Julianna Andrus
Edgewood,MD
Summary
Developed critical thinking and patient care skills in fast-paced healthcare environment, focusing on patient assessment and clinical support. Looking to leverage these transferrable skills to transition into new field, aiming to maintain high standard of care and efficiency. Committed to continuous learning and making positive impact in new professional setting.
Overview
3
3
years of professional experience
Work History
Home Health Nurse
Rising Star Home Care Services
11.2025 - Current
- Perform focused assessments during home visits, monitoring chronic illnesses, medication compliance, wound healing, and functional status.
- Administer medications, injections, wound care, and IV therapies in the home setting as needed.
- Develop individualized patient care plans that support independence, safety, and long-term health goals.
- Educate patients and caregivers on disease management, medication regimens, wound care, and home safety.
- Collaborate with physicians, therapists, and case managers to coordinate services and report changes in patient condition.
- Document visit notes, assessments, and care plans accurately and promptly per agency and regulatory standards.
Nurse
University Of Maryland Medical System
07.2024 - Current
- Provide comprehensive assessments, including frequent neuromuscular and neuro checks (Q2/Q4), to rapidly detect early signs of deterioration.
- Closely monitor post-operative vascular and transplant patients for complications such as graft occlusion, compartment syndrome, bleeding, infection, and organ rejection.
- Manage continuous cardiac telemetry and interpret rhythm changes, escalating concerns promptly.
- Administer IV therapies including fluids, antibiotics, blood products, pain management, and electrolyte replacements according to clinical protocols.
- Maintain and troubleshoot central lines, arterial lines, wound vacs, JP drains, nephrostomy tubes, and other surgical devices.
- Collaborate with transplant teams to monitor for rejection indicators, support immunosuppression regimens, and educate patients on post-transplant precautions.
- Perform detailed wound and incision assessments, dressing changes, and post-operative education to support healing and prevent complications.
- Manage high-acuity patients requiring complex care plans, prioritizing tasks in fast-paced IMC environments.
- Communicate changes in condition to physicians, NPs, and interdisciplinary teams to ensure timely interventions.
- Prepare patients for surgical procedures and coordinate safe post-op transfers to ICU or step-down levels of care.
- Support pain management using both pharmacologic and non-pharmacologic strategies, ensuring adequate response evaluation.
- Provide emotional support and clear education to patients and families regarding procedures, recovery expectations, and long-term management.
- Precept new nurses and nursing students, promoting best practices, unit protocols, and safe clinical performance.
- Document assessments, interventions, and patient outcomes thoroughly in the EMR in alignment with institutional standards.
- Uphold strict adherence to infection control, safety, and HIPAA regulations.
Nurse Extern
Franklin Square Hospital
06.2023 - 07.2024
- Assisted RNs with patient care, assessments, and monitoring within student nurse scope.
- Monitored telemetry patients and reported rhythm changes to the RN.
- Performed vital signs, blood glucose checks, I&Os, daily weights, and basic assessments.
- Supported ADLs, mobility, and patient comfort while maintaining safety protocols.
- Assisted with EKGs, wound care, and post-operative cardiac monitoring under RN supervision.
- Documented delegated tasks in the EMR accurately and timely.
- Collaborated with the care team and reinforced patient/family education.
- Observed and assisted with advanced cardiac care procedures as permitted by the extern program.
Education
Associate of Science - Nursing
Harford Community College
Bel Air, MD05-2024
High School Diploma -
Joppatowne Highschool
Joppa, MD05-2017
Skills
- Perform advanced assessments including neuro/neuromuscular checks, hemodynamic monitoring, and continuous telemetry interpretation
- Detect early post-operative complications such as bleeding, graft failure, compartment syndrome, and infection
- Manage IV therapy, central lines, continuous infusions, blood products, and post-surgical drains and wound vacs
- Provide specialized post-vascular and transplant care, including graft perfusion monitoring and rejection surveillance
- Conduct detailed wound care, pain management, and fluid/electrolyte monitoring for high-acuity surgical patients
- Utilize strong critical-thinking skills to prioritize care, respond to deterioration, and initiate rapid interventions
- Collaborate with vascular surgeons, transplant teams, and interdisciplinary members to coordinate comprehensive care
- Educate patients and families on post-operative recovery, transplant precautions, and discharge readiness
Timeline
Home Health Nurse
Rising Star Home Care Services
11.2025 - Current
Nurse
University Of Maryland Medical System
07.2024 - Current
Nurse Extern
Franklin Square Hospital
06.2023 - 07.2024
Associate of Science - Nursing
Harford Community College
High School Diploma -
Joppatowne Highschool