Juvy Ann MEMBRIDO

DIGNITY HEALTH - METHODIST HOSPITAL SACRAMENTO

INTENSIVE CARE UNIT

CHARGE NURSE/ STAFF NURSE

• Adheres to established Hospital/departmental policies and procedures, objectives, Quality Assessment and Improvement Program, legal, safety, envirnmental, infection control standrards, Nurse Practices Act and Patient’s Bill of Rights
• Applies clincal knowledge and expertise for coordinating patient care by regulary planning and evaluating the care of patients.
• Establises and maintains professional and collaborative relationships with other staff members, physicians, patients, patient family members, and the public as appropriate, while assuring confidentiality of all patient information.
• Demonstrates effective nursing judgment and working knowledge of the nursing process.
• Provides guidance to interdisciplinary team members by supervising nursing interventions and assisting with related tasks.
• Provides leadership by establishing priorities and coordinating nursing care.
• Documents and communicates all observed symptoms, reactions, treatments and changes in the patient condition to the appropriate member of the interdisciplinary health care team.
• Coordinates plan of care with other members of teh interdisciplinary health care team to achieve desired goals and outcomes.
• Communicates the plan of care to the patient and care partner(s) for the active involvement of the patient in the evolution of the plan throughout hospitalization.
• Conducts hourly rounds with the patient and care partner, focusing on pain management, skin integrity, elimination and other miscellaneous patient needs.
• Demonstrates a professional, cooperative manner when dealing with all members of the interdisciplinary health care team.
• Demonstrates understanding of organizational structure and utilizes appropriate channels of communication,
• Acts as a resource for all aspects fo the Electronic Health Record (EHR) for employees and medicarl staff.
• Serves as a preceptor and role model to new personnel and nursing students.
• Administers medications to assignes patients as directed and assesses and documents patient responses; initiates appropriate interventions per Hospital/Unit policy.
• Performs other related duties as assigned or requested.

DIGNITY HEALTH - METHODIST HOSPITAL SACRAMENTO

INTENSIVE CARE UNIT
RAPID RESPONSE NURSE

• Primarily responsible for rapidly responding to the bedside of a patient who has beed identified as having acute changes in his/her condition and/or showing signs and symptoms of stroke or shock. Functions as as resource RN for the primary RN caring for the patient. In this role the RRRN assists in assessing the patient consulting with MD and initiating treatments as ordered by the MD. The RRRN initiates RRT standardized protocols. The RRRN monitors the patient as needed or assists in transferring the patient to a higher level of care. He/She may assume care of the patient until a bed and or RN is available to take over teh care of the patient. The RRRN follows up with each rapid response call over the next 24 hours or longer if needed.
• Stroke/TIA: responds to any potential stroke patients on the floors assess the patient according to the Acute Stroke SBAR notify the neurologist on call for any suspected strokes and initiate Code Stroke Alert if instructed to do so by the neurologist. They will assist in getting the patient to the correct level of care as indicated by teh fneurologist. RRT will provide stroke teaching to patients with diagnosis of storke/TIA for discharge.
• Rapid response calls may also include dealing with code status changes as well as dealing with difficult families or patients. The RRRN must be able to use therapeutic communications skills and be able to assess and handle emotional distress in patients and/or families. Makes referrrals to Palliative Care as needed.
• Collaborate with Nurssing Supervisor to promote flow and patient placement. The RRRN may confer with case management as well. This knowledge combined with excellent critical nursing judgment allows her/him to assist in bed placement issues.
• When ED is impacted the RRRN can assist with patient flow by transferring and admitting patients to the floor. The RRn understands the different levels of care that each unit provides and uses his/her nursing judment to assist ED staff ins assuring that patients are admitted to the appropriate floor.
• The RRRN provides support and education to the RN’s on the floor by collaborating and sharing his/her skills regarding patient care in a non-judgmental and non-critical mannr. By working closely with the primary RN at the bedside knowledge and skills are shared and the primary RN becomes more comfortable and knowledgeable in assessment, planning, implementation and evaluation of patients who are acutely deteriorating. The RRRN can offer resource and support to the new grad decreasing the feelings of fear and isolation. In additio to bedside teaching in the RRRN is available for formal lectures and workshops as needed. As an experienced communicators the RRRN will play an active role in increasing the skill of the bedside RN in SBAR communication. Promoting his/her role and having an open and trusiting relationship with stadd throughout the hospital is an important part of the RRRN position and ensures that the RRRN is called whenever needed by the floor RN’s.
• Available to assist with bedside procedures cardiopulmonary procedures; ie: TEE’s cardioversion and Cat Scan’s and MRI’s with procedural sedation.
• RRT can assist floor RN’s with difficult IV starts when IV RN is not available.
• Assist L&D in preparing patient’s for crash C-sections.

