Llanah Marela Monteiro
Columbia,MD
Summary
Experienced Critical Care Nurse with 16 years of combined clinical expertise in PACU, ICU, PICU, and Emergency Services.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Adult ED Nurse
Johns Hopkins Howard County Medical Center
Columbia, MD
03.2026 - Current
- Delivered high-quality emergency care by assessing patient conditions and implementing evidence-based interventions promptly.
- Coordinated multidisciplinary team efforts to optimize patient outcomes through effective communication and collaboration.
- Conducted thorough evaluations and developed individualized care plans to address complex patient needs effectively.
- Recognized and managed critical situations, utilizing advanced life support techniques to stabilize patients in crisis.
- Educated patients and families on post-emergency care, fostering understanding and compliance with treatment plans.
- Displayed strong clinical judgment when making decisions regarding appropriate interventions for each unique situation.
- Enhanced patient care by efficiently assessing, planning, implementing, and evaluating the nursing care for emergency department patients.
- Responded quickly to life-threatening situations, performing critical interventions to stabilize patients in crisis.
PACU Senior Staff Nurse / PACU Educator
Cleveland Clinic London
London, United Kingdom
10.2021 - 02.2026
- Responsible for the planning and delivery of patient care whilst ensuring that high quality, current evidence-based nursing assessment, care planning, implementation, interventions and evaluations for patients is provided from admission through to discharge within PACU.
- To act as advocate for patients at all times, whilst ensuring a patient orientated approach to the delivery of care and having a regard for their beliefs and customs is adhered.
- Recognizes, responds to and appropriately manages emergency situations.
- Carry nursing procedures and treatments in accordance to policies and procedures as a minimum standard within PACU including:
- - Airway Management
- - Immediate post anaesthetic/surgical emergency algorithms
- - Safely administer medication and blood products as required
- - Safe admission and discharge of patients
- - High dependency nursing care
- - Routine specialty specific post-anaesthetic/surgical care (e.g. Colorectal, Upper GI, Vascular, Thoracic, Neurosurgical, Orthopaedics, Gynaecology, ENT, Urology)
- Complete all pertinent nursing documentation relevant to practice
- Maintain standards of infection control and prevention at all times
- Maintains a high standard of care and give courteous reception to all patients and visitors.
- Is wholly accountable for practice in line with the NMC code of professional conduct and takes every reasonable opportunity to sustain and improve knowledge and professional competence.
- Successfully complete and pass all competency assessment documents and required mandatory training as required for the post within the agreed time
- Will have read and understood all relevant policies and procedures identified by the line manager that is in scope of practice and will act in accordance with it.
- Maintain a high standard of care and give courteous reception to all patients and visitors.
- Practice in a cost effective and cost aware manner.
- Communicate effectively with patients and fellow caregivers appropriately
- Report/escalate any incidents immediately to senior staff
PACU Staff & Day Surgery Nurse
Cambridge University Hospitals
Cambridge, United Kingdom
06.2015 - 09.2021
- Provide optimal critical nursing care during recovery phase post-surgery both for pediatric and adult clients.
- Gather as much information about the pre-surgery condition of the client and prepare a suitable care plan for the respective patient.
- Checking patient's vital signs as they wake up from anesthesia and continuous monitoring of their overall recovery observing the ABCDE assessment.
- Treat pain, nausea, and other patient post-op symptoms and any side effects of anesthesia in accordance to own clinical assessment.
- Make a sound clinical judgment when it comes to surgical or airway emergencies utilizing the knowledge and skills on advance and intermediate cardiac life support.
- Keep a close record of all the stats of the patient and inform the respective doctor in case of any complication, emergency or anomalies.
- Comfort patients who awaken scared, delirious or confused after surgery.
- Work with a multi-disciplinary team in giving high quality care to surgical patients.
- Responsible for changing the dressing and ensuring the cleanliness of the wound or affected areas as to avoid any sort of infection.
- Prepares post op analgesia such as patient-controlled analgesia (PCA), intermittent opioid boluses, epidural and regional blocks, oral pain relief as prescribed by the anaesthetists.
- Take blood gas and post op bloods and be able to refer accordingly to surgeons and anaesthetists for any pertinent results in a very timely manner.
