Jessica Florestal RN
Unadilla,NY
Overview
9
9
years of professional experience
1
1
Certification
Work History
Critical Care Float Pool Registered Nurse
Montefiore Hospital-Moses
The Bronx, New York
03.2024 - Current
- Directly cared for acutely ill patients in the Cardiothoracic Intensive Care Unit, CCU, MICU, NSICU, and SICU. Provide patient-centered care, high acuity care to a diverse population using critical thinking and evidence-based protocols.
- Provided meticulous care for patients post-op heart, lung, and liver transplants, valve replacements, coronary artery bypass grafts, and craniotomies.
- Collaborated with infection control and nursing leadership through Shared Governance to promote best practices for hand hygiene compliance and central line care, helping to reduce hospital-acquired infections (HAIs).
- Led nurse-led education sessions on CLASBI and CAUTI, and prevention protocols, contributing to reduced HAI rates across ICUs.
Registerned Nurse- SICU/ NSICU
NYC Health + Hospitals/ Kings County-Clover Health
Brooklyn, NY
06.2023 - 01.2024
- Trauma nurse at a 20-bed, high-acuity surgical and neuro-surgical ICU unit in a Level I trauma center.
- Managed post-op care for GSW, MVA, train strikes, laparotomy, CVA, and neurosurgery patients.
- Monitored and managed patients with EVD/ICP, burr hole, s/p craniotomy, VP shunt, spinal cord injury, chest tubes, PE, shock, cardiac arrest, IABP, TR band, TPN administration with blood products, Belmont rapid infuser, and CRRT using Prismaflex.
- Responded quickly and effectively in emergency situations, utilizing advanced life-saving skills when needed.
- Collaborated with other healthcare professionals to develop individualized plans of care for each patient.
- Performed physical assessments to identify any changes in the patient's condition or needs.
- Ensured that all documentation was accurate and up-to-date, according to established guidelines.
- Provided emotional support to families during stressful times associated with the critical illness or death of a loved one.
Cardiothoracic ICU Staff Nurse
New York Presbyterian Brooklyn Methodist Hospital
Brooklyn, NY
05.2022 - 05.2023
- Assess and manage critically ill cardiothoracic patients, primarily in the postoperative phase following open-heart surgery, such as coronary artery bypass surgery, valve replacement, repair of aortic aneurysm, TAVR, and VATS procedures.
- Functioned as charge nurse and assumed patient care in the absence of nurses ending or arriving for shifts.
- Manage equipment including ventilators, chest tubes, and surgical drains, pulmonary artery catheters such as Swan-Ganz catheters (both with and without continuous cardiac monitoring/Edwards Life Science monitor), intra-aortic balloon pumps, Impella, ECMO, and multiple vasoactive medication drips.
- Participate in daily multidisciplinary rounds, and collaborate extensively with multiple disciplines.
- Educate and advocate for patients and families.
Travel Registered Nurse, ICU
Mercy Hospital ( Maxim Agency)
Rockville , NY
01.2022 - 04.2022
- Cared for adult critically ill, ventilated patients with Covid-19, ARDS, COPD, sepsis/septic shock, CHF, NSTEMI, ACS, DKA, DIC, GI bleed, minor trauma, and multi organ failure.
- Planned and organized care, administered and titrated vasoactive medications and blood products, maintained hemodynamics lines, participated code situations, and assisted with beside procedures.
Staff Nurse- Medical ICU
NYC Health + Hospitals/Bellevue
Manhattan, NY
10.2020 - 04.2022
- Provided patient care, performed assessments, and interventions at an 18-bed MICU unit for COVID-19, ARDS, septic shock, blood disorders, multi-organ failure, and/or neurocritical patients.
- Managed all facets of telemetry, including PA catheters and arterials, vasoactive drug administration and titration, thrombolytic therapy, dysrhythmia interpretation, and chest tube management.
- Administered medications as determined by the patient’s condition (IV push, Sub-Q, IM, NG/OG, etc.).
- Assisted doctors in the delivery of medical procedures at the bedside, such as intubation, tracheostomy/PEG and arterial/central line placement, bronchoscopy, and EVD placement.
- Provided advanced life support in case of emergencies.
