Maria Asombrado
Broken Arrow,OK
Summary
Experienced nursing professional with 28 years in nephrology and dialysis. Expertise includes acute hemodialysis, chronic hemodialysis, peritoneal dialysis, SLED, CRRT, and apheresis. Focused on interdisciplinary collaboration, patient education, and fluid management to enhance patient outcomes and quality of care.
Overview
34
34
years of professional experience
1
1
Certification
Work History
Registered Nurse
Saint Francis Hospital
Tulsa, Oklahoma
11.1998 - Current
- Delivered safe and effective hemodialysis treatments for acute and chronic renal patients.
- Assessed patients before, during and after dialysis treatments.
- Cannulated AV fistulas and AV grafts using best practice techniques.
- Managed tunneled dialysis catheters while maintaining strict infection prevention protocols.
- Monitored laboratory values and collaborated with nephrologist to optimize patient care.
- Educated patients regarding renal diet , fluid restrictions, medications, vascular access care and treatment adherence.
- Responded rapidly to dialysis complications including hypotension , muscle cramps, disequilibrium syndrome and vascular access issues.
- Educated patients and caregivers on Continuous Ambulatory Peritoneal Dialysis ( CAPD) and Automated Peritoneal Dialysis (APD).
- Monitored patients for complications such as peritonitis, catheter malfunction, fluid imbalance, and inadequate dialysis, initiating appropriate interventions.
- Trained patients on PD cycler operation, sterile exchange procedure, exit site care, and infection prevention.
- Initiated SLED treatments for hemodynamically unstable patients.
- Initiated CRRT treatments for hemodynamically unstable treatments from 1998-2003.
- Provided Apheresis treatments according to physician orders and established protocols from 1999 to 2003.
- Administered medications and monitored patient responses to treatments.
- Provided patient and family health education focusing on self-management, prevention and wellness.
- Utilized critical thinking skills to assess clinical situations quickly and accurately.
- Maintained a safe environment for all patients by adhering to infection control policies and procedures.
- Assessed, planned, implemented and evaluated nursing care for assigned patients.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Coordinated discharge planning activities including arranging follow up appointments or referrals for additional services.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
Registered Nurse
Medical Center Muntinlupa
Manila, Philippines
06.1992 - 12.1995
- Administered hemodialysis treatments to patients with chronic kidney disease.
- Monitored vital signs and patient responses during dialysis sessions.
- Collaborated with healthcare team to develop individualized care plans.
- Educated patients on dialysis procedures and self-care techniques.
- Operated dialysis machines and ensured proper equipment function daily.
- Provided direct patient care in the dialysis unit, including pre and post-treatment evaluation of patients.
- Monitored fluid balance of patients during hemodialysis treatments to ensure safe removal or replacement of fluids as prescribed by physician orders.
- Trained new nursing staff on dialysis protocols and best practices.
- Administered medications ordered by the physician following hospital policies.
- Assisted with setting up dialysis machines, preparing solutions for hemodialysis treatments and ensuring proper functioning of equipment.
- Provided emotional support and counseling to patients facing treatment challenges.
- Counseled patients on how to manage symptoms associated with end stage renal disease.
- Educated patients on their disease process, diet restrictions and lifestyle changes needed to manage chronic kidney disease.
- Maintained accurate records of all treatments provided including medications administered, laboratory values obtained and any adverse reactions experienced by the patient.
- Instructed new staff members on proper techniques for performing hemodialysis procedures safely and efficiently.
- Consulted with nephrologists regarding complex cases requiring specialized medical interventions.
- Evaluated effectiveness of treatments given throughout each session using established criteria.
- Developed protocols for infection control within the dialysis unit based on current evidence-based practice guidelines.
- Recognized potential problems that could arise during a treatment session and took appropriate action when needed.
- Reported any abnormal findings or changes in condition immediately to attending physicians or charge nurses.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Collaborated with physicians, nurses and other healthcare professionals to develop individualized plans of care for each patient.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Ensured compliance with all applicable laws, regulations and standards related to hemodialysis nursing practice.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Education
Bachelor of Science - Nursing
De La Salle University
Dasmarinas Cavite Philippines04-1992
Skills
- Hemodialysis procedures
- Acute Hemodialysis
- Peritoneal Dialysis (CAPD & APD)
- Critical Care Dialysis
- Emergency Dialysis
- Renal replacement therapy
- Slow Low Efficient Dialysis (SLED)
- Therapeutic Apheresis
- Acute Kidney Injury Management
- Vascular Access Management
- AV fistula cannulation
- Dialysis catheter management
- Renal Patient Assessment
- Fluid and electrolyte management
- End-stage renal management
Languages
English
Full Professional
Filipino
Full Professional
Certification
- Registered Nurse State License Oklahoma
- Basic Life Support
- Certified Dialysis Nurse
Timeline
Registered Nurse
Saint Francis Hospital
11.1998 - Current
Registered Nurse
Medical Center Muntinlupa
06.1992 - 12.1995
Bachelor of Science - Nursing
De La Salle University