Summary
Overview
Work History
Education
Skills
Certification
Additional Information
Languages
Timeline
BusinessAnalyst
MELIE ROSE MACASADDU

MELIE ROSE MACASADDU

BSN,RN
RICHARDSON,TX

Summary

Competent and hardworking BSN,RN offering 24 years experience in carrying out patient care in high-volume hospital environments. Demonstrated ability to perform with speed and accuracy to assess patients, deliver treatments and delegate tasks. Proven history of advocating for patient needs and fostering top-quality care. Compassionate and accustomed to treating diverse patient needs while managing dynamic conditions. Offering excellent clinical knowledge and judgment combined with strong documentation, vitals monitoring and problem-solving abilities. Well-versed in managing emergent cases with grace and efficiency, and offering evidence-based, therapeutic care for patients dealing with COVID and psychiatric disorders. Collaborative and motivational RN with expertise in training new nursing staff while providing top-notch service to critical care patients. Multilingual, International Unencumbered Licensed Registered Nurse and Certified Nurse Anesthetist in educated and provided care to patients in the kingdom of Saudi Arabia. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Seeking to obtain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and professional advancement.

Overview

26
26
years of professional experience
5
5

CERTIFICATIONS

4
4
years of post-secondary education

Work History

Travel Registered Nurse-ICU

Ascension Providence Hospital
Waco, TX
07.2023 - Current
  • Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery.
  • Utilized ventilators, monitors and infusion pumps following manufactures' guidelines.
  • Led daily nursing rounds to assess patient progress and address any concerns.
  • Responded to emergency situations to provide rapid and accurate care.
  • Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
  • Delivered age-appropriate medical care for adult, adolescent, and geriatric ICU patients.
  • Proven ability to learn quickly and adapt to new situations.

ECMO Specialist

St. David's Medical Center
04.2023 - 07.2023
  • Managed and operated mechanical ventilators to deliver airway management.
  • Collaborated with physicians and other healthcare professionals to develop and implement patient treatment plans.
  • Administered oxygen therapy, aerosol therapy and inhalation therapy to improve patients' breathing and lung function.
  • Educated patients and families on proper use of respiratory equipment and techniques for managing respiratory disorders to improve patient outcomes.
  • Aided physicians with various procedures such as bronchoscopies, ventilator management, and intubations.
  • Performed bronchial hygiene techniques to remove mucus and secretions from patient lungs and improve lung function.
  • Monitored patient's physiological responses to therapy such as vital signs, arterial blood gases, and blood chemistry changes.
  • Delivered treatment for patients experiencing chronic and acute respiratory illnesses by conducting assessments and providing diagnoses.
  • Provided comprehensive care to improve and strengthen clients' respiratory functions.
  • Tested pulmonary function and analyzed arterial blood gas to identify abnormalities and issues with patient lung function.
  • Upheld correct protocols for infection prevention and control

ICU RN ( PRN )

Baylor Scott And White Medical Center
McKinney, TX
06.2022 - Current
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Coordinated patients' post-discharge treatment plans with physicians and other nurses to promote continuity of medical care.
  • Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.
  • Developed and implemented patient care plans based on physicians' instructions and generally accepted nursing practices.
  • Led daily nursing rounds to assess patient progress and address any concerns.
  • Maintained respectful treatment environment that honored patients' and families' cultural and religious traditions and preferences.
  • Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
  • Delivered age-appropriate medical care for adult, adolescent, and geriatric ICU patients.
  • Educated family members and caregivers on patient care instructions.

Registered Nurse II ( Contract )

UT SOUTHWESTERN MEDICAL CENTER
Dallas, TX
10.2022 - 03.2023
  • Responsible for monitoring critically ill patients, noting specific procedures and prescribed medication for each case; assisting doctors during bedside procedures such as intubation, responds to codes and assists with bedside bronchoscopy, and other procedure, independently performs physical assessments and reports appropriately and promptly any problem upon assessment, administers treatments appropriately; monitors vital signs and ensures the proper functions of feeding tubes, catheters, O2 delivery, cardiac monitor and mechanical ventilators, etc
  • Delivered age-appropriate medical care for adult, adolescent, and geriatric ICU patients.
  • Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
  • Maintained respectful treatment environment that honored patients' and families' cultural and religious traditions and preferences.

Critical Care Travel Nurse

STANFORD MEDICAL CENTER
06.2022 - 08.2022
  • (Floats to all ICU units), Responsible for monitoring critically ill patients, noting specific procedures and prescribed medication for each case; assisting doctors during bedside procedures such as intubation, responds to codes and assists with bedside bronchoscopy, and other procedure, independently performs physical assessments and reports appropriately and promptly any problem upon assessment, administers treatments appropriately; monitors vital signs and ensures the proper functions of feeding tubes, catheters, O2 delivery, cardiac monitor and mechanical ventilators, etc
  • Skills: Proficiency in the use of mechanical ventilators, all types of IV pumps and sets, CRRT machines, Arctic Sun, proficient in the use of paralytics, sedations and pressure support medications.
  • Utilized critical thinking skills to assess, plan and implement evidence-based patient care.
  • Responded rapidly to critical codes to coordinate stabilization treatments and restore vital functions.
  • Operated critical care equipment to keep patients stable and promote recovery.
  • Performed timely resuscitation and stabilization of acutely ill patients.
  • Documented work in hospital system and updated patients' charts with orders and observations.

