Jobran Bague Candelaria

• I run here few bases at select specialty hospital.
• Make the assignment for the nightshift cancel to prevent over staffing.
• House supervisor report assign the beds for the new admits.
• Leader of the codes.
• When we have Pts on multiple drips make plans with the staff to wean more quick this Pt from vent or critical drips like sedation, pressors.
• Identify pain, anxiety resp patterns on time to keep this Pt on comfort zone all the time to keep working on the vent numbers and move this Pt out of vent more quick.
• Managed nursing staff schedules to ensure optimal coverage during peak hours and reduced overtime costs.
• Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
• Streamlined communication between departments for improved patient flow and satisfaction.
• Reviewed clinical documentation to asses standards and quality of care.
• Monitored patient acuity levels closely, adjusting staffing assignments as needed for optimal care delivery.
• Resolved conflicts among team members promptly and effectively, maintaining a harmonious work environment.
• Provided emergency response during shifts and when on-call.
• Mentored new nurses, providing guidance on hospital policies and procedures, fostering professional growth and development.
• Maintained accurate records of employee performance evaluations, certifications, licenses, continuing education requirements, ensuring compliance with regulatory standards.
• Collaborated with interdisciplinary teams to develop comprehensive care plans for patients, resulting in better outcomes.
• Promoted evidence-based practices among nursing staff by staying current on industry trends and research, sharing knowledge with colleagues.
• Enhanced patient care by implementing efficient processes and utilizing resources effectively.
• Served as a liaison between administration and clinical staff, facilitating open communication channels for policy updates and concerns.
• Conducted regular rounds on all units to assess overall functioning of the department while addressing any issues or concerns that arose.
• Evaluated staff performance regularly and provided constructive feedback, leading to increased competency and productivity.
• Championed quality improvement projects to identify areas of inefficiency, resulting in more streamlined operations.
• Reduced medication errors by conducting thorough reviews of protocols and establishing a culture of safety within the department.
• Assisted in the recruitment process by interviewing potential candidates, contributing to a strong nursing workforce.
• Administered medications subcutaneously, orally and via IV.
• Collaborated with physicians regarding patient conditions, updates and necessary care changes.
• Assessed patient care procedures and implemented changes to improve efficiency and effectiveness.
• Coordinated with IT department to troubleshoot and resolve technical issues in timely manner, minimizing disruption to hospital operations.
• Initiated mentorship program, pairing experienced nurses with new graduates to facilitate knowledge transfer and support professional development.
• Managed hospital's budget for nursing department, ensuring optimal use of resources and cost savings.
• Implemented new training initiatives for nursing staff, enhancing skills in critical care techniques and best practices.
• Conducted performance evaluations for nursing staff, providing constructive feedback and setting goals for future improvement.
• Implemented new scheduling system to optimize staff allocation, ensuring all shifts were adequately covered without overworking staff.
• Ensured smooth hospital operations during night shifts, addressing any emergencies or issues promptly.
• Developed and executed training programs for new hires, ensuring they were well-prepared to meet demands of their roles.
• Maintained compliance with healthcare regulations and standards, conducting regular audits and updating policies as needed.
• Improved staff morale and reduced turnover with regular feedback sessions and targeted training programs.
• Monitored patient feedback to identify areas for improvement, leading to implementation of several key initiatives that enhanced patient care.
• Enhanced patient care quality by supervising and coordinating nursing staff activities across multiple departments.
• Led by example, demonstrating strong work ethic and commitment to patient care, which inspired staff to perform at their best.
• Resolved conflicts among staff members, fostering more collaborative and supportive work environment.
• Oversaw maintenance and cleanliness of facility, ensuring safe and welcoming environment for patients and staff.
• Facilitated team meetings to discuss patient care plans, resulting in more cohesive and effective care strategies.
• Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
• Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
• Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
• Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
• Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
• Created customized care plans, working with hospital staff and families to assess and meet individual needs.
• Communicated with patients, ensuring that medical information was kept private.
• Discussed medical histories with patients in effort to provide most effective medical advice.
• Administered medications accurately and safely, reducing medication errors and adverse reactions.
• Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
• Coordinated discharge planning efforts with social workers, case managers, and other multidisciplinary team members for smooth transitions posthospitalization.
• Managed complex cases of critically ill patients, ensuring optimal treatment plans were executed effectively.