ORLANDO HEALTH - DR. P. PHILLIPS HOSPITAL

INTENSIVE CARE UNIT

CLIN. ASSISTANT NURSE MANAGER (May 2015 -June 2018)

• Responsible for the day operations within the clinical setting to ensure delivery of quality service and optimal patient flow.
• Managing staffing for assigned and oncoming shidfts, based on patient acuity to insure patient care needs are met and budgetary boundaries are observed
• Coordinatres patient flow by working direcly with the Administrative Supervisor office, Case Management, Discharge Planners etc.
• Monitor overall status of patients within area of responsibility and closely monitors status of seriously ill patients.
• Assists with the clinical evaluation of team members, completes written clinical performance evaluations and conducts timely team member assessments.
• Ensure compliance with certifications, licenses and required education for team members.
• Assists in the coordination and participates in the delivery of patient care ensuring compliance with physician orders adn established policies, procedures and standards of practice.
• Ensures incident reports are completed appropriately and follows up with incident reports as needed.
• Participates in multidisciplinary rounds.
• Performs direct patient care activities as required to meet operational needs.
• Interfaces with patients and families to provide instruction, promote participation in patient care and to coordinate nursing activities.
• Plans and evaluates compliance with organizational, regulatory policies and procedures.
• Ensures evidenced based, quality nursing practice consistent with nursing research, organizational and national practice standards are being performed by staff (i.e., Core Measures and HAC prevention).
• Expresses ideas clearly and effectively in verbal and written communication to team members and groups.
• Participates and/or leads in staff meetings and staff huddles.
• Embraces, communicates and promotes change.
• Utilizes effective fiscal management skills with financial resources..
• Monitors the use/ maintenance of equipment to insure staff have the needed equipment for patient care and they are able to appropriately utlize equipment.
• Contributes to the strategic and financial planning of the unit/ department.
• Cultivates exemplary customer service throughout the unit/ department by conducting customer service rounds and investigating and responding to patient/ family and physician complaints.
• Maintains a regulatory ready environment of care.
• Facilitates and supports team members involvement in professional and organizational activities as well as unit and hospital based committees.
• Demonstrates professional accountability by maintaining proficiency in assigned role and involvement in professional organizations.
• Identifies issues arising from individual differences and develops awareness of those issues in nursing staff, medical staff and other health care providers.
• Advocates on behalf of the nursing staff to represent the concerns of patients, families and staff.
• Holds self and others accountable to Orlando Health’s mission, vision and values.
• Performs all other duties as assigned by the Nursing Operations Manager or designee.
• Manages various personnel functions including hiring, work assignments, coaching plans, and counseling actions.
• Able to maintain reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal state and local standards.
• Able to maintain compliance with all Orlanado Health policies and procedures.
• Knowledge of risk management concepts.
• Participates in Process Improvement activities as assigned.
• Able to interpret the appropriate information need to identify each patient’s requirements relative to their age specific needs and to provide nursing care needed as described in the unit/department’s policies and procedures.

