LUCAS ASKEW
Otis Orchards
Summary
Conscientious, integrity-driven Combat Veteran and Paratrooper with 8+ years of nursing experience in the critical care setting. Strong background in multi-modal cath lab, ICU, and trauma during this time. Currently working in multi-modal (Cardiac, EP, Neuro, IR) Cath Lab and taking CVICU/ICU assignments concurrently. Currently attending the MSN program at Gonzaga University and certifications by the American Heart Association for various specialized training including BLS, ACLS, and PALS. As an Army Ranger, received military awards for valor and recognized for uncompromising devotion to duty & service. Regarded as an ethical healthcare provider with the ability to stay calm and intervene during crises, facilitate groups and collaborate on multidisciplinary teams. Proven ability to build positive relationships with patients, family members, physicians, and other medical professionals. Keen to leverage education and aptitude and seeking an RN position in a supportive environment that fosters extended learning while contributing as a productive team member.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Multi-modal Cath Lab (Cardiac, EP, IR, Neuro)
Multicare Deaconess Hospital
05.2024 - Current
- Level II Trauma Center
- Complete management of critically ill patients from ambulance/ER to Post procedure
- Procedural/Conscious sedation, Pressers, anticoagulation/anti-platelet meds
- Emergency meds inc. “no reflow” meds
- RN, Circulate, monitor, setting up scrub table across all modalities
Cath lab and EP
USN Geisinger Wyoming Valley MC PA (Strike)
02.2025 - 02.2025
- Level I Trauma Center
- Procedural sedation and care for critically ill emergent patients and scheduled cases
ICU & CVICU RN (Travel assignment)
Providence Sacred Heart MC and Holy Family Hospital, Spokane, WA
10.2023 - 05.2024
- Level II Trauma center
- Care of critically ill patients including neuro, cardiac, trauma, surgical, ect.
- New open hearts, post CABG, IABP, LVAD, Impella, Wedge/Swan-Ganz, etc.
- Management of all central lines
Multi-modal Cath Lab RN c/ Regular float to ER and ICU
TRIOS Southridge Hospital, Kennewick, WA (Travel)
07.2023 - 10.2023
- Procedural sedation and circulatory duties
- Complete responsibility of Pt from arrival to Post handoff
- Sheath management including removal
Multi-modal Cath Lab RN c/ Regular float to CVICU, ICU, & ER
Mt. Sanai Medical Center, Miami Beach, FL (Travel)
02.2023 - 05.2023
- Level II Trauma center and Teaching Hospital
- Procedural sedation and circulatory duties
- Emergency device experience (Balloon pump, impella, LVAD, ect.)
Multi-modal Cath Lab RN (Cardiac, EP, Neuro, IR)
Multicare Deaconess Hospital, Spokane, WA
12.2020 - 02.2023
- Complete responsibility for Pt care from pre-procedure assessment through Post.
- Float to ER, ICU
- Very experienced in procedural sedation
- Pt assessment pre, intra, post procedure
- Great experience with cardiac devices, implants commonly present in critically ill patients (PPM, TPM, Micra leadless PM, Prosthetic valves (all types; mitral, TAVR, etc.), Impella, balloon pump, LVAD, etc.
- Care of very critically ill patients from child to geriatric. Including emergency/Trauma response (STEMI, STROKE, DVT, Hemorrhage, etc.)
- Experience in emergency intervention/response call, both during shift and after COB/on weekends.
CVICU RN
Providence Sacred Heart MC, Spokane, WA (Travel)
09.2020 - 12.2020
- Fresh open hearts
- ETT Pt’s
- Chest tubes
- Balloon pump, impella, LVAD Pts
ICU RN
Peacehealth St. Joseph Medical Center, Bellingham, WA
09.2018 - 09.2020
- Earned a reputation for nursing excellence and acknowledged for handling difficult IV starts.
- Coordinate total nursing care by assessing the patient, determining care plan, participating in patient and family teaching and providing leadership to nursing staff.
- Make timely entries into the patient medical record addressing all steps of the nursing process.
- Communicate actively with members of the healthcare team, patient, and patient family.
- Provide respiratory and ventilator management and monitoring for patients.
- Act as a nurse leader, mentor, and preceptor to student nurses and new RNs.
- Nursing care of critically ill patients with numerous IV drips, tubes, drains, wounds, and internal/external monitoring devices.
- Involved in sedation and vasoactive medication titration in unstable patients.
