Julie Dumas

• CCU/PCU
• Post/pre- procedure assessments, monitoring and interventions for multiple cardiac and pulmonary procedures such as: PCI,TAVR, MCVR, watchman device, chest tube placement, ICDs, pace makers, ablations, cardioversions, pericardial windows, endarterectomy, venous grafting, 2 day post CABAG
• Focused follow up assessments for patients with thrombolytic/ischemic events; proficient NIH, YALE swallow, post TPA, thrombectomy, traumatic SDH, hemorrhagic CVA, anticoagulation medications
• Respiratory failure monitoring and management: supplemental oxygen for COPD exacerbations, CHF exacerbations. Bipap and high flow oxygen use vs obstructive/restrictive disease; anticipate increased FIO2 needs and initiate weans and respiratory treatments,
• Medication administration: familiar with expected results for antiarrhythmic including of possible side effects, parameters, contraindications, hemostatic and electrolyte replacement with telemetry interpretations. recognize importance of timely labs supporting therapeutic levels,
• Experience with refractory symptoms related to medications, treatments and post procedural, and comorbidities ; knowledgeable enough to follow up, or "push", for alternative medications/interventions/bedside provider support.

PCU-ED HOLDS/FLOAT

• ED HOLD LEAD
• Provided care to critically acute patients requiring monitoring until transfer to progressive care unit (available bed)
• Acted as liaison between ED charge RN, bed management, unit nurses, and PCU, ICU, MS nurses with hold assignments; helped facilitate physical transport of patient from ED hold to admitting unit. helped facilitate expeditious patient transfer to admitting units
• Acted as resource for ED hold nursing staff; orientating them to ED unit, checking on well being of the patient, made sure nurse assignment was appropriate for each RN, provided clinical guidance regarding critical thinking/protocols/ interventions/monitoring/assessments/tasks,
• Provided relief for lunch breaks ;took over care of nurses' patients during their breaks

PCU

Stroke/Cardiac

• Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
• NIH bedside handoffs.

ICU/SDU

• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
• Recorded details regarding therapies to keep patient charts updated.
• Experience with vasoactive drips, mechanical ventilation, external pacing, continuous sedation/analgesics/paralytics, continuous hemodynamic monitoring,
• Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.

PCU

• Managed assignment of critically acute patients. with a high nurse to patient ratio 1:5.
• Typical patient population of newly pegged/trached patients suffering new disability/comorbidities reflecting sequelae of debility secondary to covid infection/long term intubation
• Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
• Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.

PCU

• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Organized and managed care of patients undergoing various therapies and procedures.
• Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
• Recorded details regarding therapies to keep patient charts updated.

PCU

• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
• Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
• covid unit; high morbidity unit. Acute respiratory/cardiac failure related to covid infection or covid complications such as saddle PE, mesenteric thrombus, multiple pulmonary PE, ischemic stroke, GIB and more.

TELEMETRY

• Demonstrated expertise in wound management techniques resulting in accelerated healing times for patients with complex wounds or pressure injuries.
• Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
• Organized and managed care of patients undergoing various therapies and procedures.

MEDICAL/SURGICAL

• Evaluated patient histories, complaints, and current symptoms.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Managed patients recovering from medical or surgical procedures.

TELEMETRY, ORTHO, MED/SURG

• Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
• Demonstrated expertise in wound management techniques resulting in accelerated healing times for patients with complex wounds or pressure injuries.
• Evaluated patient histories, complaints, and current symptoms.

PCU/CVU

• Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
• Streamlined medication administration processes for increased safety and accuracy during busy shifts.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.

MEDICAL/SURGICAL

• Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
• Demonstrated expertise in wound management techniques resulting in accelerated healing times for patients with complex wounds or pressure injuries.
• Evaluated patient histories, complaints, and current symptoms.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.

MED/SURG, TELE

• Conducted thorough physical assessments to establish baseline data for each patient upon admission to the unit.
• Improved patient outcomes by providing compassionate and evidence-based nursing care to medical telemetry patients.

HEMETOLOGY/BMT

• Provided care to oncology patients with blood cancers: leukemia, lymphoma, myeloma, myelodysplastic syndromes, and myeloproliferative neoplasms.
• Chemotherapy administration.
• Management of side effects related to chemotherapy/radiation/biotherapy and bone marrow transplant treatments.
• Pain management/palliative/end of life care.

ONCOLOGY

• Recorded details regarding therapies to keep patient charts updated.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Evaluated patient histories, complaints, and current symptoms.

Patient care manager/Liaison/case manager

• Arranged transportation and documented details of discharge transition plans.
• Developed and implemented individualized care plans and coordinated necessary services to avail quality care for clients.
• Created customized care plans, working with hospital staff and families to assess and meet individual needs.
• Discussed medical histories with patients in effort to provide most effective medical advice.
• Improved patient satisfaction by implementing personalized care plans and conducting regular followups.
• Helped open new hospice service; personally recruited MSW, and office manager, and 1 of 3 full-time staff RN.

INPATIENT HOSPICE LAISON

• Chart and data review to supplement qualifying documentation supporting terminal diagnosis and appropriateness of hospice benefit.
• Order DME, scheduled first home visit with home hospice. nurse/HHA,MSW, Chaplin, volunteers.
• Evaluated appropriateness for transfer to hospice house, home with family, or inpatient hospice at current facility.
• Obtained orders from providers for hospice referral, terminal diagnosis, and medication regimen for facility inpatient end off life care.
• Introduced hospice executive director to a provider who became the Detroit, MI ODDYSSEY hospice medical director.

MEDICAL/SURGICAL

• Demonstrated expertise in wound management techniques resulting in accelerated healing times for patients with complex wounds or pressure injuries.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.

MED/SURG

• Streamlined medication administration processes for increased safety and accuracy during busy shifts.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.

Surgical Oncology/Bariatric

• Chemotherapy infusion
• Care to patient with radiation seeding
• Experience with post oncologic surgical procedures and complications; whipple, liver resection, nephrectomy, tumor debulking, trans-flap mastectomy with reconstruction, pneumonectomy, thoracotomy, urostomy, colostomy, ileostomy, limb amputation, fistulas and many more
• Experienced with acute medical oncology procedures/interventions/emergencies; blood product infusion, chemoembolization, chemotherapy side effects :DIC, neutropenia, mucositis, fungemia, TB, HIV, AIDS, management of surgical drains, TURBT, CBI, epidural/PCA pain management, encephalopathy, renal failure and Providedli>
• provided care to bariatric surgical patients with post surgical complications such as fistulas, malnutrition, intractable nausea, bowel obstruction, failure to thrive