Marissa Steel, RN-BSN
Registered Nurse
San Diego,CA
Summary
Registered Nurse with BSN and >7 years of acute care- Emergency Room/ Trauma experience. Exemplary communication and interpersonal skills. Agile and responsive to dynamic patient needs and environmental conditions. Team-oriented and reliable with expert healthcare knowledge, clear verbal and written communication skills and sound clinical judgment. Diligent worker eager to expand knowledge and skills. Seeking RN position to utilize proven abilities in critical thinking and reliable, personable nursing care to strengthen the healthcare team and community.
Overview
7
7
years of professional experience
7
7
Certifications
Work History
Registered Nurse-Travel-ER
Rady Children's Hospital
11.2022 - Current
- 42 bed unit in Level 1 Pediatric Trauma Hospital.
- Performs primary care assessments including chief complaints & Past medical history to properly triages patients according to acuity level of findings specific to the pediatric population.
- Subsequently develops & implements nursing care plans according to hospital protocol for emergency response.
- Gives individualized instruction and guidance to RN preceptees new to the hospital as identified by management.
- Uses Evidence-based practices to provide new staff with appropriate feedback and learning objectives.
- Teaches hospital protocol and encourages development of critical thinking.
Registered Nurse-Travel-ER
Yale New Haven Health- Westerly Hospital
04.2022 - 10.2022
- See Previous
- Charge RN- Lead team of 5-7 nurses in providing care to patients in 22 bed ER.
- Collaborated with physicians, EMS, PD, PCAs and ED RNs to develop individualized care plans for patients and create a safe and steady flow of patients through the ER to home care, external care facilities, internal hospital floors, and external hospital transfers.
- Give individualized instruction and guidance to RN preceptees new to the hospital as identified by management.
Registered Nurse-Travel-ER
Boston Children's Hospital
06.2021 - 09.2021
- 60 bed Unit in Level 1 Pediatric Trauma, Magnet hospital.
- Receiving patients of all levels of acuity via ground and flight transfer from other healthcare facilities from all around the world and coordinating with multidisciplinary teams and family for culturally and medically appropriate continuity of care.
- Working with MDs and residents of multiple disciplines and specialties to provide the best practice and a higher standard of care to patients and family members.
- Specialized care tailored to behavioral and psychiatric pediatric populations to improve safety among patients and staff.
- Providing constant monitoring as needed as well as frequent education, updates and entertainment for children who boarded in the ER awaiting placement for days-weeks at a time.
- Assist with pediatric procedures alongside MDs and child life specialists from simple procedures like port access/iv placement, sutures, catheterization, and NGT placement, to more complex procedures such as intubations and conscious sedation.
- Collaborated with trauma team to quickly assess patients and deliver appropriate interventions and treatment per protocol while managing rapidly changing conditions in pediatric patients.
- Drawing up and double-checking pediatric doses for medications and critical drips as well as insulin dose adjustments based on basal insulin and insulin to carb ratios.
- Similar care and assessment as described above for adult but specialized and tailored for pediatric populations.
- Uses Evidence-based practices to provide new staff with appropriate feedback and learning objectives.
- Encourages development of critical thinking for RN and paramedic students.
- See Previous ED experiences and apply to pediatric population.
Registered Nurse-Travel-ER
St. Mark's Hospital
10.2020 - 04.2021
- Receiving patients of all levels of acuity via ground and flight transfer from other healthcare facilities in and out of system to maintain stabilization and prepare for admission to hospital.
- Serving in multiple RN positions on an organized trauma team in 30 bed level 2 trauma center.
- Providing physical and emotional support to psychiatric patients- applying crisis prevention interventions, setting up calls with crisis psychiatrists for emergent care of behavioral, psychotic, and suicidal patients, providing resources to these patients, and arranging transportation to inpatient facilities when necessary.
- Collaborating with trauma team to quickly assess patients and deliver appropriate interventions and treatment per protocol while managing rapidly changing conditions.
- UltraSound Guided IV placement in patients with difficult IV access.
- See previous.
Registered Nurse-Travel-ER
Martha's Vineyard Hospital
06.2020 - 09.2020
- Utilizing critical thinking and learned judgement to take care of high acuity patients with limited resources in 16 bed critical access Hospital.
- Stabilizing high acuity and trauma patients to and coordinating transportation and continuity of care via air, boat, and coast guard to facilities with higher level of care.
- See previous.
Registered Nurse-Travel-ER
Massachusetts General Hospital
03.2020 - 06.2020
- 100 bed Emergency Room in Level 1 Trauma Center, Magnet status hospital
- Monitoring and caring for Covid-19 positive patients- donning and doffing appropriate PPE.
- See previous.
Registered Nurse-Travel-ER
Kaiser Permanente San Diego Medical Center/ Kaiser Zion Medical Center
11.2019 - 02.2020
- See previous.
Registered Nurse-Travel-ER
Desert Springs Hospital Medical Center
07.2019 - 10.2019
- See previous.
Registered Nurse-Travel-ER
Maricopa-Maryvale Emergency Department
03.2019 - 06.2019
- See previous
- Organizing a brand-new 30 bed stand-alone Emergency Room.
- Creating, trouble shooting, and providing feedback on the workflow of the new facility.
- Interdisciplinary communication with healthcare team/ EMS for continuity of new workflow.
- Assisting with insertion and set up of Central lines and Arterial lines as well as blood draws and set up and monitoring of arterial pressure and Central Venous Pressure.
Registered Nurse-Emergency Room
Lawrence and Memorial Hospital- Emergency Department
10.2016 - 03.2019
- 43 bed Unit.
- Performs primary care assessments including chief complaints & Past medical history, to properly triage patients according to acuity level of findings, subsequently develops & implements nursing care plans according to hospital/standing order protocol for emergency response.
