Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
RegisteredNurse

Joseph Estenes

Registered Nurse
Englishtown,NJ

Summary

Skilled nursing professional with more than 16 years of experience and passion for providing highest quality of behavioral and medical care. Compassionate and empathetic advocate for patients and families. Skillfully assesses health status, develops diagnoses and manages care for patients with acute and chronic concerns. Experienced in structured and unstructured environments, smoothly coordinating multiple activities and competing priorities. Master level of intravenous line insertion with more than 3,000 IV insertion successes at a confident 95-97% success rate. Diligent assessment and evaluation of patient histories and assessments. Diligent quality control assessment.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Staff Nurse, Operating Room

Manalapan Surgery Center
Manalapan, NJ
02.2016 - Current
  • Monitored surgical patients and delivered quality level of care before, during and after operations to promote positive outcomes.
  • Assisted surgeons with cutting of tissue, clamping and suturing during operational procedures.
  • Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection.
  • Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes.
  • Identified learning needs of patients and families and responded with advocacy and health education.
  • Ordered, interpreted and evaluated diagnostic tests to identify and assess patient condition.
  • Assessed physical, psychological, physiologic and cognitive status of patients.
  • Directed patient care by initiating and following through with plan of care, continuing care and discharge instructions.
  • Reported patients' status and delegated nurse assignments to achieve optimal outcomes.
  • Assisted physicians in minor surgeries by keeping instruments sterilized and maintaining inventory.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
  • Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures and nursing best practices.
  • Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
  • Implemented medication and IV administration, catheter insertion and airway management.
  • Managed elements of patient care from admission to discharge or transfer to other units.
  • Monitored patients' conditions and reported changes in physical presentation, appearance and behavior to discuss treatment with physicians.
  • Administered medications via oral, IV and intramuscular injections and monitored responses.
  • Assessed medical status of patients pre- and post-operation by checking vital parameters and supervising food intake.
  • Gathered patient health data through interviews and observation, documenting data in electronic records.
  • Assessed team members' workloads and pitched in to help in areas where need was most evident.
  • Kept count of all surgical instruments and sponges used during operations and procedures.
  • Collaborated with members of patients' healthcare team to deliver appropriate level of care.
  • Performed preoperative assessments on patients and evaluated overall health.
  • Coordinated nursing care to be carried out according to facility guidelines and regulations.

Registered Nurse, Telemetry Unit

Robert Wood Johnson Hospital
Hamilton Square, NJ
08.2015 - 02.2016
  • Organized and managed care of patients undergoing various therapies and procedures.
  • Secured controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities.
  • Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
  • Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
  • Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
  • Monitored patient reactions to drugs and carefully documented findings.
  • Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Collected blood, tissue and other laboratory specimens and prepared for lab testing.
  • Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use and disease management.
  • Implemented medication and IV administration, catheter insertion and airway management.
  • Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments, and supervising team comprised of nurses, LPNs, technicians and unit clerks.
  • Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
  • Maintained quality care and comfort for patients with heart failure, pulmonary hypertension and other conditions.
  • Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
  • Minimized hospital stays with recovery-centered approaches, reducing average in-patient stay length.
  • Provided direct patient care, stabilized patients and determined next course of action.
  • Audited charts and reviewed clinical documents to verify accuracy.
  • Administered medications via oral, IV and intramuscular injections and monitored responses.
  • Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.

