Julio Garcia

• Provided care for patients post cardiac/cardiothoracic surgery including Coronary artery bypass grafting (CABG), heart valve replacement, Maze procedure, cardiac ablation, and aneurysm repair.
• Monitored invasive and noninvasive hemodynamic monitoring devices.
• Manage titratable drips including sedatives, vasoactive drugs, and paralytics
• Assist physicians with bedside procedures including intubating, bronchoscopy, central line placement, arterial line placement, cardioversion, placement of chest tube and procedural sedation
• Managed critical treatments including ventilator management, pulmonary artery (Swan-Ganz) catheter hemodynamic monitoring, Intra-aortic balloon pump (IABP) management, continuous renal replacement therapy (CRRT) management, hypothermia protocol management, and external pacemaker management.

• RN in both a growing ICU and an established ICU making effective use of hospital resources. Prioritizing care and communicating effectively with physicians, patients, staff, and management.
• Cap stone presentation on nursing tools to decrease incidence of ICU delirium.
• Cared for first Tenecteplase-treated stroke patient and first Midwest Transplant Network (MTN) patient.

• Worked as a local travel RN in a progressive care unit (PCU) oncology floor caring for med intermediate, surg/telemetry and comfort measures only patients. Provided care to patients and their loved ones as they navigated through difficult diagnosis. Followed specific floor policies and interventions for oncology patients.

• Provided services in a Step-Down unit providing care for a mixture of PCU and M/S tele patients. Patient population included ortho surgery, cardiac, stroke and low to moderate acuity patients that required close monitoring and cardiac drips.

Provided RN services to Intensive Care Units across the country. Working in intense situations during the COVID-19 pandemic. Quickly adapting to new hospital policies and protocols to care for acutely ill patients. Always open to new challenges and flexible to the constant change in environment. Striving to give high quality care that was guided by the values of the hospitals.

• CHI Health Creighton University Medical Center - Bergan Mercy - (Omaha, NE) 02/2022 – 05/2022
• Lake Regional Health System - (Osage Beach, MO) 07/2021 – 10/2021
• Geary County Community Hospital - (Junction City, KS) 09/2020 – 07/2021.

Assisted with the implementation of new policies and procedures during COVID-19 pandemic to better adapt hospital for higher-patient-acuity needs.

Assisted interim-manager during new employee interviews.

Precepted oncoming RNs.

• North Texas Medical Center - (Gainesville, TX) 06/2020 – 09/2020
• St John's Riverside Hospital - (Yonkers, NY) 04/2020 – 06/2020

• Provided care to patients with multiple medical conditions including post CABG/valve replacement surgery, TAVRs, post code hypothermia protocol, GI bleed, DKA,
• Collaborated with members of the interdisciplinary team to coordinate and provide care to critically ill patients.
• Capstone preceptor and new RN preceptor.

• Provided care to acutely ill adult patients with multiple disease processes in MICU setting including patients post CABG/Valve replacement surgery, COPD exacerbation, CHF exacerbation, multi-organ failure, sepsis, GI bleed, diabetic ketoacidosis, post cardiac and respiratory arrests.
• Worked in the role of relief charge RN coordinating daily care activities of the unit, supporting staff with patient care, educating staff on policies and protocols, responding to emergencies throughout the hospital, and communicating with multi-disciplinary team tp provide best patient care.
• Precepted and mentored new staff to the ICU by setting learning objectives for new hires, educating on hospital policies and protocols, and providing constructive feedback that allowed RNs to develop critical thinking skills.