JOY HOLDER
APEX,NC
Summary
Experienced nurse with 19 years of diverse experience in medical surgical, community health, oncology, geriatrics, and critical care settings. Demonstrates strong crisis management and triage skills, efficiently assessing and attending to the needs of multiple patients. Collaborates seamlessly with interdisciplinary teams to consistently deliver exceptional quality of care that exceeds expectations.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Critical Care Registered Nurse
Wakemed Cary ICU CNIV
08.2020 - Current
- Treated patients with broad range of acute, life-threatening diagnoses.
- Collaborated with interdisciplinary healthcare professionals to create, implement and adapt individualized care plans.
- Managed Arterial lines, vasoactive drug administration and titration, thrombolytic therapy, dysrhythmia interpretation and chest tube management.
- Prioritized patient care assignments based on patient conditions to achieve optimal outcomes.
- Instructed patients, families and caregivers on diagnoses, chronic disease management and medication self-management.
- Assessed patients, documented observations and reviewed patient charts to determine care needs.
- Precepted and mentored new nurses on practices and procedures to drive patient outcome goals.
- Implemented treatment plans, monitored vitals and administered medications for patients in ICU.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Advocated for patients by supporting and respecting basic rights, values and beliefs.
- Evaluated intensive care patients, recognized and addressed complications and coordinated treatment with other members of critical care team.
- Monitored efficacy of nursing interventions and revised care plans based upon patient response.
- Delegated and supervised work of other nursing team members and support staff.
- Worked toward team goals of medical unit and accounted for department and system-specific metrics.
- Liaised between patients, families and care staff in care delivery.
- Maintained accurate documentation of all nursing assessments, interventions, evaluations, and discharge planning activities as per regulatory requirements.
- Actively participated in unit-based educational offerings aimed at increasing clinical knowledge and staying current with evidence-based practice guidelines.
- Implemented advanced life support measures during emergent situations, stabilizing patients'' conditions until transfer to higher levels of care if necessary.
- Promoted effective communication among the interdisciplinary team, ensuring timely updates on patient status and progress.
- Advocated for patient autonomy and rights during decision-making processes, upholding ethical principles in critical care nursing practice.
- Enhanced patient safety through adherence to evidence-based practices and protocols in critical care settings.
- Assisted with invasive procedures such as central line insertions or bronchoscopies under physician supervision when needed.
Infusion Nurse
Duke Health
11.2022 - 02.2023
- 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.
- Maintained accurate electronic medical records to ensure proper tracking of treatments administered, responses observed, and adjustments made.
- Advanced knowledge base through regular attendance at continuing education seminars related to infusion nursing practice standards and emerging treatment options.
- Reduced complications by closely monitoring patients for adverse reactions during infusion therapy sessions.
- Managed complex infusion cases involving multiple medications simultaneously, ensuring proper dosing, compatibility, and timing to maximize treatment effectiveness.
- Educated patients on proper nutrition and medication side effects.
- Facilitated positive patient experiences through effective communication and education on medication side effects and post-treatment care.
- Ensured safety by adhering to infection control protocols and handling hazardous materials according to regulatory guidelines.
- Enhanced patient comfort by providing compassionate care and administering medications through IV infusion.
Clinical Nurse II
UNC Medical Center Surgical Oncology CN
06.2017 - 08.2020
- Provide comprehensive care to Surgical Oncology and Ear nose and Throat patients
- Perform optimum and compassionate care to each patient with dignity and respect
- Offering range of services and knowledge of cancer care, palliative care and end of life care
- Perform wide array of skills such as; trach and airway care, ostomy, TPN and blood products administration
- Care of post HIPEC patients, monitor and manage high risk patients
- Participated as Infection Control Liaison and performed CAUTI and CLABSI deep dives
- Member of Peer Support Team, attended preceptor training, and precepted float nurses as well as student nurses.
- Promoted kind, compassionate environment, utilizing active listening and effective communication skills for cancer patients receiving treatment.
- Provided patients with information on range of subjects, not limited to side effects from chemotherapy and benefits of proper nutrition during treatment.
- Emotionally supported patients receiving treatment by carefully listening and offering comfort.
- Expertly explained diagnoses to patients and discussed next steps for treatment and care in easy-to-understand terminology.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Served as patient advocate, ensuring individual needs were met and concerns addressed promptly.
