Melissa Rambo
Billings,MT
Summary
Seasoned registered nurse with extensive experience in clinical practices and technical skills. Skilled in EMR/EHR documentation, call triaging, venipuncture, IV placement, medication management, and teamwork to optimize patient outcomes. Dedicated to delivering compassionate care while enhancing operational efficiency. Proven ability to provide holistic support to patients and families throughout all stages of care.
Overview
24
24
years of professional experience
4
4
Certifications
Work History
Registered Nurse
Intermountain Health Midwifery and Women's Health
Billings, MT
06.2024 - Current
- Provided direct patient care in midwifery and women's health care.
- Collaborated with physicians and other healthcare professionals to ensure quality patient care.
- Assessed patient conditions to prioritize care based on urgency.
- Instructed patients on self-care techniques, medications, diet plans, and disease processes to enhance understanding and adherence.
- Communicated triage information to midwifery care team to ensure timely and appropriate patient dispositions.
- Adhered to infection control protocols while performing duties such as taking blood samples or administering injections.
- Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
- Utilized EHR systems effectively for documentation purposes in accordance with HIPAA regulations.
- Participated in performance improvement activities within the organization's Quality Assurance Program.
- Cultivated professional conduct operating under triage nursing care guidelines.
- Supported patients and families during challenging situations, fostering comfort and encouraging compliance with treatment plans.
- Answered incoming patient calls, gathering history and symptoms to determine scope of medical complaints.
- Coordinated with specialists for timely referrals and follow-ups.
Registered Nurse
Intermountain Health St. Vincent's Regional Hosp
Billings, Montana
10.2022 - 06.2024
- Assisted physicians, residents, and midwives during delivery procedures and emergency interventions to ensure safe outcomes for mothers and newborns.
- Monitored maternal and fetal vital signs during labor and delivery.
- Monitored fetal heart rate patterns using electronic fetal monitoring equipment.
- Implemented pain management techniques to enhance patient comfort.
- Educated patients on labor process expectations while providing emotional support to promote comfort and confidence during labor.
- Identified complications during labor or delivery requiring medical attention or intervention.
- Assessed and documented physical condition of mothers and babies and assisted doctors in identifying and treating preeclampsia, eclampsia, HELLP syndrome, mental health disorders, substance abuse disorders, GDM, insulin dependent DM, and many other high risk conditions.
- Administered IV fluids and medications to manage labor pain and support labor progression.
- Provided detailed handoff to next-shift nurses about patient conditions thoroughly on condition, status, and needs of mother and newborn.
- Advocated for patients' needs and preferences during labor and delivery.
- Participated in professional development activities to stay current with best practices in maternal and newborn care.
Registered Nurse
Bear Valley Community Healthcare Family Health
Big Bear Lake, CA
11.2011 - 09.2022
- Coordinated multidisciplinary teams to facilitate seamless care transitions between clinic and delivering hospital, enhancing patient continuity.
- Assessed, planned, implemented and evaluated nursing care for assigned patients.
- Monitored vital signs, administered injections, and provided assistance with medical procedures.
- Maintained accurate patient records documenting all observations, treatments administered, medications prescribed.
- Trained new nursing staff/medical staff on best practices and clinic policies in obstetrics care, pain management, family health care, pediatrics and mental health care.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Utilized critical thinking skills to assess clinical situations quickly and accurately.
- Maintained a safe environment for all patients by adhering to infection control policies and procedures.
- Participated in interdisciplinary team meetings to drive improvements in quality outcomes for patients receiving pain management services.
- Prepared medical equipment and tools to aid physician/nurse practitioner during examination and/or treatment of patients.
- Provided emotional support and education to pregnant mothers on childbirth, breastfeeding, nutrition, postpartum care.
- Educated parents on newborn care and breastfeeding techniques, supporting successful postpartum recovery and infant health.
- Counseled patients on family planning options such as contraception methods or infertility treatments available.
- Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
- Demonstrated ability to work independently as well as collaboratively within a team environment.
- Ensured clinical workstations and procedure rooms were fully stocked with necessary supplies to facilitate patient care.
Registered Nurse
St. Rose Siena Hospital
Henderson, NV
02.2008 - 11.2011
- Assisted physicians with delivery procedures and emergency interventions.
- Collaborated with multidisciplinary teams to ensure patient safety.
- Implemented pain management techniques to enhance patient comfort.
- Educated patients on labor process expectations and offered emotional support throughout labor to enhance overall birthing experience.
- Monitored fetal heart rate patterns using electronic fetal monitoring equipment, ensuring timely communication of critical information to the medical team.
- Briefed next-shift nurses thoroughly on condition, status, and needs of mother and newborn.
- Provided care to pregnant women in hospitals, ensuring support during imminent birth and postnatal care for newborns.
- Assessed and documented physical condition of mothers and babies and assisted doctors in identifying and treating preeclampsia, eclampsia, HELLP syndrome, mental health disorders, substance abuse disorders, GDM, insulin dependent DM, and many other high-risk conditions.
Certified Nursing Assistant
TLC Care Center
Henderson, NV
07.2002 - 12.2002
- Assisted patients with daily living activities and personal care tasks to enhance comfort and well-being.
- Monitored vital signs and reported changes to nursing staff.
- Collaborated with healthcare team to provide quality patient care.
- Documented patient information accurately in electronic health records.
- Provided emotional support and companionship to residents, fostering a positive and caring environment.
- Communicated effectively with families regarding patient status and needs.
- Responded promptly to call lights, addressing patient needs to ensure timely care and assistance.
- Served meals to patients in their rooms and assisted with feeding.
- Turned and repositioned residents using proper body mechanics to prevent pressure ulcers.
Education
Associate of Applied Science - Nursing
College of Southern Nevada
Las Vegas, Nevada, NV05-2007
Skills
- Licensed RN
- Direct patient care
- Obstetric assessment
- Electronic fetal heart rate interpretation
- Administering immunizations
- IV and venipuncture expert
- Medication and IV administration
- EHR/EMR documentation
- Infection control
- Pain management
- Crisis intervention
- Patient education
- Follow-up calls
- Infant vitals monitoring
- Women's health exams
- Breastfeeding support
- Limited OB Ultrasound certified
- Nursing staff leadership
- High level of autonomy
- Managing deadlines
- Effectiveness in communication
- Problem solving
- BLS certified
- BLS certified
- Women's health exams
- Breastfeeding support
- Limited OB Ultrasound certified
Certification
Multi-state Montana RN License
Timeline
Registered Nurse
Intermountain Health Midwifery and Women's Health
06.2024 - Current
Registered Nurse
Intermountain Health St. Vincent's Regional Hosp
10.2022 - 06.2024
Registered Nurse
Bear Valley Community Healthcare Family Health
11.2011 - 09.2022
Registered Nurse
St. Rose Siena Hospital
02.2008 - 11.2011
Certified Nursing Assistant
TLC Care Center
07.2002 - 12.2002
Associate of Applied Science - Nursing
College of Southern Nevada