Josephine Villaroman
Etobicoke,ON
Summary
A registered nurse specialized in medical/surgical/telemetry nursing seeking to utilize acquired skills and knowledge from past clinical experiences to assist your establishment in a nursing role.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Cardiothoracic Step-Down (Travel)
Rochester General Hospital
08.2023 - Current
- Cardiac, thoracic and abdominal surgery specialties
- Provide pre and post operative care for the following: coronary artery bypass graft, cardiac cathterization, valve replacement, pacemaker placements, TAVR, VATS, etc.
- Care for patients with arterial lines, temporary epicardial pacing wires and VADs
- Telemetry monitoring and interpretation of arrhythmias for patients with severe cardiac disease
- Administration of cardiac drips, heparin and lasix
- Assessment and management of chest tubes post cardiothoracic surgery and multiple drains (percutaneous, JP, etc.) to suction or gravity
- Medication administration and collection of blood samples patients using aseptic, venipuncture techniques or through multiple venous central lines (PICC, IJ, CVC, Mediport)
- Managed a 6-7 patient workload on 12-hour night shifts
General Surgery/Tele (Travel)
Rochester General Hospital
03.2023 - 06.2023
- General surgery and abdominal specialties
- Telemetry monitoring for patients NOT requiring extensive cardiac interventions such as titration and drips
- Obtained post-operative vital signs and perform assessments, observing and reporting any changes
- Assessed pain, sedation and nausea scores post-operatively to administer appropriate intervention
- Managed multiple abdominal drains and stomas, nasogastric, G and peg tubes
- Experience in care of patients with epidural blockade as well as management of PCA epidural pumps
- Performed sterile procedures such as urinary catheterization and wound caare
- Established IV access and performed blood and blood product transfusions and intravenous infusions
- Drew blood from patients using aseptic, venipuncture techniques or through multiple venous central lines (PICC, IJ, Mediport)
- Educated patients regarding medications, procedure, treatments and post-operative care instructions
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches
- Managed a 6-7 patient workload on 12-hour night shifts
Medicine/COVID/Tele (Travel)
Our Lady Of Lourdes Memorial Hospital
10.2022 - 02.2023
- Inpatient medical care to adult and geriatric patients with acute, undifferentiated medical illnesses and co-morbidities with primary focus on a COVID 19 diagnosis
- Telemetry monitoring for patients NOT requiring extensive cardiac interventions such as titration and drips
- Confer with physicians to discuss diagnoses and devise well-coordinated treatment approaches
- Advocate for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations
- Educate patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options
- Manage a 6-7 patient workload on 12-hour night shifts
Medical/Surgical Float Pool (Travel)
Crouse Irving Memorial Hospital
07.2022 - 10.2022
- Adult and geriatric medical-surgical specialties
- Floated to multiple medical-surgical floors and occasionally to cardiac, ortho, and neurology specific units, as well as ED observation for patients awaiting inpatient beds
- Assess and re-assess pain and nausea scores after medical intervention to monitor drug/therapy effectiveness
- Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion
- Administered medications via oral, IV and intramuscular injections and monitored responses
- Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans
- Manage a 6-7 patient workload on 12-hour night shifts
Inpatient Medical/Surgical (Travel)
Grande Prairie Regional Hospital
11.2021 - 05.2022
- General surgery, orthopedic and urology specialties
- Obtain post-operative vital signs and perform assessments, observing and reporting any changes
- Assess pain, sedation and nausea scores post-operatively to administer appropriate intervention
- Manage JP drains and chest, nasogastric, G and peg tubes as well as Wound VACs
- Experience in care of patients with epidural blockade as well as management of PCA epidural pumps
- Perform sterile procedures such as urinary catheterization and wound care
- Educate patients regarding medications, procedure, treatments and post-operative care instructions
- Manage a 4-6 patient workload on rotating 12 hour day and night shifts
Acute Care, Inpatient Medicine (Charge, Travel)
Athabasca Healthcare Centre
08.2021 - 10.2021
- Inpatient medical care to adult and geriatric patients with stable, undifferentiated medical illness and multiple co-morbidities
- Plan and coordinate day-to-day administrative and operational functioning of a 23-bed acute care unit
- Review and audit patient charts and care plans on a daily basis to ensure appropriate care was provided
- Distribute assignments to LPNs and health care aids appropriately
- Coordinate care with physicians and other clinical staff to prepare for treatment and discharge
- Carry out interventions and enhanced continuum of care
- Manage a 7-10 patient workload on rotating 8 hour evening and night shifts while performing charge nurse duties
CTU West - Inpatient Medicine (Team Lead, Staff)
St. Joseph's Healthcare Hamilton
06.2020 - 08.2021
- Inpatient medical care to adult and geriatric patients with acute, undifferentiated medical illnesses and multiple co-morbidities requiring expertise outside the scope of a single primary care physician
- Perform head-to-toe assessments and monitored vital signs of adult and geriatric patients
- Administer scheduled and PRN PO, IV, IM and SC medications
- Establish IV access and perform blood and blood product transfusions and intravenous infusions
- Draw blood from patients to collect samples using aseptic, venipuncture techniques or through venous central lines
- Update physicians on patient condition and test results, utilizing the SBAR tool, and perform appropriate interventions
- Team Lead experience with emphasis on determining nurse-patient assignments based on acuity and travel distance
- Precept and orient new hires and clinical nursing students, providing guidance and mentorship on unit specific policies, procedures and nursing best practices
- Manage a 4-6 patient workload on rotating 12 hour day and night shifts
Education
Bachelor of Science - Nursing
McMaster University
Hamilton, ON04.2020
Skills
- Meditech, EPIC, Cerner
- AcuDose, Omnicell, Pyxis
- Alaris, Baxter
Licenses
New York State (NYS) Nursing
Minnesota Board Of Nursing
College of Nurses of Ontario (CNO)
Certification
- CPR-BLS Provider
- ACLS Provider
- NIH Stroke Scale
Soft Skills
- Adaptability
- Communication
- Critical Thinking
- Flexibility
Additional Coursework
- Gentle Persuasive Approach (Advanced Gerontological Education)
- Indigenous Relationship and Cultural Competency
Timeline
Cardiothoracic Step-Down (Travel)
Rochester General Hospital
08.2023 - Current
General Surgery/Tele (Travel)
Rochester General Hospital
03.2023 - 06.2023
Medicine/COVID/Tele (Travel)
Our Lady Of Lourdes Memorial Hospital
10.2022 - 02.2023
Medical/Surgical Float Pool (Travel)
Crouse Irving Memorial Hospital
07.2022 - 10.2022
Inpatient Medical/Surgical (Travel)
Grande Prairie Regional Hospital
11.2021 - 05.2022
Acute Care, Inpatient Medicine (Charge, Travel)
Athabasca Healthcare Centre
08.2021 - 10.2021
CTU West - Inpatient Medicine (Team Lead, Staff)
St. Joseph's Healthcare Hamilton
06.2020 - 08.2021
Bachelor of Science - Nursing
McMaster University
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