Marisha L. Smith
Tuscaloosa,AL
Summary
Registered Nurse delivering intensive care for patients with rapidly changing conditions in a critical care setting, using Meditech. Monitors 2+ patients per shift for respiratory status, ventilator operation, vital signs, and administers 10+ physician-prescribed medications per shift, completing ventilator checks while documenting changes in condition and responding quickly with physicians. Supports stabilization through timely assessment, medication administration, and escalation of acute changes.
Overview
3
3
Certifications
15
15
years of professional experience
Work History
Registered Nurse-Intensive Care Unit
UAB Medical West
08.2024 - Current
- Document [number] clinical updates per shift in Meditech and Expanse to keep the care team current.
- Monitor 2-3 patients per shift while tracking respiratory status and ventilator operation in the ICU.
- Assess patient condition changes and document new findings to guide ongoing ICU care.
- Monitor respiratory status and ventilator operation, adjusting support to promote stabilization.
- Administer physician-prescribed medications and treatments while observing vital signs for changes.
- Collaborate with physicians to rapidly assess deteriorating patients and deliver appropriate treatment.
- Maintain accurate documentation in Meditech and Expanse during complex critical care shifts.
Nurse Extern II – Trauma Surgical Intensive Care Unit
DCH Regional Medical Center
Tuscaloosa, AL
09.2023 - 06.2024
- Maintained [number]% documentation accuracy while recording assessments, interventions, and care-plan changes.
- Supported 2-3 patients per shift with routine medications, bedside care, and timely charting in Meditech and Expanse.
- Administered routine medications and documented responses in the patient electronic health record.
- Applied safety principles during care and monitored for changes in condition or plan of care.
- Performed routine screening tests and immunizations, including flu and TB administration.
- Inserted and removed Foley catheters, excluding suprapubic catheterization, while maintaining sterile technique.
- Provided oxygen via nasal cannula, maintained ostomies, and completed simple, wet-to-dry, and sterile dressing changes.
Medical Scribe/Transcriptionist
Tuscaloosa Lung & Sleep
Tuscaloosa, AL
12.2021 - 01.2023
- Maintained [number] patient records daily, organizing x-ray, lab, procedure, admission, and discharge documentation.
- Edited dictated material and selected information for inclusion in medical records, strengthening clinical documentation quality.
- Entered and retrieved patient data for physicians, supporting timely access to records and accurate chart updates in Meditech and Expanse.
- Set up and maintained medical files and databases, keeping histories, reports, and summaries organized for daily clinical use.
Patient Care Assistant/Unit Secretary/Clinical Training Specialist
DCH Regional Medical Center
Tuscaloosa, AL
05.2011 - 12.2021
- Repositioned bedridden and mobility-limited patients to support comfort, skin care, and safer movement.
- Assisted patients with ambulation and activities of daily living, adjusting support to individual needs.
- Fed patients and provided mealtime support for those unable to eat or drink independently.
- Measured temperature, blood pressure, pulse, and respirations as directed by nursing staff.
- Documented patient information in Meditech and Expanse while supporting clinical documentation workflows.
Education
Associates Degree - Nursing
Shelton State Community College, Tuscaloosa, AL
Tuscaloosa, AL08.2024
Certificate - Licensed Practical Nursing
Shelton State Community College, Tuscaloosa, AL
Tuscaloosa, AL12.2023
Skills
- Patient assessment
- Medication administration
- Ventilator management
- Respiratory status monitoring
- Rapid clinical response
- Basic Life Support (BLS) Certification
- Advanced Cardiac Life Support (ACLS) Certification
- Meditech
- Expanse
- Clinical documentation
Affiliations
- Shelton State Association of Nursing Students, 2023-2024 (Secretary)
- Shelton State Community College, Tuscaloosa, AL
Certification
Certified Professional Medical Scribe (CPMS)
Personal Information
Title: RN
Timeline
Registered Nurse-Intensive Care Unit
UAB Medical West
08.2024 - Current
Nurse Extern II – Trauma Surgical Intensive Care Unit
DCH Regional Medical Center
09.2023 - 06.2024
Medical Scribe/Transcriptionist
Tuscaloosa Lung & Sleep
12.2021 - 01.2023
Patient Care Assistant/Unit Secretary/Clinical Training Specialist
DCH Regional Medical Center
05.2011 - 12.2021
Certificate - Licensed Practical Nursing
Shelton State Community College, Tuscaloosa, AL
Associates Degree - Nursing
Shelton State Community College, Tuscaloosa, AL