Rapid Response Travel Nursea

KAISER PERMANENTE
01.2022 - 03.2022
  • Responsible for closely observing patients, noting specific procedures and prescribed medication for each case; assisting doctors during bedside procedures such as intubation, bronchoscopy, thoracentesis and more, independently performs physical assessments and reports appropriately and promptly any problem upon assessment, administers treatments appropriately; monitors vital signs and ensures the proper functions of feeding tubes, ventilators, catheters, O2 delivery, cardiac monitor and CRRT machines, etc
  • Skills: Proficiency in the use of mechanical ventilators, all types of IV pumps ad sets, CRRT machines, IABP, Arctic Sun, proficient in the use of paralytics, sedations and pressure support medications.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
  • Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.

ICU Registered Nurse ( PRN )

Baylor Scott & White Medical Center
04.2021 - 01.2022
  • Responsible for supporting Physicians in the care of critically ill patients in the intensive care units
  • Delivers excellent patient care
  • Provides sedation and assists during intubation and administers paralytics for when necessary and monitors patient conditions
  • Collects and interprets blood or laboratory work up for patient safety
  • Initiates plan of care and delivers teachings to patient and family
  • Advocates for patients needs and delegates assignments when necessary
  • Acts as an educator for new nurses or demonstrates new equipment in the ICU for new nurses consumption
  • Promotes a comfortable and safety place for patients and families
  • Skills: Proficiency in office and medical software
  • Strong communication skills
  • Ability to work calmly in high-pressure situations
  • Empathy and patience
  • Delivered outstanding patient care in the critical care units.

Traveling COVID-19 ICU Registered Nurse

UT Health Science Northeast Hospital
09.2021 - 11.2021
  • Mainly assigned to care for COVID19 patients
  • Provides care for intubated and critical patients with life-threatening medical conditions
  • Attends to patients with sepsis and neurological disease, trauma or organ failure
  • Evaluates the patient's conditions, administers appropriate treatment, and provides constant support during recovery
  • Manages ventilation and life support equipment and ordering diagnostic tests
  • Responds to life-saving situations, using nursing standards and protocols for treatment
  • Skills: GCS monitoring and Neurological assessments and Venipuncture & Blood Extraction, Interpret Arrhythmias, ICP monitoring, Mechanical ventilator handling, O2 support such as BIPAP/CPAP, HHFNC, Tracheostomy
  • Equipment’s used: Defibrillator, ECG, Mechanical Ventilators, Multipara metric monitors,
  • Crash cart, Intravenous Support, Nerve stimulator
  • Responded to and documented sudden condition changes in patients with moderate to severe COVID-19 symptoms.
  • Complied with infectious disease measures to reduce spread of COVID-19 between patients, families and medical personnel.
  • Educated patients and families about COVID-19 related illnesses, recommended protective measures and treatments.
  • Administered medications, assessed changes and reported results to doctors.

COVID-19 ICU RN

Long Island Jewish Medical Center
01.2021 - 03.2021
  • Mainly assigned to care for COVID19 patients
  • Provides care for intubated and critical patients with life-threatening medical conditions
  • Attends to patients with sepsis and neurological disease, trauma or organ failure
  • Evaluates the patient's conditions, administers appropriate treatment, and provides constant support during recovery
  • Manages ventilation and life support equipment and ordering diagnostic tests
  • Responds to life-saving situations, using nursing standards and protocols for treatment
  • Collaborated with doctors to plan post-treatment home care and prevent return hospitalization due to complications
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system
  • Treated patients with broad range of diagnoses ranging from sepsis, renal failure, diabetic ketoacidosis, pulmonary embolism, myocardial infarction, pneumonia, acute respiratory distress syndrome, congestive heart failure and chronic obstructive pulmonary disease
  • Prioritized patient care assignments based on patient conditions to achieve optimal outcomes
  • Instructed patients, families and caregivers on diagnoses, chronic disease management and medication self-management
  • Exceeded customer satisfaction by finding creative solutions to problems
  • Kept team on track by assigning and supervising their activities and giving constructive feedback
  • Motivated and encouraged team members to communicate more openly and constructively with each other
  • Demonstrated self-reliance by meeting and exceeding workflow needs
  • Skills: GCS monitoring and Neurological assessments and Venipuncture & Blood Extraction, Interpret Arrhythmias, ICP monitoring, Mechanical ventilator handling, O2 support such as BIPAP/CPAP, HHFNC, Tracheostomy Equipment’s used: Defibrillator, ECG, Mechanical Ventilators, Multipara metric monitors, Crash cart, Intravenous Support, CRRT, ECMO, IABP NEURO ICU/CVICU/MICU/General ICU (TRAVEL RN)
  • ICU COVID (TRAVEL RN)
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
  • Responded to emergency situations to provide rapid and accurate care.
  • Recorded patients' medical status and treatment details in electronic charts to accurately document medical care.
  • Developed and implemented patient care plans based on physicians' instructions and generally accepted nursing practices.