Occupational Health Nurse
Duke Employee Occupational Health and Wellness
07.2016 - 06.2017
- Maintain and audit employee health records in compliance with OSHA, and company policy
- Perform pre-employment assessment, blood draws and review immunization records, to ensure new employees are in compliance with OSHA and company policy
- Assist with Blood and Body Fluid exposures per protocol
- Collaborate with other on-site health team members such as physicians and nurses in assessing employee’s ability to perform assigned duties without harm or injury to themselves or patients
- Administer immunizations; perform fit tests, audiograms, lab draws and minor first aide
- Assist in planning Health System wide flu program by collaborating within multi departmental teams.
- Managed immunization campaigns, significantly reducing spread of communicable diseases within company.
- Delivered array of employee health services at company, which included health screenings and immunizations.
- Educated all employees on flu symptoms, illness prevention, benefits of good hygiene and smoking cessation programs.
Immunizations Compliance Coordinator, Registered Nurse
Duke University Student Health Center
09.2015 - 07.2016
- Coordinate immunization compliance; function as liaison for education to support vaccine needs, compliance and education
- Follow CDC’s guidelines to provide information and counseling to faculty, staff, and students regarding immunization schedules and processes
- Assess student population and evaluate needs to implement program policies in collaboration with senior leadership and external clinical rotation sites
- Coordinate with school programs to set up influenza and tuberculosis clinics 100's of students
- Assist in orientation sessions, health education events and immunization clinics at all campuses
- Monitor and track Tuberculosis screening and treatment of populations that have Latent TB
- Collaborate with organizations such as North Carolina Health Department, Duke Employee Health, Duke Infectious Disease Department and Health Science departments to promote patient and public safety.
Clinic Registered Nurse
Ridgeview Medical Center MN
02.2015 - 07.2015
- Perform health assessments, in clinic setting as well as perform phone triage of patient’s condition and determine appropriate treatment under supervision of provider
- Perform patient education on health condition, health maintenance and medication administration
- Collaborate with payer, physician and patient to meet healthcare needs of individual patients
- Work together with team to research and monitor patients that are receiving various sleep and pulmonary treatments.
Utilization Review Specialist
Ridgeview Medical Center MN
02.2015 - 07.2015
- Conduct ongoing reviews and discuss care changes with attending physicians
- Create positive relations with payer group and representatives
- Actively review patient history and current condition with confidentiality and respect
- Utilizes clinical care guidelines to validate medical necessity of admissions, admission status and continued stays.
School Nurse
Minnesota School District
11.2010 - 07.2015
- Coordinated with families, school personnel and healthcare professionals on behalf of students to advocate for healthcare needs and provide medical information to appropriate parties.
- Evaluated students with health concerns or injuries to develop plan of care or provide reference to appropriate healthcare providers.
- Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
- Addressed patient care needs, collected vitals, dressed wounds and managed catheters.
- Administered prescribed medications and started intravenous fluids to address patient symptoms and underlying etiologies.
- Assessed and responded to medical emergencies with speed and level-head approach.
- Interacted effectively by email, phone and in person with students, parents and staff members.
- Trained in Epi-Pen and allergic reaction emergency procedures.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Licensed School Nurse
Cologne Academy MN
08.2013 - 01.2015
- Advocate on behalf of students in grades K-8, with both their health and educational needs
- Collaborate with the education team, family, caregivers and physicians
- Organize the implementation of individual health care plans, in the school setting
- Track students with medical conditions that may result in a medical emergency
- Assess and identify students that are in need of health related accommodations
- Process and document required immunizations that are necessary to attend school
- Deliver responsive, compassionate student centered care
- Perform health assessments, implement screening programs, monitor and review health records to identity and meet the health needs of students
- Build and execute individual health care plans and emergency action plans
- Delegate and supervise trained staff in medication administration
- Educate staff with emergency medical procedures
- Provide medical treatments and administer medications per physician’s orders
- Maintain a system for providing first aid and emergency care for students and staff
- Provided ongoing support for students dealing with chronic health conditions, facilitating communication between families, physicians, and school personnel.
- Assisted families in navigating the healthcare system, connecting them with appropriate resources and services when needed.
- Educated students on various health topics to promote overall health and wellbeing.
- Administered medication to students as prescribed by physicians to provide necessary treatment and manage health conditions.
- Monitored ongoing medical conditions such as asthma or diabetes, adjusting care plans accordingly to maintain optimal student wellness levels.
- Supported students with special needs by coordinating individualized healthcare plans and working closely with the interdisciplinary team.
- Managed immunization compliance within the school population to prevent the spread of communicable diseases.
- Assessed student health and identified potential health concerns to provide appropriate care.
- Assessed students'' physical and emotional well-being during daily clinic visits, providing appropriate care or referrals as needed.
