Maria Nora Lueck

Introduced myself to the patient and family member. Made sure the name, birthday and medical record number matched the patient arm band. Prepared the room and made sure the room is clean, safe and emergency equipment are available.

Obtained medical information and history, medication reconciled, measured weight, height, taking V/S, connecting the patient to cardiac monitor, applying Ted hose and SCD to promote good circulation during surgery.

Conducted thorough patient assessments to identify changes in condition and promptly notifying the surgeon/anesthesiologist.

Started IV's, drew laboratory, interpret laboratory and EKG results.

Carried out all pre op orders from the surgeon and anesthesiologist.

Administered medications via oral, IV, SQ, and intramuscular injections. Performed blood transfusion.

Prepared the nerve block and assisted the anesthesiologist during the procedure. Administered sedation during the procedure. Monitored the patient pre, during and after the procedure.

Educated the patient and family members (pre and post op instructions).

Addressed patients' concerns and be an advocate.

Safety checked with the OR nurse, CRNA/Anesthesiologist before taking the patient to the OR.

Answered phone calls, made post op calls to check the patient after surgery.

PRE OP:

Introduced myself to the patient and family and made sure that the name, birthday, medical record matches the patient.

Prepared pre op room, kept it clean, safe, emergency equipment are available. Provided privacy to the patient.

Obtained medical information and history, thorough assessment, medication reconciled, measured height and weight.

Connecting to cardiac monitor, V/S, applying SCD and Ted hose. Checked the orders and consents.

Inserting IV, drew labs, interpreting labs and ekg.

Administered oral, IV, IM, SQ medications.

Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.

Safety checked with OR nurse, anesthesiologist/CRNA before taking the patient to the OR.

Served as preceptor for new nurses in the unit.

PACU: Phase 1 and 2

Received patients from the OR, Endoscopy, IR, Cardiac Cath, EP lab. Initiated a thorough assessment, connected to cardiac monitor, V/S, Checked IV sites. Provided timely interventions to address airway management complications such as respiratory depression or obstruction in post op patients. Reduced complications by promptly identifying and addressing post operative issues in the PACU. Carried out all doctors (surgeon/anesthesia) orders. Prevented complications from anesthesia side effects such as nausea or vomitting using effective medication administration. Provided a safe environment to the patient. Performed blood transfusion. Assisted physicians with bedside procedures in the PACU setting, such as wound care, dressing changes, and insertion on invasivive monitoring device.

Utilized critical thinking skills to prioritize nursing interventions based on patients acuity levels and individual needs.

Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.

Monitored for signs and symptoms of Malignant Hyperthermia.

Educated patient, family members and caregivers on patient care upon discharge.

Initiated discharge orders in Phase 2 such as helping patient to ambulate, assessed their pain level, assisting patient to void before discharge, assisting with feeding and making sure that they're able to tolerate light food upon discharge.

Removal of IV before discharge (Phase 2) checked operative site. Ensured patients are stable before discharge.

Discharged the patient with a responsible adult for phase 2.

Served as preceptor for new nurses in the unit.

Stripping the stretcher/bed linens, cleaning and preparing the room for the next patient.

ENDOSCOPY: Worked 2012-2014

Pre Procedure: Preparing the pre procedure area and made sure that it is clean, safe environment. Introduced myself to the patient and make sure that the patient arm band is correct and match in the computer and its the right patient. Checked the orders, consents. Obtained medical history, medication reconciled, carried out the doctors order, interpreting laboratory results and ekg. Report to the doctor if there is an abnormal laboratory results. Assessed a thorough assessment, insert IV, Drew blood works, V/S. Endorsing the patient to the GI lab nurse. Cleaning the room.

GI Lab: Preparing the room, clean and safe environment (emergency equipment is available). Testing the equipment, making sure that its working (suction, scope, electrocautery). Introduced myself to the patient. Checked the patient information and name band and had the patient identified himself. Checked the order, consent, asked the patient what procedure he/she is having done. Assessed the patient, connect to cardiac monitor, apply oxygen canula. Carried out the doctor's order. Doing the safety check with the GI doctor. Helping the patient to lay on her/his side and apply a mouth guard if its an upper endoscopy. Administered medications safely per guidelines while closely monitoring for side effects or adverse reactions requiring interventions. Monitor the patient's V/S every 3-5 minutes. Maintained a patent airway.

Assisted the doctor doing biopsies, dilation, cauterized.

Labeled the specimen cup correctly.

Cleaning the patient and covering the patient post procedure. Kept the patient safe. Before transporting to recovery room, take V/S and make sure patient is arousable and stable. Giving a thorough report to recovery nurse.

Cleaning the room and preparing it for the next procedure.

Recovery: Received report from the procedure nurse. Assessed the patient thoroughly, connect to cardiac monitor, V/S. Assessed IV, assessed abdomen, pain, passing gas and chest for crepitus. Monitored patient until awake. Carried out the doctors order. Initiated discharged order once the patient is fully awake and helped patient ambulating, feeding and voiding. Providing post procedural education and making sure the patient understand the instructions. Removed IV's . Ensured patients are stable before discharge. Discharged patient with a responsible adult.

INTENSIVE CARE UNIT:

Took care of critical ill patients (1:2 ratio or 1:1). V/S, cardiac monitor, ventilator management, IV insertion, Blood draws, turning the patient every 2 hours if it is not contraindicated to prevent decubitus. Performed blood transfusions, NGT insertion, central line/PICC line dressing changed. Assisted in inserting Swan Ganz and central line, bronchoscopy, intubating the patient, bathing, mouth care, keep the patient in a safe environment and privacy. Conducted thorough patient assessments to identify changes in condition and promptly notifying physicians and initiating appropriate interventions when necessary, utilized critical thinking skills to prioritize nursing interventions based on patients acuity level and individual needs. Monitored patient condition by interpreting and tracking EKG readings, lab results and updating the team members on changes in stability and acuity. Administered medications safely according to the guidelines while monitoring for side effects or adverse reactions requiring intervention. Prevented the spread of infections by adhering to strict infection control protocols. Provided support for patients and families.

I was a traveling nurse in Boston and I've worked in different hospitals in Boston and suburban areas. I was assigned to work in the ICU. Took care of critical ill patients.

Conducted a thorough assessments to identify changes in condition. V/S, Cardiac monitor, ventilator management, IV insertion, Central line/PICC line assessment, performed blood transfusion, NGT insertion, foley catheter insertion. Provided direct patient care, stabilized patients and determined next course of action. Administered medication safely according to the guidelines while closely monitoring the patient for side effects and adverse reaction. Providing emotional support to the patient and family.

Handled ventilator support, feeding tubes and central lines.

Assisted physicians with bedside procedures, ensuring accurate treatment administration and timely patient recovery.

Demonstrated advanced critical thinking skills while managing complex clinical situations involving multiple organ systems failures in critically ill patients.

Administered medications and treatments as prescribed by physicians.

Administered medications via oral, IV, and intramuscular injections and monitored responses.

Handled ventilator support, feeding tubes and central lines.

Assisted physicians with bedside procedures, ensuring accurate treatment administration and timely patient recovery.

Demonstrated advanced critical thinking skills while managing complex clinical situations involving multiple organ systems failures in critically ill patients.

Administered medications and treatments as prescribed by physicians.

Improved patient outcomes by developing and implementing individualized care plans for critically ill patients.

Facilitated smooth patient transitions from the ICU to other units by providing detailed reports and recommendations for ongoing care.

Collaborated with interdisciplinary teams for optimal patient care, ensuring seamless communication between healthcare providers.

Consistently maintained accurate documentation of patient assessments, interventions, and outcomes in accordance with regulatory requirements.

Skillfully performed venipuncture, IV insertion, and catheterizations, ensuring proper technique and adherence to infection control standards.

Provided health education to patients and families regarding discharge instructions and plans of care.