Juliette Esswein
Lancaster,USA
Summary
Experienced registered nurse working in a busy emergency department for 15 years. Experienced in all age demographics, from neonate to elderly. Providing high-quality care and a patient advocate. Educated fire department staff, along with nursing staff. Operating room, pre-op, and PACU experience in an outpatient setting. Labor and delivery experience. Neonatal experience. Cardiac Cath Lab Nurse experience. Focused Clinical Nurse Manager offering success in leading highly effective teams while providing superior patient care. Well-versed in all aspects of nursing staff management with proven history of collaborating with medical personnel to achieve optimal patient outcomes. Dedicated to developing clinically competent, patient-focused nursing professionals. Seasoned Clinical Nurse Manager with background in overseeing clinical operations within fast-paced healthcare environments. Possess leadership experience, having guided nursing teams to deliver exceptional patient care while maintaining regulatory compliance. Strengths include fostering a positive work environment, implementing innovative solutions for process improvement, and demonstrating robust decision-making skills. Previous roles have resulted in improved efficiency of clinical procedures and enhanced patient satisfaction.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Clinical Nurse Manager
DaVita Dialysis
Palmdale, CA
10.2019 - Current
- Lead and supervise a multidisciplinary team of 20+ dialysis staff including RNs, PCTs, and LPNs in a high-volume outpatient hemodialysis clinic serving 170+ patients weekly.
- Ensure the delivery of safe, high-quality, and compliant care in accordance with CMS regulations, state licensing standards, and company protocols.
- Conduct clinical audits, oversee QAPI initiatives, and lead root cause analyses to improve patient safety, reduce infection rates, and enhance clinical outcomes.
- Manage staff scheduling, onboarding, annual competencies, performance evaluations, and ongoing professional development.
- Collaborate with nephrologists, social workers, and dietitians to coordinate individualized treatment plans for patients with acute kidney disease (AKI) and ESRD.
- Monitor key performance indicators (KPIs) such as Kt/V, hospitalization rates, catheter rates, and patient satisfaction; implement corrective actions as needed.
- Oversee medication administration protocols and vascular access management, ensuring adherence to infection control and safety guidelines.
- Lead monthly interdisciplinary care conferences and staff meetings to improve communication, reinforce standards, and drive continuous improvement.
Registered Nurse
DaVita Dialysis
Palmdale, CA
10.2019 - Current
- Provided direct patient care to individuals with kidney disease receiving outpatient hemodialysis treatments.
- Conducted pre- and post-treatment patient assessments, including vital signs, weight, and fluid status.
- Initiated and terminated dialysis treatments safely and efficiently.
- Monitored patients throughout treatment for complications and intervened according to protocols.
- Collaborated with interdisciplinary team members (nephrologists, dietitians, social workers) to create individualized care plans.
- Educated patients on dialysis procedures, fluid and dietary restrictions, and home-care management to promote compliance and improve outcomes.
- Maintained infection control standards and ensured proper disinfection of machines, lines, and work areas.
Registry Nurse
Care Revolutions
Los Angeles, CA
02.2018 - 10.2019
- Provided high-quality nursing care across multiple hospital and outpatient settings including pre-op, OR and post-op, GI and emergency room, adapting quickly to diverse patient populations and clinical protocols.
- Delivered comprehensive assessments, medication administration, and patient education in fast-paced and often high-acuity environments.
- Demonstrated strong critical thinking and clinical judgment skills in managing changing patient conditions with minimal orientation time.
- Supported unit staff by filling staffing gaps, reducing overtime, and ensuring consistent patient coverage during peak demand periods.
Cardiac Cath Lab Nurse
Antelope Valley Hospital
Lancaster, CA
04.2017 - 02.2018
- Assisted with cardiac catheterizations, ensuring patient comfort and safety throughout procedures.
- Monitored patient vital signs during interventions to identify potential complications.
- Prepared and maintained sterile environments, adhering to strict infection control protocols.
- Administered medications, including conscious sedation, as prescribed by physicians.
- Reviewed radiographic images for accuracy, supporting diagnosis and treatment planning.
- Initiated emergency resuscitation measures during life-threatening situations or cardiac arrest.
- Utilized fluoroscopy and contrast dye to detect blockages affecting cardiac function.
- Collaborated effectively within a team and operated independently under pressure.
Neonatal Intensive Care Unit Nurse
Antelope Valley Hospital
Lancaster, CA
04.2016 - 04.2017
- Delivered specialized care to critically ill and premature infants in high-acuity settings.
