LaCoya Daniels

• Responded efficiently to medical emergencies within the hospital setting, providing life-saving interventions as needed.
• Administered blood products according to established protocols, closely monitoring patients for transfusion reactions or complications.
• Assisted physicians with invasive procedures such as central line insertions or bronchoscopies while maintaining strict sterile technique.
• Provided emotional support to patients and families during critical illness or end-of-life situations.
• Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery.
• Triaged patients and delegated treatment needs to qualified staff and specialized departments.
• Evaluated patient histories, complaints, and current symptoms.
• Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.
• Assessed and documented changes in patient's condition and prepared patient for transfer to higher level of care.
• Guided patients, caregivers, and family members on plans of treatment and helpful resources available locally to support care.
• Administered medications and treatments as ordered by physician.
• Administered medications and treatments as prescribed by physicians.
• Observed patients' vital signs and administered physician-prescribed medications and treatments.
• Delivered age-appropriate medical care for adult, adolescent, and geriatric ICU patients.
• Recorded patients' medical status and treatment details in electronic charts to accurately document medical care.
• Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
• Improved family satisfaction by delivering clear, empathetic communication regarding patient status and care plans.
• Reduced stress and improved morale among nursing staff by initiating peer support programs.
• Reduced medication errors by conducting thorough patient history reviews and cross-checking prescriptions.
• Conducted detailed patient assessments to identify critical changes in health status, allowing for timely interventions.
• Streamlined patient admission and discharge processes, reducing wait times and improving bed availability.
• Coordinated with multidisciplinary teams to ensure comprehensive care for patients, leading to streamlined treatment processes.
• Promoted patient safety by vigilantly monitoring for and addressing potential complications early.
• Optimized patient care plans by collaborating with physicians, resulting in tailored treatment strategies.
• Enhanced ICU's response to emergency situations by leading drills and updating response protocols.

• Educated patients and families on medical-surgical procedures, therapeutic regimens and pain management techniques.
• Managed caseload 2-3 patients simultaneously by providing bedside care, treatments, IV therapy and wound care.
• Started intravenous fluids, administered medications and documented patient charts by recording food and fluid output and intake.
• Managed patients' pain by implementing pharmacological and non-pharmacological pain management interventions.
• Used Epic to document patient plan of care by taking into account nursing interventions, diagnosis and expected patient outcomes.
• Managed patients recovering from medical or surgical procedures.
• Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Educated family members and caregivers on patient care instructions.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Evaluated patient histories, complaints and current symptoms.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Assessed and evaluated mental health needs, working with multidisciplinary team to initiate, manage and modify individualized care plans.
• Responded efficiently to medical emergencies within the hospital setting, providing life-saving interventions as needed.
• Assisted physicians with invasive procedures such as central line insertions or bronchoscopies while maintaining strict sterile technique.
• Provided emotional support to patients and families during critical illness or end-of-life situations.
• Collaborated with multidisciplinary teams to develop comprehensive treatment plans for critically ill patients.
• Improved communication among healthcare team members by initiating daily huddles and interdisciplinary rounds in the ICU setting.
• Served as a preceptor for new nurses, facilitating orientation and integration into the ICU setting.

• Worked with intubated and ventilated patients, monitoring and reporting on conditions to maintain stats within optimal levels.
• Responded rapidly to critical codes to coordinate stabilization treatments and restore vital functions.
• Operated critical care equipment to keep patients stable and promote recovery.
• Managed needs of chronically ill and acute patients with well-coordinated treatment strategies.
• Protected critically ill patients from unnecessary risks by limiting visitors, using proper PPE and using strong infection control procedures.
• Completed diagnostic tests and patient assessments to evaluate treatment progress.
• Advocated for and strived to protect health, safety and rights of patient.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.

