Josie Ledesma

• Responsible for the day to day operations of a busy 24 chair infusion center.
• Supervising 12-14 nurses daily along with 4 medical assistants.
• Review chemotherapy orders for accuracy.
• Work closely with multiple physicians and advanced practice providers.
• Manage staff schedule and daily assignments. Phone triage, relay orders/ changes to treating nurse and pharmacy. Work with physicians to be sure orders are signed.
• Work closely with manager completing annual staff evaluations.
• Handle patient complaints and do service recovery.

• Administered IV fluids, medications and blood products through peripherally inserted central venous catheter to support long-term treatment for infections, cancer or heart and kidney problems.
• Administered IV chemotherapy as ordered by physicians following safe handling practices and hospital policy.
• Performed thorough assessment of lab results and patient condition prior to administering medications.
• Educated patient, family or caretaker about post discharge care procedures to facilitate care continuum.
• Proficient in accessing ports, using picc lines and starting peripheral IVs. Drawing peripheral labs as ordered when necessary.
• Assessing for complications/adverse reactions to chemotherapy

*Note that the US Oncology practice that I had been working for was bought by Cadence Health in 5/2011. I chose to stay with the physician practice through the transition to Cadence Health. *

• Responsibilities included nurse triage visits- Chemotherapy patients seen on off weeks for lab reviews and assessment.
• Administered various injections as ordered by physician.
• Accessed ports for lab draws and for Diagnostic imaging.
• Assisted with IV starts in Diagnostic imaging if technician unable to get started.
• Supervised a group of 5 medical assistants in the physician clinic.
• Managed staff schedule and daily assignments.
• Assisted with chemotherapy scheduling, entering lab and imaging orders as directed by physician. Assisted patients in scheduling tests.
• Epic super user- assisted in training new staff on the EPIC system. Helped other sites when they went live with EPIC.

• Administered IV fluids, chemotherapy and blood products.
• Proficient in port access, inserting IVs, and using/ care of picc lines.
• Educated patient, family or caretaker about post discharge care procedures to facilitate care continuum.
• Educated patients on medication side effects.
• Administered injections and supportive medications as ordered.
• Phone triage

• Administered IV fluids, chemotherapy medications and blood products as ordered by physician through peripheral iv, port a cath, or picc line.
• Administered injections as ordered
• Phone triage
• Patient assessment, education, management of side effects.
• Monitoring of lab values
• Prescription refills
• Strengthened training and nursing knowledge by taking part in continuing education programs.

• Supervised/ rendered dialysis treatments to chronic renal patients on a daily basis according to prescription ordered by physicians.
• Administered iv medications as ordered.
• Reviewed care plans and labs monthly. Updated care plans as needed.
• Monitor patient's fluid gains, dry weight, medications and dialysis access.
• Recorded details regarding therapies to keep patient charts updated.
• Participated in weekly rounds with physician in the center. Updated orders per physician.
• Supervised technicians

• Provided direct patient care, stabilized patients and determined next course of action.
• Administered medications iv during treatment as ordered. Reviewed orders for accuracy.
• Created and edited monthly care plans
• Supervised technicians starting and ending treatments.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions during an emergent situations.

• Worked on a medical surgical floor where I was trained to draw blood and perform EKGs.
• General patient care - taking vital signs, monitoring intake and output.
• Assisted patients with bathing/grooming.
• Assisted patients with toileting.
• Notified supervising nurse of any abnormal vital signs or blood glucose levels.