Maria Urzua Shand

• Clinical Respiratory Educator for Adults Altamonte and Winter Park Satellites, Level II Nicu, and Newborn-pediatric CFDs ED/OSED.
• Development of a new NICU Level 2 program, which includes Didactic education, clinical preceptor support, and equipment training.
• Development of new Respiratory Newborn - Pediatric Basic ED Education, which includes didactic class, training, procedures, and logistic
  support.
• Collaborate and support the nurse's educators' team with the birth-on-arrival CFD program
• Optimized patient care quality by updating policies, procedures, and protocols based on current best practices in clinical education.
• Evaluated clinical competencies of staff members, identifying areas for improvement and providing targeted training solutions.
• Strengthened relationships with external partners such as educator nurses or professional associations by coordinating joint educational initiatives.
• Championed a positive work environment by fostering open dialogue between educators, clinicians, administrators, and other stakeholders involved in the delivery of patient care.

• Lead of the Unit RT to Advance Cardiac Surgical Unit : Lung and Heart Transplant, Ecmo and Impella
• Responsible for the organization of RT assignment for and equipment.
• Lead and assist the RT team in the caring for patients high level of acute care and surgical conditions.
• Enhanced clinical team performance by providing continuous training on respiratory devices and procedures.
• Respiratory support for MD and Nurses.

Clinical Support:

• Management of Advance Ventilator mode.
• Management of Nitric Oxide, Flolan and Tyvaso administration following RT protocol and ensure patient safety
• Management AIBP: OR -set up and transport.
• Care of lung and Heart transplant patient: fast track extubation, lung expansion therapy, and recovery.
• Ecmo respiratory team work
• Insertion of Arterial line and management

.

• Relief Supervisor for all area of the Hospital: make patient assignment for each RT, act as resource for and trouble shoot as needed, coaches’ team in developing their skills
• Responsible for managing patient on ventilators according to assessment and ABG results
• Proper protocol for intubation and extubation
• AIBP insertion and basic management when as needed
• NPPV: set up and continues monitoring for appropriate therapy
• Respond to all code or rapid responses throughout my shift
• Atten ABGs and treat with the proper plan of care
• Patient assessment for proper care of nebulizer treatment
• Administer Advance therapies using Heliox and Flolan for RT protocol
• EKG assistance
• ED: RT working in fast environment with critical care patient
• Perform all duties in level II NICU and labor and delivery, following NRP guidelines
• Assist C-section or Vdelievry
• Correct use delivery of oxygen for newborn baby per NRP
• Follow NRP protocol for NICU resuscitation
• Set up and management of following: HHFNC- Bubble cpap- Ncpap
• Proper protocol for Surfacting delivery
• Obtain CBG and abg and treat accordingly.

• Provided respiratory therapy treatments to patients
• Ensured respiratory devices are functioning correctly
• Perform Patient assessments and work alongside with Physicians to develop plan of care
• Management mechanical ventilators as appropriate
• Provider proper education patients about treatment plan
• Recommended changes to treatments procedures to meet therapy goal
• Strong Areas: A-line insertion, intubations, Fastrack Extubation, Advance ventilator modes
• Areas with experience: primary RT on the following area ICU, SICU, ED (adult,peds) Floors, primary RT ED.

• Design and create new products
• Work with client closely to develop new image and products
• Project director: administration-creation-team working to make possible a final product that can have an impact on future clients.