LENIE BERNAGA ENSIGN, MSN,RN
El Dorado Hills,CA
Summary
Clinical Nurse III with over 30 years of experience in acute care, focusing on patient-centered care and leadership. Demonstrated success in optimizing unit operations and mentoring staff, resulting in improved patient outcomes. Extensive background as Charge Nurse in a busy dialysis unit, managing care for hemodialysis and peritoneal dialysis patients. Skilled in plasmapheresis and multidisciplinary collaboration, enhancing advocacy for complex nephrology and hematological conditions.
Overview
35
35
years of professional experience
1
1
Certification
Work History
Clinical Nurse III
UC DAVIS Health
Sacramento, CA
08.2014 - Current
- Conduct thorough assessments of patients undergoing dialysis treatment, including physical examinations and health history evaluations. Monitor vital signs, lab results, and overall patient condition throughout treatment.
- Initiate, monitor, and terminate dialysis treatments, ensuring all procedures follow established protocols. Operate and maintain hemodialysis machines, ensuring they function correctly during treatment.
- Educate patients and their families about dialysis procedures, dietary needs, medication management, and lifestyle changes necessary for managing kidney disease. Provide information on how to recognize complications and emergencies associated with dialysis.
- Recognize and intervene in potential complications associated with dialysis treatments, such as hypotension, infection, or allergic reactions, and notify the healthcare team as necessary. Assess and manage vascular access sites (e.g., fistulas, grafts, catheters) to prevent complications like thrombosis and infection.
- Design, implement, and evaluate educational programs and training sessions to enhance nursing staff's clinical skills, knowledge, and competencies. Ensure educational content aligns with best practices, current research, and organizational policies.
Nurse Manager/Acute Clinical Coordinator
DaVita Healthcare Hospital Services
Sacramento, CA
05.2010 - 12.2021
- Oversaw quality assurance programs to enhance performance and consistently achieve superior care standards.
- Ensure high-quality patient care by monitoring clinical practices, outcomes, and adherence to regulations and protocols.
- Develop and implement evidence-based policies and procedures to improve patient care standards.
- Foster a positive and collaborative work environment for nursing staff. Provide mentorship and professional development opportunities to enhance staff skills and knowledge.
- Participate in quality improvement initiatives to enhance patient safety, care quality, and outcome measures. Analyze data related to patient care and staff performance, making necessary adjustments to improve service
Registered Nurse/Charge Nurse
Renown Regional Medical Center
Reno, NV
05.2005 - 12.2010
- Delivered high-quality patient care, managing diverse patient needs and collaborating with interdisciplinary teams to achieve optimal outcomes. Educated patients and families on disease processes, treatment plans, and post-discharge care to promote informed decision-making.
- Maintain accurate and detailed documentation of patient assessments, treatments administered, and any changes in patient conditions in the medical records. Ensure all documentation complies with standards set by the healthcare facility and regulatory bodies.
- Support and promote continuous health and well-being for patients with chronic kidney disease by encouraging adherence to treatment and making positive lifestyle choices. Provide resources and referrals to support groups, nutritionists, and other ancillary services.
Acute and Chronic Hemodialysis RN
Riyadh Military Hospital
Riyadh, Saudi Arabia
09.1994 - 01.1999
- Conduct thorough assessments of patients undergoing dialysis treatment, including physical examinations and health history evaluations. Monitor vital signs, lab results, and overall patient condition throughout treatment.
- Respond promptly to medical emergencies, including cardiac arrest or respiratory distress, and provide advanced life support measures, including cardiopulmonary resuscitation (CPR). Participate in codes and emergency protocols as part of the rapid response team.
- Recognize and intervene in potential complications associated with dialysis treatments, such as hypotension, infection, or allergic reactions, and notify the healthcare team as necessary.
- Collaborate with a multidisciplinary team, including nephrologists, dietitians, and social workers, to develop patient individualized care plans. Adjust care plans as necessary based on ongoing assessment and patient feedback.
ICU and Hemodialysis RN
University Of Santo Tomas Hospital
Manila, Philippines
06.1990 - 08.1994
- Perform thorough assessments of critically ill patients, monitoring vital signs, lab results, and overall clinical status. Evaluate changes in patients’ conditions and recognize potential complications early.
- As required, administer and monitor life-sustaining treatments, including mechanical ventilation, intravenous (IV) medications, and dialysis. Adhere to prescribed protocols and ensure timely administration of medications, fluids, and blood products.
- Utilize and interpret data from advanced monitoring equipment (e.g., cardiac monitors, telemetry, pulse oximetry). Continuously assess hemodynamic parameters and adjust nursing interventions accordingly.
