Lori Scott
Registered Nurse In Critical Care
Arlington,US
Summary
More than 20 years of solid Critical Care experience. RN since 1986. More than 11 years travel nurse experience in 5 states. I have worked in approximately 40 facilities which have included two level 2 trauma centers, multiple level 3 trauma centers, teaching and non-teaching centers. The past 10 years work settings in preoperative and postoperative nursing in acute and ambulatory surgery, cardiac Cath Lab, NICL, IR and adult critical care. Many years of charge and supervisory experience. Other relative experience includes case management, ER, SICU, MICU, CVICU, Neuro ICU, OR, CVOR, PACU. ICU -oriented Nurse with almost 38 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 in critical care areas. Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Overview
38
38
years of professional experience
Work History
RN Traveler Cath Lab
Gerald Champion Regional Medical Center
12.2023 - 12.2023
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Skilled at working independently and collaboratively in a team environment.
- Worked effectively in fast-paced environments.
- Used Cerner EMR for charting patient care in pre and post op cath and IR patients. Used McKesson in lab for monitoring moderate sedation and giving medications during cases utilizing 4 person teams. 20 STEMI call days in 6 week period.
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Cultivated interpersonal skills by building positive relationships with others.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
- Developed and maintained courteous and effective working relationships.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
Cardiac Cath Lab Travel RN
SpringBoard/MountainView Valley Regional MC
06.2021 - 11.2021
- STEMI call
- Elective and emergent cardiac and peripheral cases both diagnostic and interventional. Commonly used Rotoblade, CSI, Impella CP and 5.0, Circulated CTO's, RHC with adenosine challenge, PPM and AICD insertions, leadless pacemakers, and cardiomems insertions
- Call average 10-12 days per month
- 4 physicians for STEMI call plus additional cardiologists on staff for Nonemergency and emergent cases.
Cardiac Cath Lab Travel Registered Nurse
Aureus Medical/Hendrick Brownwood
12.2021 - 07.2023
- Performed fractional flow reserve tests to measure blood pressure and diagnose severity of restriction at blocked areas within arteries. Right heart Cath measurements and measurements for aortic stenosis. Impella insertion for cardio genic shock.
- Administered diagnostic angiograms, injecting intravenous dye for x-ray examination and using catheters to introduce tools needed for medical treatments such as Shockwave therapy and use of Penumbra system for coronary and vascular thrombectomy.
Disaster Relief RN
Angel Staffing
07.2020 - 04.2021
- Emergency mobilization needed by Texas Department of Health on July 12th, 2020 for care of Covid 19 patients during epidemic surge at Uvalde Memorial Hospital in Uvalde, Texas Care of Covid medical Step down post acute care telemetry patients and floated to ICU when needed
- Demobilized September 15th and again mobilized by state in 24 hours on September 16th
- Second emergency placement needed by (Post Acute Medical) PAM in Victoria, Texas for Covid 19 patients in ICU, telemetry and medical floor
- Demobilized on Nov 1, 2020
- Mobilized again in Irving, Texas at Baylor Scott and White in CCU for care of Covid 19 patients
- Demobilized by state on April 1, 2021.
- Assessed and documented changes in patient's condition and prepared patient for transfer to higher level of care.
- Administered medications and treatments as ordered by physician.
- Delivered outstanding patient care in [Type] critical care units.
RN
Intensive Specialty Hospital with Supplemental Healthcare
05.2020 - 06.2020
- Travel assignment working in ICU and Covid units at either Shreveport or Bossier City location
- Care of patients positive for Covid 19 requiring acute critical care and intermediate care
Cardiac Cath Lab Travel RN
Medical Solutions/Dallas Regional Medical Center
10.2019 - 04.2020
- Combination of Cath lab with STEMI call
- CSI, IFR, FFR and IVUS common as well as some roto blade
- Circulated PPM and AICD insertions
- Performed IR cases and NICL nuclear, dobutamine and exercise stress tests
- Assigned and provided Cath lab orientation to 2 nurses starting Cath lab while on assignment
- Educated family members and caregivers on patient care instructions.