Traveling COVID-19 ICU Registered Nurse

UT Health Science Northeast Hospital
11.2020 - 01.2021
  • Mainly assigned to care for COVID19 patients
  • Provides care for intubated and critical patients with life-threatening medical conditions
  • Attends to patients with sepsis and neurological disease, trauma or organ failure
  • Evaluates the patient's conditions, administers appropriate treatment, and provides constant support during recovery
  • Manages ventilation and life support equipment and ordering diagnostic tests
  • Responds to life-saving situations, using nursing standards and protocols for treatment
  • Skills: GCS monitoring and Neurological assessments and Venipuncture & Blood Extraction, Interpret Arrhythmias, ICP monitoring, Mechanical ventilator handling, O2 support such as BIPAP/CPAP, HHFNC, Tracheostomy
  • Equipment’s used: Defibrillator, ECG, Mechanical Ventilators, Multipara metric monitors,
  • Crash cart, Intravenous Support, Nerve stimulator
  • NEURO ICU/CVICU/MICU/General ICU (TRAVEL RN)
  • Responded to and documented sudden condition changes in patients with moderate to severe COVID-19 symptoms.
  • Participated in development of Patient Care Plans for patients experiencing COVID-19.
  • Administered medications, assessed changes and reported results to doctors.
  • Mitigated hazard potential from patients with communicable diseases.

ICU Travel Nurse

Methodist Stone Oak Hospital
07.2020 - 10.2020
  • Primarily assigned to care for COVID19 patients
  • Provides care for patients with life-threatening medical conditions
  • Attends to the needs after patients who have invasive surgery, neurological disease, trauma or organ failure and sepsis
  • Evaluates the patient's conditions, administers treatment, and provides constant support during recovery
  • Manages ventilation and life support equipment and ordering diagnostic tests
  • Responds to life-saving situations, using nursing standards and protocols for treatment
  • Skills: GCS monitoring and Neurological assessments and Venipuncture & Blood Extraction, Interpret Arrhythmias, ICP monitoring, Mechanical ventilator handling, O2 support such as BIPAP/CPAP, HHFNC, Tracheostomy
  • Equipment’s used: Defibrillator, ECG, Mechanical Ventilators, Multipara metric monitors,
  • Crash cart, Intravenous Support, CRRT, ECMO, IABP
  • Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
  • Followed HCA ethical values and principles and adhered to HIPAA medical record regulations to promote patients' privacy.
  • Maintained respectful treatment environment that honored patients' and families' cultural and religious traditions and preferences.
  • Recorded patients' medical status and treatment details in electronic charts to accurately document medical care.
  • Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery.
  • Guided patients, caregivers, and family members on plans of treatment and helpful resources available locally to support care.

Neuroscience/Neuro Registered Nurse

Texas Health Presbyterian Hospital
04.2020 - 07.2020
  • Helps patients with who experience brain and nervous system disorders, such as strokes, Alzheimer's and brain injuries, recover from or learn to manage their condition.
  • Admits and maintain a treatment plan for patients with neurological injuries and disorders, including head and spinal trauma from accidents, stroke or illnesses such as Parkinson's disease, Alzheimer's, epilepsy and multiple sclerosis and CVA
  • Responds to stroke codes and emergencies
  • Manages and carries out treatment plan for neurological conditions and evaluates applied plans
  • Skills: Stroke and neurological assessment and Venipuncture & Blood Extraction, Interpret Arrhythmias, and evaluate and manage Stroke patients or impending stroke attacks
  • Equipment’s used: Defibrillator, ECG, Multipara metric monitors, Crash cart, Intravenous Support
  • NEURO ICU/CCU/CVICU (TRAVEL RN)
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
  • Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
  • Organized and managed care of patients undergoing various therapies and procedures.
  • Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
  • Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
  • Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

CCU/ICU/Registered Nurse, CVICU

Medical City
01.2020 - 04.2020
  • Responsible for the care of critically ill patients including surgical, septic, head injury, ventilated patients, on continuous cardiac monitoring and critical care drips: including anti arrhythmic, vasopressors, mild to moderate sedations, antihypertensive agents, anticoagulant administration, inotropic, diuretics, and narcotic medications
  • Skills: Ability to handle patient on mild to moderate sedation under ventilator support, expertise in IV cannulation and CRRT to place urinary catheters
  • Demonstrates ability to initiate and maintain continuous bladder irrigation (CBI)Collects blood samples from central lines and implanted ports Intravenous Fluid Administration and Maintenance: Peripheral, Central, TPN, and Lipids
  • Demonstrates ability to initiate peripheral IV, External IJ and Powerglides
  • Knowlede and ability in the use of Medical Equipment: IV and PCA pump, Enteral Feeding Pumps, CPM, SCDs Airway Management: Demonstrates proper Oxygen set-up (nasal cannula, ventimask, NRB, trache collar), tracheotomy care, and suctioning (Oral, nasal, and tracheal.)
  • Equipment’s used: CRRT machines, Defibrillator, Baxter IV infusion, ECG, Mechanical Ventilators, BIPAP/CPAP,
  • Performed timely resuscitation and stabilization of acutely ill patients.
  • Responded rapidly to critical codes to coordinate stabilization treatments and restore vital functions.
  • Utilized critical thinking skills to assess, plan and implement evidence-based patient care.
  • Worked with intubated and ventilated patients, monitoring and reporting on conditions to maintain stats within optimal levels.
  • Collaborated with interdisciplinary healthcare team to deliver optimal patient outcomes.
  • Assisted in diagnosis and treatment of conditions such as unstable angina, cardiomyopathy, coronary artery disease and cardiac dysrhythmia.
  • Managed needs of chronically ill and acute patients with well-coordinated treatment strategies.
  • Protected critically ill patients from unnecessary risks by limiting visitors, using proper PPE, and using strong infection control procedures.
  • Conducted initial assessments, documented findings in patient records and notified physicians of abnormal findings.

