Renay M. Pugh
Cleburne
Summary
Dedicated registered nurse with 13.5+ years of experience in clinical settings, providing and coordinating care for the pediatric population, and 20+ years of experience as a 911 paramedic in the Fort Worth area.
Registered Nursing professional in Emergency Medicine with extensive knowledge in acute patient care, rapid assessment, and critical interventions. Skilled in team collaboration, maintaining high standards, and adapting to changing needs seamlessly. Known for strong clinical judgment, effective communication, and focus on achieving optimal patient outcomes in fast-paced environments.
Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths, and technical
abilities. Knowledgeable about EMR charting, medication administration, and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Strong problem-solving abilities, a willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
33
33
years of professional experience
1
1
Certification
Work History
Registered Nurse, Emergency Department
Cook Children's Medical Center
10.2021 - Current
- Demonstrated strong clinical reasoning skills when assessing patients' conditions, initiating appropriate interventions, and escalating concerns to physicians as needed.
- Improved patient outcomes by consistently providing high-quality emergency care and implementing evidence-based nursing practices.
- Preceptor and mentoring of new nursing staff, residents, and nursing students, ensuring high standards of care.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Reduced patient wait times by efficiently triaging patients based on acuity levels and prioritizing urgent cases.
- Optimized patient flow within the Emergency Department by collaborating with charge nurses in coordinating bed assignments and discharges according to capacity constraints.
- Enhanced patient satisfaction by delivering compassionate, culturally sensitive care tailored to individual needs and preferences.
- Promoted a safe and supportive environment for both patients and staff members by adhering to infection control protocols, maintaining equipment, and following safety guidelines.
- Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
- Contributed to creating a positive work culture within the Emergency Department by actively participating in team-building activities, offering constructive feedback, celebrating successes, and fostering a sense of camaraderie among colleagues.
- Provided valuable support to families during critical situations by offering emotional support, answering questions, and assisting with decision-making processes related to their loved one's care.
- Enhanced patient outcomes by delivering prompt and accurate care in life-threatening situations.
- Educated patients and answered questions about health conditions, prognosis, and treatment.
- Reduced stress and anxiety for patients and families by offering compassionate care and support.
- Performed triage on incoming patients and determined the severity of injuries and illnesses.
Registered Nurse, Medical-Surgical Unit
Cook Children’s Medical Center
08.2012 - 10.2021
- Deliver competent and skilled care to patients and families.
- Managed patients recovering from trauma and medical and surgical procedures.
- Develop patient care plans, including assessments, evaluations, and nursing diagnoses.
- Used critical thinking skills to prioritize patient needs and consult with the surgical/medical/trauma team as needed.
- Liaison between patients/families and physicians to ensure patient and family comprehension of treatment plans.
- Developed strong rapport with patients and families through active listening, empathy, and clear communication during challenging situations.
- Enhanced patient satisfaction with compassionate, personalized nursing care tailored to each individual's needs.
- Instructed patients and family members on proper discharge care.
- Closely monitored acute conditions.
- Coordinated care between multiple disciplines.
- Collection, preparation, and evaluation of various laboratory specimens.
- Preceptor for New Hires, Residents, and Nursing Students.
- Mentored new staff members and nursing students, fostering a supportive learning environment within the unit.
- Managed complex wound care, including dressing changes, monitoring for signs of infection, and collaborating with wound care specialists as needed.
- Participated in ongoing professional development opportunities to stay current on best practices within the field of medical-surgical nursing.
Paramedic
Cook Children’s Healthcare System
05.2000 - 08.2012
- Provided care to patients under the direction of the medical director.
- Provide support and supplement the health care team in designated areas of the emergency dept.
- Perform procedures and medication administration as ordered by physician and/or delegated by a registered nurse.
- Job function medications: Oral, topical, suppository and nebulized medications, assists RN with IM administration, oxygen, IV code and fluid medications.
- Job function procedures: Peripheral venipunctures, IO access, suture/staple removal, otic irrigations, enemas, application of splints/elastic bandages, crutch training, insertion of urethral bladder catheters and NG, wound cleaning and irrigation, sterile dressing application, recognizing and reporting basic arrhythmias, Immobilization of patients for procedures, documentation, collection of labs, patient transports, assist RN with screening and patient assessment in triage.
- Paramedic: Emergency Dept
Paramedic
MedStar EMS
10.1994 - 10.2011
- Delivered advanced cardiac life support (ACLS), basic life support (BLS), and pediatric advanced life support (PALS) under pressure.
- Delivered compassionate care to patients with a variety of medical emergencies, including cardiac arrests, traumas, strokes, and respiratory distress in a busy 911 system.
- Improved patient outcomes by providing timely and accurate assessments, treatments, and interventions.
- Enhanced team efficiency through clear communication and collaboration during high-pressure emergencies.
- Transferred patients safely and securely to medical facilities for continued care.
- Adapted treatment plans quickly and effectively based on changing patient conditions and reactions.
- Ensured patient safety by adhering to strict protocols for proper lifting techniques, equipment use, and infection control.
- Identified appropriate medications based on potential interactions with other medicines, accurately calculating correct dosages according to drugs on hand and the patient's weight.
- Responded to daily emergencies and worked alongside firemen and EMTs.
- Triaged injuries by communicating with patients, bystanders and family members and identified appropriate medical facility for transport.
- Streamlined patient handoff processes at hospitals by clearly communicating relevant information to receiving staff, ensuring seamless continuity of care.
- Assisted in training new paramedics by serving as a preceptor and sharing clinical expertise during ride-alongs.
- Participated in ongoing professional development opportunities such as conferences or workshops to stay current on best practices in pre-hospital emergency medicine.