Cardiac Cath Lab Travel Registered Nurse
Springboard/Texas Health Presbyterian Hospital
07.2019 - 10.2019
- Travel nursing position in cardiac Cath lab
- Minimal IR cases
- STEMI/IR Call required an average of 9-11 days per month
- 3 Cath labs with 1 Cath lab designated as EP lab and secondary lab capable of general anesthesia
- 4 person team consisting of 2 techs and 2 RN’s
- MAC LAB and Cupid/EPIC/Care Connect used for charting
- Total Cath cases for July and August were 119 and 128
- Total EP procedures 41 and 46, total
- IR cases 12 and 16, and STEMI activations 15 and 21
- Use of multiple closure devices and received many patients from outlying areas
Cardiac Cath Lab Travel RN
Supplemental/Methodist Richardson Medical Center
04.2019 - 07.2019
- Travel nursing position in cardiac Cath and IR, taking both STEMI call and IR call
- Total of 3 Cath lab rooms(2 hybrid) and one Multi purpose room for IR cases not requiring General anesthesia
- In May there were 292 cases, 32 call outs and 23 were heart related
- Cath lab cases similar to Westover Hills
- TAVR’s were also done here as well as emergent aortic/thoracic aneurysm stenting
- This facility had call outs for emergent embolectomy cases as well as nephrostomy tubes
- Frequent IR cases were abscess drains, CT and ultrasound guided biopsies, Drain checks, G-tube and J tube placements and replacements, Placement of Chest tubes, suprapubic catheter placement, mediport placement, Tunneled PICC line placement, tunneled and non tunneled hemodialysis catheters, kyphoplasty, TIPS procedures, thoracentesis.
Cath Lab RN, Lab
Christus Health Westover Hills
10.2017 - 03.2019
- Started in medical/surgical cardiac care ICU in October 2017 until August of 2018
- Patients cared for frequently were septic, on ventilators or/and multi drips, post CABG, IABP and impella patients post MI/PCI, CHF, post cardiopulmonary arrest, ARF and CRF requiring CRRT, and patients with multiple comorbidities
- Transferred to Cardiac Cath Lab in August full time, but worked as needed from May to July
- Lab had both peripheral vascular and cardiac patients
- Cases circulated frequently were fistulograms, venograms, AIF with runoff, dual chamber pacemakers and AICD implantation, loop recorders, Right and left cardiac catheterizations with PCI and High risk PCI such as CTO patients with low EF’s requiring impella or IABP insertion and STEMI’s
- Watchman’s, and PFO closures were also done
- CSI, angiojet, rotoblade, and EKOS were also used
- Charge, Cath Lab/IR/Stress
Charge Nurse Cardiac Cath Lab
NIX Hospital
06.2017 - 09.2017
- circulating RN in cardiac cath lab and interventional radiology
- administered IV conscious sedation under physician order and monitored patients
- also responsible for preop cath lab/IR as well as post op recovery following invasive procedures
- assisted in stress lab with monitoring patients there for exercise stress tests, lexiscans and dobutamine stress tests
- improved STEMI box contents, assisted with implementation of policy in stress lab, and incorporation of stress lab emergency drug box
- trained for house supervisor and floated to PACU, ICU and day surgery
CityView Surgery Center
08.2016 - 06.2017
- Ambulatory surgery center specializing in eye surgeries and laser procedures
- Preoperative ad postoperative phone calls and teaching
- Care of patients both in preoperative and postoperative stage. Started 20 IV’s daily on busy surgery days
- Documentation and reporting abnormal findings
- Circulated in OR for cataract surgery cases.
