Jose Melchor Palma III
Lynnwood,WA
Summary
Seasoned nursing professional in delivering high-quality care to patients in various settings. Proven leader when working to unite and guide nursing teams toward achieving care goals, improving patient satisfaction and adapting to continuous health system changes. Skilled at multitasking and prioritizing patient needs and daily assignments.
Overview
33
33
years of professional experience
1
1
Certification
Work History
Registered Nurse- ICRU
UWMC
Seattle, WA
09.2015 - Current
- Preparing patients for EP & Cath lab procedures, Cardioversion ,TEE & Implantable Loop Recorder
- Observing patients for side effects of anesthesia
- Monitoring and recording patient vital signs
- Monitoring patient’s level of consciousness throughout sedation recovery
- Performing post-procedure tasks, such as administering medication, checking ACT's, pulling sheaths.
- Checking and updating patient files, charts and medical records
- Collaborating with surgeons, anesthesiologists, physicians and other members of the patient’s care team
- Providing comfort and answering questions when patients wake from sedation
- Educating patients and their families regarding post-surgery care at home
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Provided direct patient care, stabilized patients and determined next course of action.
Registered Nurse- PACU
University Of Washington Medical Center
Seattle, WA
09.2014 - 08.2015
- Observing patients for side effects of anesthesia
- Monitoring and recording patient vital signs
- Monitoring patient’s level of consciousness throughout sedation recovery
- Performing post-operative tasks, such as administering medication or changing dressings
- Checking and updating patient files, charts and medical records
- Collaborating with surgeons, anesthesiologists, physicians and other members of the patient’s care team
- Providing comfort and answering questions when patients wake from sedation
- Educating patients and their families regarding post-surgery care at home
- Evaluated patients' pain levels, implementing correct dosage of medication to alleviate discomfort.
- Evaluated cardio-respiratory systems for deviations, providing appropriate treatment as necessary.
- Supported healthy working environment, adhering to patient safety protocol, complying with hospital policies and maintaining situational awareness.
- Collaborated with patients and healthcare teams to assess, plan, implement and evaluate custom care plans for each individual.
- Educated family members and caregivers on patient care instructions.
- Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
Staff Nurse- MICU
University Of Maryland Medical Center
Baltimore, Maryland
10.2008 - 11.2010
- Delivered age-appropriate medical care for adult, adolescent and geriatric ICU patients.
- Observed patients' vital signs and administered physician-prescribed medications and treatments.
- Recorded patients' medical status and treatment details in electronic charts to accurately document medical care.
- Supervised new employees and student nurses to promote adherence to established patient care standards and practices.
- Developed and implemented patient care plans based on physicians' instructions and generally accepted nursing practices.
- Coordinated with healthcare staff from various disciplines to devise, carry out and manage personalized care plans to benefit patient health and recovery.
- Assessed and managed various patient treatments for numerous patient diagnoses from sepsis to acute respiratory distress.
Staff Nurse- ICU
South Infirmary Victoria University Hospital
Cork, Ireland
03.2008 - 09.2010
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
- Delivered age-appropriate medical care for adult, adolescent and geriatric ICU patients.
- Observed patients' vital signs and administered physician-prescribed medications and treatments.
- Recorded patients' medical status and treatment details in electronic charts to accurately document medical care.
- Assessed ventilator & Prismaflex equipments for safety and functionality and requested repair or replacement of non-conforming machines.
- Guided and educated patients and caregivers on diagnoses, disease management, preventive measures, medication use and self-care to foster consistency in care administration.
- Assessed and managed various patient treatments for numerous patient diagnoses from sepsis to acute respiratory distress.
- Oversaw various aspects of telemetry by administering PA catheters and arterials, vasoactive drugs, titration, thrombolytic therapy, dysrhythmia interpretation and chest tubes.
- Conducted patient assessments, recorded vitals and analyzed records and charts to define care requirements.
- Trained and coached new employees on protocols and best practices to promote ideal patient outcomes.