• Acted as First Responder in emergency situations, applying CPR and First Aid training
• Demonstrated proficiency in taking patient medical histories and vital signs as well as performing venipunctures, injections and diagnostic procedures and ancillary tests
• Advised and educated patients regarding diet, hygiene and effective disease prevention methods
• Ensured compliance with policies and quality standards to maintain consistency in quality of services
• Administered and prescribed appropriate courses of treatment, including pharmaceutical medications
• Provided mobility assistance such as walking and regular exercising
• Set overall vision and provided team leadership
• Maintained records of patient care, condition, progress or problems to report, and discussed observations with supervisor or case manager
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans
• Equipped patients with tools and knowledge needed for speedy and sustained recovery
• Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes
• Delivered medications via oral, IV and intramuscular injections, monitoring responses to catch and address new concerns
• Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care
• Documented patient information obtained from interviews concerning symptoms, medications and prior treatment.
• Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
• Updated patient charts using Software with data such as medications to keep records current and support accurate treatments.
• Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to over Number patients daily.
• Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
• Supervised professional and paraprofessional nursing staff and delegated tasks to maintain continuum of care.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Secured controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities.
• Implemented interventions, including medication and IV administration, catheter insertion and airway management.

As a Long Term Acute Care Nurse we are bridging the transition from intensive care to home. LTAC patients normally transfer from an intensive care unit and are receiving ventilator assistance. Some patients have large open wounds or other acute problems. The patient may be on inotropic agents and require careful monitoring. Most patients in these units, age 18 and up, have an average stay of 25 days or longer. LTAC nurses have to be able to provide care for patients in the management of multiple, long-term, complex medical conditions, multiple system failures and the patient’s anxiety. This is the final stop when trying to wean patients off a respirator and most patients in these units have been in the hospital for many months by the time they reach this phase. It is a long, hard road for them and some are nearing wit’s end by the time they reach this point in their recovery.

I spend considerable time with family members in addition to caring for patients. Family members may be frustrated by their loved one’s perceived lack of progress. Some may also have travelled long distances to visit their loved one and can be unfamiliar with Long Term Acute Care.

I have great critical thinking skills and independence is essential in this setting. The physician on call in not in the unit and therefore I must work more autonomously than typical in a critical care setting. I manage stress appropriately, make decisions under pressure and manage the anger/fear/hostility and violence of others appropriately. I was Charge Nurse at this LTAC ICU with patients. Responded to multiple rapid responses, including cardiac arrhythmias requiring drips and respiratory distress requiring ventilator setting to be adjusted or sedating drips or pain drips to be adjusted accordingly. I was responsible for drawing all of my lab specimens. The supervision of 2-3 nurses on my shift. I was also responsible for the telemetry monitor. We all were, but with me being Charge it was my responsibility. I was in charge of all code blues when scheduled, which included me, maybe 1 or 2 nurses, and a respiratory therapist.

Responsibilities of the Long Term Acute Care Registered Nurse may include:

• Appropriate response to an emergency situation.
• Staple/suture removal
• Chest tube care
• Accurate assessment, reassessment, development and implementation of care plan in a safe, accurate and appropriate manner
• Knowledge of specific conditions, disease and treatment therapies for the specific population of the setting
• Tracheotomy care
• Accurately document records in a timely manner
• IV Therapy
• Serve as advocate for patient and/or family members regarding decisions affecting the care plan
• Wound care and skin care protocols
• Ostomy care
• Identify the educational needs of the patient and family members and provide the necessary education to meet those needs
• Post of care of patient
• Assess and evaluate patient’s response to care plan and prioritize and implement appropriate changes to plan
• Collaborate, assess and coordinate discharge planning needs and readiness for discharge with other health care team members on a timely basis
• Always show respect and awareness for the patient and family members as individuals and as a family unit
• Provide direct supervision and assistance in evaluation of staff performance

Demonstrate Safe and Effective Use of Equipment such as:

• CPM
• Oxygen wall regulators/portable oxygen/ventilators
• Patient Call System
• Electronic thermometer
• TPN administration
• Foley catheters
• Geri chair
• Specialty beds
• Computer, printer, copier, fax
• NG tube/suctioning
• Drains
• Safety bed alarm system
• IV pump
• Gait belt
• Dinamap
• Crash Cart
• Defibrillator
• Insulin pump
• Lifting equipment
• Enteral feeding pump

Provided care to acutely and critically ill patients, in a highly technical and ongoing monitoring environment. These patients are facing life-threatening problems with varying needs, which require extensive medication protocols and therapies. Set up and monitor medical equipment and devices such as cardiac monitors, mechanical ventilators and alarms, oxygen delivery devices, transducers, and pressure lines. Monitor patients' fluid intake and output to detect emerging problems such as fluid and electrolyte imbalances. Monitor patients for changes in status and indications of conditions such as sepsis or shock and institute appropriate interventions. Assess patients' pain levels and sedation requirements. Assist physicians with procedures such as bronchoscopy, endoscopy, endotracheal intubation, and elective cardioversion.

• Knowing treatment plans and options for various life-threatening medical conditions
• Understanding how to use various medical devices, such as catheters and feeding tubes
• Operating life support systems
• Understanding patient safety and privacy rules and regulations
• Creating and implementing patient care plans
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Provided exceptional care to 1-3 high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
• Provided direct patient care, stabilized patients and determined next course of action.
• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
• Prepped patients for surgery, educating patients and family members on surgical procedures such as PCI’s and other cardiovascular surgeries.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

• Delivered oral medications, intramuscular injections and IV fluids to mitigate or resolve patient symptoms
• Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions
• Responded to patient requests with appropriate clinical and personal assistance
• Took samples such as blood and urine to complete diagnostic and routine assessment tests
• Reviewed patient history to verify conditions and current medications
• Helped patients complete day-to-day tasks, including bathing, dressing and eating
• Documented patient information obtained from interviews concerning symptoms, medications and prior treatment
• Gathered patient data, cleaned wounds and changed catheters as part of comprehensive support
• Supported diagnoses by taking blood, urine or sputum samples from patients for laboratory testing
• Provided patients and families with emotional support and instruction in preparing healthy meals, independent living and adaptation to disability or illness
• Developed exceptional attendance record with special attention to punctuality and preparation to work upon arrival
• Employed effective time management when dealing with coordination and accountability around personnel and security assets
• Prepared reports by collecting, analyzing and summarizing information

• Oversaw RNs, LPNs, nursing aides, medical clerks and support staff and performed staffing scheduling duties
• Promoted patient independence by establishing patient care goals and taught and counseled patients, friends, and family about medications and self-care skills
• Handled any complaints from patients and families and ensured patient care needs were wet
• Protected patients and employees by developing and interpreting infection-control policies and protocols and maintained patient confidence by monitoring confidential information
• Checked all book in and discharges, making sure all charges have paperwork and all discharges have orders of discharge
• Completed daily work report sheets and delegated tasks to employees
• Partnered with team of registered nurses to achieve overall well-being of all patients
• Skillfully developed departmental goals, objectives, standards of performance, policies and procedures
• Strategically planned methods to achieve operational goals and targets
• Improved delivery of patient care through reviewing and implementing improvements to clinical approaches
• Coordinated with nursing staff to process and direct patients to appropriate departments
• Implemented necessary changes based on evaluation of staffing requirements and floor assignments
• Implemented new floor assignments based on evaluation of staffing requirements
• Closely collaborated with management team to make necessary improvements and satisfy resident needs
• Established staff schedules and assignments based on facility needs and equipment availability
• Managed clinical oversight for 44-bed unit
• Managed team of medical support personnel

• Documented patient information obtained from interviews concerning symptoms, medications and prior treatment
• Helped patients complete day-to-day tasks, including bathing, dressing and eating
• Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions
• Demonstrated ability to lead and motivate outstanding Healthcare teams
• Developed patient care plans, including assessments, evaluations, and nursing diagnoses
• Delegated staff nurse duties
• Assisted patients with daily functions

