Marissa Cosme
Cherry Hill
Summary
Licensed Practical Nurse turned Registered Nurse with a strong foundation in ambulatory care and a passion for compassionate, patient-centered service. Committed to delivering high-quality, patient-centered care by leveraging strong clinical knowledge, hands-on expertise, and a passion for improving patient outcomes.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Registered Nurse- Per Diem
Integrated Home Infusion
10.2025 - Current
- Administer IV medications and biologic therapies in the home setting per physician orders and evidence-based protocols.
- Insert peripheral IVs and access central venous catheters using aseptic technique.
- Perform pre-infusion assessments; monitor patients during and post-infusion; identify and manage adverse reactions.
- Educate patients and caregivers on infusion therapy, medication effects, catheter care, and safety monitoring.
- Document clinical care accurately and coordinate with providers and pharmacy to ensure continuity of care.
- Adhere to regulatory standards, agency policies, and patient safety protocols in an autonomous practice setting.
Registered Nurse
Thomas Jefferson University & Jefferson Health
06.2025 - Current
- Provide evidence-based nursing care in a fast-paced outpatient urology practice.
- Independently conduct RN visits, including catheter changes, suprapubic catheter care, and urodynamic studies.
- Assist with in-office urologic procedures, including vasectomies and minor interventions.
- Manage both the Epic in-basket and telephone for patient triage, abnormal results follow-up, immunization verification, and prior authorizations.
- Coordinate care with primary and specialty providers to support timely treatment plans.
- Document care in the EMR and participate in quality improvement initiatives and team huddles.
- Deliver culturally sensitive, patient-centered care aligned with organizational values.
Licensed Practical Nurse
Penn Medicine
08.2024 - 06.2025
- Delivered comprehensive nursing care in a high-volume ambulatory multi-specialty clinic.
- Performed patient triage, medication and vaccine administration, diagnostic testing, and care coordination.
- Assisted with ambulatory procedures including wound care, breast aspirations, biopsies, spinal epidurals, and trigger point injections.
- Educated patients on diagnoses, medications, procedures, and post-care instructions.
- Maintained instrument sterilization, equipment readiness, and medication storage compliance.
- Supported onboarding and orientation of new staff.
- Upheld Penn Medicine policies, safety standards, and quality initiatives.
- CPUP Multi-Specialty Dept
Licensed Practical Nurse
CVS MinuteClinic
11.2020 - 08.2024
- Provided clinical and administrative nursing support in a retail healthcare setting.
- Administered vaccinations, TB testing, COVID-19 rapid testing, and FIT testing.
- Performed blood draws for labs and titers; collected and documented vital signs and medical histories.
- Assisted NPs with pelvic exams, I&Ds, ear lavage, wart removal, and minor procedures.
- Supported occupational health services, including physicals, workplace injury documentation, and follow-up.
- Served as Designated Trainer for onboarding ancillary nursing staff.
- Managed clinic supplies, maintained clean clinical environments, and followed infection control protocols.
LPN Physician Substitute
B Positive Plasma
Cherry Hill, NJ
01.2020 - 11.2020
- Exhibit care and compassion at all times- direct patient care.
- Complete selection of suitable donors by performing physical examinations and taking medical histories on donors.
- Provide appropriate and confidential counseling to unacceptable donors, and provide an appropriate level of care during unusual and moderate to severe donor reactions.
- Educated patients on post-donation care and potential side effects.
Education
ASN Degree - Nursing
Excelsior University
Albany, NY03.2025
BSN Degree - Nursing
Western Governors University
Salt Lake City, UT03.2026
Skills
- Outpatient Care
- IV insertion
- Phlebotomy
- Occupational Health
- Ambulatory Care
- Patient Assessment
- Medication administration
- Direct patient care
- Patient assessments
- Documentation and charting
- Patient education and counseling
- Clinical judgment
- Patient and family advocacy
- Infection control measures
Certification
- Registered Nurse License, NJ Multi-State
- IV Certification
- BLS/CPR-American Heart Association
Timeline
Registered Nurse- Per Diem
Integrated Home Infusion
10.2025 - Current
Registered Nurse
Thomas Jefferson University & Jefferson Health
06.2025 - Current
Licensed Practical Nurse
Penn Medicine
08.2024 - 06.2025
Licensed Practical Nurse
CVS MinuteClinic
11.2020 - 08.2024
LPN Physician Substitute
B Positive Plasma
01.2020 - 11.2020
BSN Degree - Nursing
Western Governors University
ASN Degree - Nursing
Excelsior University
Leadership
- Served as a resource nurse in an outpatient urology practice, assisting with triage decisions, Epic In Basket management, and coordination of care to ensure patient safety and workflow efficiency.
- Mentored and supported new nurses and medical assistants, providing guidance on procedures, documentation, and communication with providers and patients.
- Advanced from LPN to RN, reflecting a strong commitment to professional growth and a passion for expanding clinical knowledge and leadership capacity.