- Document and keep the team informed of the patient's progress.
- Educate the patient and the family on post-surgery care which includes deep breathing and coughing exercises, early mobilization, diet modifications & restrictions, dressing changes, feeding regimen.
- Contributes to the achievement of clinical quality outcome indicators and patient satisfaction.
- Leads unit-based Performance Improvement activities as assigned.
- Contributes to special projects/assignments linked to nursing strategic priorities and professional practice model.
- Participates in patient education programs.
- Develops and sustains own knowledge, clinical skills and professional awareness and maintains a professional profile.
- Provides documented evidence of performance and maintenance of skills consistent with position.
- Assists in promoting and sharing knowledge via mentorship in line with relevant research and evidence based practice.
- Participates in new staff/nursing student orientation aimed at developing competence and performance. Assists in maintaining a suitable learning environment and acts as a preceptor/mentor in the supervision and teaching of nursing students and new staff to develop their competence.
- Actively welcomes and provides support for new staff/students to the unit. Contributes to the retention of all staff to meet the unit specific turnover rate goal. Participates in retention activities.
- Serves on unit based and divisional councils as assigned/elected.
- Contributes to the development, implementation, and evaluation of unit activities
- Upholds the organisational values at all times. Follows all Hospital related policies and procedures.
- Performs other related duties as assigned.
ICU and ER Staff Nurse
San Pedro Municipal Hospital
San Pedro, Philippines
05.2014 - 05.2015
- Practices comprehensive nursing care in accordance with professional values and moral
- Provides total patient care as assigned according to the core standards of patient care and established policies and evidence based practices.
- Assumes accountability for assessing, planning, implementing and evaluating care as well as discharge planning for each patient.
- Contributes to decreasing the length of stay/waiting time as per unit specific goal.
- Works in collaboration with Case Management to achieve goals. /Documents all relevant information correctly, appropriately and in a timely manner.
- Demonstrates transcultural principles in nursing practice.
- Participates in the promotion and maintenance of effective communication and teamwork.
- Treats colleagues, patients and visitors with dignity and respect at all times. Demonstrates collaborative multi-disciplinary partnerships working towards the achievements of constant improvement in quality patient care.
- Acts as an advocate for patients and families. Identifies ideas that will improve the quality of patient care and issues that will negatively impact on patient care outcomes, using the professional practice framework.
- Participates through team working and collaborative partnerships in identifying and implementing solutions through evidence based practice or research to demonstrate improvements reflected at unit level.
- Promotes a safe environment and safe patient care by embracing a safety culture and identifying areas of risk to Head Nurse or designee.
- Complies with policies for personal and patient safety and for the prevention of healthcare associated infections.
- Reports equipment failures, safety and security issues, and/or reduction of supply inventory to Head Nurse or designee.
- Contributes to the achievement of cost efficiency savings on unit. /Maintains an awareness of resource utilization, exercising care in the ordering and use of staff, equipment and materials.
- Contributes to the achievement of clinical quality outcome indicators and patient satisfaction.
- Leads unit based Performance Improvement activities as assigned.
- Contributes to special projects/assignments linked to nursing strategic priorities and professional practice model.
- Participates in patient education programs.
- Develops and sustains own knowledge, clinical skills and professional awareness and maintains a professional profile.
- Provides documented evidence of performance and maintenance of skills consistent with position.
PICU Staff Nurse
Philippine Children's Medical Center
Quezon City, Philippines
09.2010 - 12.2013
- Assesses patients in the unit
- Initiates Nursing care plan of patients
- Identifies goals for each nursing needs and problems
- Assists in procedures/therapies such as IVF insertion, Intrathecal Chemotherapy, Bone Marrow Aspiration and Biopsy, Intubation, Thoracentesis, NGT/OGT insertion, Foley Catheter Insertion, DVET, CIPP, CAPD, Defibrillation
- Administers blood transfusions and assists residents or fellows in providing chemotherapy
- Monitors, records, reports vital signs, intake and output, abnormal serum levels Does total personal hygiene Gives treatment like nebulisation, chest physiotherapy and suctioning, phototherapy Administers medication.
- Coordinates with ward resident and allied health team members regarding changes in patient's condition, general operation of the unit and situations that necessitate team action.