- Monitored vital signs, promptly reporting changes to medical team.
- Collaborated with multidisciplinary teams to formulate effective patient care plans.
- Educated families on neonatal care practices and discharge planning.
- Assisted in complex procedures while prioritizing patient safety and comfort.
- Conducted thorough assessments to evaluate patient conditions and treatment responses.
- Promoted skin-to-skin contact between mothers and infants post-birth.
- Responded swiftly to emergencies, providing advanced life support as necessary.
House Supervisor
Antelope Valley Hospital
Lancaster, CA
01.2015 - 04.2016
- Directed staffing schedules, daily assignments, and acuity reports to optimize resource utilization.
- Facilitated interdepartmental communication to enhance collaboration and workflow efficiency.
- Investigated customer complaints regarding patient care services to identify improvement areas.
- Communicated staffing decisions to Nurse Managers, ensuring operational transparency.
- Oversaw after-hour procedures, maintaining compliance with established protocols.
- Conducted rounds throughout hospital areas to monitor adherence to patient care standards.
- Responded to emergency situations by directing crisis interventions effectively.
Emergency Department Operations Coordinator
Antelope Valley Hospital
Lancaster, CA
10.2013 - 01.2015
- Oversaw management of Emergency Department operations, ensuring efficient patient care delivery.
- Executed PCC/PdLN responsibilities while actively working in the Emergency Department.
- Conducted staff evaluations and facilitated ongoing education for team members.
- Managed hiring, scheduling, competencies, and certification completion for all staff.
- Coordinated daily workflows across departments to optimize healthcare operations.
- Streamlined patient intake processes through implementation of effective administrative procedures.
- Maintained regulatory documentation and reports to support compliance efforts.
- Organized departmental meetings and prepared necessary documentation for reviews and audits.
Prehospital Care Coordinator (PCC)/ Pediatric Liaison Nurse (PdLN)
Antelope Valley Hospital
Lancaster, CA
01.2013 - 01.2015
- Oversaw daily operations of Los Angeles County programs for Base Station and EMS relations.
- Managed Pediatric Destination protocols for efficient EMS transfers to Emergency Department.
- Ensured compliance with County audits and adherence to established standards.
- Maintained certification requirements and scheduling for Physicians, Mid-Level practitioners, and Nurses.
- Continued service as Registered Nurse within Emergency Department to support patient care.
Fire Department and Nurse Educator
UCLA, Center for Prehospital Care
Wilshire, CA
02.2012 - 07.2013
- Develop, implement, and evaluate educational programs for fire department personnel including EMTs, paramedics, and firefighters, enhancing clinical skills and emergency preparedness.
- Design and deliver training on pre-hospital emergency care topics such as trauma management, cardiac life support, airway management, and infection control.
- Conduct skills assessments, competency validations, and refresher courses to ensure compliance with local, state, and national regulations.
- Collaborate with EMS leadership to integrate evidence-based nursing practices into fire/EMS protocols and policies.
- Coordinate continuing education credits (CEUs) and maintain training records for departmental personnel.
- Provide hands-on training during simulated mass casualty incidents (MCI), CPR drills, and advanced life support (ALS) scenarios.
- Serve as a clinical liaison between the fire department and hospital systems to facilitate seamless patient care transitions.
- Stay current on best practices in emergency nursing, trauma care, and disaster preparedness through ongoing professional development.
Labor and Delivery Nurse
Antelope Valley Hospital
Lancaster, CA
01.2012 - 01.2013
- Delivered comprehensive nursing care to patients during all stages of childbirth, including antepartum, intrapartum, and postpartum.
- Monitored fetal heart tones and uterine activity using electronic fetal monitoring (EFM).
- Assisted with labor support, vaginal and cesarean deliveries, including emergent interventions for complications.
- Supported and educated patients and families on labor progression, pain management options, breastfeeding, and postpartum recovery.
- Collaborated with obstetricians, anesthesiologists, pediatricians, and other team members to provide safe, coordinated care.
- Participated in code situations including neonatal resuscitation and maternal rapid response events.
Emergency Room Registered Nurse, Charge Nurse, Preceptor, Educator
Antelope Valley Hospital
Lancaster, CA
02.2003 - 01.2012
- Company Overview: Antelope Valley Hospital is a full-service, 420-bed, not-for-profit, acute care, medical, and surgical hospital. The emergency room is a Level 2 trauma center, a STEMI receiving center, an EDAP, and a Stroke receiving center, as well as a base station to L.A. County Fire Departments.