- Respond, treat, and advise in medical emergencies throughout the hospital, working closely with respiratory therapy and MDs.
- Primary nurse response for all cold blues and strokes for this level 1 trauma center, assist with patient transfer to the ICU to ensure that the patient has not declined since transfer.
- Completes charge nurse duties by supervising staff, coordinating daily administrative duties, including nursing assignments and bed management. Oversees patient admissions, transfers, and discharges.
- Praised for having a calm demeanor, and accurate documentation skills during codes and rapid response events.
- Decreased CAUTI and CLABSI bundle infections by 65% by following infection control protocols.
- Managed and initiated patients on ECHMO and Continuous Renal Replacement Therapy.
- Collaborated and managed ventilator settings with the MD and respiratory therapist.
- Performed EKG, blood specimen, sputum, urine collection, IV application, foley catheter insertion, and NG/OG tube placement.
- Decreased pressure injury development by 40% by repositioning patients every 2 hours and performing activities of daily living care.
Travel Registered Nurse, Surgical ICU
Nassau University Medical Center ( White Glove)
East Meadow, NY
09.2021 - 12.2021
- 10 bed high acuity Surgical ICU in a Level 1 trauma center.
- Responsible for post surgical care for trauma, abdominal, general, ENT orthopedic, and vascular surgery patients.
- Managing Patients requiring advanced airway and ventilator management.
- frequent assessment, monitoring and titration of vasoactive, cardiac, and sedation drips.
- Care and maintenance of invasive hemodynamic lines and monitors including primarily central venous and arterial, and occasional pulmonary artery catheter
- Proficient in arterial punctures ( radial), as well as peripheral IV insertion.
- Assists with all medical emergencies utilizing current ACLS guidelines of practice.
- Assist with transferring critical patients to CT Scan, MRI and IR.
Registered Nurse, COVID-19 Relief
MJHS- GREENKEY RESOURCES
New York, NY
03.2020 - 06.2020
- Cared for ventilator dependent residents diagnosed with COVID-19.
- Collaborated with the Respiratory Therapist in developing respiratory therapy goals and treatment for residents.
- Responded quickly to codes and coordinated efficient and skilled care.
- Administered critical IV medications to stabilize patients for assessment and treatment.
- Administer GT/Peg tube, PO and IM medications, including, but not limited to, vaccines, and narcotics.
- Administer oxygen as indicated.
- Perform basic phlebotomy as indicated for laboratory test and procedures.
- Assessed and evaluate patient care needs and applied critical thinking skills in patient care management.
- Tested patients for COVID-19 via nasopharyngeal swab
- Communicated and collaborated with members of the patient care team to deliver optimal patient care, including patient transfer to emergency department for treatment.
- Facilitated discharge and patient education regarding COVID-19 in accordance with the guidelines of The CDC and DOH.
- Monitor and implement the use of aseptic and infection control techniques in direct and indirect patient care.
- Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
- Prioritized patient care assignments based on patient condition, responding to unanticipated interruptions while delegating care to achieve optimal, safe and effective outcomes.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Registered Nurse Field Supervisor
Caring People INC
Hempstead, NY
02.2020 - 05.2020
- Formulated Plans of Care and provided member education on disease management and health promotion to encourage optimal level of functioning and independence.
- Perform start of care visits/assessments, Supervisory visits, and UAS-NY
- Coordinates and conducts orientation, training, and supervise HHAs, CNAs, LPNs.
- Advocated for clients including those with chronic illness(es), behavioral health concerns, and physical and/or cognitive deficits; population served ranges from middle aged adult to the elderly
- Collaborated with Care Managers, Social Workers, and other members of the interdisciplinary team to establish continuity of care and interventions as they relate to members’ needs addressing
any urgent needs of a client.
Adult Trach/vent Charge Nurse (LPN to RN)
Medford Multi Care Center
Medford, NY
01.2017 - 02.2020
- Charge Nurse on a 40 bed Ventilator/step down unit
- Maintain ventilator setting according to MD orders
- Maintain airway patency by performing inclosed and open suctioning.
- Supervised and direct the total nursing activities on unit including, assignment of nursing staff and patient care.