Pre-op/Post Op/PACU Registered Nurse

Tri-County Vascular Care
11.2019 - 12.2019
  • Admits patients, secures consent from patients, recording patient vitals, monitoring patient condition after surgery, maintaining patient records, developing individualized care plans, and determining when patients can be moved to their rooms
  • Initiates immediate care during post-operative recovery period
  • Skills: IV Venipuncture & Blood Extraction, Intubation assist, Interpret Arrhythmias, Assess Ventilator settings and troubleshoot alarms
  • Equipment’s used: Defibrillator, ECG, Mechanical Ventilators, Multipara metric monitors,
  • Crash cart, Intravenous Support
  • CCU (TRAVEL RN
  • Evaluated cardio-respiratory systems for deviations, providing appropriate treatment as necessary.
  • Provided individualized care and dedicated oversight 3 patients on average in post-operative recovery room.
  • Performed flawless autonomous practice consistent with evidence-based standards and patient care considerations.
  • Kept meticulous charting notes regarding patient assessments and medications, later transferring information into records management system.
  • Assessed and identified individual patient educational needs, removing barriers to learning and supporting comprehensive progress.
  • Promoted quality of care by adhering to industry standards and measuring health outcomes against patient care goals and benchmarks.
  • Collaborated with patients and healthcare teams to assess, plan, implement and evaluate custom care plans for each individual.
  • Managed patients recovering from medical or surgical procedures.
  • Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
  • Monitored patient reactions after administering medications and IV therapies.
  • Evaluated patient histories, complaints, and current symptoms.
  • Equipped patients with tools and knowledge needed for speedy and sustained recovery.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.
  • Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
  • Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
  • Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
  • Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
  • Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.

CCU Registered Nurse (TRAVEL)

Doctors Medical Center
10.2019 - 11.2019
  • Specializes in delivering care to patients in intensive care units of hospitals and healthcare facilities
  • The duties include evaluating the patient's conditions, administering treatment, and providing constant support during recovery
  • Skills: IV Venipuncture & Blood Extraction, Intubation assist, Chest tube maintenance, urinary catheterization, Mechanical Ventilator maintenance, TPN Feeding, and BLS/ACLS, Maintenance of PA, Central line and Arterial lines, Blood ABG readings, IABP catheter,
  • Swanz catheter
  • Equipment’s used: CRRT, Defibrillator, ECG, Mechanical Ventilators, BIPAP/CPAP
  • CCU (TRAVEL RN)
  • Utilized critical thinking skills to assess, plan and implement evidence-based patient care.
  • Worked with intubated and ventilated patients, monitoring and reporting on conditions to maintain stats within optimal levels.
  • Responded rapidly to critical codes to coordinate stabilization treatments and restore vital functions.
  • Operated critical care equipment to keep patients stable and promote recovery.
  • Completed diagnostic tests and patient assessments to evaluate treatment progress.
  • Managed needs of chronically ill and acute patients with well-coordinated treatment strategies.
  • Documented work in hospital system and updated patients' charts with orders and observations.
  • Protected critically ill patients from unnecessary risks by limiting visitors, using proper PPE, and using strong infection control procedures.
  • Personalized bedside care and interactions based on cultural backgrounds of different patients.

MICU/CCU Registered Nurse (TRAVEL)

Dartmouth Hitchcock Medical Center
09.2019 - 10.2019
  • Providing nursing care for the patient requiring interventions for cardiac emergencies
  • Performing cardiovascular, neurological, and respiratory assessments
  • Instructs and educates patients and families
  • Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families
  • Demonstrates clinical knowledge of invasive and non-invasive temporary pacing and determination of arrhythmias and ectopies
  • Demonstrates clinical knowledge of auto transfusion collection and return of blood products to patient via CRRT and ECMO
  • Skills: IV Venipuncture & Blood Extraction, Intubation assist, Chest tube maintenance, urinary catheterization, Mechanical Ventilator maintenance, TPN Feeding, and BLS/ACLS, Maintenance of PA, Central line and Arterial lines, Blood ABG readings, IABP
  • Equipment’s used: CRRT, Defibrillator, ECG, Mechanical Ventilators, BIPAP/CPAP
  • Utilized critical thinking skills to assess, plan and implement evidence-based patient care.
  • Performed timely resuscitation and stabilization of acutely ill patients.
  • Operated critical care equipment to keep patients stable and promote recovery.
  • Responded rapidly to critical codes to coordinate stabilization treatments and restore vital functions.
  • Managed needs of chronically ill and acute patients with well-coordinated treatment strategies.
  • Personalized bedside care and interactions based on cultural backgrounds of different patients.
  • Assisted patients to maintain current understanding of conditions and presentations.
  • Delivered top-notch care exceeding department, hospital and Joint Commission standards.
  • Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
  • Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.

