Mary Anne Valerio

• -Utilize Critical Care experience to provide Nursing care for 2-3 patients on a 14-bed Intermediate Care Unit.
• -Monitor vital signs and complete physical assessments for patients with unstable cardiac, pulmonary, renal & endocrine issues.
• -Stabilize, monitor and provide medications needed to patients at risk for Alcohol Withdrawal due to history of alcohol abuse.
• -Prevent further respiratory compromise/airway emergencies by closely monitoring patients requiring BIPAP, High-Flow Nasal Cannula or Ventilator management.
• -Manage hyperglycemic emergencies such as DKA or HHS via IV fluid hydration, IV Insulin titration and electrolyte repletion.
• Provide ACLS level of care for all cardio-respiratory arrests.

• Completed six-month O.R. fellowship and successfully passed AORN Peri-op 101 exam.
• Perform circulator duties in various endoscopic procedures.
• Ensure specimens obtained during bronchoscopy, colonoscopy and upper endoscopic procedures are correctly ordered and labeled.
• Pre-procedure preparation of patients by reviewing discharge instructions, placement of I.V. access and verification of NPO status.
• Participate as part of the surgical team in the role of Circulator Nurse for General surgeries.

• Delivered age-appropriate Nursing care for adult, adolescent and geriatric ICU patients.
• Recorded patients' response to treatment in electronic chart to accurately reflect nursing care delivered.
• Provided ICU-level of care to patients post-cardio-respiratory arrest awaiting bed assignment to an ICU.
• Provided teaching to patients and their families regarding their disease process in order to promote informed medical care decisions.

• Provided Nursing care on a 10-bed Neurosurgical ICU
• Care of post-craniotomy with subdural hematoma evacuations
• EVD maintenance for CSF drainage and ICP monitoring
• Comprehensive Neuro exams including use of pupillometer & NIHSS scoring

Provided Nursing care on 6-bed Cardiothoracic Surgical ICU and 10-bed Telemetry/Step-Down Unit.

Obtained Hemodynamic measurements using Swan-Ganz (Pulmonary Artery Catheters).

Titration of vasodilators, vasopressors, inotropes and sedatives.

Care of mechanically ventilated patients with daily assessment of readiness for extubation.

Care of patients in cardiogenic shock requiring Intra-Aortic Balloon Pump therapy.

Provided ICU level of care to COVID-19 Infected population in severely compromised respiratory and multi-organ failure.

Utilized Evidence-based treatment strategies specific for COVID population including ventilatory-protective modes of mechanical ventilation and prone positioning.

Titrated high levels of analgesics, sedatives and neuromuscular-blocking agents.

Provided ICU care for 1 to 2 patients on 12-bed Cardiac Care Unit.

Care of patients admitted for cardiac-related issues: syncope, STEMI/NSTEMI/cardiac arrest, CHF/COPD exacerbation.

Medical optimization of pre-Heart transplant candidates.

Treatment of potentially life-threatening arrhythmias via cardioversion, defibrillation, anti-arrhythmic drugs.

• Provided crisis relief & ICU level of care in various ICU settings (MICU, CCU & SICU) during the height of the COVID pandemic.
• Worked closely with National Guard and other crisis relief nurses from across the country.
• Played key role in decreasing the number of deaths from COVID in the nation's "hot spot".

ICU "float" to all units within Critical Care department (MICU, SICU, CCU & telemetry).

Participated in creation of additional ICUs during initial "wave" of COVID-19 pandemic.

• Utilized CCRN knowledge and critical thinking thinking skills to care for a cardiac population.
• Provided clear and detailed assessment reports during "hand-off" to colleagues.

• Pre-procedural care of patients in the pre-cardiac catheterization holding area.
• Placement of intravenous catheters, confirmation of NPO status & time of last anticoagulant ingestion.
• Administration and monitoring of patients during procedures requiring conscious sedation.
• Post-procedural care and monitoring for potential post-cardiac catheterization/PCI complications.

Float nurse to all the various ICUs (MICU, CCU & SICU) with occasional float to telemetry units.

Demonstrated ability to work as a team-player, adaptability and professionalism by caring for ICU patients awaiting ICU bed assignment in the E.R. setting.

Provided post-surgical care on 18-bed CSICU after cardiothoracic & vascular procedures.

Managed & delivered Nursing care to high-acuity, surgical patients having undergone CABG, Mitra/Aortic valve replacement/repair and permanent pacemaker placements.

Delivered ICU level of care to patients experiencing acute medical events and/or exacerbation of chronic disease processes.

Worked as supplemental staff to various ICU specialty units.

Provided ICU level of care to neurologically-impaired patients in Neuro ICU, post-operative care in SICU and acute on chronic critical care in MICU.

Advocate for CCRN certification.

Post-operative care of patients requiring close monitoring due to intra-operative complications.

Provision of wound care, close hemodynamic monitoring, pain management and pressure-ulcer prevention.

Provision of high-acuity care to patients within Critical Care department.

Participated as valuable member of healthcare team by participating in multi-disciplinary rounds.