ORLANDO HEALTH - DR. P. PHILLIPS HOSPITAL

INTENSIVE CARE UNIT

CHARGE NURSE / STAFF NURSE (July 2009 - May 2015)

• Demonstrates critical knowledge, skills, and judgement to care for patients requiring complex assessment and therapies, high intensity interventions, and high-level continuous nursing vigilance.
• Utilizes information and assessment data to anticipate and respond with confidence and adapt to rapidly changing patient conditions.
• Identifies and prioritizes information to take immediate and decisive evidence-based, patient focused action.
• Monitors and adjusts specialized equipment used on patients, and interprets and records electronic displays, such as intracranial
  pressures, central venous pressures, pulmonary artery pressures, and cardiac rhythms from cardiac monitors, respirators, ventilators, oxygen pumps, etc.
• Responds to life-saving situations based on nursing standards and protocol.
  Observes, monitors, and assesses patients’ condition, recognizes, identifies, and interprets serious situations and calls Physician or takes preplanned emergency measures when Physician is not immediately available.
• Assesses patient’s needs and develops/revises an individualized plan of care based on patient needs and responses. Evaluates the
  patient’s progress toward attaining expected outcomes.
  Respects diversity by building respectful relationships with all team members and customers.
  Functions as a patient and family advocate.
• Demonstrates advanced knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her
  assigned unit/ department.
  Serves as a preceptor, charge nurse, unit educator, and/ or nurse clinician.
• Communicates and collaborates with medical staff and interdisciplinary team to effectively plan and manage the unit/department.
  Serves as a role model for staff and supports the hospital and nursing department’s goals and strategies.
• Prioritizes patient care in an ongoing manner in accordance with Evidence-Based
• Practice Standards of Care.
• Practices effective problem identification and resolution.
• Delegates tasks and duties to healthcare team members in accordance with the patient’s needs and the team member’s capabilities and qualifications.
• Communicates appropriate information regarding patient condition or unit concerns to other health care team members.
• Demonstrates caring practices by providing a compassionate and therapeutic environment for patients and their families.
• Maintains compliance with all Orlando Health policies and procedures.

ORLANDO HEALTH - DR. P. PHILLIPS HOSPITAL

INTENSIVE UNIT CARE

RAPID RESPONSE NURSE (July 2009 - May 2015)

• Provide critical care to patients in urgent situations as a member of the Rapid Response Team.
• Deliver exceptional patient care in a fast-paced and dynamic environment.
• Utilize advanced nursing skills and knowledge to assess, plan, and implement patient care.
• Serve as a resource and support to other healthcare team members during urgent situations.
• Effectively communicate with patients, families, and healthcare team members to ensure optimal patient outcomes.
• Adhere to established policies, procedures, and standards of care to maintain quality and safety.
• Participate in ongoing education and training to enhance skills and knowledge.
• Maintain accurate and thorough documentation of patient care.
• Demonstrate compassion, empathy, and professionalism while caring for patients and their families.
• Collaborate with interdisciplinary team to develop and implement individualized care plans.
• Identify and report any changes in patient condition or concerns to the appropriate healthcare provider.
• Adhere to infection control protocols and maintain a safe and clean working environment.
• Participate in quality improvement initiatives to ensure high-quality patient care.
• Demonstrate a commitment to continuing education and professional development.
• Adhere to ethical and legal standards of nursing practice.
• Maintain confidentiality of patient information.
• Stay updated on industry trends and advancements in nursing practice.
• Provide support and guidance to less experienced team members.
• Demonstrate a positive attitude and strong work ethic.
• Promote a culture of excellence and teamwork within the Rapid Response Team.

• Provided direct patient care in the ICU setting, including assessment, diagnosis and treatment.
• Assisted physicians with procedures such as intubation, chest tube insertion and central line placement.
• Monitored vital signs including pulse oximetry, blood pressure, temperature and respiration rate.
• Performed daily rounds to assess patient condition and provide education to families regarding treatments and prognoses.
• Administered medications according to physician orders, including intravenous fluids or antibiotics.
• Evaluated laboratory results to determine patient response to therapy or medication changes.
• Collaborated with interdisciplinary team members to develop individualized care plans for each patient.
• Maintained accurate documentation of all assessments, interventions and patient progress in electronic medical records system.
• Utilized evidence-based practice guidelines when making clinical decisions related to patient care.
• Provided compassionate end-of-life care by facilitating family meetings and providing support during difficult times.
• Received specialized training in critical care management techniques such as hemodynamic monitoring or ventilator management.
• Provided direct care in surgical, cardiac and neurological critical care units.
• Administered medications and treatments as prescribed, ensuring compliance with healthcare protocols.
• Performed emergency medical procedures, such as advanced cardiac life support (ACLS), when necessary.