- Implement interventions to stabilize patients, including oxygen therapy, intravenous fluids, and the use of vasoactive medications as needed. Collaborate with the healthcare team to modify treatment plans in response to dynamic patient needs.
- Respond promptly to medical emergencies, including cardiac arrest or respiratory distress, and provide advanced life support measures, including cardiopulmonary resuscitation (CPR). Participate in codes and emergency protocols as part of the rapid response team.
- Maintain accurate and detailed documentation of patient assessments, treatments administered, and any changes in patient conditions in the medical records. Ensure all documentation complies with standards the healthcare facility and regulatory bodies set.
SICU RN and Acute /Chronic Hemodialysis RN
University Of Virginia Health System
Charlottesville, VA
05.2002
- Conduct detailed and ongoing assessments of critically ill surgical patients to monitor vital signs, hemodynamics, and neurological status. Evaluate lab results, imaging studies, and other diagnostic tests to inform clinical decisions.
- To assess and manage patients' conditions, utilize advanced monitoring equipment (e.g., ventilators, cardiac monitors, and infusion pumps). Interpret data from monitoring devices to identify changes in a patient's condition that require immediate action.
- Develop and implement individualized nursing care plans based on the specific needs of patients recovering from surgery. Administer medications, blood products, and intravenous (IV) fluids as prescribed, ensuring proper dosage and reaction monitoring.
- Respond promptly to emergencies and critical situations, including cardiac arrest, respiratory failure, or other life-threatening conditions. Provide advanced life support as necessary, including CPR and emergency equipment.
Chronic outpatient Hemodialysis RN
South Nassau Hospital
Oceanside, NY
04.2002
- Maintain accurate and detailed documentation of patient assessments, treatments administered, and any changes in patient conditions in the medical records. Ensure all documentation complies with standards set by the healthcare facility and regulatory bodies.
- Educate patients and their families about dialysis procedures, dietary needs, medication management, and lifestyle changes necessary for managing kidney disease.
- Operate and maintain hemodialysis machines, ensuring they function correctly during treatment.
- Assess and manage vascular access sites (e.g., fistulas, grafts, catheters) to prevent complications like thrombosis and infection.
- Support and promote continuous health and well-being for patients with chronic kidney disease by encouraging adherence to treatment and making positive lifestyle choices. Provide resources and referrals to support groups, nutritionists, and other ancillary services.
Education
MSN-AGACNP -
Walden University
Minneapolis, MN08.2022
BSN -
University OF Perpetual Help
Manila, Philippines06.1989
Skills
- Clinical Education
- Patient Care
- Compliance Management
- Adult Teaching Strategies
- Evidence-Based Practice
- BSN/MSN-AGACNP
- BLS Certified
- ACLS certified
- Staff training
Websites
Certification
- Certified Nephrology Nurse
- Advanced Cardiac Life Support (ACLS) Certification — Completed certification for Advanced Cardiac Life Support through the American Heart Association.
- BLS — American Heart Association
Languages
English Beginner, Tagalog Intermediate
Affiliations
- American Nurses Association
- Gerontology Advanced Practice Nurse Association
- UCDMC Unit Based Practice Council chair and Co-chair
Key Achievements
- Certified Nephrology Nurse
- Affiliations: American Nurses Association, Gerontology Advanced Practice Nurse Association
- UCDMC: Unit Based Practice Council chair and Co-chair
Passions
- Advancing Patient Care: Passionate about enhancing the quality of patient care through continuous education and development.
- Healthcare Technology: Keen on integrating cutting-edge technology within healthcare to improve patient outcomes.
- Mentoring Future Nurses: Dedicated to mentoring and nurturing the next generation of nursing professionals.
Accomplishments
- Received recognition during Nurse Week for excellence in leadership and collaboration of care
References
References available upon request.
Timeline
Clinical Nurse III
UC DAVIS Health
08.2014 - Current
Nurse Manager/Acute Clinical Coordinator
DaVita Healthcare Hospital Services
05.2010 - 12.2021
Registered Nurse/Charge Nurse
Renown Regional Medical Center
05.2005 - 12.2010
SICU RN and Acute /Chronic Hemodialysis RN
University Of Virginia Health System
05.2002
Chronic outpatient Hemodialysis RN
South Nassau Hospital
04.2002
Acute and Chronic Hemodialysis RN
Riyadh Military Hospital
09.1994 - 01.1999
ICU and Hemodialysis RN
University Of Santo Tomas Hospital
06.1990 - 08.1994
MSN-AGACNP -
Walden University
BSN -
University OF Perpetual Help
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