MELISSA REESE
Dublin,CA
Summary
Experienced Critical Care nursing professional bringing 25+ years demonstrated clinical expertise in, PACU/Cardiac Cath Lab/IR/EP vascular bringing extensive experience caring for post-anesthesia patients. skills and technical knowledge. Proficient in working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities. Highly knowledgeable about sound nursing practices and clinical care. Offers sound judgment and outcome-focused approach. My leadership experience includes precepting numerous nurses in Cath Lab as well as NICU, and CCU. I have served on various committees including Quality Improvement. My leadership experience also includes team leader in Cardiac Cath Lab.
I also bring 3+ years NICU level III/IV, pediatric interventional cardiac cath lab, and some pediatric PACU experience.
Overview
30
30
years of professional experience
Work History
Assistant Nurse Manager PPACU
Kaiser Permanente
San Jose/Redwood City, California
12.2022 - Current
- Participated in interdisciplinary team meetings to assess patients' progress and develop treatment plans.
- Conducted performance evaluations for nursing staff members.
- Coordinated with other departments to ensure continuity of care.
- Created an environment conducive to learning by providing feedback on job performance during shift changes or rounds.
- Monitored daily operations of the nursing department, including budgeting, scheduling, and policy implementation.
- Implemented strategies for improving patient satisfaction scores.
- Performed physical assessments on patients as needed.
- Participated in quality improvement initiatives.
- Provided education regarding disease processes and treatments to nurses, physicians, families, and other healthcare providers.
- Managed budgets related to staffing costs, supplies expenditures.
- Collaborated with physicians, administrators, and other healthcare personnel to provide comprehensive patient care services.
- Attended conferences or seminars relevant to the field of nursing management.
- Provided leadership and direction to nursing staff, ensuring quality patient care.
- Worked closely with Human Resources Department to recruit qualified nursing staff.
- Resolved conflicts between staff members or between staff members and patients and families in a professional manner.
- Assisted in the development of policies and procedures for clinical operations.
- Facilitated communication among all levels of healthcare personnel within the organization.
- Mentored new employees through orientation programs.
- Reviewed medical charts for accuracy and completeness according to established standards.
- Supported Nurse Manager with employee development and care quality management.
- Kept close eye on department operations to maintain coverage of needs.
- Monitored staff performance and provided coaching and formal counseling to staff.
- Monitored inpatient bed use, facilities and staff to provide optimal use of resources.
- Assessed need for additional staff, equipment and services based on historical data and seasonal trends.
- Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.
- Planned departmental budget by managing staffing and scheduling to remain within budget constraints.
- Administered disciplinary action for employee performance deficiencies, infractions and conduct issues after consulting with employees and HR staff.
- Monitored and documented patient care to oversee employee and patient safety, hygiene, and protection.
PACU Registered Nurse
Trusted Health
San Francisco, CA
04.2021 - 08.2022
- PACU Parnassus, UCSF PACU Mount Zion, Marin Health PACU.
- Evaluated patients recovering from surgeries and coming out of anesthesia.
- Delivered individualized care to post-operative patients by monitoring pain levels, checking vital signs and explaining next steps to recovery.
- Utilized effective communication skills to educate patients and family members on side effects from both surgery and anesthesia.
- Monitored patient pain levels and administered medication to diminish patient discomfort.
- Administered medications to manage progression off anesthesia medications, deal with side effects and promote recovery.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Assisted in the transfer of critically ill patients from operating room beds to intensive care units.
Cardiac Cath Lab RN, PACU
Springboard Healthcare
, CA
11.2020 - 04.2021
- CATH LAB/IR/PACU
- Agnes Medical Center Fresno
- COVID response ICU
Cath Lab RN, IR, EP
John Muir Medical Center, Per Diem
05.2020 - 07.2020
- Administered medications during procedures to reduce problems from anxiety, blood pressure and other conditions.
- Assessed patients before and after procedures and offered specialized care targeted on individual needs to achieve optimal recoveries.
- Employed sound nursing practice to carry out nursing assessments, procedures and treatments for cardiac cath lab patients.
- Tracked oxygenation, blood pressure and heart rate during procedures.
- Used fluoroscopy and contrast dye to identify narrowing or blockages affecting cardiac function.
- Prepared patients for procedures such as stents, IVC filters and pacemaker installations.