Assistant Director of Nursing

Liberty Royal Nursing Home
Tinton Falls, NJ
06.2015 - 07.2015
  • Performed rounds to observe care and interview staff, residents and families.
  • Collaborated with staff, management and external groups to coordinate patient care.
  • Planned and assigned workload to 2-person nursing staff to direct patient care.
  • Established new policies and updated existing policies to improve standard of care for patients.
  • Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
  • Participated in daily management team meetings to discuss resident status, census changes and resident complaints or concerns.
  • Prepared and reviewed infection control surveillance reports to identify trends and develop effective actions to control and prevent infections.
  • Identified department issues to recommend corrective actions.
  • Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
  • Communicated with patients, ensuring that medical information was kept private.
  • Fostered excellence by example by "setting pace" and being hands on mentor to clinical staff.
  • Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
  • Created customized care plans, working with hospital staff and families to assess and meet individual needs.
  • Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
  • Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
  • Motivated and supervised 5 Registered Nurses and Nursing Assistants in delivering quality patient care.
  • Ordered all pharmacy supplies and kept check on inventory levels.
  • Reviewed and evaluated test results to suggest care and treatment options.
  • Spearheaded and implemented new projects to expand scope of engagement.
  • Introduced and implemented new testing and interpretation procedures to maintain standards of care and meet quality assurance benchmarks.
  • Identified new areas of scientific research and provided internal training.

Staff Nurse, Orthopedic/Neurology/Trauma/Surgical

Sunrise Hospital
Las Vegas, NV
10.2014 - 04.2015
  • Gathered patient health data through interviews and observation, documenting data in electronic records.
  • Managed elements of patient care from admission to discharge or transfer to other units.
  • Assessed medical status of patients pre- and post-operation by checking vital parameters and supervising food intake.
  • Reported patients' status and delegated nurse assignments to achieve optimal outcomes.
  • Coordinated with physicians to perform bedside procedures such as intravenous injections, vascular line insertions and bronchoscopies.
  • Assessed physical, psychological, physiologic and cognitive status of patients.
  • Directed patient care by initiating and following through with plan of care, continuing care and discharge instructions.
  • Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures and nursing best practices.
  • Promoted patient independence by teaching self-care skills.
  • Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes.
  • Monitored patients' conditions and reported changes in physical presentation, appearance and behavior to discuss treatment with physicians.
  • Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds and thoracic trauma.
  • Identified learning needs of patients and families and responded with advocacy and health education.
  • Ordered, interpreted and evaluated diagnostic tests to identify and assess patient condition.
  • Minimized hospital stays with recovery-centered approaches, reducing average in-patient stay length.
  • Collected blood, tissue and other laboratory specimens and prepared for lab testing.
  • Formulated plans for nursing measures to restore, maintain and promote patients' physical and mental health.
  • Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
  • Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern.
  • Administered medications via oral, IV and intramuscular injections and monitored responses.
  • Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
  • Delivered proper care to victims of domestic violence at urgent care clinic.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Implemented medication and IV administration, catheter insertion and airway management.
  • Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection.

Registered Nurse Case Manager (Field)

Care One, LLC
Holmdel, NJ
01.2011 - 06.2013
  • Effectively communicated with physicians regarding patient needs, performance, medications and changes.
  • Completed initial assessments of patients and family to determine and address individual home care needs. ·
  • Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
  • Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
  • Responded promptly and professionally to patient questions and concerns.
  • Liaised with physicians regarding patient needs, performance and changes.
  • Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
  • Initiated appropriate preventive and rehabilitative nursing procedures.
  • Verified legibility of patient clinical notes and updates prior to review by primary physicians.
  • Managed and streamlined referral queues of up to 55 patients monthly by efficiently prioritizing patients and clearing insurance obstacles.
  • Marketed Care One rehabilitation facilities to hospital staff, patients, and community via events and personal referrals.
  • Successfully increased admission rate from St. Francis Medical Center to Care One Ewing by 500% over one month and for 6 months thereafter.