RN preop, LoneStar Ambulatory Surgery Center
09.2015 - 08.2016
- Pre admission history, prepping patients for OR, patient teaching, post op recovery, post op phone calls
- Responsible for ordering pharmacy supplies
- Resource nurse for younger less experienced nurses
- Critical care skills and IV skills used
PACU RN
Northeast Baptist Hospital
08.2013 - 12.2013
- Initial care of routine, stable and critical care patients following anesthesia administration -Assessment, evaluation, intervention and documentation of post operative patients and post
- EP patients with complications or prolonged sedation -Assisted airway protection and maintenance of adequate oxygenation and ventilation of adult and pediatric patients -Provided and maintained adequate pain control -Responsible for monitoring and responding to EKG and hemodynamic monitoring including initiation of
- Code Blue -Provided on call care at night and on weekends including home discharge of outpatients after hours -Post operative and discharge Instruction to patients and family members -Ensured HIPAA compliance -Monitored patients reactions to medications and careful documentation of progress -Closely monitored for acute conditions such as postoperative bleeding, cardiac dysrhythmias, neurological changes -Performed lab tests and communicated results to surgeons and anesthesiologists -Assisted with preoperative patients and ICU OR transfers -Provided support and assistance when necessary to circulating nurse in OR during emergencies and to anesthesia -Assisted physicians with emergency bedside procedure and all documentation
- Accomplishments -Participated in unit based Quality Assurance Programs -Increased patient safety
- Skills Used -Critical Care thinking -Advanced hemodynamic monitoring -Mentoring less experienced nurses -Communication skills and multitasking -Documentation -Prioritizing
Regional
EICU RN/Apache RN, Baptist Healthcare System of San Antonio
03.2010 - 08.2013
- Assisted in patient safety, hemodynamic monitoring, and indirect patient care -Resource nurse -Nurse/physician liaison -Data retrieval and data input -Indirect patient assessment via camera and advanced telemonitoring system -Assisted bedside nurse in documentation, orders, and physician paging -Relay of bedside nurse concerns and changes in patient condition to EICU physician for possible intervention, orders and assistance in carrying out orders -Assessment of hemodynamic trends and lab trends and making sure bedside nurse, charge nurse or
- EICU physician made aware when warranted -Evaluation of all core measures and sepsis protocol orders -EKG and hemodynamic monitoring and appropriate response and relay of all alarms -HIPAA compliance -Patient, family and nurse advocate -Sepsis and septic shock assessment -Assessing patients for potential ARDS and ventilator recommendations based upon findings
- Accomplishments -Participated in unit and hospital based Quality Assurance Programs such as evaluation of core measure documentation(CHF, MI, Pneumonia, CVA) -Septic technique evaluation, documentation and overseeing physician compliance of central line placement to decrease potential infection -Improved patient safety and decreased poor outcomes with assisted monitoring and quick intervention measures -Data collection and documentation of sepsis bundles there by improving patient mortality and outcome -Decrease patient ventilation days and early assessment and intervention of respiratory compromise
- Skills Used -Critical Care thinking -Communication -Multitasking -Advanced computer skills -Prioritization of most critical -Optimized patient safety -Resource nurse
Baptist Medical Center
12.2007 - 03.2010
- Primary care, assessment, necessary intervention and evaluation of all critical care patients -Counselled and educated patients and family about health issues, disease process, and necessary referrals for diabetes education, case management, infection control, dietary, wound care, and pastoral care -Assistance with emergent and non emergent bedside procedures -Compliance with hospital and unit policies as well as maintaining all hospital and unit competencies including CPR and ACLS certifications -Implementation of Endotool -Patient and family satisfaction surveys -Rapid Response nurse and designated responder to hospital wide code blues and CVA's -Charge nurse in SICU and CVICU and responsible for patient assignments and staffing needs accordingly to patient acuity, potential transfers out of unit, post code emergency admissions, ER and OR/PACU admissions -Fulfilled all documentation requirements -Night Shift Supervisor for SICU/CVICU, CCU, MICU, and ICU overflow which had a potential capacity when full of more than 35 patients when overflow was open -Included in shift supervision duties was assisting house officer in closure and opening of ICU's, facilitating transfers and admissions within and outside of facility as well as nightly reports and notification of important issues to House Officer or/and ICU Director
