Julia Saxum

• Assistance with bedside procedures, aiding in procedural "time-outs" and monitoring and managing patients during these procedures, effectively communicating with physicians as needed throughout. Ensuring safety checks have been completed before moving forward.
• Manage ventilators, central lines, feeding tubes, drains, etc.

- ensuring orders are correct and appropriate for patient situation

- knowledge of clinical indication for specific vent settings (i.e. ARDS)

• Demonstrated critical thinking skills amidst managing complex- and often high stress clinical situations
• Proper medication titration based off provider orders and patient clinical situation. Communication with appropriate team members if orders no longer seem appropriate for patient situation
• Reduced patient complications by promptly identifying changes in condition and promptly notifying appropriate parties involved
• Precept new nurses (both new grad and experienced), facilitating smooth integration into the unit and promoting unit involvement
• Serve as a positive and motivating staff member on the unit, promoting unit culture
• Maintain confidentiality of patient information in accordance with HIPAA regulations while fostering trust between medical staff and patients'' families.
• Serve as a support system for patient family members when having to make difficult medical decisions
• Skilled in dignified and compassionate end-of-life and post-mortem care, considering patient and family wishes
• Assess SAS score and intervening appropriately based off patient condition and provider orders

Nursing Specific Skills

- feeding tube insertion, IV placement, rectal tube/foley catheter insertion

- managing ventilator in conjunction with respiratory therapy and contacting RT when necessary

- medication administration and titration (i.e. vasopressors, antihypertensives, sedation)

- safely mobilize patients tethered to various monitors, pumps, etc.

- patient, family, interdisciplinary communication

• Performed thorough patient assessments- identifying potential changes in condition and contacting appropriate team members.
• Safe medication administration using 5 rights of proper administration
• Collaborated with interdisciplinary teams to develop comprehensive, patient-centered care plans
• Managing challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills
• Serve as patient advocate
• Help facilitate transitions in patients' level of care- both to higher and lower levels of care
• Rapidly respond to situations impacting safety and security to unit, using crisis prevention techniques to aid in de-escalation and diversion
• Various wound cares
• Patient and family education
• Proficient in usage of eRecord for documentation and communication
• Managed patients recovering from medical or surgical procedures