MSICU Registered Nurse

Baylor Scott & White All Saints
09.2018 - 07.2019
  • With thorough understanding of pathophysiology and pharmacology of critically ill patients
  • Highly proficient in contributing to and reaching team solutions, generating and maintaining positive relations with internal and external clients, maintaining all compliance standards, working well under pressure, and producing error-free work of high quality
  • Skills: IV Venipuncture & Blood Extraction, Intubation assist, Chest tube maintenance, urinary catheterization, Mechanical Ventilator maintenance, TPN Feeding, and BLS/ACLS, Maintenance of PA, Central line and Arterial lines, Blood ABG readings
  • Equipment’s used: CRRT, Defibrillator, ECG, Mechanical Ventilators, BIPAP/CPAP
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Provided direct patient care, stabilized patients, and determined next course of action.
  • Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
  • Organized and managed care of patients undergoing various therapies and procedures.
  • Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
  • Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
  • Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks.
  • Audited charts and reviewed clinical documents to verify accuracy.
  • Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.

ICU/CCU Registered Nurse

Spohn Shoreline Hospital
06.2016 - 09.2018
  • Responsible for managing the critical care of the adult or elderly patient experiencing general medical conditions or general surgical procedures, which require general assessments related to specific conditions, and general therapies and interventions
  • Responsible for the management and care of stoke, post heart catheterization, MI, ACS, CABG, neuro-trauma patient and monitoring vital conditions thru continuous cardiac monitoring telemetry
  • Skills: IV Venipuncture & Blood Extraction, urinary catheterization, Tube Feeding, and Advanced Cardiac Life Support, Tracheostomy maintenance and care, Colostomy and woundvac maintenance, Chest tube Drain maintenance, Bronchoscopy assist and wound care, venous/arterial sheath maintenance and removal, IABP
  • Equipment’s used: Catheterization & Venipuncture Sets, Ventilators, Infusion Pumps, Tracheostomy, Ileostomy and colostomy drain, Ultrasound Machine, CPM, SCD, CPAP Machine, Doppler, Pleurevac & Chest tubes, Redivac Drains, lumbar drains
  • Emergency
  • Utilized critical thinking skills to assess, plan and implement evidence-based patient care.
  • Worked with intubated and ventilated patients, monitoring and reporting on conditions to maintain stats within optimal levels.
  • Performed timely resuscitation and stabilization of acutely ill patients.
  • Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
  • Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
  • Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.

Trauma/Emergency RN II

RASHID Hospital Trauma Center
04.2009 - 05.2016
  • Provide emergency medical care to an average of 20 trauma cases and 30 critically ill patients per shift within a 50-bed Emergency Services Department
  • Evaluate and assess patient condition in trauma situations including motor vehicle accidents and gunshot/stab wounds
  • Carry out prescribed medical treatments/procedures, initiate catheters/ IV's, and work closely with physicians and other healthcare staff to ensure optimal patient care
  • Monitor and chart patient's condition/vital signs, administer IV fluids/medications, and transport patients to Radiology department, Operating Room, or ICU
  • Communicate with family to apprise them of patient's condition and answer questions
  • Uphold strict healthcare, nursing and hospital standards; maintain sterile procedures to prevent spread of disease and infection
  • Ensured the patient care environment and enhanced it for the patient healthcare
  • Perform patient assessment and nursing diagnosis
  • Skills: Great organizational skills with the patient management and interpersonal skills
  • Responsible to handle the high tech and advance equipment very carefully, skilled in IV insertion and blood collection
  • Equipments used: ECG Machine, Glucometer, Dina map machine, Cardiac Monitor, crash cart, AED, Doppler, ophthalmoscope, FAST Scan, IV infusion pumps, intubation set, dressing and suture set, catheterization set, nebulization set, ABG machine, Pleurvac, ICD set, Lucas2
  • Treated patients requiring stabilization and resuscitation for variety of illnesses and injuries.
  • Observed patient condition and notified physician of patient reaction to drugs, treatments and significant incidents.
  • Maintained and upgraded knowledge, skills, nursing practice and competencies affecting quality of nursing care and re-licensure.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.
  • Performed triage on incoming patients and determined severity of injuries and illnesses.
  • Recorded details regarding therapies to keep patient charts updated.
  • Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies.
  • Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
  • Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
  • Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
  • Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
  • Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
  • Evaluated patient histories, complaints, and current symptoms.
  • Implemented care plans for patient treatment after assessing physician medical regimens.

