Summary
Overview
Work History
Education
Skills
Certification
Additional Information
Assessments
Groups
Personal Information
Awards
Languages
Timeline
Generic

KAYLA Kocian Smith

San Antonio,TX

Summary

11 years ICU RN and step down CVICU with 9 years' of clinical experience and management/training. 5 Years of cross training into Cath lab it and ep. Team member of Code response for 200 bed hospital. Leadership and preceptor experience with all levels of Adult ICU, CCU and Neurosurgical ICU care. Responsibilities of charge and team leadership. Being a highly organized nurse with very high standards for nursing care- I prioritize strengthening my unit by helping team in times of need as well as being a committed preceptor to those new to unit. Committed to raising the bar of patient perception of what the highest quality of care entails. Ccrn tncc and in senior semester of masters fnp msn at Uta. Well-qualified Nurse Consultant bringing 11 years of medical care and case review experience. Critically evaluates documents and develops summaries.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Assistant nurse specialist in ep surgery

Dr Choucair
05.2021 - Current
  • Patient assessment and notation dissertation
  • Follow up orders on surgical pts and clinic patients icu rounds
  • Reviewed medical records and summarized care.
  • Observed and reported on independent medical evaluations.

Director of Emergency-disaster Reponse Unit

American Red Cross- DRT ICU responded
01.2019 - Current
  • 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
  • Oversaw operations and provided corrective feedback to achieve daily and long-term goals.
  • Managed daily operations while overseeing multiple locations to foster increased productivity.
  • Leveraged professional networks and industry knowledge to strengthen client relationships.
  • Oversaw supply chain functions to verify inventory levels and budget adherence.
  • Recruited, hired, and trained initial personnel, working to establish key internal functions and outline scope of positions for new organization.
  • Observed each employee's individual strengths and initiated mentoring program to improve areas of weakness.
  • Scheduled employees for shifts, taking into account customer traffic and employee strengths.
  • Handled problematic customers and clients to assist lower-level employees and maintain excellent customer service.
  • Updated and resolved incidents and managed accessorial charges objectively while maximizing profit.
  • Reduced operational risks while organizing data to forecast performance trends.
  • Assisted in recruiting, hiring and training of team members.

Cardiac Cath Lab RN

CHRISTUS Health
02.2023 - 09.2023
  • Circulating nurse in cath lab and circulator for nicl nuclear testing
  • 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, managementof 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
  • Administered diagnostic angiograms, injecting intravenous dye for x-ray examination and using catheters to introduce tools needed for medical treatments.
  • Performed fractional flow reserve tests to measure blood pressure and diagnose severity of restriction at blocked areas within arteries.
  • Delivered 3D mapping, therapeutic ablative procedures with both radio frequency and cryoablation and CRT rhythm management procedures.
  • Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
  • Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
  • Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
  • Investigated and resolved issues affecting hospital operations and patient care.
  • Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
  • Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
  • Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
  • Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
  • Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.

Registered Nurse

ICU RN Methodist
03.2016 - 12.2019
  • 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
  • Managed care from admission to discharge.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
  • Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
  • Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
  • Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.

Nurse Supervisor and Preceptor

Rn Cardiac Specialty Surgical Christus Hospital
09.2015 - 04.2016
  • 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
  • Trained, evaluated and coached clinical staff to improve performance.
  • Kept facility in compliance with HIPAA, OSHA and other applicable guidelines.

RN Cvsicu Floor Nurse

Providence Hospital
12.2013 - 12.2015
  • Supervised 2-3 patient care techs on a 30-bed specialized cardiac surgery unit
  • 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
  • Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
  • Supervised and managed daily scheduling, tasking, and administration.

Education

MSN in Nursing -

RN-MSN FNP University of Texas
Arlington, TX
08.2024

Associate in Science (AS) in Nursing -

Lone Star College System
Houston, TX
01.2013

Skills

  • ICU experience (8 years)
  • Acute care (6 years)
  • Critical care experience
  • Primary care
  • Hospital experience
  • Behavioral health
  • Suturing
  • Dialysis
  • Epic
  • 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 law (3 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
  • Cerner
  • ICD-10
  • Disease Prevention
  • Staff Training
  • Data Analysis
  • Clinical Supervision
  • Reviewing risk exposure
  • Performance Improvement
  • Legal Compliance
  • Healthcare management
  • Patient Relations
  • Report Writing
  • Quality Improvement
  • Emergency Care
  • Geriatric Care

Certification

  • RN License
  • PALS Certification
  • BLS Certification
  • ACLS Certification
  • AHA Certification
  • Compact State Nurse License
  • AED Certification
  • Nursing certification
  • CCRN (Adult)
  • RN, 05/2023

Additional Information

COVID certified. Cardiac aaccn certified. Code blue team. Preceptor for new hires to icu. Managed unit during codes on icu floor

Assessments

  • Patient-focused care, Proficient, 09/2022
  • Responding to patient concerns with sensitivity, Proficient, 09/2022
  • Clinical judgment, Proficient, 09/2022
  • Case management & social work, Proficient, 01/2023
  • Office manager, Proficient, 10/2023

Groups

Ccrn aacn ana

Personal Information

Title: Icu nurse, charge nurse, cardiac nurse, disaster response lead for red cross

Awards

DaisyMay 2014

Languages

French
Professional Working
Spanish
Professional Working

Timeline

Cardiac Cath Lab RN

CHRISTUS Health
02.2023 - 09.2023

Assistant nurse specialist in ep surgery

Dr Choucair
05.2021 - Current

Director of Emergency-disaster Reponse Unit

American Red Cross- DRT ICU responded
01.2019 - Current

Registered Nurse

ICU RN Methodist
03.2016 - 12.2019

Nurse Supervisor and Preceptor

Rn Cardiac Specialty Surgical Christus Hospital
09.2015 - 04.2016

RN Cvsicu Floor Nurse

Providence Hospital
12.2013 - 12.2015

MSN in Nursing -

RN-MSN FNP University of Texas

Associate in Science (AS) in Nursing -

Lone Star College System

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KAYLA Kocian Smith