Lloyd Ian Cirunay
Morgan Hill,CA
Summary
Patient-oriented Nurse with 16 years of diverse experience in direct patient care, staff supervision and department operations. Skilled at multitasking and prioritizing patient needs and daily assignments. Offering expertise with Telemetry specialty.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Registered Nurse, Telemetry Unit
Watsonville Community Hospital
08.2023 - Current
- Elevated patient care outcomes and detected changes/abnormalities in conditions by performing regular assessments.
- Performed patient care in adherence to current hospital protocols and nursing evidence base practice.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
Registered Nurse, Intensive Care Unit
Dominican Hospital
07.2023 - 08.2023
- Delegated work to nursing support staff and monitored performance to protect patients and maintain optimal care standards.
- Worked with physicians and nursing staff to develop treatment protocols addressing patients' current symptom presentation as well as underlying conditions.
- Handled ventilator support, feeding tubes and central lines.
- Documented and carried out directives of primary intensivists.
RN Telephonic Care Manager
Humana
07.2020 - 04.2023
- Conducted comprehensive health risk assessments via telephonic evaluations, leading to creation of personalized care plans for members’ post-hospital discharge.
- Collaborated with multidisciplinary teams, including healthcare providers, behavioral specialists, and social workers to coordinate and manage comprehensive healthcare services tailored to individual member needs.
- Facilitated member access to wide array of resources and services, such as appointment scheduling, condition-specific education, and community support systems.
- Enhanced member education on condition management, leading to better health outcomes and member satisfaction.
Registered Nurse, Intensive Care Unit
Mission Regional Medical Center
01.2020 - 03.2020
- Manage high acuity patients with chest tubes, tracheostomies, multiple IV drips including vasopressors and sedation, feeding tubes, foleys, and central lines among others
- Conducts hourly rounding and thorough assessment with emphasis on patient airway, hemodynamics, infection control, fall prevention and skin integrity.
- Works closely with physicians and other members of the health care team with strict compliance to hospital driven protocol in delivering disease specific care and management including but not limited to stroke, cardiac events, sepsis, and diabetic ketoacidosis
Registered Nurse, Intensive Care Unit
Edinburg Regional Medical Center
08.2017 - 03.2020
- Administered critical care to patients in ICU, managing complex cases requiring invasive and non-invasive ventilation, vasopressor support, inotropic therapy, and renal replacement treatments.
- Coordinated with multidisciplinary team to formulate and execute personalized care plans. Oversaw unit operations as charge nurse, delegating tasks, and ensuring efficient patient flow through admissions and discharges. Enhanced unit efficiency by optimizing resource allocation and monitoring patient care standards.
- Improved unit organization and patient care consistency by managing nurse assignments and patient prioritization as charge nurse.
- Collaborated with healthcare professionals, contributing to team efforts and fostering a cooperative work environment.
Utilization Management Reviewer
Shearwater Health
04.2016 - 04.2017
- Conducted comprehensive case reviews and authorized medical procedures and diagnostic imaging in alignment with InterQual criteria, ensuring adherence to care standards and patient well-being.
- Assessed medical necessity for advanced diagnostics, effectively communicating findings to interdisciplinary team. Maintained exemplary productivity and quality metrics, delivering superior customer service within a dynamic healthcare setting.
Telephonic RN Care Manager/ Subject Matter Expert
EXL Services
01.2014 - 02.2016
- Empowered patients with chronic conditions by providing comprehensive health education and behavioral modification coaching over phone.
- Acted as pivotal resource for information, offering training and support to new recruits and process teams.
- Enhanced team collaboration through effective communication and knowledge sharing.
- Played key role in onboarding and mentoring new staff, ensuring seamless integration into the team.
- Facilitated a collaborative environment, contributing to the collective knowledge and skill enhancement of the team.
Registered Nurse, Telemetry Unit
Edinburg Regional Medical Center
08.2009 - 10.2012
- Delivered comprehensive nursing care to telemetry patients, managing conditions such as chronic heart failure and myocardial infarction. Interpreted cardiac rhythms, executed timely interventions, and maintained accurate documentation.
- Educated patients and families on complex treatment regimens and post-discharge protocols. Conducted thorough patient assessments upon admission to ensure prompt and effective care.
- Collaborated with multidisciplinary teams, including physical therapists and social workers, to provide a holistic approach to patient health management.
- Oversaw care for an average of 6-7 patients per shift, ensuring individualized attention and tailored treatment plans.
Education
Bachelor of Science - Nursing
Grand Canyon University
Phoenix, Arizona12-2023
Associate Degree - Nursing
South Texas College
McAllen, Texas03-2009
Skills
- Patient Assessment & Monitoring
- Patient Education & Advocacy
- Comprehensive Health Risk Assessments
- Care Coordination & Referral
- Multidisciplinary Team Coordination
- Care Plan Development
Certification
California, USA
License No. 95163276
Issue Date: May 04, 2018
Expiration Date: June 30, 2027
ACLS Certification
Issue Date: January 01, 2025
Expiration Date: January 2027
Basic Life Support by American Heart Association
Issue Date: March 21, 2024
Expiration Date: March 2026
Certificate of Credit (NIH Stroke Scale)
Timeline
Registered Nurse, Telemetry Unit
Watsonville Community Hospital
08.2023 - Current
Registered Nurse, Intensive Care Unit
Dominican Hospital
07.2023 - 08.2023
RN Telephonic Care Manager
Humana
07.2020 - 04.2023
Registered Nurse, Intensive Care Unit
Mission Regional Medical Center
01.2020 - 03.2020
Registered Nurse, Intensive Care Unit
Edinburg Regional Medical Center
08.2017 - 03.2020
Utilization Management Reviewer
Shearwater Health
04.2016 - 04.2017
Telephonic RN Care Manager/ Subject Matter Expert
EXL Services
01.2014 - 02.2016
Registered Nurse, Telemetry Unit
Edinburg Regional Medical Center
08.2009 - 10.2012
Bachelor of Science - Nursing
Grand Canyon University
Associate Degree - Nursing
South Texas College
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