11 years primarily cvicu and ICU registered nurse, frequent ER float in last 4 years, cath lab and ep crosstrained RN, cardiac specialized and field director RN for disaster response units of Red Cross, Ccrn
Hi, I’m
Kayla Kocian
San Antonio,TX
Summary
Overview
10
years of professional experience
1
Certification
Work History
Baptist Health Hospital
Civicu Charge and Cath Lab RN Contract Lead Nurse
01.2024 - 03.2024
Job overview
- Floating to icu and er required during contract
- Float to cvicu weekly 2 times per week charge or floor nurse
- Hospital contract required alternating in between lead roles as needed
Dr Wassim Choucair
Nurse Specialist in Complex Cardiac Surgery
09.2023 - 01.2024
Job overview
- Patient assessment and notation dissertation
- Follow up orders on surgical pts and clinic patients icu rounds
- Circulate and assist first hand by surgeon in complex acute cardiac surgeries
- Work with Cath lab team and cvicu to appropriately manage patient care coordination
- Run codes as lead rn
CHRISTUS Health
Icu Charge and Cardiac Cath Lab RN Lead Circulator
01.2023 - 10.2023
Job overview
- Circulating nurse in cath lab and circulator for nicl nuclear testing
- Worked 80 hours per week both Cath lab lead and ICU CVICU charge
- Precept in both Cath lab and icu for new hires
- Assisted cardio surgical doctors and team and pacemaker placements, trans esophageal echo sedation and assist, sedation and drug administration operatively and post operative care of patients until ready to transfer to unit for further care versus determining if they were stable to discharge home, management of techs and ancillary staff, close monitoring of second to second changes and responded appropriately with necessary treatment, anticipate changes and be ready for unexpected unplanned procedural risks, work with family and doctor to communicate care questions, chart and charge on epic
American Red Cross
RN lead drt team responder team director
01.2020 - 01.2023
Job overview
- Member of specialized unit of medical doctors and nurses who respond to disasters in south Texas and care for community immediate disaster related injury and health needs in time of crisis
- Care of adult and child injuries and medical necessities lost in disaster
- Provide immediate skills and training in ICU to work with team to immediately provide care or resuscitate patients and then transfer to closest medical facility if available
- Assessment of safety of surroundings and provide shelter that is out of harms way
- Provide case management and follow up on patients who receive care
- Order medications or medical devices lost in disaster that are needed for immediate patient safety
- Collaborate and communicate with volunteers in order to provide quick care and coordinated organized plan of action in time of chaos and crisis
- Set up safe temporary shelters for medical care and housing for citizens who have experienced a medical emergency or national disaster
Methodist Health System
ICU Registered Nurse Charge Icu and Preceptor
03.2016 - 01.2020
Job overview
- Initiated leadership skill by changing protocol in ICU
- Desired to implement a decrease patient mortality and communication errors between nurses by leading a series of presentations showing the need for a protocol-based rule in the ICU that required nurses to hand off report at bedside and visually approve the medications being titrated, patient status, vital signs, and ventilator
- Subsequently the nurses would be required to view current standing orders
- This decreased medication error by 90%
- Assessment and treat cardiac arrhythmias with electrocardiogram and ICU specialized training
- Management of intubated patients, titration drips such as vasopressors, sedation, and emergent administration of medications per protocol in response to assessment of patient need
- Member of critical care rapid response team
- Responded to codes and emergencies throughout the hospital as a member of the rapid response team
- Management of central lines, setup of arterial lines and Swan-ganz catheters
- Balloon pump management
- Neurosurgical post operative patient care of all types of brain and neuro surgeries assess and report neuro status changes and know assessments and norms for post procedure brain surgery
- Cared and changes of post neurosurgical patients of all varieties
- With frequent assessments of Level of consciousness and Glasgow coma scale use as well as lumbar drip management
- Collaborate with ICU pulmonologists and specialists regarding the trending concerns in patient presentation observed over time
- Responded to patient needs in timely manner caring out physician orders and suggestions providing patient with optimal outcome and swift treatment while working with RN ICU team at side and collaborating with all
- Trained on boarding new nurses to unit working as the nursing preceptor for these nurses
- Swan ganz and cardiac calculations
- Drip protocols
- Close monitoring of acute change and emergency response
- Balloon pump management
- Assessment post operative declining septic/ open heart/ balloon pump/ Pacu care for complex immediate post operative neuro surgical patients and variety of critical clientele
- Vasopressor titration and management