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
• Communicated with healthcare team members to plan, implement and enhance treatment strategies
• Provided direct patient care, stabilized patients and determined next course of action
• Delivered medications via oral, IV and intramuscular injections, monitoring responses to catch and address new concerns
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission
• Reported patients' status and delegated nurse assignments to achieve optimal outcomes
• Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care
• Implemented interventions, including medication and IV administration, catheter insertion and airway management
• Adhered to strict safety measures by carefully determining proper dosages before administering medications
• Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans
• Monitored patient reactions after administering medications and IV therapies
• Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit to achieve optimal outcomes
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options
• Educated family members and caregivers on patient care instructions
• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity
• Observed and reported patient condition, progress and medication side effects to accurately document updates
• Collected blood, tissue and other laboratory specimens and prepared for lab testing
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions
• Performed triage on all incoming patients and determined severity of injuries and illnesses
• Managed patients recovering from medical or surgical procedures, including facilitating wound care, ostomy care, pressure ulcer prevention and pain management
• Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions

• Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion
• Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence
• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity
• Collaborated with interdisciplinary healthcare personnel to meet patients' personal, physical, psychological and cognitive needs
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
• Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit to achieve optimal outcomes
• Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options
• Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to over 4-10 patients daily
• Led teams in driving successful patient outcomes by prioritizing standard of care and best practices
• Provided exceptional care to 4-10 high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation
• Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care
• Addressed disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability
• Secured controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities

• Educated patients and families on medical-surgical procedures, therapeutic regimens and pain management techniques.
• Managed caseload 2-3 patients simultaneously by providing bedside care, treatments, IV therapy and wound care.
• Started intravenous fluids, administered medications and documented patient charts by recording food and fluid output and intake.
• Managed patients' pain by implementing pharmacological and non-pharmacological pain management interventions.
• Used Epic to document patient plan of care by taking into account nursing interventions, diagnosis and expected patient outcomes.
• Managed patients recovering from medical or surgical procedures.
• Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Educated family members and caregivers on patient care instructions.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Evaluated patient histories, complaints and current symptoms.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Assessed and evaluated mental health needs, working with multidisciplinary team to initiate, manage and modify individualized care plans.
• Responded efficiently to medical emergencies within the hospital setting, providing life-saving interventions as needed.
• Assisted physicians with invasive procedures such as central line insertions or bronchoscopies while maintaining strict sterile technique.
• Provided emotional support to patients and families during critical illness or end-of-life situations.
• Collaborated with multidisciplinary teams to develop comprehensive treatment plans for critically ill patients.
• Improved communication among healthcare team members by initiating daily huddles and interdisciplinary rounds in the ICU setting.
• Served as a preceptor for new nurses, facilitating orientation and integration into the ICU setting.

• Utilized specialized equipment to track and monitor patients' vital signs in Telemetry unit
• Administered heart and blood pressure medication to cardiac patients as prescribed by physicians
• Performed hourly rounds on 3-4-bed floor to ensure all patients safety
• Performed triage on all incoming patients and determined severity of injuries and illnesses
• Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans
• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity
• Closely monitored acute conditions
• Travel Position

• Helped physicians complete cardiac issues and peripheral vascular concerns by assisting with procedures such as pacemaker insertions and balloon angioplasties
• Employed specialized procedural knowledge and equipment to test and document patient cardiac activity
• Tracked findings of procedures such as EKGs using manual and automated recording devices
• Documented vascular data such as edema, oxygen saturation and blood pressure to contribute to accurate diagnoses
• Advised and educated patients regarding diet, hygiene and effective disease prevention methods
• Acted as First Responder in emergency situations, applying CPR and First Aid training
• Administered prescribed medications under direction of physician