Staff Registered Nurse

CentraState Medical Center
Freehold, NJ
08.2007 - 10.2010
  • Administered medications via oral, IV and intramuscular injections and monitored responses.
  • Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
  • Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
  • Verified patients had information necessary for ongoing care, providing guidance on diagnoses, management of medications and prevention methods.
  • Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes.
  • Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern.
  • Minimized hospital stays with recovery-centered approaches, reducing average in-patient stay length.
  • Orchestrated quality-driven, cost-effective care in high-volume trauma center setting.
  • Monitored patients' conditions and reported changes in physical presentation, appearance and behavior to discuss treatment with physicians.
  • Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection.
  • Assessed physical, psychological, physiologic and cognitive status of patients.
  • Directed patient care by initiating and following through with plan of care, continuing care and discharge instructions.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
  • Implemented medication and IV administration, catheter insertion and airway management.
  • Identified patient care requirements by establishing personal rapport with patients and families.
  • 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 electronic records.
  • Collected blood, tissue and other laboratory specimens and prepared for lab testing.
  • Promoted patient independence by teaching self-care skills.
  • Identified learning needs of patients and families and responded with advocacy and health education.
  • Coordinated with physicians to perform bedside procedures such as intravenous injections, vascular line insertions and bronchoscopies.
  • Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
  • Formulated plans for nursing measures to restore, maintain and promote patients' physical and mental health.
  • Assessed medical status of patients pre- and post-operation by checking vital parameters and supervising food intake.
  • Reported patients' status and delegated nurse assignments to achieve optimal outcomes.
  • Ordered, interpreted and evaluated diagnostic tests to identify and assess patient condition.
  • Delivered proper care to victims of domestic violence at urgent care clinic.

Medical Assistant/Transporter

CentraState Medical Center
Freehold, NJ
03.2003 - 08.2007
  • Sanitized, restocked and organized exam rooms and medical equipment.
  • Obtained client medical history, medication information, symptoms and allergies.
  • Directed patients to exam rooms, fielded questions and prepared for physician examinations.
  • Collected and documented patient medical information such as blood pressure and weight.
  • Documented vital signs and health history for patients in clinic and hospital environments.
  • Assisted with routine checks and diagnostic testing by collecting and processing specimens.
  • Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
  • Obtained pre- and post-treatment vital signs and weight.
  • Tested and recorded blood glucose levels.
  • Verified appropriate lab couriers picked up collected lab specimens.
  • Ambulated, turned and positioned patients.
  • Transported patients within hospital from floor to floor and diagnostic testing and back.

Education

No Degree - Nursing

Drexel University
Philadelphia, PA

Bachelor of Science - Nursing

Grand Canyon University
Phoenix, AZ
02.2023

Associate of Applied Science - Nursing

Brookdale Community College
Lincroft, NJ
06.2007

Skills

  • Post-Surgical Suturing
  • Plastic Surgery
  • Blood Draw and Sample Collection
  • Medication Side Effect Knowledge
  • Patient Examination
  • Teamwork and Collaboration
  • Patient Positioning
  • Medical Recordkeeping
  • Medication Administration
  • IV Administration
  • Patient Condition Monitoring
  • Immunizations and Vaccinations
  • Circulating Nursing
  • Accurate Documentation
  • Monitoring Vital Signs
  • Heart Failure

Certification

  • Certified American Heart Association ACLS/BLS/PALS

Languages

Spanish
Professional Working

Timeline

Staff Nurse, Operating Room

Manalapan Surgery Center
02.2016 - Current

Registered Nurse, Telemetry Unit

Robert Wood Johnson Hospital
08.2015 - 02.2016

Assistant Director of Nursing

Liberty Royal Nursing Home
06.2015 - 07.2015

Staff Nurse, Orthopedic/Neurology/Trauma/Surgical

Sunrise Hospital
10.2014 - 04.2015

Registered Nurse Case Manager (Field)

Care One, LLC
01.2011 - 06.2013

Staff Registered Nurse

CentraState Medical Center
08.2007 - 10.2010

Medical Assistant/Transporter

CentraState Medical Center
03.2003 - 08.2007

No Degree - Nursing

Drexel University

Bachelor of Science - Nursing

Grand Canyon University

Associate of Applied Science - Nursing

Brookdale Community College

Similar Profiles

CREATE PROFILE
Joseph EstenesRegistered Nurse