Staff Nurse Emergency/Medical/Surgical

Western Mindanao Medical Center
09.2006 - 03.2009
  • Emergency/Medical-Surgical/Pediatrics, Provided care to patients suffering from trauma, respiratory failure/complaints
  • Acquired and recorded patient information
  • Prepared patients for surgical and radiological procedures
  • Performs nursing actions efficiently like rendering bed baths, insert and discontinue NGT & Foley Catheter as per doctor’s order
  • Make charting to document patients’ conditions and to evaluate the effectiveness of nursing care
  • Properly endorses pertinent matters and give complete discharge instructions as well
  • Skills: Basic IV and central line skills, critical thinking skills
  • Equipments used: Sphygmomanometer, thermometer, IV set and pumps, incentive Spiro meter
  • Started intravenous fluids, administered medications, and documented patient charts by recording food and fluid output and intake.
  • Educated patients and families on medical-surgical procedures, therapeutic regimens, and pain management techniques.
  • Monitored patients before, during and after surgical operations to evaluate patient care.
  • Collaborated with members of patients' healthcare team to deliver appropriate level of care.
  • Assessed team members' workloads and pitched in to help in areas where need was most evident.
  • Assessed patient status during procedures to communicate abnormalities to physicians.
  • Facilitated operations 26 bed medical-surgical floor, managing resources and directing work of nursing staff and patient care technicians.
  • Performed nursing assessments and developed patient-specific treatment plans to deliver comprehensive care.
  • Provided inpatient care to diverse population of adult medical and surgical patients.
  • Monitored and managed pain levels of post-surgical patients to reduce unnecessary opiate usage.
  • Provided patient-centered discharge planning and education to reduce complications and readmissions.
  • Administered IV medications, monitoring and documenting patient responses to address complications.

Staff Nurse II

AL HADA MILITARY HOSPITAL
01.2004 - 08.2006
  • Provided care to patients in a level 1 Trauma Center, cater to patients with major to minor trauma cases, due to MVA and cases handled such as TBI; acute chest pain, respiratory failure/complaints, drug overdoses and gastrointestinal bleeding
  • Provided triage and direct nursing care and medication administration
  • Fulfilled the role of a charge nurse in the absence of the head nurse, with responsibility to supervise RN’s & CPN’s and unit secretary and porter
  • Implement total patient care thru a team nursing process
  • Role as a trauma nurse is to provide immediate attention to patients needing priority care
  • Performs IV therapy, fracture management and maintenance of patent airway
  • Skills: Suturing skills, ECG handling and basic interpretation, ACLS
  • Equipments used: ECG, Dinamap, glucometer, pulse oximeter, defibrillator, cardiac monitor, ventilators, suction apparatus, nebulizer
  • Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
  • Administered medications via oral, IV, and intramuscular injections and monitored responses.
  • Assessed physical, psychological, physiologic, and cognitive status of patients.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.

Clinic Nurse

CERALDE CLINIC
06.2003 - 12.2003
  • OB-GYNE/Neonatal, Assess and records baseline vital signs
  • Carry out doctor’s order promptly safely and efficiently
  • Educate and counsel patients about health, wellness and parenting as well as other areas as needed
  • Maintain accurate, detailed reports and records
  • Prepare patient for, and assist with examinations and treatment
  • Provides prenatal and postpartum care and treatment under obstetrician’s supervision
  • Skills: Leopold’s maneuver, basic ultrasonography skill, newborn care and assessments
  • Equipments used: Doppler, ultrasound machines
  • Partnered with support technicians, nursing staff and social workers to coordinate services.
  • Planned and implemented patient care to treat conditions or mitigate symptoms.
  • Observed and assessed patients to identify concerning symptoms.
  • Educated patients, families and caregivers about conditions and treatments.
  • Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
  • Educated family members and caregivers on patient care instructions.
  • Performed triage on incoming patients and determined severity of injuries and illnesses.
  • Recorded details regarding therapies to keep patient charts updated.
  • Evaluated patient histories, complaints, and current symptoms.
  • Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
  • Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.

NURSE ANESTHETIST

HERA GENERAL HOSPITAL
05.2001 - 05.2003
  • Responsible for working within the sterile field
  • Establishes and utilizes a checklist to monitor the physical plan of the operating room and equipment for conformity to all national standards for ensuring the safety for the patient and all personnel
  • Assembles the type and quantity of materials and special equipment needed for daily procedures and possible emergencies
  • Circulates and scrubs for surgical procedures
  • Works with anesthetist doctors during difficult intubations and extubation
  • Prepares anesthetic drugs needed for the induction of anesthesia
  • Prepares patient prior to surgery, secures consents and pre-op preparation handled
  • Administers anesthesia to patient safely and appropriately according to standards of care
  • Post–op care and extubation of patient after surgery if possible
  • Monitors patient after surgery in the PACU.

