Josephine Aquino Medina
Ewa Beach,HI
Summary
Experienced Obstetrical Registered Nurse with a strong background in Labor and Delivery triage. Proactive approach to continuous improvement, ensuring meticulous preparation and assessment. Oversees a six-bed triage unit, conducting NSTs and coordinating care with the OB/GYN Clinic, ED, AntePartum Diagnostic Clinic, and home arrivals. Collaborates effectively with OBs, Certified Midwives, and Family Medicine/Practice professionals.
Overview
2025
2025
years of professional experience
1
1
Certification
Work History
Registered nurse, labor and delivery
Queen's Medical Center
Registered nurse, medical-surgical unit
Saint Francis Hospital Health Care System
Registered nurse, unit manager/nursing supervisor
Hale Nani and Rehabilitation and Nursing Center
OB Staff RN
Tripler army medical center
01.2009 - Current
- LND Primary triage nurse: PERFORM/ASSIST: Worked independently, assessed, and prioritizes needs in providing care
- I Perform telephone triage, screen patients to identify past; and current medical problems, check for allergies, current medications/ medication reconciliation
- Completed tasks including but not limited to vital signs, obtained pertinent medical history, prepared as appropriate for nurse /physician taking blood samples, initiated IV catheters: performed venipuncture, EKGs, connections IV fluids, and monitored flow
- Charts in a computer system appropriate using computerized systems CHCS, AHLTA, and Essestris to look up pertinent patient information and transport patients to medical treatment as needed, i.e., radiology services, ICU's
- I respond to patient emergencies and referrals for immediate needs
- As a nurse, I Provided discharge instructions to patients, assisted in emergency first response to patients with severe range BP for direct IV medications per the protocol, and prioritized treatments for patients
- I Notify residents and staff of immediate needs and concerns
- Advises physicians for critical findings, documents and implements conditions, and reports back to the physician and patient care team as needed
- Labor and Delivery RN: Serves as a clinical staff nurse of an 18 bed Labor and delivery unit
- Supports an average monthly census of 200 deliveries and approximately 850 outpatient visits
- As a team leader/charge nurse, supervises registered nurses and paraprofessional staff
- Collaborates with the physician, midwives, anesthesia, and ancillary staff to provide an interdisciplinary approach to care provision
- I assessed obstetric and newborn patients
- Assessed patient's needs at the time of initial triage and or admission to the Labor and Delivery, provided transfer/discharge planning to patients, coordinated patient care with the health care team, assisted in educating patients on their conditions provided nursing intervention based on established plan of care and evaluated effectiveness, provided vaginal checks for dilation, effacement, station, presenting part, positioning status of the membrane
- I interpret fetal monitoring strips(NST/s) with providers
- I assisted in setting up neonatal monitoring devices, such as cardiorespiratory monitors, oxygen-monitors, infant warmers, infusion pumps, oximeters, and resuscitation equipment
- Assisted physician and anesthesia providers with complex procedures, scheduled/emergent cesarean sections by providing intra-operative nursing care, insertion of internal monitors, placements of epidural catheters, assisted in delivering post-anesthesia nursing care to patients recovering from epidural and local anesthesia, including ongoing vital signs, administer medications via various routes
- Provided routine to specialized transition care to newborns and ensured the nursing process is utilized in identifying patient problems to formulate a plan of care
- Assisted in the decision-making process and educated patients and there on certain high-risk pregnancies/procedures
- Utilized the nursing process to formulate the patient's care plan with input from the patient and or/ family
- I Assisted in formulating a nursing plan of care and emotional, psychological, and sociological conditions
- I assisted in providing education and emotional support to patients and their families to meet the patient's needs, especially with the patient's birthing plan
- CHARGE NURSE: Makes nursing care assignments for various skill levels of professional and non-professional personnel: Assigns nursing staff to patient care duties based on patient condition and expertise of available personnel
- Monitors and oversees nursing staff performance to assure work is accomplished in a timely manner
- Ensures appropriate patient education occurs during the shift
- Documents patient acuity data and enters the WORKLOAD MANAGEMENT SYSTEM for Nursing (WNSN)
- Actively participates in and supports continuous Quality/Performance Improvement activities in the unit
- Accomplishments: Awarded as STAR of the Month/ APR 2012 in the Labor and Delivery Unit for my hard work and dedication to the unit
Registered nurse - emergency department
Hawaii Medical Center - West
01.2005 - 01.2011
OB Registered nurse antepartum/gyn surgery/mother baby unit
Tripler army
01.2007 - 01.2009
Registered nurse - emergency department
Kuakini Medical Center
01.2006 - 01.2007
Education
Bachelor of Science - Nursing
Martinez Memorial Colleges
Caloocan City, Manila01.1995
Skills
- Set up and monitor specialized equipment
- Evaluate progress of patient labor
- Perform vaginal exams
- Monitor contractions
- Monitor fetal heart tones
- Recognize and interpret serious situations
- Notify care team members
- Perform interventions
- Obtain and maintain PIV access
- Obtain lab samples and specimens
- Implement interventions
- Circulating OR nurse
- Recovering patient in PACU
- Start intravenous infusions
- Administer analgesia
- Maternal/fetal monitoring training/certifications
Licensure And Certification
- Registered Nurse (RN), Licensed in Hawaii
- Neonatal Resuscitation Program (NRP)
- Basic Life Support (BLS)
- Advanced Cardiac Life Support (ACLS)
- AWHONN Intermediate Fetal Monitoring
- Sugar, Temperature, Airway, Blood Pressure, Lab Work and Emotional Support (S.T.A.B.L.E)
- Baby Friendly Lactation Training
- Perinatal Orientation and Education Program (P.O.E.P)
Affiliations
Sigma Theta Tau International
Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN)
Philippine Nurses Association of America
Certification
Advanced Cardiovascular Life Support
Neonatal Resuscitation Program
Basic Life Support
Certified Electronic Fetal Monitoring
Languages
English
Elementary
Filipino / Tagalog
Elementary
Timeline
OB Staff RN
Tripler army medical center
01.2009 - Current
OB Registered nurse antepartum/gyn surgery/mother baby unit
Tripler army
01.2007 - 01.2009
Registered nurse - emergency department
Kuakini Medical Center
01.2006 - 01.2007
Registered nurse - emergency department
Hawaii Medical Center - West
01.2005 - 01.2011
Bachelor of Science - Nursing
Martinez Memorial Colleges
Advanced Cardiovascular Life Support
Neonatal Resuscitation Program
Basic Life Support
Certified Electronic Fetal Monitoring
Registered nurse, labor and delivery
Queen's Medical Center
Registered nurse, medical-surgical unit
Saint Francis Hospital Health Care System
Registered nurse, unit manager/nursing supervisor
Hale Nani and Rehabilitation and Nursing Center
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