- Implement physician orders and other nursing procedures such as tracheotomy/ventilator care, decubitus ulcer care , foley care, and IV/PICC medication administration/management
- Conducted full respiratory assessment daily
- Developed discipline specific and comprehensive care plans relevant to residents needs.
- Minimized staff and patient infection risk by maintaining a clean and safe environment
- GT and Peg tube care/management
- Collaborated with physicians and other health care team members in developing and implementing plan of care.
- Trained new nursing staff on electronic medical record systems, programs, and policies and procedures.
- Complete admissions transfers and discharges process of ventilator-dependent residents.
- Assured quality of care by adhering to DOH standards of practice and facility standards of care.
- Completed daily chart audits and assessed clinical records to verify accuracy, evaluate performance against goals and check for appropriate education of patients and families.
- Exhibited professionalism and leadership to peers by participating in professional activities and continuing education.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
LPN STAFF NURSE
Sunharbor Manor Rehabilitation - MediStarr Agency
Roslyn Heights, NY
11.2017 - 08.2019
- Monitored CVA's, MVA's, head trauma, total knee or hip replacement surgery patients, as well as debilitated patients
- Assisted patients with CPM machine.
- Pain therapeutic management.
- Treated and dressed traumatic/surgical wounds and pressure injury as
needed - Supervise Certified Nursing Assistants (CNAs)
- Initiated and maintained IV access, foley catheters, nasogastric tubes,
GT/peg tubes, and assisted with prn medication - Reinforced ongoing teaching with the patient and their families
regarding home care and additional therapy on an outpatient basis or home health
Education
Bachelor of Science - Nursing BSN
Chamberlain University
Downers Grove, IL12.2020
Associate of Applied Science - Nursing
Helene Fuld College of Nursing
New York, NY11.2019
LPN Certification
VEEB
Hicksville, NY08.2016
Associate of Arts -
Nassau Community College
Garden City, NY12.2012
Skills
- Critical care and hemodynamic monitoring
- Mechanical ventilation, advanced airway
- CRRT, ECMO, IABP, and Impella management
- Rapid response and code blue response
- Precepting and mentoring new nurses
- Shared governance participation
- Proficient in EPIC and SigmaCare EMR systems
- Fluent in English and French Creole
Certification
Registered Nurse in the State of New York, License Number 784116-01
Licensed Practical Nurse in the State of New York, License number 327431
ACLS Certified through American Heart Association EXP 1/2026
BLS Certified through American Heart Association EXP 1/2026
Short IV course certified through CPR 123 Completed on 8/2020
NIH Stroke Scale Certification through Apex Innovation EXP 1/2026
Trauma Nursing Core Course Certification through ENA EXP 2/2028
Professional Affiliations
American Association of Critical-Care Nurses ( AACN)-Member since 10/2020
Diversity CRNA- Member since 2/2023
Haitian American Nurses Association (HANA)- member since 1/2025
Timeline
Critical Care Float Pool Registered Nurse
Montefiore Hospital-Moses
03.2024 - Current
Registerned Nurse- SICU/ NSICU
NYC Health + Hospitals/ Kings County-Clover Health
06.2023 - 01.2024
Cardiothoracic ICU Staff Nurse
New York Presbyterian Brooklyn Methodist Hospital
05.2022 - 05.2023
Travel Registered Nurse, ICU
Mercy Hospital ( Maxim Agency)
01.2022 - 04.2022
Travel Registered Nurse, Surgical ICU
Nassau University Medical Center ( White Glove)
09.2021 - 12.2021
Staff Nurse- Medical ICU
NYC Health + Hospitals/Bellevue
10.2020 - 04.2022
Registered Nurse, COVID-19 Relief
MJHS- GREENKEY RESOURCES
03.2020 - 06.2020
Registered Nurse Field Supervisor
Caring People INC
02.2020 - 05.2020
LPN STAFF NURSE
Sunharbor Manor Rehabilitation - MediStarr Agency
11.2017 - 08.2019
Adult Trach/vent Charge Nurse (LPN to RN)
Medford Multi Care Center
01.2017 - 02.2020
Bachelor of Science - Nursing BSN
Chamberlain University
Associate of Applied Science - Nursing
Helene Fuld College of Nursing
LPN Certification
VEEB
Associate of Arts -
Nassau Community College
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