JULIA COES COUTURE
Phippsburg,ME
Summary
Experienced Clinical Nurse II specializing in patient centered ICU level care as well as in hospital hospice care. Adept at managing critical and end-of-life care needs with care plans individualized to meet needs of each patient and their family. Effective interdisciplinary communication, clinical decision-making, and receptive to feedback aimed to improve my nursing practice.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Clinical Nurse II – Special Care Unit
Lincoln Hospital
Damariscotta, Maine
09.2023 - Current
- Provide ICU-level care to patients with complex medical and surgical needs, monitoring vital signs, telemetry and vasoactive IV medications
- Provide compassionate end-of-life care as critical care patients transition to comfort and hospice care with patient and family centered care plans, emotional guidance, and symptom management
- Collaborate with multidisciplinary teams to develop comprehensive care plans for critically ill, palliative and end of life patients
- Document patient progress and interventions in EPIC with accuracy to support care continuity
Student Nurse Preceptorship
Midcoast Hospital Behavioral Health
Brunswick, Maine
08.2023 - 12.2023
- Administered medications and monitored patient responses to treatments for behavioral health patients
- Participated in SBAR-format handoffs to ensure efficient and safe care transitions
- Documented patient conditions and interventions in EHR systems, addressing abnormalities promptly with the care team
Board of Directors
Bath Housing Authority
Bath, Maine
01.2004 - 01.2016
- Collaborated with other directors and BHA’s director to implement “Aging in Place” aimed to help seniors and elderly stay in their homes safely and more independently
Technical Services Manager
City of Bath
Bath, Maine
07.2004 - 08.2013
- Coordinated stakeholder committees for local watershed protection plans
- Managed GIS technology to create maps and reports, collaborating with technicians to implement computer-generated infrastructure maps
Education
Associate in Nursing - undefined
Southern Maine Community College
Brunswick, Maine05.2023
Bachelor of Arts - Political Science and Gender Studies
Bates College
Lewiston, Maine05.2001
Skills
- Critical Care Skills: Advanced IV management, ICU-level monitoring including telemetry, pain management, vasoactive IV infusions and titration
- Hospice Care Skills: End-of-life care planning, Emotional support for patients and families, Interdisciplinary team coordination
- Technical Skills: Documentation using EPIC, wound vac application and monitoring, chest tube monitoring, IV insertions, phase one PACU recoveries
- Interpersonal Skills: Patient advocacy, Assertive communication, Cultural competence, critical thinking
Certification
- ACLS (Advanced Cardiovascular Life Support) – American Heart Association
- BLS (Basic Life Support) – American Heart Association
Timeline
Clinical Nurse II – Special Care Unit
Lincoln Hospital
09.2023 - Current
Student Nurse Preceptorship
Midcoast Hospital Behavioral Health
08.2023 - 12.2023
Technical Services Manager
City of Bath
07.2004 - 08.2013
Board of Directors
Bath Housing Authority
01.2004 - 01.2016
Associate in Nursing - undefined
Southern Maine Community College
Bachelor of Arts - Political Science and Gender Studies
Bates College