Keisha Fulgencio
Bayonne,NJ
Summary
Summary: Compassionate Registered Nurse with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven ability to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.
Overview
12
12
years of professional experience
Work History
Emergency Room Registered Nurse
University Hospital Newark
11.2022 - Current
- Enhanced patient care by conducting thorough assessments and promptly addressing critical needs.
- Streamlined emergency room operations by efficiently triaging patients according to the severity of their condition.
- Collaborated with multidisciplinary teams for optimal patient outcomes during high-stress situations.
- Facilitated clear communication with patients, families, and colleagues, fostering positive environment in a fast-paced setting.
- Deescalated tense situations involving agitated patients or family members through active listening skills and empathetic responses.
- Reduced wait times by swiftly completing documentation and communicating effectively with medical staff.
- Mentored new nursing staff in emergency room procedures and techniques, promoting team cohesion and supportive learning atmosphere.
- Cared for as many as 6 patients each day, quickly identifying concerns, controlling symptoms and providing expert emergency care.
Registered Nurse, CVICU -Floats to MICU/SICU
Robertwood Johnson University Hospital
07.2021 - 12.2023
- Treated patients with coronary heart disease and provided post-operative care following bypass surgery or heart transplant procedures.
- Managed hypertension, congestive heart failure, arrhythmias and other heart conditions by evaluating and monitoring pacemakers and defibrillators.
- Assisted in diagnosis and treatment of conditions such as unstable angina, cardiomyopathy, coronary artery disease, and cardiac dysrhythmia.
- Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
- Oversaw various aspects of telemetry by monitoring PA catheters and arterials, titrating vasoactive drugs, thrombolytic therapy, dysrhythmia interpretation and chest tubes.
Care Manager
WellCare Health Plans
10.2014 - 06.2021
- MLTSS program (State Medicaid Program) In conjunction with PCP and member, completes comprehensive assessment and develops care plan for 60+ members.
- Assess short-term and long-term needs and establishes case management objectives.
- Interacts continuously with member, family, physician(s) and other providers utilizing clinical knowledge and expertise to determine medical history and current status.
- Ensures compliance with all state and federal regulations in day to day activities.
- Coordinate community resources with emphasis on medical, behavioral and social services.
- Maintains HIPAA standards and confidentiality of protected health information.
ICU Nurse MICU/SICU
Angels Staffing Agency
12.2020 - 04.2021
- Delivered care for up to 3 Patients on this 30 Bed COVID ICU unit.
- Oversaw various aspects of telemetry by administering of medication requiring frequent titration (Norepinephrine, Nitroglycerin, Lorazepam, Fentanyl, Cisatracurium, Midazolam, etc)and dysrhythmia interpretation.
- Management of intubated and mechanically ventilated patients with daily or PRN awakening and breathing trials to decrease number of ventilated days.
- Maintained respectful treatment environment that honored patients' and families’ cultural and religious traditions and preferences.
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
- Coordinated patients' post-discharge treatment plans with physicians and other nurses to promote continuity of medical care.
- Reduced ICU readmissions through thorough patient assessments and comprehensive discharge planning.
Registered Nurse, Emergency Department
Care Point Health Christ Hospital
04.2013 - 01.2021
- Competently manage care for up to 6 patients concurrently on this 23 bed ER stroke/code heart center from admission to discharge, including patient assessments, care planning, health educations and discharge support.
- Assessed vital signs, collected detailed patient history and noted other signs of patient health to make rapid, informed decisions regarding next steps in patient care.
- Administered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
- Collected blood, tissue and other laboratory specimens and prepared for lab testing.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
- Assisted patients dealing with traumatic injuries or illnesses, including stroke patients, accident victims and cardiac patients.
Registered Nurse – Field Supervisor
Visiting Homemaker service of Hudson County
01.2012 - 12.2013
- Supervised home health aides and ensured adherence to care plans.
- Completed comprehensive assessments and developed patient centered care plan utilizing clinical expertise to evaluate clients need for services.
- Managed up to 100 active cases.
- Interacted continuously with client, family, and other providers, utilizing clinical knowledge and expertise to determine medical history and current status.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Registered Nurse, Medical-Surgical Unit
Care Point Health Christ Hospital
11.2012 - 04.2013
- Medical Surgical staff nurse Competently managed care for up to 7 patients per shift on this 36-bed medical surgical/oncological unit.
- Daily activities included administration of blood products, high alert medications, wound care, health assessment, prioritization, documentation, and maintaining isolation protocols.
- Built excellent patient relationships, promoted patient education, and collaborated with nurses and doctors to enhance patient care.
- Supervised unit as charge nurse.
- Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
- Provided health education to patients and families regarding discharge instructions and plans of care.
Education
MSN - Nursing
Walden University
Minneapolis, MNBachelors of Science - Nursing
New Jersey City University
Jersey City, NJ12.2012
Diploma - Nursing
Christ Hospital School of Nursing (cooperative With Hudson County Community College
Jersey City, NJ05.2011
Skills
- Infection Control and Aseptic Procedures
- Advanced Cardio life support
- Patient Advocacy
- Health Education
- Ballon pump
- Impella
- HIPAA Compliance
- Arterial lines
- Conversant in Spanish
- Intravenous Therapy
- Condition Monitoring
- EPIC EMR
Timeline
Emergency Room Registered Nurse
University Hospital Newark
11.2022 - Current
Registered Nurse, CVICU -Floats to MICU/SICU
Robertwood Johnson University Hospital
07.2021 - 12.2023
ICU Nurse MICU/SICU
Angels Staffing Agency
12.2020 - 04.2021
Care Manager
WellCare Health Plans
10.2014 - 06.2021
Registered Nurse, Emergency Department
Care Point Health Christ Hospital
04.2013 - 01.2021
Registered Nurse, Medical-Surgical Unit
Care Point Health Christ Hospital
11.2012 - 04.2013
Registered Nurse – Field Supervisor
Visiting Homemaker service of Hudson County
01.2012 - 12.2013
MSN - Nursing
Walden University
Bachelors of Science - Nursing
New Jersey City University
Diploma - Nursing
Christ Hospital School of Nursing (cooperative With Hudson County Community College
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