Cardiac Cath Lab Registered Nurse
OneStaff Travel, UCSF CATH
04.2004 - 01.2020
- EP/HOLDING UCSF EP/Cath Lab Completed assignment not extended due to COVID 19
Cardiac Cath Lab Registered Nurse, IR
Medical Solutions Travel, Washington Hospital
Cath Lab
04.2019 - 12.2019
- Stemi Call/ Neuro Intervention/Stroke, Vascular Interventional, IR
CPMC
, Cath Lab
06.2018 - 04.2019
- Structural Heart/ IR/ Neuro Interventional/ Vascular Intervention, Balloon pumps, Impella, ECMO, Stemi call/ Pacemakers, device implants, EP Ablations
Cath Lab RN, IR
El Camino Hospital
01.2017 - 05.2018
- Structural Heart/ Interventional Neuro IR/ Vascular/ EP
Pediatric Cath Lab/EP RN
Trusted Health/ travel UCSF Mission Bay
San Francisco, CA
10.2016 - 01.2017
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Modified patient treatment plans as indicated by patients' responses and conditions.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Reduced post-procedural complication rates by providing attentive and thorough care for patients.
- Employed sound nursing practice to carry out nursing assessments, procedures and treatments for cardiac cath lab patients.
- Assessed patients before and after procedures and offered specialized care targeted on individual needs to achieve optimal recoveries.
UCSF, Peds Cath Lab/EP, Cath Angio Travel RN Springboard
San Francisco, CA
05.2016 - 10.2016
Travel RN
California Pacific Medical Center, Cath Angio
San Francisco, CA
11.2015 - 05.2016
- CATH/IR/EP Springboard
Marian
Regional Medical Center, Cath Angio Travel RN Aureus
Santa Maria, CA
08.2015 - 11.2015
Cath Lab Registered Nurse, IR
UCLA
, Cath, Springboard
Santa Monica, CA
02.2015 - 08.2015
EP Travel RN
St John’s Medical Center, Cath Angio, Springboard
Santa Monica, CA
08.2014 - 02.2015
RNIII Staff
Cedars-Sinai Medical Center, Cath Angio/ EP
Beverly Hills, CA
02.2014 - 07.2014
Northwest Hospital, Cath Angio-RN
Seattle, WA
09.2013 - 12.2013
RN
Aureus Medical TEMP, Cath Angio
Omaha, NE
07.2013 - 08.2013
- temp for EPIC CONVERSION
RN staff
Kaiser Permanente, Cath Angio
Santa Clara, CA
05.2013 - 07.2013
Cardiac Cath Lab Registered Nurse
HRN Services TEMP
Campbell, CA
04.2013 - 05.2013
- temp for Epic Conversion
RN Staff Nurse III
STANFORD HOSPITAL
Cath Angio
Palo Alto, CA
10.2004 - 04.2013
- Read physician orders and administered therapies, treatments and medications.
- Explained treatment procedures, medication side effects, special diets and physician instructions to patients.
- Reviewed physician orders and participated in medication management to optimize patient safety.
- Mentored new nurses on practices and procedures to drive patient outcome goals.
- Recorded patient condition, vital signs, recovery progress and medication side effects.
- Answered patient questions and provided take-home materials for further information.
- Educated new nurses on proper care procedures and prioritization strategies.
- Recorded patients' medical history, vital statistics and test results in electronic medical records.
- Communicated effectively with physicians and provided support during surgical procedures.
- Transported patients to and from rooms and prepared for treatments according to individual specifications.
NICU RN Level 4
LPCH NICU
Palo Alto, CA
07.2002 - 10.2004
- I worked as traveler FOR 18mo, staff RN 6mo.
- Administered medications, tracked dosages and documented patient conditions.
- Trained other nurses on patient care and daily tasks, supporting growth and professional development.
- Ordered and interpreted diagnostic tests to identify and assess patient condition.
- Administered medications intravenously, by injection or orally.
- Identified patient care requirements by establishing personal rapport with patients and families.
- Directed and instructed patients and family members on proper discharge care.
- Educated patients and family members about preventive health care and recovery.
RN Staff Nurse NICU Level III
TULANE UNIVERSITY MEDICAL CENTER
04.2001 - 06.2002
CCU RN, Heart Transplant
Oschner Hospital
Jefferson, LA
07.1999 - 04.2001
- Cared for critically ill patients with high-risk, life-threatening health problems to improve clinical outcomes.
- Collaborated with interdisciplinary team to develop care plans for patients with complex medical needs.
- Ordered, interpreted and evaluated diagnostic tests to identify and assess patient condition.
- Identified significant health and medical risk factors with potential negative impacts on treatment plans.
- Alerted physician of diagnostic study results and changes in patient condition.
- Assessed patient conditions, implemented care plans and reassessed conditions continuously.
- Implemented treatment plans, monitored vitals and administered medications for patients in ICU.
- Delivered high-quality care by following clinical standards and implementing process improvements.
LPN Staff Nurse CCU/Heart Transplant
Ochsner Hospital
Jefferson, LA
08.1997 - 07.1999
- Worked with registered nurses to deliver comprehensive, high-quality care cardiomyopathy/rejection/pre and post heart transplant critical care patients.
