Kelly O'Shea

4900/4920: Cardiac Medicine, 40 bed capacity inpatient unit

.8 D/E

• Document vital signs, I&Os, assessment, education and medication administration per Excellian (Epic) EHR
• Monitor telemetry, record strips and report findings of concern to provider. Arrhythmias treated with PO and IV medications, including drips, as ordered
• Prepare patients for procedures (NPO diet, CHG bath, Heparin drip monintoring) and assist with recovery, VS monitoring and post-operative orders upon return to unit
• Blood sugar monitoring and management of hyperglycemia and hypoglycemia per MAR orders and protocol
• Electrolyte monitoring and replacement
• Work with with NAs to complete ADLs, delegating tasks as needed and appropriate
• Notify provider and seek assistance from Rapid Response team and/or Code Blue team for patient condition decline
• Precept and mentor new hires and nursing students
• Fulfill Charge RN role on occasion

5900/5920: Adult inpatient Mental Health, 29 bed capacity

.9 D/E

• Primarily worked with adults ages 18-64; occasionally floated to the Geriatric and Adolescent mental health units
• Verbal de-escalation, milieu management, diversional activity, PRN medication (IM and PO), closed seclusion, increased monitoring (1:1 attendant), locked limb + bicep restraints implemented as conditions warranted for patient safety
• Monitored and treated alcohol withdrawal per the MINDS scale
• Collaborated with Mental Health Associates (MHAs) to optimize patient care and ensure immediate needs were met
• Familiar working in the "center charge" RN role, supervising staff and patients on the Adult and Adolescent units (up to 44 bed capacity)
• Served on Unit Council from March 2021-May 2023

Per Diem Staff RN, inpatient mental health

• Primarily hired to work the acute and subacute adult populations. Occasionally floated to the Geriatric and Child/Adolescent units.
• Medical cares provided on occasion, in addition to psychosocial (bladder scans, catheterization, feeding tube management, ostomy cares, blood glucose monitoring and treatment, post ECT recovery, 12 lead EKG, O2 monitoring, mobility assistance, as well monitoring and treating alcohol withdrawal per the CIWA scale)

Field staff RN; Worked in the homes with 5 different families, age ranges 12 months-16 years old.

Full and Part time positions over time employed

• Maintained timely, factual documentation of hours worked, client assessments, medications administered and cares performed via paper chart, MAR and time card.
• Collaborated with clients' families and other disciplines (PT, OT, ST) to support individualized developmental plans
• Contacted PCPs with questions or concerns and accompanied family to outpatient appointments.
• Cares included assessing vitals signs daily and as needed, administering scheduled and PRN medications, tracheostomy management, O2 monitoring, G-tube feedings, assistance with food and fluid intake, and toilet training.

Charge/Staff RN

.9 D/N

• Responsible for daily medical monitoring and management of 20 nursing home residents on day shifts and 40 residents on night shift; called family members to update on any findings or incidents out of the ordinary (ie: falls)
• Documentation comprised of paper MAR and flowsheet and Epic for notes charted by exception
• Administered medications as ordered, in pill, liquid, SQ injection, inhaler and nebulizer forms
• Collaborated closely with CNAs to assist with ADLs and toileting needs as needed and to communicate any important resident findings
• Supported and provided cares for residents on hospice on occassion

New grad RN, originally hired for the hospital's first time Critical Care Nurse residency program, then transferred to inpatient Rehab in September 2008.

.8 D/E

• Provided nursing care to patients recovering from joint replacements, strokes, heart attacks, or increased weakness secondary to acute or chronic illnesses
• Followed direction and recommendations from Physicians, PT, OT and ST for each patient
• Maintained accurate documentation of all interventions and daily happenings, with a load of 4-5 patients per shift
• Worked in collaboration with nursing support staff (CNAs) to obtain vitals, blood sugar checks, assist with ADLs (toileting, getting dressed, oral hygiene, ambulation/mobility)