Staff Nurse- Male Surgical Ward
South Infirmary Victoria University Hospital
Cork, Ireland
10.2002 - 03.2004
- Administered medications via oral, IV and intramuscular injections and monitored responses.
- Monitored patients' conditions and reported changes in physical presentation, appearance and behavior to discuss treatment with physicians.
- Implemented medication and IV administration, catheter insertion and airway management.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection.
- Directed patient care by initiating and following through with plan of care, continuing care and discharge instructions.
- Identified patient care requirements by establishing personal rapport with patients and families.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Staff Nurse- ICU
Tadawi General Hospital
Dammam, Kingdom Of Saudi Arabia
01.1997 - 05.2005
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
- Delivered age-appropriate medical care for adult, adolescent and geriatric ICU patients.
- Observed patients' vital signs and administered physician-prescribed medications and treatments.
- Recorded patients' medical status and treatment details in electronic charts to accurately document medical care.
- Supervised new employees and student nurses to promote adherence to established patient care standards and practices.
- Coordinated patients' post-discharge treatment plans with physicians and other nurses to promote continuity of medical care.
- Maintained respectful treatment environment that honored patients' and families' cultural and religious traditions and preferences.
- Guided and educated patients and caregivers on diagnoses, disease management, preventive measures, medication use and self-care to foster consistency in care administration.
Staff Nurse- ICU
Riverside Medical Center
Bacolod City, Philippines
03.1994 - 09.1996
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
- Delivered age-appropriate medical care for adult, adolescent and geriatric ICU patients.
- Observed patients' vital signs and administered physician-prescribed medications and treatments.
- Recorded patients' medical status and treatment details in electronic charts to accurately document medical care.
- Supervised new employees and student nurses to promote adherence to established patient care standards and practices.
- Developed and implemented patient care plans based on physicians' instructions and generally accepted nursing practices.
- Explained health care issues and ramifications to patients and families to promote informed medical care choices.
Staff Nurse
Gov. Valeriano Montelibano Memorial Hospital
Hinigaran, Negros Occidental , Philippines
03.1992 - 12.1992
- Administered medications via oral, IV and intramuscular injections and monitored responses.
- Monitored patients' conditions and reported changes in physical presentation, appearance and behavior to discuss treatment with physicians.
- Implemented medication and IV administration, catheter insertion and airway management.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Assessed physical, psychological, physiologic and cognitive status of patients.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
- Managed elements of patient care from admission to discharge or transfer to other units.
- Gathered patient health data through interviews and observation, documenting data in charts.
- Identified learning needs of patients and families and responded with advocacy and health education.
Education
Bachelor of Science - Nursing
Riverside College
Bacolod City, Philippines03.1991
Skills
- Utilized critical thinking skills nursing process: assessed conditions, demonstrated effective decision making, implemented appropriate intervention, anticipated potential complications, and evaluated care outcomes
- Prioritized patients care
- Educated patients and their families on disease process, EP and Cath lab procedures, and pain management
- Initiated IVs on all pre-op patients
- Team player
- Excellent communication skills
- Provided clear and positive direction to the team
- Remains calm in a stressful situation
Certification
Certified Critical Care Nurse
Affiliations
Washington Board of Nursing - Registered Nurse
Association of Critical Care Nurse
Additional Information
BLS
ACLS
Timeline
Registered Nurse- ICRU
UWMC
09.2015 - Current
Registered Nurse- PACU
University Of Washington Medical Center
09.2014 - 08.2015
Staff Nurse- MICU
University Of Maryland Medical Center
10.2008 - 11.2010
Staff Nurse- ICU
South Infirmary Victoria University Hospital
03.2008 - 09.2010
Staff Nurse- Male Surgical Ward
South Infirmary Victoria University Hospital
10.2002 - 03.2004
Staff Nurse- ICU
Tadawi General Hospital
01.1997 - 05.2005
Staff Nurse- ICU
Riverside Medical Center
03.1994 - 09.1996
Staff Nurse
Gov. Valeriano Montelibano Memorial Hospital
03.1992 - 12.1992
Bachelor of Science - Nursing
Riverside College
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