- LVAD
- Swan-Ganz placement and hemodynamic measurements
- CCO measurements
- Vasoactive drug administration and titration.
- BiVentricular failure and management
- Arrhythmias
- CVVHD, Vent management, Massive Blood transfusions, Pacemaker insertions
LPN Staff Nurse
WEST JEFFERSON GENERAL HOSPITAL, Telemetry
01.1995 - 08.1997
Education
BSN -
Loyola University New Orleans
05.2002
ADN -
07.1999
LPN West Jefferson Tech College
08.1994
Skills
- Creative Problem Solving
- Decision Making
- Procedure Assistance
- Monitoring Vital Signs
- Patient Care Assessment
- Care Coordination
- Clear Patient Communication
- Medication Administration
- Accurate Documentation
- Medical Procedure Preparation
- Patient Condition Monitoring
- Critical Thinking
- Compassionate and Caring
- Attention to Detail
- IV Fluid Administration
- Vitals Assessments
- Direct Patient Care
Accomplishments
- COMMUNICATION: Expert user for PENUMBRA thrombectomy device for neuro interventional radiology
- LEADERSHIP: I have been on Quality Council (3 years), Green Committee (1 year), and Diabetic Council (3 years)
- I have volunteered with the diabetes walk
- I have attended and completed a preceptorship class, and precepted RNs in many specialties for over 10 years
- I have been team leader at UCLA/STANFORD and have needed to arrange care for unstable patients while either transferring out or receiving patients during STEMIS and Strokes and Traumas in a timely manner for over 15 years.
Leadership
- I attended Lean Sigma 6 Class 2023
- Completed UCSF Middle Management Class 10/2023
- Team lead and Charge RN in numerous positions, Stanford, UCLA, Cedars Sinai
- Organized Skills day along with our management team at Redwood City
- Developed Interdepartmental relationships to facilitate flow and throughput within the PACU, with GI and CATHLAB
References
References available upon request.
Timeline
Assistant Nurse Manager PPACU
Kaiser Permanente
12.2022 - Current
PACU Registered Nurse
Trusted Health
04.2021 - 08.2022
Cardiac Cath Lab RN, PACU
Springboard Healthcare
11.2020 - 04.2021
Cath Lab RN, IR, EP
John Muir Medical Center, Per Diem
05.2020 - 07.2020
Cardiac Cath Lab Registered Nurse, IR
Medical Solutions Travel, Washington Hospital
Cath Lab
04.2019 - 12.2019
CPMC
, Cath Lab
06.2018 - 04.2019
Cath Lab RN, IR
El Camino Hospital
01.2017 - 05.2018
Pediatric Cath Lab/EP RN
Trusted Health/ travel UCSF Mission Bay
10.2016 - 01.2017
UCSF, Peds Cath Lab/EP, Cath Angio Travel RN Springboard
05.2016 - 10.2016
Travel RN
California Pacific Medical Center, Cath Angio
11.2015 - 05.2016
Marian
Regional Medical Center, Cath Angio Travel RN Aureus
08.2015 - 11.2015
Cath Lab Registered Nurse, IR
UCLA
, Cath, Springboard
02.2015 - 08.2015
EP Travel RN
St John’s Medical Center, Cath Angio, Springboard
08.2014 - 02.2015
RNIII Staff
Cedars-Sinai Medical Center, Cath Angio/ EP
02.2014 - 07.2014
Northwest Hospital, Cath Angio-RN
09.2013 - 12.2013
RN
Aureus Medical TEMP, Cath Angio
07.2013 - 08.2013
RN staff
Kaiser Permanente, Cath Angio
05.2013 - 07.2013
Cardiac Cath Lab Registered Nurse
HRN Services TEMP
04.2013 - 05.2013
RN Staff Nurse III
STANFORD HOSPITAL
Cath Angio
10.2004 - 04.2013
Cardiac Cath Lab Registered Nurse
OneStaff Travel, UCSF CATH
04.2004 - 01.2020
NICU RN Level 4
LPCH NICU
07.2002 - 10.2004
RN Staff Nurse NICU Level III
TULANE UNIVERSITY MEDICAL CENTER
04.2001 - 06.2002
CCU RN, Heart Transplant
Oschner Hospital
07.1999 - 04.2001
LPN Staff Nurse CCU/Heart Transplant
Ochsner Hospital
08.1997 - 07.1999
LPN Staff Nurse
WEST JEFFERSON GENERAL HOSPITAL, Telemetry
01.1995 - 08.1997
BSN -
Loyola University New Orleans
ADN -
LPN West Jefferson Tech College