Kelley Tuminaro
Las Vegas,NV
Summary
Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, and care coordination in fast-paced environment. Proven 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
9
9
years of professional experience
1
1
Certification
Work History
Registered Nurse, Intensive Care Unit
Mike O'Callaghan Military Medical Center
03.2023 - Current
- Provided direct patient care, while collaborating with providers to quickly assess patients and deliver appropriate treatment, while stabilizing the patient during rapidly changing conditions.
- Administered oral, subcutaneous injections, IM injections, and IV medications while monitoring patient responses.
- Highly experienced at titrating multiple Vasopressor, Sedation, and Cardiac IV drip medications while monitoring patient responses to changes in medication dose and rate.
- Assisted physicians with bedside central line and arterial line insertions, intubations, chest tube insertions, spinal taps, thoracentesis, paracentesis, bronchoscopies, and tracheostomies.
- Provided exceptional care to high-acute patients needing complex care such as ventilator management, ventilator care, and ventilator weaning to promote stabilization.
- Monitored patient condition by identifying irregular telemetry readings, swan ganz catheter readings, arterial line readings, and correlating vital signs, to update providers to changes in stability or acuity.
- Specializing in Continuous Renal Replacement Therapy, involving continuous monitoring of patients vital signs and lab values, hourly monitoring of patients intake and output, and adjusting parameters of dialysis machine to ensure proper therapy is taking place within the providers written parameters.
- Specializing in Balloon Pump, involving continuous monitoring of patients vital signs, hourly balloon pump measurement readings, daily chest x-rays, titrating cardiac drips, and collaborating with provider to ensure proper balloon pump therapy is taking place.
- Specializing in Impella, involving continuous monitoring of patient vital signs, hourly labs, daily echocardiograms, hourly impella measurement readings while making adjustments to the impella's flow rate as necessary, and collaborating with provider to ensure proper therapy goals.
- Specializing in Open heart recovery and care, involving patient extubation, utilizing swan ganz and arterial line readings to manage and titrate cardiac drips, chest tube monitoring and care, hourly vital readings, and progressive patient mobility to ensure optimal patient recovery.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Trained new employees and student nurses on protocols and best practices to promote ideal patient outcomes, with adherence to established patient care standards and practices.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.
Registered Nurse, Intensive Care Unit
Desert Springs Hospital
04.2017 - 03.2023
- Provided direct patient care, while collaborating with providers to quickly assess patients and deliver appropriate treatment, while stabilizing the patient during rapidly changing conditions.
- Administered oral, subcutaneous injections, IM injections, and IV medications while monitoring patient responses.
- Highly experienced at titrating multiple Vasopressor, Sedation, and Cardiac IV drip medications while monitoring patient responses to changes in medication dose and rate.
- Assisted physicians with bedside central line and arterial line insertions, intubations, chest tube insertions, spinal taps, thoracentesis, paracentesis, bronchoscopies, and tracheostomies.
- Provided exceptional care to high-acute patients needing complex care such as ventilator management, ventilator care, and ventilator weaning.
- Trained new employees and student nurses on protocols and best practices to promote ideal patient outcomes, with adherence to established patient care standards and practices.
- Monitored patient condition by identifying irregular telemetry readings, swan ganz catheter readings, arterial line readings, and correlating vital signs, to update providers to changes in stability or acuity.
- Specializing in Continuous Renal Replacement Therapy, involving continuous monitoring of patients vital signs and lab values, hourly monitoring of patients intake and output, and adjusting parameters of dialysis machine to ensure proper therapy is taking place within the providers written parameters.
- Specializing in Balloon Pump, involving continuous monitoring of patients vital signs, hourly balloon pump measurement readings, daily chest x-rays, titrating cardiac drips, and collaborating with provider to ensure proper balloon pump therapy is taking place.
- Specializing in Impella, involving continuous monitoring of patient vital signs, hourly labs, daily echocardiograms, hourly impella measurement readings while making adjustments to the impella's flow rate as necessary, and collaborating with provider to ensure proper therapy goals.
- Specializing in Open heart recovery and care, involving patient extubation, utilizing swan ganz and arterial line readings to manage and titrate cardiac drips, chest tube monitoring and care, hourly vital readings, and progressive patient mobility to ensure optimal patient recovery.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.
