Megan Yourgules
Tucson,AZ
Summary
Dynamic RN with substantial experience in CVICU setting recognized for enhancing patient outcomes through strong clinical judgment and expertise in mechanical support devices. Proven ability to mentor new staff and lead process improvements, demonstrating a commitment to excellence in patient care and a keen attention to detail.
Overview
21
21
years of professional experience
1
1
Certification
Work History
RN, CVICU
Tucson Medical Center
Tucson, AZ
08.2022 - Current
- Initially brought on as a travel nurse primarily responsible for caring for post cardiothoracic surgical, cariogenic shock, septic shock, IABP, CRRT, Impella (CP, 5.5, and RP) and ICU overflow patients
- Designated preceptor to train new to CVICU nurses to ensure they have a solid foundation in CVICU and ICU knowledge base and cultivate critical thinking
- Responsible for bedside open heart recovery training which includes facilitating a follow through case for CV nurses, averaging 8-11 nurses per year
- Coordinator of advancing clinical development of experienced staff, matching skill with mechanical support device education
- Trainer of hospital based resternotomy drills and cardiac advanced life support
- Member of the CT surgery workgroup and M&Ms which focuses on process improvement for CT surgery patients and events
- Team lead of improving extubation times and progressive mobility for post open heart surgery patients
- Provide leadership as relief charge, overseeing patient care management and coordinating efficient thought for an 18 bed unit
CVICU Staff Nurse
Mission Hospital
Asheville, NC
10.2017 - 01.2023
- Responsible for recovering post-open heart surgery, post thoracotomy, carotid endarterectomy, and TAVR patients including but not limited to Phase I/II recovery
- Managed high acuity patients including open chest, VV and VA ECMO, CRRT, IABP, and LVAD/RVADs using HeartMate, Centrimag and Impella (CP and 5.0) devices
- Credentialed Specialist for both VV and VA ECMO using Cardiohelp
- Maintained certification for open chest codes using CSU-ALS
- Relief charge nurse, which involved supervising delivery of care for all patients in CVICU, facilitating throughput and managing unit productivity on a 19 bed unit
- Enhanced performance of new grads, new to specialty nurses and new physician assistants through training and mentorship to promote ideal patient outcomes
- Adept in critical thinking, prioritizing and multitasking
CICU Staff Nurse
Providence St. Vincent Medical Center
Portland, OR
06.2009 - 10.2017
- Duties included managing high acuity post cardiac/thoracic surgical patients, thoracotomies, thoracic stents, lumbar drains, carotid endarterectomy, IABP, CRRT, TAVR, Impella, VA ECMO, STEMI, as well as any ICU overflow patients
- Primarily worked nights with limited support requiring a high level of autonomy and continuous critical thinking and prioritization
- Credentialed for open chest codes lumbar drains, IABP, CRRT, and LVADs using Tandem Heart, Centrimag, HeartMate II/III and Impella
- Served as night shift relief charge nurse, which involved being a resource for colleagues, coordinating admission/transfers for a 16 bed unit, as well as managing staffing for the unit and at times the critical care cluster
- Preceptor for new to specialty and new nurses
- Code Blue team responder
- Super-user for Epic training and ACT which involved educating staff and maintaining CLIA standards
PACU Resource Nurse
Oregon Health Sciences University
Portland, OR
07.2014 - 09.2017
- Proficient in Phase I/II recovery in a fast paced Level I Trauma hospital
- Credentialed for airway emergencies, malignant hyperthermia, EVD/lumbar drains, PA catheters, chest tubes, epidurals, blood administration and emergency medications
- Worked primarily evenings when physicians/staff change to call staff/skeleton crew
Travel Nurse
Nurses RX
08.2008 - 06.2009
- Worked in ICU and CCU units at Scrips La Jolla and Providence St. Vincent
- Flexible in adapting to new systems and floating amongst critical care units
- Served as resource nurse on units
ICU Staff Nurse
Carondelet St. Mary's
Tucson, AZ
09.2005 - 03.2009
- Worked on a 40 bed mixed unit caring for patients with chronic diseases, multi-system failure, post cath, IABP, thoracic, vascular and general surgery patients, rotoprone and burn patients
- Member of the Staff Nurse Council
- Preceptor to new employees and new graduates
Education
Bachelor of Science - Nursing
Regis College
Weston, MA05.2005
Bachelor of Arts - Latin American Studies
Carleton College
Northfield06.2001
Skills
- Strong work ethic and commitment to patient care
- Clinical expertise in mechanical support devices
- Solid clinical judgment
- Keen attention to detail and accuracy
Certification
NIHSS Certification—currentACLS/BLS—currentCSU-ALS—current
Timeline
RN, CVICU
Tucson Medical Center
08.2022 - Current
CVICU Staff Nurse
Mission Hospital
10.2017 - 01.2023
PACU Resource Nurse
Oregon Health Sciences University
07.2014 - 09.2017
CICU Staff Nurse
Providence St. Vincent Medical Center
06.2009 - 10.2017
Travel Nurse
Nurses RX
08.2008 - 06.2009
ICU Staff Nurse
Carondelet St. Mary's
09.2005 - 03.2009
Bachelor of Science - Nursing
Regis College
Bachelor of Arts - Latin American Studies
Carleton College