Kirandeep Dulay

Clinical/Charge Nurse Experience, Unit Startup & Staff Development, Fall Prevention & Mobility Champion

Unit Overview:

• 4N: High-acuity inpatient unit caring for medical-surgical, oncology, palliative, and progressive-care patients
• 30 beds per unit
• 4N Nurse-to-Patient Ratio: 1:4 due to oncology acuity
• 5N: Inpatient unit caring for medical-surgical patients, medical patients with psychiatric comorbidities, and end-of life comfort care patients.
• 30 beds per unit
• 5N Nurse-to-Patient Ratio: 1:5 medical-surgical

Clinical Responsibilities:

• Provide comprehensive care for; oncology patients receiving active chemotherapy, sickle cell patients, comfort care patients, medical-surgical patients, psychiatric patients and progressive-care patients with increased acuity.
• Conducted thorough patient assessments, closely monitoring for signs or symptoms of changes following chemotherapy treatments using tools such as; The Immune Effector Cell-Associated Encephalopathy (ICE) score & Neurotoxicity (ICANS).
• Deliver palliative and end-of-life comfort care, providing education and emotional support to patients and families.
• Demonstrate advanced pain and symptom management for patients with cancer and sickle cell disease.
• Perform rapid clinical assessments and initiate timely interventions in an environment where rapid responses are frequent.
• Stabilize critically ill chemotherapy patients on the unit for extended periods prior to transfer to higher levels of care.
• Proficient in central line care and maintenance, including accessing Mediports.
• Recognized for exceptional IV insertion skills; frequently requested for difficult access cases and acknowledged by crisis nursing staff.
• Maintain high patient satisfaction through compassionate care, professionalism, and effective communication.
• Frequently cared for medically complex patients with concurrent psychiatric conditions requiring heightened safety awareness and de-escalation skills.

Charge Nurse – Medical-Surgical & Oncology Units (4N & 5N)

• Served as Charge Nurse overseeing daily operations for both 4N and 5N units during periods of limited staffing.
• Managed staffing, patient flow, and assignments while ensuring compliance with state and hospital inpatient standards.
• Assigned chemotherapy patients to appropriately trained oncology nurses during morning staffing.
• Conducted daily audits, medication counts, and unit rounding to promote safety and regulatory compliance.
• Provided clinical and operational oversight for two inpatient units simultaneously for approximately six months.

Clinical Nurse – Unit Startup & Training (4N, 5N & Eden Unit)

• Played a key role in the startup of three inpatient care areas:
  4N Medical-Surgical/Oncology Unit
  5N Medical-Surgical Unit
  Eden Unit (Emergency Department Inpatient Overflow)
• Supported unit openings during periods of limited staffing, ensuring safe patient care and operational readiness.
• Onboarded and trained newly hired RNs, including new graduates, as they were hired across all units fostering a supportive learning environment.
• Supported onboarding and training of 20 new hires, ensuring competency, workflow readiness, and adherence to inpatient standards.
• Frequently worked bedside while simultaneously functioning in charge nurse capacity.
• Collaborated with interdisciplinary teams to develop and implement patient care plans.
• Conducted inpatient compliance chart audits and supported early operational workflows.

Unit Fall & Mobility Champion

• Selected as unit Fall & Mobility Champion and completed continued education applying Johns Hopkins Mobility Advocate principles to reduce fall risk and promote safe patient mobilization.
• Conducted routine chart audits to ensure compliance with fall prevention protocols.
• Ensured appropriate use of safety devices, including bed alarms and CareView monitoring for high fall-risk patients.
• Provided staff education and corrective guidance when fall prevention measures were not in compliance.