Registered Nurse, Medical-Surgical Unit
Desert Springs Hospital
04.2016 - 05.2017
- Med Surg RN Renders professional nursing care in accordance with physician's treatment plans, orders, and standards of evidence based practice/care
- Assesses patient's condition, plans patient care, administers prescribed drugs, provides treatments, and appropriate education to patients and family members
- Follows Standard Precautions using personal protective equipment as required
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Supervises non-licensed nursing personnel assigned tasks
- Monitors, records and communicates patient condition as appropriate utilizing computerized documentation systems.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Monitored patient reactions after administering medications and IV therapies.
- Managed patients recovering from medical or surgical procedures.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
Registered Nurse, LTAC
Kindred Hospital
09.2015 - 04.2016
- LTAC RN Renders professional nursing care in accordance with physician's treatment plans, orders, and standards of evidence based practice/care
- Assesses patient's condition, plans patient care, administers prescribed drugs, provides treatments, and appropriate education to patients and family members
- Follows Standard Precautions using personal protective equipment as required
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Supervises non-licensed nursing and licensed practical nursing personnel assigned tasks
- Monitors, records and communicates patient condition as appropriate utilizing computerized documentation systems.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Private Duty Nurse
Julie Baxter
11.2014 - 04.2016
- Quadriplegic and ventilator nursing care focusing on monitoring and changing ventilator settings as needed, observing, recording and evaluating patient and vitals every 2 hours
- Administering respiratory treatments, medications, superior skills in safe and comfortable patient transfer and positioning, and other nursing services to patient as required
- Applies independent emergency procedures accurately and successfully as needed
- Supervised and administered patient-appropriate diet
- Stocks and maintains adequate medical supplies in the patient home
- Documents all patient care information for patient family review
- Responds to patient and family queries in a courteous and professional manner.
Home Health Registered Nurse
Caring Nurses INC
09.2014 - 09.2015
- Completes an initial assessment of patient and family to determine home care needs
- Provides a complete physical assessment and history of current and previous illnesses
- Regularly re-evaluates patient nursing needs
- Initiates the plan of care and makes necessary revisions as patient status and needs change
- Uses health assessment data to determine nursing diagnosis
- Develops a care plan which establishes goals, based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions
- Includes the patient and the family in the planning process
- Initiates appropriate preventive and rehabilitative nursing procedures
- Administers medications and treatments as prescribed by the physician
- Counsels the patient and family in meeting nursing and related needs
- Provides health care instructions to the patient as appropriate per assessment and plan
- Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient
- Prepares clinical notes and updates the primary physician when necessary and at least every sixty-two days
- Communicates with the physician regarding the patient's needs and reports and changes in the patient's condition; obtains/receives physicians' orders as required
- Communicates with community health related persons to coordinate the care plan.
Education
Associate's Degree - Nursing
College of Southern Nevada
Las Vegas, NV05.2014
Skills
- Continuous Renal Replacement Therapy
- Balloon Pump
- Impella
- Open Heart recovery and care
- BLS
- ACLS
- PALS
- TNCC
- Team Collaboration
- Endotracheal Intubation
- Hemodynamics Monitoring
- Ventilator Management
- Emergency Interventions
- Shock Symptom Identification
- Organ Donor Procedures
- Intravenous therapy
- IV drip titration
- Infection control measures
- Patient Management
- Feeding pumps and peg tube care
- Patient and family advocacy
- Diabetes and nutrition education
- Pain Management
Certification
- BLS certified through American Heart Association
- ACLS certified through American Heart Association
- PALS certified through American Heart Association
- TNCC certified
Personal Information
Kelley Tuminaro
112 Temple Drive
Las Vegas, NV 89107
(702) 927-1511
mrs.tuminaro@gmail.com
Timeline
Registered Nurse, Intensive Care Unit
Mike O'Callaghan Military Medical Center
03.2023 - Current
Registered Nurse, Intensive Care Unit
Desert Springs Hospital
04.2017 - 03.2023
Registered Nurse, Medical-Surgical Unit
Desert Springs Hospital
04.2016 - 05.2017
Registered Nurse, LTAC
Kindred Hospital
09.2015 - 04.2016
Private Duty Nurse
Julie Baxter
11.2014 - 04.2016
Home Health Registered Nurse
Caring Nurses INC
09.2014 - 09.2015
Associate's Degree - Nursing
College of Southern Nevada
- BLS certified through American Heart Association
- ACLS certified through American Heart Association
- PALS certified through American Heart Association
- TNCC certified
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