JOANNA LEANO
Walnut Creek,CA
Summary
Dedicated registered nurse with over 20 years of extensive clinical experience in ICU, telemetry, PACU, and stroke unit settings. Expertise in managing critically ill and post-operative patients, performing advanced patient assessments, and delivering evidence-based nursing care. Recognized for exceptional clinical judgment, effective interdisciplinary collaboration, and a calm, compassionate demeanor in high-acuity environments. Committed to providing the highest standard of care while fostering a supportive atmosphere for patients and their families.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Medical - Surgical Telemetry Nurse
Kaiser Permanente Antioch Medical Center
Antioch, California
11.2025 - 02.2026
- Provides comprehensive nursing care to adult patients with acute and chronic medical-surgical conditions requiring continuous cardiac monitoring.
- Monitors, interprets and responds to cardiac rhythms and telemetry alarms; promptly reports changes in patient condition.
- Administered medications and monitored vital signs in high-acuity telemetry unit.
- Implemented evidence-based practices to improve patient outcomes and safety protocols.
- Utilized electronic health record systems for accurate documentation and information accessibility.
Medical - Surgical Telemetry Nurse
Kaiser Permanente Walnut Creek Medical Center
Walnut Creek, California
04.2025 - 10.2025
- Performed thorough head - to - toe assessments, including focused cardiovascular and respiratory assessments.
- Identified early signs of patient deterioration and initiate appropriate interventions, including rapid response activation when needed.
- Administered medications accurately and timely, adhering to strict protocols for medication administration.
- Utilized telemetry equipment to closely monitor vital signs and quickly identify any abnormalities or potential complications.
- Collaborated with interdisciplinary healthcare teams to deliver high-quality patient care and optimize treatment outcomes.
Post-anesthesia Care Unit Nurse
Memorial Hospital of South Bend
South Bend, Indiana
02.2024 - 02.2025
- Performed focused post-operative assessments, including airway, respiratory, cardiovascular, neurological and surgical site evaluation.
- Assessed and managed post-operative pain, nausea and vomiting using pharmacologic and non-pharmacologic interventions.
- Monitored for and intervened in post-anesthesia complications such as respiratory depression, hypotension and bleeding.
- Streamlined communication protocols between departments, improving response times for patient needs and inquiries.
- Maintained accurate electronic medical records by promptly documenting assessments, interventions, evaluations, and patient responses to treatment.
Medical - Surgical Telemetry Nurse
St. Joseph Regional Medical Center
Mishawaka, IN
10.2022 - 01.2024
- Provided direct nursing care to adult patients with a wide range of acute and chronic medical - surgical conditions.
- Administered medications and intravenous therapies safely, including pain management and antibiotics.
- Conducted comprehensive assessments to identify changes in patient conditions promptly.
- Streamlined workflow processes, enhancing efficiency in patient care delivery across shifts.
- Delegated tasks to nursing support staff as appropriate, ensuring efficient utilization of resources and optimal patient care.
Stroke and Telemetry Nurse
Memorial Hospital of South Bend
South Bend, IN
10.2021 - 05.2022
- Performed frequent neurological assessments, including NIHSS, and promptly identified changes in neurological status.
- Monitored, interpreted and responded to telemetry rhythms and alarms, recognized arrhythmias and hemodynamic instability.
- Collaborated with interdisciplinary teams to develop and implement individualized care plans.
- Implemented quality improvement initiatives that enhanced patient safety measures in telemetry unit.
- Utilized electronic health records systems for accurate documentation and communication of patient data.
Orthopedic, Neurosurgical and Trauma Unit Nurse
Memorial Hospital of South Bend
South Bend, IN
02.2018 - 07.2021
- Managed care for patients with fractures, spinal injuries, traumatic brain injuries, and post-operative orthopedic and neurosurgical conditions.
- Monitored vital signs, pain levels and mobility status; identify early signs of complications such as compartment syndrome, increased intracranial pressure or neurological deterioration.