• Star working in tele my H.S see my big potential how dedicated I am on this profession and they transfer me to ICU department in 4 moths, in ICU we receive admissions from all departments, when the admissions show up we do teamwork to completed patient admission,assessments, recorded patient histories, symptoms and observations, the first treatment, making the patient feels safe and well treated, middle and advanced age, work, this unit we place foley catheters, nasogastric tube, clean wounds. I was the leader of the codes cardio respiratory arrest, we intubate Pts follow the intubation protocol, I have the knowledge and the skills to manage Pt on vent settings, critical drips,sedation, pressors, blood transfusions, neuro CVA, TIA, TBI,SEIZURES, Trauma, poly traumas replace electrolytes, placing IV, administrating meds correct medication's by the 6 correct identification band.
• Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
• Transfer Pts from ICU to different departments.
• Work with patient in artificial life support, parameter of mechanic ventilation, suction, measured intake and output, reading ABG's. Monitored patients' respiration activity, blood pressure and blood glucose levels in response to medical administration, pH and CO2 in blood, the parameters and how to keep balance. Identified abnormal and critical respiratory patterns through direct pulmonary assessments.
• Monitoring hearth rhythm, reading EKG and detecting arrhythmias and treat them with anti aritmeds. Detected emerging problems by monitoring patients' behavior, vital signs and fluid intake and output.
• Assessed patient health needs by reviewing and tracking EKG readings to address telemetry readings and quickly inform teammates on stability or acuity changes.
• Monitored patient hemodynamic status during procedures using electrocardiograms. Administered continuous and 12-lead electrocardiogram monitoring. Identified best veins for intravenous lines and blood draws, avoiding unnecessary pokes.
• Manage patient with DKA, low or hight blood sugar, run blood sugar sample every 1 hrs. Insulin drips, follow the institution protocol.
• Identify ulcer and the stage, and how to clean the wounds with the correct protocols or follow wound care recommendations
• Provided patient and family health education focusing on self-management, prevention and wellness.
• Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
• Monitored patients after surgery, answered questions and provided home care strategies.
• Oversaw patient admission and discharge processes to coordinate related paperwork.
• Maintained thorough, accurate and confidential documentation in electronic medical records. Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
• Recorded patient condition, vital signs, recovery progress and medication side effects.
• Administered medications, tracked dosages and documented patient conditions. Collected lab specimens, ordering and interpreting diagnostic tests and lab results. Administered medications and treatments, monitoring patients for reactions and side effects.
• Keep track of patient's changing pain levels and proactively worked to minimize excess pain or discomfort.
• Evaluated patient vital signs and laboratory data to assess needs and provide emergency interventions.
• Delivered optimum treatments to critical-care patients following prescribed rules, policies, protocol and procedures.
• Supervised cardiac monitors, mechanical ventilators and alarms and oxygen delivery devices. Prepared medical equipment and tools to aid physician during examination and treatment of patients.
• Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
• Labeled blood vials with critical information like time of collection, date and patient name.
• Obtained variety of blood samples through venipuncture or capillary puncture using syringes, butterfly needles and straight needles.
• Checked hemoglobin levels of individuals prior to blood donation. Transfusion of blood and its derivatives, identify the patient too RN nurse make the identification of the patient before administrating the transfusion.
• Flushed intravenous lines with saline to prevent blockages.
• Administered oral, IV and intra-muscular medications and monitored patient reactions.

• Telemetry unit we have in charge 12 Pts we have to monitor very close this Pts CHF-D AKI , ESRD, Vitals signs,I,O arrhythmias start critical drips Amiodarone, Cardizem drips treat anxiety and pain too all this can prevents intubations manage hypotensions with pressors fluids collecting stat labs verify electrolytes K,Ca,Na,Mg we also check renal function liver function intake, outputs weight Pts daily one of the main reason that we cant wean Pts out of vents fluids overloaded.

Call physicians when we identify problems to order labs CRX to compare and start making adjustments on the medications

• Patients on vents
• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
• Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
• Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
• Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.