- Accomplishments -Improved staffing due to follow through on occurrence reports and shift reports -Direct impact on patient safety and patient outcomes -Improved unit teamwork and cohesiveness
- Skills Used -All skills previously mentioned -Advanced clinical bedside skills and assessment skills -Required knowledge of all post surgical patients including immediate recovery of and care of open heart patients received from OR -Knowledge of all core measures and knowledge in all critical care areas -Care of patients on CRRT, IABP, multiple IV drips and lines, and care of and removal of lines -Care of ventilated patients with endotracheal tubes and tracheostomies -Care of patients with multiple comorbidities and multisystem failure -Proficiency in IV insertions in and off the unit -Team Leader -Implementation and continuation of Hypothermia protocol
- Staff RN and Charge nurse on stepdown Cardiovascular unit
Baptist Medical Center
07.2006 - 12.2007
- Care of medical patients such as patients diagnosed with MI,CHF, and pneumonia -Care of pre and post surgical cardiovascular patients such as AAA's, CABG and valve patients 24 hours postop, s/p carotid endarterectomy patients -Care of pre/post vascular and coronary percutaneous interventions patients -All core measure intervention and documentation such SCIP, sepsis, pneumonia, CHF, MI -Familiar with all national standards of care -Carrying out all hospital regulations, policies and procedure guidelines -Total patient assessment, intervention, evaluation, and documentation of all systems, VS and hemodynamic status -Assessment and evaluation of patients needing a higher level of care -Patient and family teaching pertaining to medications, disease process, and discharge instructions -Hospital and in patient admissions and transfers -Knowledge and maintenance of critical care drips per floor protocol -Proficiency in EKG and hemodynamic monitoring -
- Accomplishments -Team leader and charge nurse -Improved patient advocacy -Improved and more effective physician nurse communication by SBAR tool
- Skills Used -Previously mentioned skills as well as necessary unit based skills
- Staff RN nights, then advancing to Shift Supervisor capacity on nights then transfer to Case Manager on days
Life Care Hospital
06.2004 - 02.2006
- Responsibilities changed with job titles accordingly and after transfer to case management, I transferred to McAllen, TX facility -Pharmacological and non-pharmacological management and treatment of various disorders and diseases in patients suffering from acute and chronic conditions -Monitoring of patients status, VS and all documentation -Effective counseling in health maintenance and disease management -Safe home discharge or discharge to appropriate facility -Care of patients upgraded to ICU status -Admission orders, transfer and daily orders -Physician updates -Staffing as supervisor -Nightly and monthly reports for department performance -Obtaining medications from pharmacy after pharmacy hours per hospital protocol -Performed lab tests and communicated results -Followed infection control procedures -Monthly audit assistance for QA -Appropriate patient referrals to multidisciplinary team for patient treatment and appropriate outside referrals -Knowledge of DRG's and LOS and cost analysis relating to treatment modalities -Knowledge of medicare -Knowledge needed for continual Insured patient treatments and continued stay
- Accomplishments -Demonstrated ability to lead and motivate outstanding healthcare teams -Effectively supervised and delegated duties to RN's, LVN's, nursing aides and non-clinical staff -Supervision of multidisciplinary team -Safe discharges, appropriate transfers
- Skills Used -Advanced wound care skills -Ventilator weaning -Knowledge required to care for common patients such as MI, COPD, CHF, CVA, asthma, pneumonia, ventilator dependence, and patients with TBI -Development of patient care plans and nursing diagnosis -Assessment and intervention skills -Multitasking -Strong organizational and communication skills -Referral screening
- Multiple Positions-Travel and ICU staff/charge and CVICU staff/charge RN
- PACU charge RN, ER staff RN, Cardiac Cath Lab RN, OR and CVOR circulating
- RN and evening supervisor of surgical services
Staff Nurse and Charge Nurse
McAllen Medical Center
03.1986 - 05.1988
- 1 year experience circulating in OR and CVOR from April 2000 to APRIL 2001. ON call for general OR, Trauma OR, CVOR and eye surgeries
- Advanced quickly to evening charge then to evening supervisor over OR, PACU, outpatient, and GI lab from 2000 to 2001 -1 year experience circulating in cardiac catheterization lab, cath lab recovery and provided sedation in EP lab 2001-2002
- Various positions held at this hospital starting in 1986, floated to different units such as postpartum and nursery.
- 3-11 charge nurse in PACU from September 1996 to December of 97. Note very high acuity PACU with 60-80% of patients requiring extubation including pediatric patient. Recovery of 30 patients daily during low census to average of 60 patients. Transferred to ER nurse until leaving in summer of 1998 to travel.
