Kara Comella
Scituate,RI
Summary
Fifteen years as an RN, with three years on the Medical-Surgical unit, six years in the Intensive Care Unit, and one year in Special Procedures (Interventional Radiology). Four years as a staff RN in outpatient cardiology. Seeking further advancement of knowledge and skills in the outpatient setting. Apply skills and experience gained in outpatient cardiology to the Nurse Navigator role.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Outpatient Cardiology Registered RN
Cardiovascular Institute of New England
Cranston/Lincoln, RI
06.2020 - Current
- Performing chemical vasodilatory nuclear stress tests with myocardial perfusion imaging
- Performing accurate physical assessment, closely monitoring Pt’s clinical presentation along with vital signs/EKG interpretation, providing support and education during the duration of the testing process
- Working closely in collaboration with the Nuclear Stress Technician
- Communicating acute findings with ordering physician and applying appropriate nursing interventions
- Performing exercise stress tests/stress echocardiograms/ dobutamine stress echocardiograms while implementing appropriate considerations for specified test
- Aiding with IV insertion for bubble studies and echocardiograms requiring image enhancing definity
- Blood pressure office visit checks
- Holter monitor placement, analyzing and reading
- Proficient in cardiac arrythmia identification, evaluation and treatment options
- Managing and dosing of warfarin Patients through company warfarin clinic by closely monitoring INR levels
- Coordinating pre-procedure lovenox bridging when necessary
- Providing detailed warfarin teaching to all patients
- Reviewing and interpreting Patient lab results
- Providing prompt notification to ordering MD for critical/priority lab results and implementing interventions as ordered
- Triaging patient and outside provider phone calls/ correspondence
- Providing Patient education and acting as a liaison between patient/outside provider/outside facility and physician
- Maintaining good communication and professionalism with office staff and multiple providers within the practice
- Assisting and providing continued services within the nursing scope of practice within the office setting
- Responsible for ordering/ restocking medical supplies and maintaining crash cart
Staff Registered Nurse- Intensive Care Unit/Interventional Radiology Nurse
Roger Williams Medical Center
Providence, RI
07.2012 - 03.2020
- Provides nursing care by implementing the nursing process to critically ill patients, responsibilities including:
- Direct management of mechanically ventilated patients
- Understanding, administering, and Titrating vasopressor drugs, sedation medications, and cardiac medications
- Knowledge of central lines and aiding with bedside procedures such as, central line, chest tube insertion, and intubation
- Experience with hemodynamic monitoring including measuring central venous pressures and Pulmonary Artery Catheter numbers
- Management of the acute post-operative patient and understanding special considerations for a variety of procedures including, craniotomies, complicated bowel resections, whipples, vascular and thoracic surgeries
- Recording and interpreting hourly vital signs and Intake and output
- Reporting abnormal findings and implementing proper nursing interventions
- Experience with temporary pacing wires, use of defibrillator and performing CPR
- Implementing and monitoring hypothermia protocol post ROSC
- Working collaboratively with other staff members during emergent situations
- Providing patient hygiene such as bedbaths, oral care, skin care along with frequent repositioning while maintaining the patients privacy and dignity
- Providing education, patience and compassion to patients and their families during stressful moments
- Providing palliative care to end of life patients while providing support to their families
Staff Registered Nurse- General Medical- Surgical Unit
Roger Williams Medical Center
Providence, RI
06.2009 - 07.2012
- Provided nursing care by implementing the nursing process to patients on a General Medical-Surgical unit with telemetry monitoring
- Specialized in the medical treatment of the geriatric population
- Focused on special considerations specific to the disease process in the aging adult
- Administered medications, including intravenous therapy of antibiotics, intravenous fluids, blood products and TPN
- Placed peripheral IVs and obtained bloodwork peripherally and from central lines
- Performed wound-care, and dressing changes
- Conducted thorough physical assessments
- Monitored and interpreted telemetry stripes
- Recognized and reported abnormal findings (ie), labwork/vital signs/diagnostic tests and executed appropriate interventions
- Actively participated in the direct care of patients with acute delirium and dementia
- Worked collaboratively as a multidisciplinary team member to achieve the best possible patient outcome
- Educated patients and family members about the disease process, course of treatment, medications, dietary restrictions, activity level, hospital environment and discharge teaching
Education
Bachelor of Science - Nursing
University of Rhode Island
Kingston, RI05-2009
Skills
- Strong physical assessment skills
- Management of mechanically ventilated patients
- Ability to read and interpret cardiac rhythms
- Experience with sedation and vasopressor medications
- Accurate and precise documentation
- Compassionate nursing care
- Teaching patients and families about disease processes and treatment
- Aptitude to multi-task
- Strong communication skills
- Professionalism
- Desire to further nursing knowledge and skills
Certification
- Registered Nurse, RI
- Basic Life Support (BLS)
- Advanced Cardiac Life Support (ACLS)
Timeline
Outpatient Cardiology Registered RN
Cardiovascular Institute of New England
06.2020 - Current
Staff Registered Nurse- Intensive Care Unit/Interventional Radiology Nurse
Roger Williams Medical Center
07.2012 - 03.2020
Staff Registered Nurse- General Medical- Surgical Unit
Roger Williams Medical Center
06.2009 - 07.2012
- Registered Nurse, RI
- Basic Life Support (BLS)
- Advanced Cardiac Life Support (ACLS)
Bachelor of Science - Nursing
University of Rhode Island
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