Justine Angelica Raymundo

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
• Educated patients and answered questions about health condition and treatment.
• Administered different therapies and medications in line with physician orders and treatment plan.
• Delivered important IV and venous medications to control symptoms and provide effective treatments.
• Performed triage on incoming patients via EMS and determined severity of injuries and illnesses.
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
• Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Preceptor Experience: training and developing new and student Nurses.

• The Emergency Care Department is a 36 bed capacity that is fully integrated with 1 ambulance bay, 1 helipad, 2 resuscitation bed, 2 trauma beds, 2 isolation rooms and a decontamination room. The Nurses are rotated as Acute Adult,Critical, Pediatric Nurse, Ambulance Nurse and Triage Nurse that serves all age groups. The Emergency department caters for an average of 250-300 patients per day. The usual Nurse-Patient ratio is 1:4.

· Performs Triaging in consideration of the urgency of complaint based on Emergency Severity Index

· Performs head to toe assessment to all patients including past medical history taking.

· Makes a timely escalation of required medical interventions for and emergent situation

· Performs Intravenous cannulation

· Administers medication by mouth, optic, nasal, iv, rectal, ET, subcutaneous, IM and nebulizers with knowledge of the cause and effect thereof

· Administers Intravenous fluids including Blood and Blood components with strict monitoring

· Oxygenation via NC, face mask, venturi mask, non re-breather, tracheal and bag-valve mask.

· Catheter insertion: NGT, Foley catheter for male and female

· Care for patients with PEG, NGT and colostomy bags

· Prepares patients for diagnostic procedures: XRAY, CT Scan, MRI, Ultrasound, 2d echo, venous duplex scan

· Assist Trauma patients: application of cervical collar, arm sling, bandage application, wound care and dressing

· Assist patient for surgery and informs anesthesiologist for evaluation, including patients for stat coronary angiogram.

· Prepares patients for and assist physician with diagnostic and therapeutic procedures

- Cardioversion

- Endotracheal Intubation/Extubation

- Central Line Insertion

- Chest Tube Insertion

- Thoracentesis

- Administration of thrombolytics

- Minor wound suturing, incision and drainage, foreign body removal

- Ortho: Application of mold/ cast, close reduction for dislocations

· Performs ACLS

· Assess patient and significant others learning needs and educate on patient’s health needs as deemed necessary

· Performs a timely and accurate documentation of all pertinent observations and patient care interventions rendered.

· Anticipates and attends to patient and his/her significant others’ needs to fulfill the goal of customer delight

· Ensures and monitors patient turn-around-time in accordance with the standards of clinical outcomes and pathways (STEMI, Brain Attack Team)

· Facilitates Admission (ICU/telemetry/Regular Room/Isolation room) and Discharge.

· Facilitates Ambulance Conduction (land and air) whether transport-in or transport out.

· Performs independent nursing interventions utilizing the nursing process framework

· Escalates panic values of laboratory tests and patient’s concerns to doctors and appropriate authorities

· Ensures that all doctors are informed of their referrals, admissions and discharge promptly.

· Prepares equipment and instruments and ensures its safety, functionality and sterility

· Collaborates with doctors, ancillary services, pharmacy, laboratory, dietary, billing and admission office, patient experience officer and other patient’s requirements that they need to provide.