- Safely provides emergency care and maintain patient stability among different levels of acuity including traumas, codes, strokes, overdoses/withdrawals, & intubated patients in a time-restrictive and demanding environment.
- Initiating and assisting in Life saving measures including cardioversion, CPR, mechanical ventilation, defibrillation, rapid infusion of blood products, post-resuscitation care, and postmortem care of patients of all ages- providing emotional and educational support to present family members.
- Inserting, maintaining, and discontinuing intravenous catheters into patients of all Statures with complicated diagnoses- as well as competency in the sterile access of ports, maintenance, and the discontinuation there of.
- Safely administers pharmacological interventions including intravenous therapy critical & noncritical medication, blood transfusions, conscious sedation.
- Monitors & documents patient response.
- Observes, interprets, & reports changes in patient condition, medical data, or test results, and takes necessary corrective actions or reports to MD.
- Utilizes critical thinking to provide acute care interventions during medical emergencies to prevent loss of life or limb &/or to relieve suffering until patients transferred.
- Maintains organized medical records.
- Practices continual empathy in patient advocacy to defend patients' needs, privacy, and rights.
- Promotes continuity of care by liaising among family, patients, and healthcare professionals across various interdisciplinary fields to clarify and communicate new/changing information/condition.
- Cross trained in Behavioral/psych ED.
- Competent in de-escalation (CPI certified), picking up on verbal/nonverbal cues, & patiently communicating without judgement in a calm and safe environment with both children and adults.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
- Clearly Instructs diverse patient/family populations on medications, follow ups, and proper discharge care.
- Reduced hospital readmissions through effective discharge planning, patient education, and follow-up care coordination.
Education
Bachelor of Science in Nursing (BSN) - Nursing
University of South Florida College of Nursing
Tampa, Florida08.2015
Skills
- Pediatric and Adult Resuscitation
- Emergency and Trauma Recognition & Management
- Patient Education
- Cardiac Monitoring
- Intravenous Therapy/ Port Access & Management
- Stroke & STEMI Recognition & Management
- EMR / EHR- Epic & Cerner
- Strong Leadership/ Charge RN Experience
- Critical Thinking
- Patient Advocating/ Ethical Decision making
- Management of Conscious Sedation and Ventilated Patients
- Psychiatric Deescalation
Certification
- BLS-Basic Life Support Healthcare Provider
(American Heart Association, 01/26)
• ACLS-Advanced Cardiac Life Support
(AHA, 01/26)
• PALS-Pediatric advanced Life Support
(AHA 01/26)
• TNCC-Trauma Nurse Core Curriculum
(Emergency Nurse Association, 10/26)
• ENPC (Emergency Nursing Pediatric Course)
(ENA, 12/24)
• NIHSS (National Institutes of Health Stroke
Scale), 01/25
• NRP-Neonatal Resuscitation Program, (American Academy of Pediatrics), 03/25 - Connecticut Licensed Registered Nurse, 130070, Oct. (2015)
- California RN license, 95186060
- Nevada RN license, 816794
- Rhode Island RN license, RN56315
- Utah RN license, 11121660-3102
- Massachusetts RN license, RN2340358
Timeline
Registered Nurse-Travel-ER
Rady Children's Hospital
11.2022 - Current
Registered Nurse-Travel-ER
Yale New Haven Health- Westerly Hospital
04.2022 - 10.2022
Registered Nurse-Travel-ER
Boston Children's Hospital
06.2021 - 09.2021
Registered Nurse-Travel-ER
St. Mark's Hospital
10.2020 - 04.2021
Registered Nurse-Travel-ER
Martha's Vineyard Hospital
06.2020 - 09.2020
Registered Nurse-Travel-ER
Massachusetts General Hospital
03.2020 - 06.2020
Registered Nurse-Travel-ER
Kaiser Permanente San Diego Medical Center/ Kaiser Zion Medical Center
11.2019 - 02.2020
Registered Nurse-Travel-ER
Desert Springs Hospital Medical Center
07.2019 - 10.2019
Registered Nurse-Travel-ER
Maricopa-Maryvale Emergency Department
03.2019 - 06.2019
Registered Nurse-Emergency Room
Lawrence and Memorial Hospital- Emergency Department
10.2016 - 03.2019
Bachelor of Science in Nursing (BSN) - Nursing
University of South Florida College of Nursing
- BLS-Basic Life Support Healthcare Provider
(American Heart Association, 01/26)
• ACLS-Advanced Cardiac Life Support
(AHA, 01/26)
• PALS-Pediatric advanced Life Support
(AHA 01/26)
• TNCC-Trauma Nurse Core Curriculum
(Emergency Nurse Association, 10/26)
• ENPC (Emergency Nursing Pediatric Course)
(ENA, 12/24)
• NIHSS (National Institutes of Health Stroke
Scale), 01/25
• NRP-Neonatal Resuscitation Program, (American Academy of Pediatrics), 03/25
- Connecticut Licensed Registered Nurse, 130070, Oct. (2015)
- California RN license, 95186060
- Nevada RN license, 816794
- Rhode Island RN license, RN56315
- Utah RN license, 11121660-3102
- Massachusetts RN license, RN2340358
Similar Profiles
Bryn BostadBryn Bostad
Travel Registered Nurse at Rady Children's HospitalTravel Registered Nurse at Rady Children's Hospital
Melissa IbarraMelissa Ibarra
Behavior Health Assistant at Rady Children's HospitalBehavior Health Assistant at Rady Children's Hospital
Chandra VincentChandra Vincent
Clinical Program Manager at Rady Children's HospitalClinical Program Manager at Rady Children's Hospital