Michele M Quinonez

• Streamlined nursing processes on the medical-surgical floor for increased efficiency and productivity.
• Implemented infection control measures on the Medical-Surgical floor, resulting in a significant decrease in hospital-acquired infections among patients.
• Advocated for patients'' needs by effectively communicating their concerns to appropriate healthcare providers and specialists within the hospital system.
• Coordinated patient discharges from the Medical-Surgical unit, ensuring seamless transitions to post-acute care settings or home environments.

September 2023-December 2024

Certified Preceptor

• 350 Bed Facility
• 40 bed unit
• Medical Surgical unit, 5-6-7:1 patient ratio
• Covid-19 Unit, 4-5-6:1 patient ratio
• Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
• Equipped patients with tools and knowledge needed for speedy and sustained recovery.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
• Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use and disease management.
• Started intravenous fluids, administered medications and documented patient charts by recording food and fluid output and intake.
• Administered medications via oral, IV and intramuscular injections and monitored responses

• {Piedmont General Hospital (Augusta, Georgia)

Med/Surg Cancer unit

5:1

July 2023-September 2023

• {Oakhill Hospital (Brooksville, Florida)

Med/Surg/PCU

7:1

April 2023-July 2023

• {Bravera Seven Rivers Hospital (Crystal River, Florida)

Med/Surg Telemetry float, PCU, ICU, ED, Charge RN

2/3:1, 4:1, 5/6:1

January 2022-March 2023

• {Lakewood Ranch Medical Center (Sarasota, Florida)

Med/Surg Telemetry 42 bed unit

5:1/6:1 patient ratio

October 2021-January 2022

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Administered and educated inmates in regards to medications and treatment as well as monitored responses while working with healthcare teams to adjust care plans.

Kindred Hospital Ocala Hospital

• Med-Surg , 33 bed unit
• 7:1, 6:1 patient ratio
• Monitored patient condition, including interpreting and tracking EKG readings and identifying irregular telemetry readings.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Managed patients recovering from medical, surgical procedures, and /or COVID-19 which includes facilitating wound care, ostomy care, pressure ulcer prevention, pain management and ventilator weaning.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Maintained quality care and comfort for patients with heart failure, ventilator needs and other conditions Including COVID-19.
• Collect blood and other necessary laboratory specimens for lab testing.

• Independent IV Nurse Consultant.
• Placement and management of IV devices: PICC, midline, and IV catheters utilizing Ultra Sound and 3CG technology
• Accessing infusaport for medication administration and/or blood draw with Huber needle
• Serve as resource for facility, physician, and pharmacy
• Promote practice that incorporates infection control policy and procedure
• Adhere to facility corporate compliance and HIPAA regulations
• Applied critical thinking skills during vascular access device selection process to achieve best outcomes for patients

• Med Surgical unit: Select Specialty Hospital, St. Francis Campus Milwaukee Wisconsin and West Allis Medical Center, West Allis Milwaukee
• Med-Surg (COVID)
• 240 bed, level ll Trauma Center
• 30 bed unit 5:1 patient ratio
• Administered medications, tracked dosages and documented patient conditions.
• Treated patients using pharmacological and non-pharmacological treatment modalities to address various disorders, diseases and injuries.
• Administered oral, intramuscular and IV medications to patients and monitored responses.
• Delivered quality care and comfort to patients with heart failure, pulmonary hypertension, pulmonary embolisms and end-stage renal disease.
• Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
• Observed strict safety measures.

• Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
• Provide clinical care and not limited to: urinary catheterization, inserting feeding tubes, oral gastric tubes and provide tube feedings, wound care, glucose monitoring, medication administration/management, admission, transfer and discharge of patients.
• Communicates effectively with interdisciplinary team, lab, and radiology
• Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
• Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care.
• Gathered lab specimens, ordered testing and interpreted results to diagnose patients

• Provided quality vascular access services, support, and education to patients, patient's family, and team members.
• Assess patients with difficult access for appropriate vascular access catheter.
• Place peripherally inserted catheters, midlines, and peripheral IV's as appropriate in patients, per policies of Association of Vascular Access as well as CDC guidelines.
• Troubleshoot vascular access devices and to include assisting as a resource for troubleshooting devices.
• Maintain in depth knowledge of CDC standards and best practice guidelines.

• Performed independent, general radiographic images while maintaining patient safety.
• Perform various fluoroscopic images including Dobhoff feeding tubes with bridle securement device, lumbar punctures, bone marrow biopsies, barium enemas, small bowel follow through, esophagrams, and abdominal drains.
• C-Arm procedures, including Barium Swallow Studies with Speech Pathologists and operating room procedures.
• Interventional procedures assisting Radiologists: temporary and permanent dialysis catheters, inferior vena cava filters,central line catheters, and tunneled PICC lines.