- Mentored junior nursing staff, fostering a collaborative environment focused on quality patient care and safety.
- Implemented infection control protocols, enhancing compliance and reducing hospital-acquired infections significantly.
- Educated patients about their conditions, medications, treatments, and self-care strategies to foster understanding and compliance with care plans.
Intensive Care Unit Nurse
King Fahad Specialist Hospital
Dammam, Kingdom of Saudi Arabia
01.2014 - 01.2016
- Provided comprehensive critical care to patients with life threatening conditions requiring continuous monitoring and advanced interventions.
- Coordinated daily rounds with physicians, pharmacists, therapists, and other health professionals to optimize patient outcomes in a collaborative manner.
- Administered and titrated high-risk medications such as vasopressors, sedatives, analgesics and anti-arrhythmias per protocol.
- Led training sessions for new nursing staff on ICU protocols and best practices in patient care.
- Implemented evidence-based protocols that enhanced patient safety and reduced complication rates within the unit.
- Conducted regular assessments of patient conditions, adjusting care plans based on evolving clinical needs.
- Mentored junior nurses in critical thinking skills and decision-making processes during emergency situations.
- Provided emotional support to patients and families during difficult medical situations, fostering trust and rapport.
Intensive Care Unit
Al Hammadi Hospital
Riyadh, Kingdom of Saudi Arabia
01.2011 - 01.2014
- Performed frequent, detailed assessments of neurological, respiratory, cardiovascular and renal function.
- Monitored and interpreted vital signs, telemetry, invasive lines (e.g arterial lines, central lines), and outputs (e.g. urine, chest tubes).
- Administers and titrates critical care medications such as vasopressors, sedatives, anticoagulants, insulin drips and paralytics.
- Attended surgical rounds in intensive care unit to follow up on patient recovery and discuss methods of improving outcomes.
- Promoted a culture of teamwork within the intensive care unit through open communication channels with colleagues from various disciplines.
- Assisted in the development of new policies and procedures aimed at improving overall intensive care unit performance, resulting in better patient outcomes.
- Mentored newly-hired nurses in the development of their clinical skills and knowledge base specific to the unique requirements of the Medical Intensive Care Unit setting.
Education
Bachelor of Science - Nursing
University of Santo Tomas
Manila, Philippines01.2006
Skills
- Critical care nursing
- Cardiac telemetry monitoring and rhythm interpretation
- Post-anesthesia care and monitoring
- Acute stroke and neurological assessment (NIHSS stroke scale scoring)
- Airway management and oxygen therapy
- Intravenous therapy and central line care
- Medication administration including high-risk drips
- Pain management
- Rapid response and code blue participation
- Wound care and infection prevention
- Early recognition of patient deterioration
- Stroke protocol implementation
Certification
- Registered Nurse - California License #95399503, Active
- Basic Life Support American Heart Association 2026-01
- Advanced Cardiac Life Support American Heart Association 2026-01
- Pediatric Advanced Life Support American Heart Association 2026-01
Timeline
Medical - Surgical Telemetry Nurse
Kaiser Permanente Antioch Medical Center
11.2025 - 02.2026
Medical - Surgical Telemetry Nurse
Kaiser Permanente Walnut Creek Medical Center
04.2025 - 10.2025
Post-anesthesia Care Unit Nurse
Memorial Hospital of South Bend
02.2024 - 02.2025
Medical - Surgical Telemetry Nurse
St. Joseph Regional Medical Center
10.2022 - 01.2024
Stroke and Telemetry Nurse
Memorial Hospital of South Bend
10.2021 - 05.2022
Orthopedic, Neurosurgical and Trauma Unit Nurse
Memorial Hospital of South Bend
02.2018 - 07.2021
Intensive Care Unit Nurse
King Fahad Specialist Hospital
01.2014 - 01.2016
Intensive Care Unit
Al Hammadi Hospital
01.2011 - 01.2014
Bachelor of Science - Nursing
University of Santo Tomas