Marisa Giles

• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
• Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
• Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
• Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
• Served as a preceptor for nursing students during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.
• Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
• Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
• Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
• Promoted a culture of safety within the healthcare facility by participating in quality improvement initiatives, identifying potential hazards, and advocating for best practices in nursing care delivery.
• Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
• Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
• Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
• Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
• Collaborated with interdisciplinary teams to develop comprehensive care plans for complex cases.
• Educated family members and caregivers on patient care instructions.
• Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Managed patients recovering from medical or surgical procedures.
• Evaluated patient histories, complaints, and current symptoms.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.

After graduating from Columbia State in 1997, I was first hired into a flex two position at Maury Regional. I was a float nurse in this position for approximately two years. I floated through the hospital with experience from the nursery, OB, pads, surgery, orthopedic, oncology, med-surg, surgery, same day, ICU, CCU, and SNU. I didn’t know that I became a master of any, but it was a great opportunity for experience. Around 2001, I then took a position on the surgery floor and also relief charge nurse. I stayed there until I was offered a position as a PICC nurse. I traveled to every unit in this roll becoming familiar with a wide array of patients and conditions along with different doctors. This was a PRN position and I stayed with it for six years. I needed full time benefits. I then took my current position on ICU step-down. I am relief charge nurse and preceptor. We have an influx of students that I am frequently teaching as well. In 2019 ICU step-down became ground zero for COVID. We were faced with situations that I never could have anticipated. We cared for critical issues and critical patients. Ventilators and drips became a part of our routine during this time. Dealing with death and dying, families and the community during this period was challenging. I would like to think that I am all the better for it . Hospice also became a very important aspect. Communication between patients and their families, and doctors was crucial. The only way to survive was to work as a team and learn to lean on each other. These things can only be accomplished through experience and understanding.