Staff Nurse

DIONES HOSPITAL
04.1998 - 02.2001
  • Nursery/Pediatrics/OPD Float/Emergency, Assigned on rotations in different departments in order to gain multi skills to acquire on the process and to provide multi-service so as not to focus on one department for training
  • Delivered a complete range of RN services and expertise
  • Accurately obtained and documented patient history and medication list, assessed individual conditions and needs, as well as selected department referrals for acute and chronically ill patients
  • Prepared equipment; assisted physicians during patient examinations and treatment
  • Monitored patients’ reactions to drugs and carefully documented progress
  • Skills: Phlebotomy skills, Basic IV skills
  • Equipments used: IV Set, Incubator, Doppler, blood set, nebulizer, Nurse RED CROSS/Medical/Surgical/Emergency

Nurse Volunteer

PHILIPPINE RED CROSS/ZAMBOANGA GENERAL HOAPITAL
04.1997 - 04.1998
  • Provided care to patients suffering from trauma, respiratory failure/complaints
  • Acquired and recorded patient information
  • Prepared patients for surgical and radiological procedures
  • Performs nursing actions efficiently like rendering bed baths, insert and discontinue NGT & Foley Catheter as per doctor’s order
  • Make charting to document patients’ conditions and to evaluate the effectiveness of nursing care
  • Properly endorses pertinent matters and give complete discharge instructions as well
  • Volunteered for Red Cross Relief and care of patients during calamities and disasters, emergency medical rescue, blood letting and blood typing programs.
  • Performed nursing care within scope of license and credentials and followed charting protocols to document care provided.
  • Triaged patients based on vital signs and rapid assessment.
  • Supplied care instructions and educational materials to inform patients of care plan and next steps.
  • Carried laboratory specimens, results, and charts to appropriate departments.
  • Assisted primary care provider with procedures by preparing appropriate instruments and sterile field.
  • Transported patients and helped with discharge procedures.
  • Educated patients on infection and disease control, family planning and new baby care to promote community health and wellness.
  • Adhered to policies and procedures to promote hospital mission and vision.
  • Conducted inpatient comfort care rounds to promote patient satisfaction.
  • Assessed patient room and care environment to optimize patient comfort by keeping areas free of clutter.
  • Assessed and offered nursing advice to patients with medical complaints or concerns and responded to requests for assistance.
  • Adhered to organization procedures and instructions to maintain safety for program participants and other workers.
  • Completed paperwork and evaluation forms to document patient interactions.
  • Restocked supplies and filed paperwork to satisfy department leadership requests.
  • Worked collaboratively with mental health volunteers to facilitate integration between primary care and mental health and improve patient outcomes.

Education

Certificate in Computer Programming - Computer And Information Sciences

WMSU-CTU
Philippines
08.1997 - 02.1998

Bachelor of Science - Nursing

Western Mindanao State University
Philippines
06.1993 - 03.1997

Skills

  • Anesthesia machine operating skills, critical care skills, basic central line skills, phlebotomy skills, laparoscopic equipment handling
  • Equipment used: Anesthesia Machines, Laparoscopic equipment, IABP, ECMO Machines, CRRT Machines, PA/Swan, mechanical ventilators, CPAP/BIPAP
  • Organized
  • Competence
  • Leadership
  • Critical Thinking
  • Diligence
  • Efficient
  • Problem Solving
  • Proactive
  • Personal
  • Compassion
  • Detail Oriented
  • Desire to learn
  • Adaptable
  • Evidence Collection
  • Patient Care and Monitoring
  • Blood Transfusions
  • Sedation Management
  • Coronary Artery Disease Knowledge
  • Crisis Prevention Intervention
  • Withdrawal Symptoms
  • Microsoft Office
  • Disease Processes
  • Performance Improvement
  • Project Implementation
  • Nursing Staff Supervision
  • Work Assignments
  • Nursing Process
  • Providing Pre-Hospital Advanced Life Support
  • Chest Tubes
  • Cardiac Arrest
  • Facility Policies and Procedures
  • Pain Management Techniques
  • Patient Health Information Access
  • Universal Precautions
  • Seizure Disorders
  • Diagnostic Procedures
  • Acute Respiratory Distress Syndrome
  • Professional Development
  • Protocol and Procedure Improvement
  • Care Plan Management
  • EMR Management
  • Nitric Oxide Handling
  • Open Heart Surgery
  • Drug Administration Trained
  • Patient Record Confidentiality
  • IV Administration
  • Mechanical Ventilators
  • Medication Administration
  • Practice Improvement
  • Medical Equipment Operations
  • Patient Care Documentation
  • AED Operation
  • Suture Removal
  • Patient and Family Advocacy
  • Arterial Punctures
  • Cardiopulmonary Resuscitation (CPR)
  • Blood Product Transfusion
  • Strong Clinical Judgment
  • Pulmonary Function Testing
  • Family Planning
  • Oxygen Therapy
  • Dosage Calculation
  • Infection Control Techniques
  • Bronchopulmonary Drainage
  • Physical Assessment
  • Blood Gas Analysis
  • Verbal and Written Communication
  • Blood Chemistry Changes
  • Coaching and Mentoring
  • Tracheostomy Care
  • Tracheotomy Equipment
  • Airway Management
  • Intubation/Extubation
  • Direct Patient Care
  • Cerebrovascular Accidents
  • Swan-Ganz Catheters

Certification

ECMO – St. David's Medical Center (April 2023) ECMO-Christus Spohn Shoreline Hospital (February 22, 2017) IABP Christus Spohn Shoreline Hospital (June 2017 ) CRRT with Nexstage Houston Methodist Hospital (17, 2021) CRRT with PRISMAFLEX Baylor Scott & White Hospital (April 17, 2019) Basic Life Support (July 2022 –Baylor All Saints Hospital) American Academy of CME, INC. NIH Stroke Scale (NIHSS) Training – English Program NIHSS Level 1 – NIH Stroke Scale Training & Certification (July 8, 2020) NIHSS Training Certification – American Academy of CME, INC The NIH Stroke Scale A Window Into Neurological Status (March 16, 2016) Document It Right: Would Your Charting Stand Up to Scrutiny? (March 16, 2016) CLABSI: Beyond the Policy and Procedure (March 15, 2016)