- Worked as a Preceptor, MICN, Charge Nurse, and Educator, as well as providing direct patient care to all patient demographics, from neonatal to elderly.
- Care includes initial assessment, treatment care plans with collaboration with physicians, performing labs, and communicating results with physicians, monitoring acutely ill patients with ventilators, arterial lines, central lines, and ventriculostomies.
- Actively involved in patient and family teaching, and discharge planning.
- Involved in education for new hires and current staff, including pediatric updates, education, and continuing skills education.
- Collaborated with multidisciplinary teams to develop effective care plans.
- Administered medications and monitored patient reactions to treatments.
- Trained new staff on emergency procedures and hospital protocols.
- Educated patients and families on post-treatment care and health management.
- Maintained sterile environments during medical procedures and interventions.
- Responded to emergency situations with swift, decisive actions in high-pressure settings.
- Performed triage, prioritizing treatment of incoming patients based on acuity level.
- Triaged and treated high-volume caseload in busy emergency room setting.
- Responded quickly to life-threatening situations while maintaining composure under pressure.
- Assisted in the preparation of trauma victims for transfer or discharge from the hospital.
- Reviewed laboratory results promptly for accuracy and followed up on abnormal findings with physicians.
- Educated families about their loved ones' conditions and provided emotional support.
- Identified potential risks or complications during treatment processes and took appropriate corrective action.
- Provided emotional support and guidance to patients and their families.
- Collaborated with public safety and community organizations to improve emergency response and patient outcomes.
- Utilized advanced cardiac life support (ACLS) and basic life support (BLS) techniques during critical situations.
- Facilitated seamless transfer of patients to other units or facilities, ensuring continuity of care.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
- Prepared medical equipment and tools to aid physician during examination and treatment of patients.
Education
Bachelors of Science Nursing, BSN -
Chamberlain University
Chicago, IL06.2017
Bachelors of Science Nursing, BSN -
University of Phoenix
Lancaster, CA01.2007
Associates of Science Nursing, ASN -
Antelope Valley College
Lancaster, CA01.2003
General Education, High School Diploma -
Palmdale High School
Palmdale, CA06.1995
Skills
- Patient management and clinical auditing
- Compliance oversight
- Infection control strategies
- Medication administration and quality assurance
- Staff scheduling and performance evaluations
- Regulatory compliance and leadership development
- Nurse leadership and clinical quality improvement
- Electronic charting expertise
- Patient assessment and education
- Effective communication skills
- Critical thinking abilities
- Acute care expertise
- Emergency care proficiency
- Neonatal nursing specialization
- Inpatient and outpatient care management
- EMR / EHR systems knowledge
- Precepting and mentorship
Affiliations
- American Nurses Association
- Emergency Nurses Association
Certification
- Registered Nurse - State of California
- BLS - Basic Life Support Provider
- ACLS - Advanced Cardiac Life Support Provider
- PALS - Pediatric Advanced Life Support
References
References available upon request.
Timeline
Clinical Nurse Manager
DaVita Dialysis
10.2019 - Current
Registered Nurse
DaVita Dialysis
10.2019 - Current
Registry Nurse
Care Revolutions
02.2018 - 10.2019
Cardiac Cath Lab Nurse
Antelope Valley Hospital
04.2017 - 02.2018
Neonatal Intensive Care Unit Nurse
Antelope Valley Hospital
04.2016 - 04.2017
House Supervisor
Antelope Valley Hospital
01.2015 - 04.2016
Emergency Department Operations Coordinator
Antelope Valley Hospital
10.2013 - 01.2015
Prehospital Care Coordinator (PCC)/ Pediatric Liaison Nurse (PdLN)
Antelope Valley Hospital
01.2013 - 01.2015
Fire Department and Nurse Educator
UCLA, Center for Prehospital Care
02.2012 - 07.2013
Labor and Delivery Nurse
Antelope Valley Hospital
01.2012 - 01.2013
Emergency Room Registered Nurse, Charge Nurse, Preceptor, Educator
Antelope Valley Hospital
02.2003 - 01.2012
Bachelors of Science Nursing, BSN -
Chamberlain University
Bachelors of Science Nursing, BSN -
University of Phoenix
Associates of Science Nursing, ASN -
Antelope Valley College
General Education, High School Diploma -
Palmdale High School
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