Kimberly A. Sargent

• Assess and access/ deaccess AVF/AVG/buttonholes, tunneled and temporary HD CVC
• Administered dialysis related medications (PRBC, IV iron, erythropoietic agents, anticoagulants/ thrombolytic, meds relating to BMD deficiency disease management, IVHD antibiotics, IDPN etc…)to patients and monitored responses.
• Delivered high level of quality care to diverse populations while overseeing patient add-ons and triaging based on acuity.
• Evaluated patient clinical status, regularly adjusting treatment plans as needed to optimize health outcomes while minimizing potential risks.
• Ensured optimal equipment performance through routine maintenance checks of portable ROs annd HD machines in use, promptly troubleshooting when issues arose.
• Monitoring quality water
• Collecting labs and monitoring lab values.
• Served as a key resource for colleagues seeking guidance on challenging cases or procedural questions related to dialysis nursing practice.
• Reduced complications by accurately assessing patients'' needs and adjusting treatment plans accordingly.
• Proven ability to learn quickly and adapt to new situations.
• Organized and detail-oriented with a strong work ethic.

• Collected research data through experimentation
• Participated in research projects by executing experiments.
• Maintained and operated various types of lab equipment (centrifuge, pipette)
• Scheduled appointments with test subjects over phone and through email.
• Recorded experimental findings on source document for site to analyze and interpret experimental findings.
• Troubleshot and resolved equipment and process issues.
• Prepared samples for analysis by performing complex sample preparation tasks.

• Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians and monitoring patient orders.
• Reduced complications by accurately assessing patient needs and adjusting treatment plans accordingly.
• Managed interdialytic complications such as hypotension, hypertension, chest pain, Afib RVR, N/V, cramping.
• Educated patients and their families on kidney disease management, empowering them to make informed decisions about their health care.
• Administered medications and treatment to patients and monitored responses.
• Collected labs pre and post hemodialysis via HD CVC and AVF/AVG.
• Monitored water quality

• Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
• Applied effective time management techniques to meet tight deadlines.
• Developed and maintained courteous and effective working relationships.
• Educated patients and answered questions about health condition, prognosis, and treatment.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Remained calm and productive during life-threatening situations to maximise positive outcomes.
• Monitored vital signs, conducted physical assessments and evaluated laboratory results for strategic care planning.
• Evaluated patient histories, complaints, and current symptoms.

• Acute Hemodialysis Travel RN
• 6 Bay Acute Suite
• ICU runs as well as CRRT set up
• Single Pass Albumin Dialysis
• Collaborated with Operating Room Staff to achieve optimal electrolyte balance in OR setting during Liver Transplantation by performing Renal replacement therapy throughout operation.
• On call for emergent Hemodialysis needs of Hospital.
• Followed institutional policies, AAMI standards and CMS regulations.
• Completed minor preventative maintenance and mechanical repairs on equipment
• Used critical thinking to break down problems, evaluate solutions and make decisions
• Carried out day-day-day duties accurately and efficiently
• Developed and maintained courteous and effective working relationships

Adult and Pediatric Hemodialysis in an acute and chronic setting.

• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Utilized EPIC automated healthcare database to perform duties and maintain records.

• Acute Hemodialysis/ Peritoneal Dialysis Nurse
• Coordinated care for 4 Bay unit as well as ICU HD/CRRT needs
• Performed monitoring of Central Water Supply System and ensured safe operating conditions and water supply.
• On call for Hemodialysis emergencies
• Set up Baxter PD machine, Accessed and de-accessed catheter for peritoneal dialysis

• Chronic Hemodialysis Nurse with occasional float to Acute Suite
• 11 chair outpatient center
• COVID isolation room
• Managed inter-dialytic hypotension, HTN, LOC, Cannulation of AVF/AVG/Buttonhole, access HD CVC
• Followed institutional policies, AAMI standards, CMS regulations

• Acute Hemodialysis Travel RN
• 6 Bay Acute Suite
• ICU runs as well as CRRT set up
• Single Pass Albumin Dialysis
• Collaborated with Operating Room Staff to achieve optimal electrolyte balance in OR setting during Liver Transplantation by performing Renal replacement therapy throughout operation.
• On call for emergent Hemodialysis needs of Hospital.
• Followed institutional policies, AAMI standards and CMS regulations.
• Completed minor preventative maintenance and mechanical repairs on equipment
• Used critical thinking to break down problems, evaluate solutions and make decisions
• Carried out day-day-day duties accurately and efficiently
• Developed and maintained courteous and effective working relationships

• Acute Hemodialysis RN.
• Provided care to CKD and AKI patient populations.
• Assumed role as Charge HD RN responsible for supervising Dialysis Technician, RN and 4 bay acute unit.
• Responsibilities entailed managing and coordinating hemodialysis treatments for 2-10 patients per day that were admitted to hospital and in need of HD.
• Coordinate care for ICU patients that were in need of CRRT or HD.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Maintained proper disinfection techniques for Hemodialysis machines and Portable RO.

• Acute Hemodialysis Unit
• Pt populations CKD and AKI with superimposed comorbidities
• Charge Nurse supervising hemodialysis Technician, RN, 4 bay acute unit
• Coordinating Care for Patients requiring intermittent or continuous Hemodialysis while admitted to Hospital
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Educated family members and caregivers on patient care instructions as it pertains to HD/CRRT.
• On call for Hospital' s Hemodialysis Emergencies

• Float Pool ICU RN for 6 months at this facility.
• Float to all ICU's within facility (Medical, Surgical, Cardiopulmonary, Burn, Neurological ICU).
• Managed and advocated for care of two critical care patients.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.

• Medical ICU RN
• At this facility 6months.
• Managed and cared for 2 critically ill Patient's
• Hemodynamic monitoring, vasopressors, mechanical ventilation
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Documented all elements of care and updated patient charts and confidential files to reflect changes in care plans, interventions applied and observations.
• Administered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns
• Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans

• Staff RN in Medical ICU where role of Charge Nurse assumed for 12 bed Medical ICU.
• Rapid Response RN for 161 inpatient beds and outpatient clinics.
• Created ICU Swallow evaluation Protocol
• Became certified preceptor for both new employees and new graduate RN's.
• Voluntarily became "Super User" during EMR conversion to EPIC.
• Ebola response team member.
• Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options
• Updated patient charts with data such as medications to keep records current and support accurate treatments

• Medical ICU Travel RN
• Remained at this facility for 1 year, picked up numerous over time hours to help with staffing shortages.
• Hospital to continue to extend RN travel contract until maximum amount of extensions were reached and then was ask by manager of ICU to stay and sign on with hospital.
• Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion

• Neurological/trauma ICU New Graduate Nurse
• Gained excellent foundation in assessment skills, patient advocacy, multitasking, communicating with Providers and working as a teammate amongst a myriad of other skills.
• Monitoring Bolt ICP, Ventriculostomy drains, Specific gravity of urine, Mechanical ventilation, frequent neurological assessment
• Completed, maintained and submitted accurate and relevant clinical notes regarding patient condition and treatment plan to facilitate continuity of care
• Cared for patients in 11-bed unit, supporting fellow nurses in delivering outstanding treatment to patients