- Provide emotional, spiritual, religious and cultural support to patients and their families.
Critical Care RN1 ICU/NTICU (Recruited to work ICU as LVN while finishing RN)
Enloe Medical Center, Chico, CA
09.2016 - 09.2018
- Gained experience in care of critically ill Neuro-Trauma Patients (Ventriculostomy management, ICP monitoring, care of "bird hole" procedure patients, acute stroke management, sedation and vasoactive medication titration).
- Extensive experience in critically ill Cardiac patient care (Pre, peri, post open-heart patient care, Balloon pump management, Temporary invasive cardiac Pacemaker management with identification/assessment of underlying rhythm, On-going rhythm assessment, diagnoses, and management of dysrhythmias).
- Involved in assessing, planning, coordinating, and evaluating patients care.
- Performed approved and prescribed diagnostic procedures based on patient’s clinical status.
- Educated family members on treatment methods, medications and discharge procedures.
Education
Associate of Science (2nd ADN) - Nursing
Butte College
01.2016
LVN ADN Program - undefined
College of the Redwoods
01.2011
Skills
- Excellent IV/IO (Intra Osseous) start skills with or without use of ultrasound Years spent on IV start team
- Procedural sedation
- Nurse since 2011, Critical care RN since 2016 (Multi-modal cath lab and all ICUs)
- Cardiac and Neurotrauma experience (including fresh open-heart recovery, balloon pump management, safe use and removal of arterial and venous sheaths and Swan-Ganz catheter, internal and external pacemaker management, hypothermic therapy/targeted temp management; ventriculostomy management, post "bird hole" ICP monitoring
- Cardiac/telemetry rhythm identification, diagnoses, management, and monitoring
- Stroke Patient care - TPA administration/management/monitoring, NIH, dynamic assessment and management of changes in status
- Critical pressure/data monitoring (wedge pressure, Arterial B/P, BIS, train of 4, etc)
- Ventilator management for critically ill Patients (including ARDS), vasoactive medication and sedation titration
- Expertise in EHR/EMR (Electronic Health/Medical Records computer system) EPIC, Meditech, etc
- Good experience with CRRT/Hemodialysis, Mass transfusion protocol devices, drains, wounds/negative pressure devices
- Rich experience in ACLS, code/rapid response
Certification
- Basic Life Support for Healthcare Providers. AHA. Exp: Nov 2027
- Advanced Cardiac Life Support for Healthcare Providers. AHA. Exp: Nov 2027
- Pediatric Advanced Life Support for Healthcare Providers. AHA. Exp: Nov 2027
- NIH Stroke Scale. AHA. National Institute of Health. Exp: Nov 2027
- ENLC WA Multistate Compact License – See WA RN license below
- Registered Nurse, WA Board of Nursing, WA Dept. of Health. License: RN60770429. Exp: Nov 2026
- Registered Nurse, CA Board of Registered Nursing. License: 95115945. Exp: Dec 2026
Timeline
Cath lab and EP
USN Geisinger Wyoming Valley MC PA (Strike)
02.2025 - 02.2025
Multi-modal Cath Lab (Cardiac, EP, IR, Neuro)
Multicare Deaconess Hospital
05.2024 - Current
ICU & CVICU RN (Travel assignment)
Providence Sacred Heart MC and Holy Family Hospital, Spokane, WA
10.2023 - 05.2024
Multi-modal Cath Lab RN c/ Regular float to ER and ICU
TRIOS Southridge Hospital, Kennewick, WA (Travel)
07.2023 - 10.2023
Multi-modal Cath Lab RN c/ Regular float to CVICU, ICU, & ER
Mt. Sanai Medical Center, Miami Beach, FL (Travel)
02.2023 - 05.2023
Multi-modal Cath Lab RN (Cardiac, EP, Neuro, IR)
Multicare Deaconess Hospital, Spokane, WA
12.2020 - 02.2023
CVICU RN
Providence Sacred Heart MC, Spokane, WA (Travel)
09.2020 - 12.2020
ICU RN
Peacehealth St. Joseph Medical Center, Bellingham, WA
09.2018 - 09.2020
Critical Care RN1 ICU/NTICU (Recruited to work ICU as LVN while finishing RN)
Enloe Medical Center, Chico, CA
09.2016 - 09.2018
LVN ADN Program - undefined
College of the Redwoods
Associate of Science (2nd ADN) - Nursing
Butte College