Leigh Rachel Fishman Marcum

• Performed comprehensive pre-operative assessments, including vital signs, medical history, and current medications to ensure patient readiness for surgery.
• Educated patients on pre-operative instructions and post-operative care.
• Provided emotional support to patients and families, fostering a compassionate environment during the surgical experience.
• Assessed patients' readiness for anesthesia, effectively communicating any concerns to the anesthesia team.
• Conducted follow-up calls to patients post-surgery to assess recovery and satisfaction, addressing any reported issues.
• Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.

• Conducted comprehensive pre-operative assessments, including vital signs, medical history, and current medications to ensure patient readiness for surgery.
• Educated patients on pre-operative instructions and post-operative care, enhancing their understanding and compliance.
• Provided emotional support to patients and families, fostering a compassionate environment during the surgical experience.
• Assessed patients' readiness for anesthesia, effectively communicating any concerns to the anesthesia team.
• Promoted teamwork among OR staff by fostering a positive work environment based on mutual respect and shared goals.
• Monitored vital signs and hemodynamics continuously throughout procedures, alerting appropriate team members when changes indicated potential concerns or required adjustments in care plans.
• Assessed patients' physical and emotional needs preoperatively, providing education and support to alleviate anxiety.
• Reduced surgery delays by efficiently preparing the operating room with necessary equipment, instruments, and supplies.
• Consistently met strict regulatory requirements for safe medication administration during surgeries while adhering to facility policies regarding controlled substances management.
• Collected, labeled, and transported specimens and delivered to lab for testing.
• Assisted physicians in operating room by providing necessary supplies and equipment.
• Provided effective bedside care to patients before and after procedures to deliver comfort.
• Monitored patients' vital signs pre and post operatively and administered medications per physician orders or good practices.
• Provided instruction to patients and family members before and after surgical procedures.
• Evaluated patients' pain levels, implementing correct dosage of medication to safely alleviate discomfort.

• Delivered medications via oral, IV and intramuscular injections, monitoring hemodynamics and responses to address new concerns.
• Evaluated patients' pain levels, implementing correct dosage of medication to alleviate discomfort.
• Conducted pre-op calls to review specific instructions prior to surgery and post-op calls to improve patient satisfaction, answer questions and address new or worsening symptoms.
• Performed patient assessment, VS monitoring, IV insertion and other routine procedures and documented in electronic medical record to support interdisciplinary care.
• Recovered patient from anesthesia to perform discharge teaching.
• Monitored vital signs and patient responses during recovery, ensuring a safe transition from anesthesia.
• Performed patient education on post-operative care, ensuring patients understood discharge instructions.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.

Charge nurse/clinical nurse coordinator/PICC/midline nurse for a high acuity 35 bed PCU/cardiac floor.

• Supervised patient admissions and discharges from hospital to various settings, including home care, rehabilitative facility or self-care.
• Managed JP drains and chest, nasogastric, G and peg tubes.
• Communicated, updated and advocated care plans to patients and family.
• Effectively addressed rapid response situations by strategically organizing and delegating tasks.
• Worked with patients diagnosed with chronic obstructive pulmonary disease (COPD), asthma, congestive heart failure (CHF), cerebrovascular accidents (CVA), diabetes or sepsis to asses needs and determine best options for care.
• Identified unit areas of inadequacy and adjusted procedures to close gaps and improve policies.
• Performed routine wound care and dressing changes on schedule.
• Educated patients and families on diagnosis, neurological conditions and processes, treatments and expected outcomes.
• Educated patients on health maintenance and disease prevention.
• Strengthened unit care standards and policies with focus on patient safety and dignity.
• Handled telemetry monitoring of patients cardiac rhythms.
• Delegated and prioritized assignments and nursing tasks based on individual staff strengths and expertise.
• Performed real-time chart audits for all patients ensuring accuracy and completeness of information while capitalizing on opportunities for process improvement.
• Performed telemetry monitoring of patients cardiac rhythms, properly recording all data.
• Managed patient admissions and discharges from hospital to homecare, extended care facility or self-care.
• Trained Number new nurses on hospital policies and procedures, patient care protocols, medical procedures and patient interventions.
• Worked as part of interdisciplinary and rapid response team to determine each patients' imaging and assessment needs in order to develop and initiate appropriate care plans.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.

• Two years as Clinical Nurse Coordinator of gynecology/medical-surgical/antepartum
• 5 years of patient care in gynecology med-surg unit, adeptly handling all aspects of treatment including medication, wound care, rapid responses, blood product transfusions, pre/post op care, and new cancer diagnosis.
• 6 months of patient care in Pediactrics department, including pediatric med-surg, progressive care, conscious sedation, and emergency services.
• Self-directed with astute judgment skills. High level of personal accountability.
• Strong leader for nursing personnel assigned to the unit/shift.
• Manages care for post-operative patients through discharge.
• Effective counseling in health maintenance and disease management.
• Relief charge nurse on average of 2-3 shifts per week. Effectively and proficiently managed clinical oversight for average of 30 patients per shift.
• Delegates staff nurse duties.
• Treats patients with chronic and acute health problems such as anemia, Diabetes, hypertension, CHF, cancer, stroke, GI and GU diseases, pain, asthma, COPD and pneumonia.
• Instructs patients and family members on proper discharge care.
• Acts as a liason between patients and physicians to ensure patient comprehension of treatment plans.
• Counseles and educates patients and families on various health issues and wellness.
• Acts as a strong advocate for patients and peers
• Counsels peers and performs disciplinary actions when needed
• Ensures that patient safety and satisfaction is a priority
• Ensures hourly rounding and quality and compassionate care from nursing staff

• Counseled and educated patients about reproductive health issues and wellness. Expertise in STDs, HIV and family planning
• Assessed need for, ordered, obtained and interpreted appropriate lab tests
• Assisted in office procedures such as pap-smears, colposcopy, biopsies, ultrasounds, and circumcisions 
• Performed thorough and skilled patient workups