JULIA SONGY

• Evaluated program effectiveness using key performance indicators, identifying areas for improvement and implementing necessary changes.
• Established strong relationships with local EMS providers to improve pre-hospital stroke and cardiac care and expedite treatment times.
• Developed comprehensive education programs for staff, ensuring up-to-date knowledge in stroke and STEMI management techniques.
• Maintained current knowledge of best practices in the field by attending conferences, reviewing literature, and networking with fellow professionals.
• Managed data collection processes, providing accurate information to support decision-making and facilitate ongoing performance improvement efforts.
• Conducted regular chart audits to ensure compliance with national stroke and cardiac care standards and guidelines. Reports deficiencies to staff members with ongoing education.
• Optimized stroke and STEMI patient care by coordinating timely diagnostic tests and treatments, including 100% achievement in Door to Balloon times less than 90 minutes for STEMI patients.
• Implemented new policies and educated staff on changes.
• Completes data abstraction of all qualified patients into AHA Get With The Guidelines CAD and Stroke registries. Maintains GWTG data registries for CAD and Stroke.
• Reviews clinical outcomes reports regularly and reports data to Multidisciplinary Stroke and STEMI committees.
• Achieved Joint Commission Primary Stroke Certification in first year and received AHA GWTG Silver Plus Achievement Award for Stroke

Currently monitor, scrub and circulate for cardiac cath procedures including cardiac catheterization, coronary interventions, peripheral diagnostic and interventional procedures, permanent pacemaker and ICD implants. Proficient in GE MacLab hemodynamic system documentation. Have experience with EPIC and Cerner electronic health record systems. Responsible for ordering and maintaining supplies. Experienced with Qsight inventory and charging system.

• Managed and coordinated care of the TAVR (Transcatheter Aortic Valve Replacement) patient from referral to initial contact through extensive diagnostic work up and testing, the evaluation process, scheduling, and through the peri-procedure, post-procedure and follow up phases
• Managed and coordinated care for LAAO (Left Atrial Appendage Occlusion) patients through referral , initial assessment, physician visits, and diagnostic testing to actual procedure and post procedure process
• Built rapport with each patient and family, providing education, support and communication throughout the entire process
• Organized and evaluated all testing results and prepared for presentation to TAVR multi-disciplinary heart team
• Participated in and assisted with collaboration of TAVR heart team conference evaluating each individual patient's case to determine best plan of care
• Managed coordination of care and support of many TAVR and LAAO patients in different phases of the program
• Collaborated with industry heart valve representatives to provide accurate sizing and selection of heart valves, as well as discussion of any physiologic concerns for the actual procedure
• Maintained accurate and complete documentation of entire process including test results and recommendations to assure registry compliance
• Accurately and completely abstracted data of LAAO patients for LAAO registry and input data into NCDR (National Cardiovascular Data Registry)

Provided care to patients undergoing Cardiac Cath procedures including: Monitoring, Scrubbing and Circulating Diagnostic and Interventional cardiac and peripheral procedures, Circulating Permanent Pacemaker, ICD and EP procedures. Additional duties included training of new personnel, assisting with charge capture and coding, and assisting with payroll.

Responsible for obtaining, managing and submitting cardiovascular data related to the National Cardiovascular Data Registries of the American College of Cardiology. Assisted in developing and maintaining quality of care measures for Acute MI patients. Assisted with Cath Lab quality of care and data issues.

• Registry Site Manager for ACC Registries including Cath/PCI Registry, ACTION Registry, and ICD Registry, with proficiency in data abstraction and quarterly data submissions. Achieved Platinum Performance Award for ACTION Registry with eight consecutive quarters of >90% performance on all Acute MI quality measures
• STEMI Coordinator. Developed and maintained as chairperson the STEMI Door to Balloon Committee, working with Cath Lab physicians and staff, EMS, and Emergency Room physicians and staff, with continued improvements in outcomes as well as reduction and consistency of average door to balloon times to < 50 minutes
• Assisted Cath Lab personnel with proficiency in procedure documentation and registry data input
• Maintained physician and cath lab procedure statistics
• Collaborated with, and provided feedback to Cath Lab staff & physicians, ER staff & physicians, as well as EMS staff on STEMI protocols, measures for improvement, and outcomes
• Reported progress and outcomes to senior hospital administration and physician staff

Responsible for overall management of the Cardiac Cath Lab including hiring and maintaining staff, coordinating scheduling, scrubbing, circulating and monitoring all types of procedures, instruction and teaching of new staff, payroll, materials management of all Cath Lab supplies, productivity, budget, charge capture and coding, development of guidelines and policies, as well as working to meet the needs of physicians, staff and hospital administration.

• Implemented new Interventional Cardiac Cath program and services and assisted with implementation of new Open Heart Surgery program
• Planned, implemented and coordinated major expansion of cath lab procedure rooms and holding area, including equipment evaluation and purchase
• Planned and implemented new peripheral procedures and services
• Developed multi-faceted STEMI committee to monitor and improve door to balloon reperfusion times and outcomes with auditing of every STEMI procedure
• Maintained consistent growth in procedures and patient volume each year with growth of approximately 30% for each of the last two years

Staff nurse in Cardiac Cath Lab progressing into Charge Nurse/Coordinator role. Worked in procedures scrubbing, monitoring and circulating all types of diagnostic, interventional (PTCA, Stent, IABP, thrombectomy), permanent pacemaker and ICD procedures as well as in pre/post holding care. Duties included scheduling and assignments, payroll, coordinating of daily procedures.

• Worked with CV Administrative Director to plan new Interventional and Open Heart Services
• Evaluated and assisted with purchase of new X-Ray system and coordinated installation and re-construction of the procedure room
• Provided instruction to staff in post cath areas in post cath/intervention care

Provided nursing care to patients of all ages with all types of acute illness, injury, and minor trauma presenting to the emergency room.

• Served as charge nurse and triage nurse.
• Obtained TNCC Trauma Nurse Core Curriculum Certification
• ACLS Instructor

Provided care for patients undergoing Cardiac Cath, Coronary Angioplasty and Stent, Permanent Pacemaker, EP studies, Ablation, and Tilt Test procedures.

• Scrubbed, monitored and circulated as well as providing pre-post holding care
• Served as preceptor for new staff
• ACLS Instructor

Provided pre, intra, and immediate post-procedure care for patients undergoing cardiac cath procedures, coronary angioplasties, and pacemaker insertions.

• Scrubbed, monitored and circulated on all types of procedures
• Served as preceptor/trainer for new staff
• Assisted with organizing and preparing cath lab prior to opening
• Provided instruction to post care units

Nursing Supervisor for critical care units: MICU, SNICU, Recovery Room, ER, Telemetry/Step down Unit for 3-11 shift and entire house supervisor for 11-7 shift for 450 bed hospital. Primary administrative person for 3-11, 11-7 shifts. Responsible for staffing, overseeing and assisting units with patient care issues and special needs or challenges.

Completed ICU Orientation/Internship. Provided primary nursing care for critically ill cardiac, respiratory, and medical patients in the Medical Intensive Care Unit.

• Relief Charge Nurse
• Preceptor for new staff including instruction in EKG monitoring and hemodynamic monitoring
• ACLS Instructor