- Original start date was March 1986, working in ICU as a student nurse. Transferred to med-surg floor for one year after graduation in May 1986 while returning to further my education. Management of pre and postoperative patients with written charting on primarily 3-11 shift. Returned to ICU in May of 1987 for one year caring for all types of medical, surgical, Neuro, and coronary patients in busy 19 bed ICU with 3 bed overflow. Also floated to NICU and telemetry floors. Worked PT on telemetry floor in 1990-1992 doing charge and patient care.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
Staff RN, Charge and Contract RN
Rio Grande Regional Hospital
05.1988 - 05.1989
- Resumed travel nursing in Florida from 1998 to 2000
- Traveled to 3 west coast hospitals working in general ICU for a year
- Travel assignment for 1 year in open heart recovery at Holmes Regional, -employed at MMC prior and after graduating in May of 1986 as staff and charge RN on med/ surg for 1 year and then as staff RN in ICU for 1 yr FT then PT until 1991 PT returning in 1996 FT. Worked at Rio Grande Regional for 1 yr in critical care prior to taking ICU and telemetry contracts in 2 Brownsville hospitals and at Knapp Weslaco
- From 1992 to 1996, was solid travel nursing, working in Neuro ICU, several general ICU's, and several open heart recovery units
- Worked in TX, NC, LA, and FL between 1986 and 2021, then traveled to New Mexico
- Hospitals ranged in size from 100 to 1000 bed facilities, teaching and non teaching as well as trauma and non trauma centers
- Responsible for Better OR communication method implemented due to multiple occurrence reports
- Cross trained and floated to many units
VARIOUS CONTRACTS AND TRAVEL ASSIGNMENTS
MULTIPLE COMPANIES AND HOSPITALS
05.1989 - 09.1996
- Provided direct patient care, stabilized patients, and determined next course of action.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Education
Associate - Nursing
University of Texas at Pan American
Edinburg, TX 01.1984 - 1 1986
Skills
Strong clinical judgment with acute and chronically ill patients
Acute care expertise of critical patients
Patient consultation for surgery evaluation
Experienced in preparing patient for emergency transport
Critical care nursing
Healthcare ethics
Patient and family education
Patient and family advocacy
Clinical Documentation
Nursing staff leadership
Accomplishments
- TX Compact RN license expires March of 2025
- Previously held CCRN 1997-2003.
- Current ACLS and BLS until March 2025.
- Patient Advocacy - Explained treatment procedures, medication risks, special diets and physician instructions to patients.
- Supervised team of 15 plus staff members.
- Training - Trained team of staff nurses in hospital procedures to ensure consistent quality of care.
- Documentation - Ensured charting accuracy through precise documentation.
- Surgical Preparation - Assisted in patient surgery preparation by administering proper medication, monitoring patients' conditions and charting abnormalities.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
RN Traveler Cath Lab
Gerald Champion Regional Medical Center
12.2023 - 12.2023
Cardiac Cath Lab Travel Registered Nurse
Aureus Medical/Hendrick Brownwood
12.2021 - 07.2023
Cardiac Cath Lab Travel RN
SpringBoard/MountainView Valley Regional MC
06.2021 - 11.2021
Disaster Relief RN
Angel Staffing
07.2020 - 04.2021
RN
Intensive Specialty Hospital with Supplemental Healthcare
05.2020 - 06.2020
Cardiac Cath Lab Travel RN
Medical Solutions/Dallas Regional Medical Center
10.2019 - 04.2020
Cardiac Cath Lab Travel Registered Nurse
Springboard/Texas Health Presbyterian Hospital
07.2019 - 10.2019
Cardiac Cath Lab Travel RN
Supplemental/Methodist Richardson Medical Center
04.2019 - 07.2019
Cath Lab RN, Lab
Christus Health Westover Hills
10.2017 - 03.2019
Charge Nurse Cardiac Cath Lab
NIX Hospital
06.2017 - 09.2017
CityView Surgery Center
08.2016 - 06.2017
RN preop, LoneStar Ambulatory Surgery Center
09.2015 - 08.2016
PACU RN
Northeast Baptist Hospital
08.2013 - 12.2013
Regional
EICU RN/Apache RN, Baptist Healthcare System of San Antonio
03.2010 - 08.2013
Baptist Medical Center
12.2007 - 03.2010
Baptist Medical Center
07.2006 - 12.2007
Life Care Hospital
06.2004 - 02.2006
VARIOUS CONTRACTS AND TRAVEL ASSIGNMENTS
MULTIPLE COMPANIES AND HOSPITALS
05.1989 - 09.1996
Staff RN, Charge and Contract RN
Rio Grande Regional Hospital
05.1988 - 05.1989
Staff Nurse and Charge Nurse
McAllen Medical Center
03.1986 - 05.1988
Associate - Nursing
University of Texas at Pan American
01.1984 - 1 1986