- Coordinated with other emergency services personnel, such as police officers and firefighters, during complex incidents for optimal scene management and resource allocation.
- Administered fluid replacement via IV, IO, and IM to replace fluid volumes and correct electrolyte imbalances.
- Evaluated patient vital signs and status to determine care needs using pulse oximeters and electronic vital sign machines.
- Administered continuous 12-lead electrocardiogram monitoring to record heart rhythms in patients with acute coronary syndrome.
- Delegated life-saving tasks to provide comprehensive treatment to triaged patients in emergency situations.
- Performed intubations to secure airway in patients under respiratory and cardiac arrest.
- Restocked ambulance with proper equipment such as vents, ET tubes, medication, and IV pump tubing to maintain optimum inventory.
- Contributed to community outreach efforts by participating in public education events on CPR, first aid, and emergency preparedness.
- Responded to emergency calls to provide immediate and life-saving medical care.
- Transported critically ill and injured patients to nearest medical center, using advanced life support equipment as needed.
- Attended training classes to maintain certification licensure, keep abreast of new developments in field and maintain existing knowledge.
- Operated electrocardiograms (EKGs), external defibrillators or bag valve mask resuscitators in advanced life support environments.
- Provided CPR and used automated external defibrillators (AEDs) to revive patients in cardiac arrest.
EMT/EMT-I
Alert Care EMS
01.1992 - 01.1994
- Delivered care to critical patients in a busy 911 system.
- Expedited life-saving interventions are achieved by rapidly assessing patients' conditions based on vital signs, symptoms, and medical history.
- Demonstrated strong decision-making abilities in determining the most appropriate course of action for each unique situation encountered in the field.
- Updated professional knowledge through continuous training and education programs, enhancing overall service quality.
- Controlled wounds and injuries en route to hospitals, prepping patients for advanced treatments, or maintaining conditions pre-arrival.
- Improved patient care by efficiently assessing and stabilizing patients during medical emergencies.
- Increased patient comfort during transport by providing compassionate care and addressing individual needs.
- Maintained levelheadedness and efficiency in high-pressure situations, effectively prioritizing tasks to save lives and provide medical care.
- Ensured patient safety by properly utilizing immobilization devices and administering appropriate treatments.
- Promoted community health by participating in public outreach initiatives such as CPR classes and first aid demonstrations.
- Enhanced team performance by effectively collaborating with paramedics, nurses, and physicians in high-pressure situations.
- Facilitated timely patient transfers to specialized facilities for advanced care when necessary.
- Triaged patients in emergencies based on life-threatening needs and delegated tasks to better provide treatment to the maximum patients at once.
- Utilized oxygen tanks, EKGs, and IVs to perform various medical procedures.
- Administered emergency medication to patients, quickly responding to changes in conditions and medication reactions.
- Responded to 911 calls for medical emergencies.
- Assisted with lifting and moving patients.
- Administered CPR, oxygen, and other life-saving medical treatments.
- Delivered emotional support to patients and families.
- Handled patient transfers from one medical facility to another.
- Assessed medical conditions of patients in pre-hospital settings.
- The patient was immobilized for placement on a stretcher and ambulance transport.
- Educated the public on emergency medical services.
- Dispensed medications and monitored patient reactions.
- Delivered comprehensive patient reports to hospital staff upon arrival to facilitate seamless transitions of care.
- Provided high-quality pre-hospital care, including vital sign monitoring, wound care, and administering medications as needed.
Education
Associate Degree - Nursing
Hill College
Cleburne, Texas05-2012
Bachelor of Science - Nursing
Texas Tech University Health Sciences Center
Lubbock, Texas05.2012
No Degree - Paramedic
Hill College
Cleburne, TXSkills
- EKG interpretation
- Patient assessments
- Pediatric advanced life support
- Medication administration
- Intravenous therapy
- Trauma nursing
- Vital signs monitoring
- Airway management
- Privacy and confidentiality
- Compassionate care
- Ethical practice
- Emergency triage
- Charting and clinical documentation
- Advanced cardiac life support
- Advanced cardiovascular life support (ACLS)
- Critical thinking
- Pediatric advanced life support (PALS)
- Trauma Nursing Core Course (TNCC)
- Certified in CPR/AED
- Student precepting
- Nursing performance assessment
- Direct patient care
- Emergency Nursing Pediatric Course (ENPC)
- Training staff
- Pediatric emergency assessment, recognition, and stabilization
Accomplishments
- TNCC (5/31/2026)
- ENPC (3/31/2026)
- CPN (2/28/2026)
- PALS (6/2026)
- ACLS (3/32/2026)
- BLS (03/31/2026)
- EMTP (3/31/2028)
- Seizure Recognition and First Aid Certification Training (11/2020-present)
Certifications:
Certification
- Certified Pediatric Nurse (October 2019-present)
- Basic Life Support Provider (March 2020-present)
- Pediatric Advanced Life Support Provider (August 2020-present)
- Advance Cardiovascular Life Support (February 2020-present)
- Paramedic (March 2020-present)
- Seizure Recognition and First Aid Certification Training (November 2020-present)
Timeline
Registered Nurse, Emergency Department
Cook Children's Medical Center
10.2021 - Current
Registered Nurse, Medical-Surgical Unit
Cook Children’s Medical Center
08.2012 - 10.2021
Paramedic
Cook Children’s Healthcare System
05.2000 - 08.2012
Paramedic
MedStar EMS
10.1994 - 10.2011
EMT/EMT-I
Alert Care EMS
01.1992 - 01.1994
Associate Degree - Nursing
Hill College
Bachelor of Science - Nursing
Texas Tech University Health Sciences Center
No Degree - Paramedic
Hill College
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