- Evaluates nursing interventions
- Records and reports unusual observations
- Supervises midwives and nursing attendants
- Implements and enforces rules, regulations, policies and procedures
- Accomplishes incident reports during shift
- Assesses and evaluates staff needs and nurse to patient ratio
- Precepts student nurses and trainees in their learning experience in the unit Conducts health teaching sessions with patients and their families
- Participates in research projects
- Attends staff development programs
- Participates in general and medical staff meeting as required Participates in hospital and nursing activities and formal education programs.
Education
Bachelor of Science - Nursing
Anglia Ruskin University
Cambridge, England01-2015
Bachelor of Science - Nursing
Far Eastern University
Manila, Philippines01-2009
Bachelor of Science - Nursing
Colegio de San Juan de Letran
Calma, Philippines01-2005
High School - undefined
St. Marys Academy of Nagcarlan
Laguna, Philippines01-2005
Skills
- EPIC ambassador and superuser since 2015
- Critical Care Management
- Client assessment and analysis
- Conflict resolution
- Time management
- Team leadership
- Good Communication skills
- Patient Allocation and Job Distribution Skills
- Extremely organised
- Risk management processes and analysis
- Problem solving
- Strong verbal communication skills
- Self-motivated
- Recovery techniques
- Patient coordination
- Team Leadership
- Medical record management
- Team mentoring
- Clinical support
- Paediatric care
- Risk Assessment
- Airway management
- EKG interpretation
- Advanced cardiac life support
- Medication administration
- Multitasking
- Basic life support
- Excellent communication
- Critical thinking
- Strong clinical judgment
- Organizational skills
- Team collaboration
Certification
- Active MD license R275075
- Texas Board of Nursing, 980143
- Nursing Midwifery Council (UK), 16C00440
- Professional Regulation Commission, Philippines, 0570872
- BLS Certified - 265601687096
- ACLS Certified - 265621782198
Timeline
Adult ED Nurse
Johns Hopkins Howard County Medical Center
03.2026 - Current
PACU Senior Staff Nurse / PACU Educator
Cleveland Clinic London
10.2021 - 02.2026
PACU Staff & Day Surgery Nurse
Cambridge University Hospitals
06.2015 - 09.2021
ICU and ER Staff Nurse
San Pedro Municipal Hospital
05.2014 - 05.2015
PICU Staff Nurse
Philippine Children's Medical Center
09.2010 - 12.2013
Bachelor of Science - Nursing
Far Eastern University
Bachelor of Science - Nursing
Colegio de San Juan de Letran
High School - undefined
St. Marys Academy of Nagcarlan
Bachelor of Science - Nursing
Anglia Ruskin University
TRAINING
- BLS & ACLS provider (AHA) Immediate Life Support (ILS) ACLS provider (UK)
- ODP and PACU Preceptor
- Mask Fit Assessor
- EPIC Ambassador & superuser
- Basic ECG Analysis and Interpretation
- Principles of Pain Management
- Emergency Protocols
- Coach with H.E.A.R.T
- Universal Skills for High Reliability Culture Ambassador Onboarding Communication with H.E.A.R.T
- Elective Surgical Caseload & Post-Covid Recovery Management of Deteriorating Patient Scenarios (MODS)
- Anaesthetic Course
- Use of A to E Approach to Deteriorating Patients
- Overnight Intensive Recovery Competency
- Paediatric Recovery Care Competency
- Key Adult Critical Care Competency
- Pharmacologic Hemodynamic Interventions Study Day
SUMMARY
- Total of 16 years of Clinical Experience
- Senior Staff & Coordinator Role
- Charge Nurse Role
- UK Registered Nurse: NMC Pin: 16C00440
- Critical Care Experience (Adult ICU & PICU)
- PACU Mentor, Supervisor and Assessor
- EU BLS /ILS/PILS Provider
- UK Leadership and Management Trainings
- EPIC Ambassador & Superuser
- PACU Educator
- Certified Mask Fit Assessor
- Experience in Recruitment & Interview Process, Staff Rota Scheduling and Staff Appraisals
- Exposure to: Electronic Medical Records (EPIC)
- US Medication Dispensing Mechanism (Pyxis)