances, submits surgical scheduling request, and coordinates surgery with surgical scheduler..
• Acts as clinical resource for techs seeking guidance on best practices. Educates tech.
• Provided wound care, demonstrates use of prescribed medication administration for in clinic and home use to patients to promote healing.
• Infection prevention appropriate disinfection of equipment, tools, scopes, with HLD and documentation.

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• Increased patient satisfaction scores through consistent delivery of compassionate and culturally competent care.
• Demonstrated knowledge of technical procedures and proper equipment use, set-up of sterile procedures, oxygen analyzer, therapeutic intravenous monitoring, vitals signs, specimen collection, Performed wound care and dressing changes, enter ordered, collected labs , dietary monitoring, medication administration IV, IM, SQ, P.O, intravenous, parenteral, heparin administration, narcotic counts, and treatments.
• Documented findings in EHR, acknowledged oral and written orders. treatments delivered, medications and IVs administered, discharge instructions, and follow-up care. Communicated with physicians on patients status.
• Responded to patient emergencies to provide prompt and correct intervention .
• Optimized staffing levels as charge nurse by balancing nurse-patient ratios according to acuity and census .
• Enhanced overall department performance as Charge nurse by setting clear expectations, providing constructive feedback, and recognizing achievements of team members.
• Streamlined patient flow by coordinating with interdisciplinary teams for timely admissions, discharges, and transfers as charge nurse, and nurse of the day.
• Mentored 3 new hires techs, and 2 new grad nurses providing support during orientation and ensuring successful transition into clinical setting.
• Promoted culture of safety through consistent adherence to infection control practices such as hand washing and reporting incidents promptly.
• Completed CEU's in relias, JKO, achieved BSN in nursing in 2017, applied new knowledge enhancing the overall team. Maintained BLS, PALS, ACLS, NRP, Stable
• Supported seamless transitions of care between shifts by effectively communicating handoff.
• Nurse of the Day, Charge Nurse served as liaison between nursing staff and administration.

prioritizing resources efficiently to maintain optimal patient care

4 code blues, 7 rapid responses, 9 code red drills, mock evacuation.

• Reduced medication errors by conducting thorough assessments, reviewing medications, second verifier of high risk drugs and providing staff education.
• Administered medications and treatments to manage patient's condition according to orders, documented response.

discharge planning, arranging for follow-up care.

• Monitored patients, evaluated results, and recommended further courses of treatment to quickly improve patient outcomes. Reported finding promptly to provider.
• Maintained patient confidentiality by protecting unauthorized access to medical records.
• Utilized evidence-based practice to assess and provide care for patients.
• Participated in process improvement initiatives to improve patient care outcomes.
• Monitored patient reactions after administering medications and IV therapies.
• Educated over 200 family members and caregivers on patient care instructions.
• Managed patients recovering from medical or surgical procedures.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Implemented care plans for patient treatment after assessing physician medical regimens.

• Assessed over 200 incoming patients and determined severity of injuries and illnesses.
• Used first-hand knowledge and clinical expertise to advocate.
• Participated in nursing simulation activities in sim lab.
• Tasked by chief nurse "Col. Cox" to research Covid-19 virus, and presented findings to prevent and reduce transmission in med group. Implemented full face shield PPE, one way entrance into facility, and added new lab test reagent for Covid-19 detection.
• Performed frequent checks on Code cart, Zole defibrillator, life support equipment with documentation.
• Comply with HIPAA laws and prevent information breaches.

• Coordinated care of 28 chair hemodialysis unit, providing care to broad age range of patients; Managed and supervised 12 patient care technicians.
• Executed medical orders, performed treatments in accordance with established health care protocols. Completed

Assessments, individualized care plans.

• Developed and adjusted work schedules for 12 patient care staff members.
• Oversaw quality assurance programs and daily monitoring central reverse osmosis system.
• Coordinated, monitored, assigned, and documented patient and clinical care activities.
• Promoted culture of safety, and verification of correct use of PPE. Performed clinical treatment initiations, monitoring, and termination of prescribed dialysis therapy to include cannulation, sterile access management, therapeutic monitoring, medication administration per orders
• Routinely assisted physicians with assessment rounds.
• Prioritized urgent/emergency situations appropriately.
• Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
• Performed new patient assessment and determined severity illness, and communicated finding to providers. Performed labs draws, assisted M.D with central access placements.
• Performed scheduled checks on life support equipment and documented.
• Comply with HIPAA laws and prevent information breaches.
• Worked with healthcare team to develop new dialysis treatment flow sheet improving accountability

Responsible for end of daily facility services.

• Preceptor to 5 new nursing grad staff, contributing to supportive work environment and improved retention rates.
• Performed postpartum and newborn assessments of over 100 mothers and newborns. Primary nurse, newborn nursery nurse.
• Educated patients on disease management and self-care techniques, promoting lifestyle changes of diet and exercise for improved health post deliver.
• Documented medications in electronic medical record Epic system.
• Maintained continuing educations per hospital birthplace guidance. BLS, ACLS, NRP, Stable, PALS.
• Implemented verbal and written orders, administered medications via oral, IV, and intramuscular injections and monitored responses. Assisted physicians, and set-up for newborn circumcisions, performed injections, and hearing screening. collect labs, oxygen, point of care.
• Managed patient caseloads of 3 couplets effectively, ensuring timely interventions and follow-ups from admission to discharge.
• Notified physicians during rapidly changing conditions of mom or newborns.
• Coordinated set-up, verified warmer/ med- kit check list for newborns delivered in O.R for cesarean delivery. Received and recovered newborn using pediatric life support skills, neo-puff, and airway support with neonatologist as instructed. Assigned Apgar score according to providers assessment, assessed newborn patient conditions promptly determine appropriate interventions and prioritize care as needed for routine or emergent deliveries.
• Management of IV therapy, blood administration, and airway management leading to faster recovery times for patients treated under supervision as ordered by physicians.
• Administered, documented medications and response reducing errors by utilizing second verifier system.
• Coordinated transfers to NICU, CHKD, NMCP for emergent deliveries. Initiated discharge planning efforts with social workers, case managers, and other multidisciplinary team.
• Completed peer reviews.
• Activated Hold Under guard (HUGS) system for safety, and identification of newborns, to reduce Code Amber events. Completed footprints, and applied identifier to newborn and mother.
• Maintained HIPPA privacy guidelines.
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• Utilized expert nursing skill as float primary care registered nurse. Medical surgical, telemetry, neurosurgical, orthopedic, post-operative inpatient units.
• Primary nursine care from admission to discharge.
• Completed assessments notifying the M.D when adverse reactions occurred and interventions were needed, Administered medications P.O, IV, IM,SQ, parenteral and monitored and documented responses, labs draws, diabetic management, dressing changes, blood administration, acknowledged and carried out written and oral orders.
• Educated patients, families, and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
• Performed wound care management.
• Reduced hospital readmissions through discharge planning, patient education, and follow-up care coordination.
• Shift Report provided to unit core leader prior to completion of shift.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options
• Prevented spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hand hygiene practices
• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs
• Performed frequent checks on life support equipment defibrillator, oxygen and documented findings.
• Followed all personal and health data procedures to comply with HIPPA.
• Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency