Marilyn Geiger

• Infusion administration for patients in an outpatient setting requiring treatments from multiple practice specialties including Oncology, Neurology, Rheumatology, Gastroenterology.
• Administration of biologics, biophosphates, enzyme replacement therapies, blood products and other supportive therapies such as phlebotomy.
• Assessment, prevention and mitigation of adverse effects and support of patients who receive chemotherapy in partnership with providers.
• Evaluation of patient response to therapeutic treatment, lab monitoring.
• Port, PICC and central line maintenance, resource for Ambulatory Care for difficult PIV and central line access.
• Active assessment of clinical picture, response to therapy and frequent communication and collaboration with treatment team members.
• Primary Preceptor for new infusion staff
• Regularly assigned lead role in infusion room, supporting colleagues, assigning caseloads, communication with providers.
• Initiated and implemented process changes in department to increase patient safety and improve outcomes
• Council Member on Staff Development and Education Committee 2023-2024
• Self-motivated, with a strong sense of personal responsibility.

Provided care for patients and families in progressive stages of end of life centered around each patient's unique values and goals.

• Proactively coordinated with team members to support patients and families individual medical, social and spiritual needs.
• Assessed client’s physical condition and anticipated future needs to support both patient and caregivers throughout the course of their hospice treatment.
• Provided education about disease process, end of life symptoms and how to promote comfort with assistive devices, medication and effective communication strategies.
• Taught patients and Clients use of PCA pumps, elastomeric pumps, volume regulated tubing, wound vacs.
• Phlebotomy, central line draws, injections and tube feedings in palliative patients.
• Provided support and reassurance in guiding families in their efforts in caring for their loved ones.
• Managed average caseload of 16 hospice and palliative care patients

• Cared for critically ill patients in dynamic states of health.
• Communication, education and support of patients and families.
• Experienced with Telemetry, EKGs, phlebotomy, central line care and access, IV access, IV pumps, tube feeding, pacing, medication administration, ventilator support, high flow, cpap/bipap.
• Assisted with emergency procedures such as intubations, resuscitations, pacing, placement of central lines.
• Managed vasoactive and supportive IV therapies to maintain stability

• Management of school health services office
• Assessment and care of students ranging in age from pre-school to high school.
• Health education and community service referrals
• Monitoring health trends
• Staff training for emergency procedures
• Management of heath screening (hearing/vision) for 200 + students
• Responsible for obtaining and maintaining defibrillators and emergency supplies

• Provided initial nursing monitoring, assessments and stabilizing treatment for adults and children in need of emergent care
• Provider communication and inter-departmental collaboration
• Phlebotomy, IV administration and airway management
• Telemetry and EKG interpretation skills
• Transport of acutely ill patients to level one treatment facilities

• Care management of critically ill patients primarily in Pediatric and Adult Burn ICU, floated to cardiac, medical and neuro-critical care units.
• Assessment of airway and hemodynamic status, management decisions based on dynamics, communication and collaboration with medical team.
• Communication with patients and families in a culturally diverse environment Education and discharge planning

• NICU Staff nurse in level 3 nursery, care management of neonates in a critical state of health due to prematurity, genetic variations, intrauterine or delivery insult.
• Management of ventilators, UALs, UVLs, radial lines, PICC lines and PIV placement.
• Administration of medications, tube feeds and placement of NGTs/OGTs. Telemetry skills and team participant in codes.
• Attended all high risk deliveries and stabilization of neonates, transport services from level 2 and 1 facilities to our facility for critical care services.
• Preceptor to new NICU nursing staff and students.
• Recruited to the newly expanded pediatric emergency department as a staff nurse. Expanded knowledge to adult ED and rotated between pediatric and adult care areas.
• Preceptor for nursing students to ED.