- Sedation management
- Transfusion of blood and products
- Timely response to crictical changes
- Team centered and supportive of those in my unit
- Member of code blue team hospital wide response
- Float to ER unit frequently as icu er hold nurse and took ed patients as rn on unit
- Precept new hires
- Work with administration and coordinate plan of care and assessment of patient status
- On Hiring team for ICU new hires
- Conduct auditing
- Work with emar charting meditech
Christus Westover Hills
Sicu Cardiac Specialty Surgical Registered Nurse
10.2015 - 03.2016
Job overview
- Management of postoperative surgical patients and assisted in diagnosis of cardiac patients on telemetry with known or suspected cardiac events and perfusion interrupting rhythms to hospitalists allowing them to initiate need for consultations and specialized testing
- Provide comprehensive postoperative patient teaching and recovery care instructions by demonstration
- Assist doctor with preparation for bedside procedures including Cardioversion, central line placement, and Lumbar punctures, and intubation
- Personally, developed a standardized report sheet which was recognized by director and then selected by management to be implemented throughout hospital
Providence Hospital
RN CVICU and step down
01.2014 - 10.2015
Job overview
- Supervised 2-3 patient care techs on a 30-bed specialized cardiac surgery unit with 4 to 5 patients in my care
- Care of post-op heart catheterization, thoracotomy wound care, valve replacement/repair
- Active member of unit council reviews and active in development of policy and procedure review for unit
- Prompt, skilled assessment of acute cardiac emergency/STEMI
- Teamwork skills and effective communication utilized during rapid response alerts and code blue events
- Preoperative preparation of CABG
- Gathered consents, and provided thorough patient and family education and teaching regarding post operative expectations of treatment outcomes post CABG
Education
RN-MSN FNP University of TexasArlington, TX
MSN in Nursing
University Overview
Graduate 2024 and will specialize in critical care post degree attainment
The University of Texas At ArlingtonArlington, TX
Bachelor Of Nursing from Nursing Administration
05.2022
University Overview
Hallmark CollegeSan Antonio, TX
Associate in Science from Nursing Administration
12.2013
University Overview
Skills
- ICU experience (10 years)
- Acute care (6 years)
- Critical care experience
- Charge and preceptor 5 years
- Primary care
- Hospital experience
- Behavioral health
- Suturing
- Dialysis and crrt
- Epic
- Cerner
- Meditech
- Pointclick care
- McKesson
- CT
- ER
- Infusion
- Case management
- Medical office experience
- Cardiac catheterization
- Aseptic technique
- Developmental disabilities experience
- Pain management
- Occupational health
- Pediatrics
- Senior care
- Central lines (10 years)
- EMR systems
- Nurse management
- Triage
- Medical records
- Anatomy knowledge
- Experience administering injections
- Nursing
- Medication administration
- ECCMO (3 years)
- Ventilator maintenance and care (6 years)
- Medical records (10 years)
- Critical care transport (8 years)
- Management (2 years)
- Managed care
- Venipuncture
- Employee orientation
- Vital signs
- Supervising experience (6 years)
- Recruiting
- Laboratory experience
- Medical imaging
- Phlebotomy
- ICD-10
- Customer service
- Project leadership
- DRG
- Public relations
- Leadership
- Marketing
- SharePoint
- Proposal writing
- Budgeting
- Skilled nursing facility
- English, Spanish and French proficiency
- Employee evaluation
- Meditech (6 years)
- Surgery cvicu
- Er float for 3 years
Certification
- ACLS Certification
- PALS Certification
- BLS Certification
- RN License
- Compact State Nurse License
- NIHSS Certification
- RN, 05/2025, TX
Assessments
Assessments
- Medical terminology, Proficient, January 2023
- Clinical judgment, Proficient, January 2023
- Nursing assistant skills, Proficient, January 2023
- Patient-focused care, Proficient, January 2023
- Home health aide skills, Proficient, February 2023
Willing To Relocate
Willing To Relocate
- Austin, TX
- Boerne, TX
- San Antonio, TX
Awards
Awards
Daisy award - February 2018Accomplishments
Accomplishments
Daisy award 2017
Affiliations
Affiliations
Aacn
Ana
ASNA
NSNA
NLN
Languages
French
Native or Bilingual
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Civicu Charge and Cath Lab RN Contract Lead Nurse
Baptist Health Hospital
01.2024 - 03.2024
Nurse Specialist in Complex Cardiac Surgery
Dr Wassim Choucair
09.2023 - 01.2024
Icu Charge and Cardiac Cath Lab RN Lead Circulator
CHRISTUS Health
01.2023 - 10.2023
RN lead drt team responder team director
American Red Cross
01.2020 - 01.2023
ICU Registered Nurse Charge Icu and Preceptor
Methodist Health System
03.2016 - 01.2020
Sicu Cardiac Specialty Surgical Registered Nurse
Christus Westover Hills
10.2015 - 03.2016
RN CVICU and step down
Providence Hospital
01.2014 - 10.2015
RN-MSN FNP University of Texas
MSN in Nursing
The University of Texas At Arlington
Bachelor Of Nursing from Nursing Administration
Hallmark College
Associate in Science from Nursing Administration
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