Michelle Jauregui

• May 2019 to present, Emergency Room RN caring for all age groups in the emergent setting. Charge nurse experience with being responsible for department and leading nursing team in all critical care situations. Provided high quality care in the critical care setting utilizing ACLS and facility protocol. Collection and interpretation of diverse clinical data including vital signs, lab results, wound progression. Care and maintenance of life-sustaining devices such as central lines, arterial lines, artificial airways. Titration of continuous IV drips including insulin, narcotics, vasopressors, anti-arrhythmic, and heparin. Performance of extensive clean and sterile dressing changes and complex wound assessment. Collaborate with all members of the interdisciplinary team, therapists, social workers, doctors, and pharmacists. Preparing patients for surgery, pre-op checklists, medications, lab and diagnostic test. Worked in cooperation with new or newer resident physicians, escalating matters to the care of the attending physicians where and when appropriate.
• November 2018 to May 2019, Telemetry RN. Responsible for accurate and prompt assessment, documentation, and reporting of patient conditions. Observation and interpretation of continuous cardiac monitoring. Consult and coordinate with healthcare team members to assess, plan, implement, and evaluate patient care plans. Intravenous therapy. Trained in pre and post surgical care. Proper NG tube insertion and removal. Foley catheter insertion/removal. Monitor cardiac rhythm's and notified physicians of changes. Readied patients for stress testing, echocardiograms, cardiac catheterization procedures and the operation room. Administered blood product transfusions and monitored for adverse reactions. Monitored chest tubes, JP drains, PD catheters, nephrostomy tubes and pacer wires.

Monitored hemodynamic parameters and analyzed complex data sets, making appropriate adjustments to treatment plans based on patient response. Demonstrated a high level of adaptability in adjusting to ever-changing patient acuity levels within the critical care unit, ensuring consistent delivery of safe and effective nursing care. Managed multiple priorities simultaneously while maintaining focus on providing exceptional patient-centered care within a fast-paced critical care environment. Improved patient outcomes by developing and implementing comprehensive care plans for critically ill patients. Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery.

• Currently working in Emergency Department performing following skills. Provided high quality care in the critical care setting utilizing ACLS and facility protocol. Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations. Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care. Secured controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities. Implemented medication and IV administration, catheter insertion and airway management. Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.

Trauma experience currently working at a Level 1 trauma center providing direct patient care, stabilizing patients and determining the next course of action. Emergency response coordination triaging patients coming in based on acuity level. Experience at a stroke center recognizing signs of stroke and giving TPA. Nurse collaboration effectively communicating with my team members and resolving any conflict that arises in an understanding and professional manner. Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds and thoracic trauma. Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

Expert in administering oral, rectal, NG/PEG. tubes, SUBQ, IM and recorded prescription medications. Managed medication administration in timely manner for 20 patients at a time in skilled nursing facility. Proficent in wound care and hospice care. Managed and provided clinical directions to CNA's. Offered patient and family guidance as well as support in illness management, home care, and medication. Expert in collecting specimens like blood, urine, or sputum from patient. Prompt in making appointments, keeping records, or performing other clinical duties ordered by doctor.