- Screened for infectious diseases to help prevent spreading within school community.
- Implemented emergency protocols in medical emergencies to promote safety for students and staff.
Staff Registered Nurse
Fairview Southdale Hospital MN
12.2007 - 01.2009
- Asses and monitor patients
- Provide direct patient care as ordered by physician
- Create and implement individualized care plan for each patient
- Identify possible safety risks and risk factors that may inhibit patient’s recovery
- Provide discharge planning and education of patient and family members.
- Performed nursing tasks to deliver high level of care and comply with procedures and regulations.
- Performed comprehensive assessments to identify patient needs, devise care plans, modify care solutions and support patient rights.
- Educated patients and families on medical and surgical procedures, medication regimens and pain management.
- Delivered tailored nursing care to adult patients suffering from multiple diagnoses.
Geriatric Nurse
Auburn Manor of Chaska
07.2006 - 02.2008
- Supervise, provide and direct patient care as ordered
- Assess and monitor residents' condition
- Coordinate care through collaboration between patient, physician and family members as well as outside organizations such as hospice
- Supervise, train, and counsel staff, equipping them with tools needed to ensure safe and accurate resident care
- Treat and monitor wounds using standard and advanced treatments such as wound-vacs and modern pharmaceutical products.
- Verified that elderly patients felt welcomed in compassionate care setting by employing well-honed listening and communication skills.
- Spoke with geriatric patients and caregivers, asking questions to determine illnesses, conditions and current medications.
- Evaluated patients suffering from both chronic conditions like arthritis or acute conditions such as injuries related to falls.
- Discussed benefits of proper nutrition and side effects from medication with patients.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
Mate
United States Navy
11.1993 - 02.1998
- Measured factors such as temperature, humidity and air pressure.
- Analyzed and recorded data from worldwide satellites, weather stations, radars and remote sensors.
- Coded weather reports for transmission over international networks.
- Created and updated meteorological reports based on information cleaned from surface and upper air stations, weather bureaus, satellite readings and radar imagery.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
- Demonstrated self-reliance by meeting and exceeding workflow needs.
Education
Bachelor of Science - BSN
University of Central Florida-School of Nursing
Orlando, FL05.2005
Associate of Science -
Valencia Community College
Orlando05.2002
Skills
- Intensive Care Unit Experience
- Central Line Management
- Hemodynamic Monitoring
- Intravenous therapy
- Patient Advocacy
- Compassionate Care
- Healthcare Team Collaboration
Accomplishments
- Daisy Award Recipient
- Work/Life Committee Chair
- Board certification as a medical surgical nurse
- Support the development of other staff and formal learners, through precepting student nurses as well as float nursing staff
- Help create education bulletin boards and other educational materials
- Participate in the identification of clinical, operational and safety related performance improvement opportunities
- I was a partner in the C-diff prevention program at UNC
- I participated in auditing patient opportunity for hand hygiene as well as the cleansing of patient hospital rooms and work areas to prevent the spread of infection
- LICENSES & CERTIFICATES 2/2024-CMSRN-BC 04/2026-NC RN 12/2024 -CPR/AED - American Heart Association 09/2026-Advanced Cardiac Life Support- American Heart Association
Certification
- RN-BC 2024
- ACLS 09/2026
- BLS 12/2024
- Public Health Nurse 04/2017
Timeline
Infusion Nurse
Duke Health
11.2022 - 02.2023
Critical Care Registered Nurse
Wakemed Cary ICU CNIV
08.2020 - Current
Clinical Nurse II
UNC Medical Center Surgical Oncology CN
06.2017 - 08.2020
Occupational Health Nurse
Duke Employee Occupational Health and Wellness
07.2016 - 06.2017
Immunizations Compliance Coordinator, Registered Nurse
Duke University Student Health Center
09.2015 - 07.2016
Clinic Registered Nurse
Ridgeview Medical Center MN
02.2015 - 07.2015
Utilization Review Specialist
Ridgeview Medical Center MN
02.2015 - 07.2015
Licensed School Nurse
Cologne Academy MN
08.2013 - 01.2015
School Nurse
Minnesota School District
11.2010 - 07.2015
Staff Registered Nurse
Fairview Southdale Hospital MN
12.2007 - 01.2009
Geriatric Nurse
Auburn Manor of Chaska
07.2006 - 02.2008
Mate
United States Navy
11.1993 - 02.1998
Bachelor of Science - BSN
University of Central Florida-School of Nursing
Associate of Science -
Valencia Community College