Julia St. Laurent

• Managing critically ill trauma patients, including those with gunshot wounds, stab wounds, as well as severe agricultural and farming-related injuries.
• Caring for patients experiencing disseminated intravascular coagulation (DIC) (including post-partum patients), requiring close hemodynamic monitoring, frequent reassessment, and coordination of complex interventions.
• Member of the Rapid Response Team, responding to acute clinical deterioration hospital-wide, performing focused assessments, initiating appropriate interventions, and facilitating escalation of care.
• Placement of emergent vascular access, including external jugular (EJ) intravenous lines and intraosseous (IO) access, to support rapid stabilization of critically ill patients with difficult or limited intravenous access.
• Performed ultrasound-guided peripheral intravenous catheter insertion hospital-wide.

Baptist is a 36 bed combined ICU, allowing for me to recover open heart patients as well as care for many other types of intensive care patients.

CVICU:

• Providing immediate post-operative care for high-acuity cardiovascular surgery patients, including CABG, aortic valve repair/replacement, mitral valve repair/replacement, and ascending aortic aneurysm repairs.
• Proficient in caring for patients on veno-arterial (VA) and veno-venous (VV) ECMO who require a secondary cardiac life support device such as Impella.
• Experienced in titrating multiple vasoactive and inotropic infusions to optimize cardiac output and tissue perfusion.
• Utilizing advanced hemodynamic monitoring via Edwards HemoSphere to guide fluid management, medication titration, and timely intervention.
• Interpret and respond to live data including SVR, CI, SVV, CVP, and MAP to support precision-based critical care decision-making.
• Experienced in management and troubleshooting of chest tubes, epicardial pacing wires, swan-ganz catheters and ventricular assist devices.
• Experienced in managing ventilated patients, weaning protocols, timely extubation, and recognizing signs of respiratory compromise.
• Providing patient and family education regarding surgical recovery, medications, and device management as part of discharge planning.
• Precepting ICU nurses transitioning to CVICU, providing structured education and hands-on training in open heart recovery protocols, advanced hemodynamic monitoring, and cardiac support device management.

MICU/SICU:

• Providing critical care to diverse patient populations in both Surgical and Medical ICUs, including trauma, sepsis, and multi-organ failure.
• Experienced in managing complex surgical cases including open abdomens, damage control laparotomies, and post-operative critical care.
• Skilled in the stabilization and management of trauma patients, including those with gunshot wounds, stab wounds, injuries caused by motor vehicle accidents, and blunt force injuries.
• Proficient in managing patients with disseminated intravascular coagulation (DIC) and coagulopathy-related complications, including massive transfusion protocols.
• Caring for patients involved in organ donation following brain death, including coordination with transplant teams and implementation of donor management protocols.
• Providing comprehensive care to patients with sepsis, ARDS, acute kidney injury, hepatic failure, and other complex medical diagnoses.
• Skilled in rapid response and code situations, including CPR, ACLS protocol adherence, and post-resuscitation care.
• Providing compassionate and thorough communication with patients’ families during critical illness, end-of-life care, and recovery phases.

• Managing patients during and after myocardial infarction
• Managing patients post-cerebrovascular accident requiring thrombolytics
• Managing and administering medications for patients experiencing new onset cardiac arrhythmias
• Providing care for patients experiencing alcohol withdrawal/seizures
• Providing care for patients in diabetic ketoacidosis and education on insulin administration and glucose monitoring
• Managing patients in hypertensive crisis requiring multiple vasodilators
• Administering intravenous blood thinners for patients at risk for thrombotic events
• Collaborating with providers to discuss patient care plans, medication reconciliation, and changes in status
• Documenting head to toe assessments, vital signs, patient care plans, and consultations
• Providing education to patients and families regarding new diagnoses, medications, outpatient support services, and follow-up appointments
• (Travel Assignment)

• Managing patients requiring ventilatory support
• Experienced in utilizing central lines (intra-jugular/femoral/subclavian/port-a-cath/PICC)
• Providing care for patients requiring cardiac life support (Intra-aortic balloon pump, Impella, etc.)
• Experienced with administration and titration of vasopressors/inotropic medications
• Managing pulmonary artery catheters, arterial lines, and interpreting hemodynamic data
• Managing patients immediately after coronary artery bypass surgery/aortic valve replacement
• Experienced in management of patients with transvenous or external pacemakers
• Managing post-cardiac arrest patients requiring therapeutic hypothermia
• Experienced in interpreting EKGs
• Managing patients requiring Continuous Renal Replacement Therapy
• Administering emergency medications/defibrillating a patient during a code
• Managing patients immediately after vascular surgery (abdominal aortic aneurysm repair, carotid endarterectomy, etc.)
• Experienced with administration and titration of vasodilators/antiarrhythmic medications