Additional Information

  • IV PVAD Access Training (July 09, 2012) Pediatric Assessment Training (2012) Diabetes Update (2012) Pre Hospital Trauma Life Support (September 2010) Code Black Training (2011) Cardiopulmonary Resuscitation (December 29,2001/Hera General Hospital) Abdominal Injuries/Wound & its Nursing Management (January 7,2002/Hera General Hospital) Prenatal Care & Management (May 22,2002/Hera General Hospital) Laboratory Analysis (July 14,2002) Epilepsy & It’s Nursing Management (September 10,2002/Hera General Hospital) Endoscopic Procedures (September 1,2002/Hera General Hospital) Vital Signs Taking & Recording (August 11,2002/Hera General Hospital) Infection Control (January26, 2002 /Hera General Hospital) Congestive Heart Failure (October 28,2001/Hera General Hospital) Hemorrhage & Its Nursing Management (August 25,2002/Hera General Hospital)

Languages

Arabic
Professional Working
Italian
Professional Working
Spanish
Full Professional
English
Native or Bilingual

Timeline

Travel Registered Nurse-ICU

Ascension Providence Hospital
07.2023 - Current

ECMO Specialist

St. David's Medical Center
04.2023 - 07.2023

Registered Nurse II ( Contract )

UT SOUTHWESTERN MEDICAL CENTER
10.2022 - 03.2023

ICU RN ( PRN )

Baylor Scott And White Medical Center
06.2022 - Current

Critical Care Travel Nurse

STANFORD MEDICAL CENTER
06.2022 - 08.2022

Rapid Response Travel Nursea

KAISER PERMANENTE
01.2022 - 03.2022

Traveling COVID-19 ICU Registered Nurse

UT Health Science Northeast Hospital
09.2021 - 11.2021

ICU Registered Nurse ( PRN )

Baylor Scott & White Medical Center
04.2021 - 01.2022

COVID-19 ICU RN

Long Island Jewish Medical Center
01.2021 - 03.2021

Traveling COVID-19 ICU Registered Nurse

UT Health Science Northeast Hospital
11.2020 - 01.2021

ICU Travel Nurse

Methodist Stone Oak Hospital
07.2020 - 10.2020

Neuroscience/Neuro Registered Nurse

Texas Health Presbyterian Hospital
04.2020 - 07.2020

CCU/ICU/Registered Nurse, CVICU

Medical City
01.2020 - 04.2020

Pre-op/Post Op/PACU Registered Nurse

Tri-County Vascular Care
11.2019 - 12.2019

CCU Registered Nurse (TRAVEL)

Doctors Medical Center
10.2019 - 11.2019

MICU/CCU Registered Nurse (TRAVEL)

Dartmouth Hitchcock Medical Center
09.2019 - 10.2019

MSICU Registered Nurse

Baylor Scott & White All Saints
09.2018 - 07.2019

ICU/CCU Registered Nurse

Spohn Shoreline Hospital
06.2016 - 09.2018

Trauma/Emergency RN II

RASHID Hospital Trauma Center
04.2009 - 05.2016

Staff Nurse Emergency/Medical/Surgical

Western Mindanao Medical Center
09.2006 - 03.2009

Staff Nurse II

AL HADA MILITARY HOSPITAL
01.2004 - 08.2006

Clinic Nurse

CERALDE CLINIC
06.2003 - 12.2003

NURSE ANESTHETIST

HERA GENERAL HOSPITAL
05.2001 - 05.2003

Staff Nurse

DIONES HOSPITAL
04.1998 - 02.2001

Certificate in Computer Programming - Computer And Information Sciences

WMSU-CTU
08.1997 - 02.1998

Nurse Volunteer

PHILIPPINE RED CROSS/ZAMBOANGA GENERAL HOAPITAL
04.1997 - 04.1998

Bachelor of Science - Nursing

Western Mindanao State University
06.1993 - 03.1997
ECMO – Christus Spohn Shoreline Hospital (February 22, 2017) IABP Christus Spohn Shoreline Hospital (June 2017 ) CRRT with Nexstage Houston Methodist Hospital (17, 2021) CRRT with PRISMAFLEX Baylor Scott & White Hospital (April 17, 2019) Basic Life Support (July 2022 –Baylor All Saints Hospital) American Academy of CME, INC. NIH Stroke Scale (NIHSS) Training – English Program NIHSS Level 1 – NIH Stroke Scale Training & Certification (July 8, 2020) NIHSS Training Certification – American Academy of CME, INC The NIH Stroke Scale A Window Into Neurological Status (March 16, 2016) Document It Right: Would Your Charting Stand Up to Scrutiny? (March 16, 2016) CLABSI: Beyond the Policy and Procedure (March 15, 2016)
MELIE ROSE MACASADDUBSN,RN