Madeleine Regala
Fresenius Medical Center
Vallejo,CA
1
Certification
18
years of professional experience
Compassionate and highly skilled Nephrology Nurse with 11 years of experience in chronic outpatient hemodialysis. Proven expertise in vascular access management, patient assessment, and the delivery of safe effective dialysis treatments. Adept at collaborating with interdisciplinary teams, training Patient Care Technicians (PCTs), and empowering patients with comprehensive renal education to improve health outcomes and reduce hospital readmissions.
Work History
Outpatient Registered Nurse 2
2 Months- Initiated and terminated hemodialysis treatments using Fresenius Model 2008K machine while strictly adhering to aseptic techniques and safety protocols.
- Responded to intra-treatment complications (e.g., hypotension, muscle cramps, disequilibrium syndrome) with timely clinical interventions and physician notification.
- Collected, processed, and shipped routine laboratory specimens, ensuring all missed or insufficient labs were rescheduled.
- Participated in monthly Quality Assurance and Performance Improvement (QAPI) meetings, helping implement strategies to improve patient anemia and Kt/V metrics.
Hemodialysis Registered Nurse
11 Years 6 Months- Manage comprehensive hemodialysis treatments for a caseload of 120 chronic kidney disease (CKD) patients.
- Perform pre-, intra-, and post-treatment assessments, closely monitoring vital signs, fluid balance, and laboratory data to adjust treatment plans accordingly.
- Administer prescribed medications (e.g., Epogen, Venofer, Heparin) and document responses in Electronic Medical Records (EMR).
- Evaluate vascular access sites for patency, stenosis, or infection, and coordinate with vascular surgeons and the IDT to ensure timely interventions.
- Lead a team of 8 Patient Care Technicians, delegating tasks appropriately and ensuring all OSHA and facility-specific infection control policies are strictly enforced.
- Educate patients and families on fluid restrictions, dietary requirements, and treatment options (including transplant and home modalities).
- Serve as a preceptor for newly hired RNs and PCTs, overseeing orientation and competency assessments.
Intensive Care Unit Nurse
4 Years 9 Months- Provide specialized critical care to service members, veterans and their families without being enlisted.
- Work alongside military medical personnel, with strict adherence to military regulations
- Skillfully managed complex ventilator settings, improving respiratory function for patients requiring mechanical ventilation support.
- Maintained respectful treatment environment that honored patients' and families' cultural and religious traditions and preferences.
Education
Associate of Science - Registered Nurse
- HealthCare Scholarship Fund Recipient
Associate of Science - Respiratory Therapy
Skills
In-center Hemodialysis
Vascular Access (AV Fistula
Graft
Catheter)
Professional bedside manner
Medication Administration (EPO
Iron
Heparin)
Interdisciplinary Care Planning
Infection Control & Safety Protocols
Patient & Family Education
Strong clinical judgement
Certification
- Advance Cardiac Life Support- American Heart Association
- Basic Life Support- American Heart Association
Timeline
Outpatient Registered Nurse 2
Fresenius Medical Center
06.2026 - CurrentRead More
Hemodialysis Registered Nurse
DVA Renal Care
07.2014 - 01.2026Read More
Intensive Care Unit Nurse
Travis Air Force Base David Grant Medical Center Hospital
06.2008 - 03.2013Read More
Napa Valley College
Associate of Science from Registered Nurse
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Napa Valley College
Associate of Science from Respiratory Therapy
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