MICHELLE L. PALM
Annapolis,MD
Overview
14
14
years of professional experience
Work History
Registered Nurse: Interventional Radiology
Anne Arundel Medical Center
Annapolis, MD
11.2017 - Current
- Cares for patients being treated for vascular issues including but not limited to lower extremity and mesenteric angiograms, venograms, placing tunneled dialysis catheters, IVC filter placements/removals, fistulagrams and dialysis access declots
- Cares for patients being treated for CT-guided biopsies, placing drainage catheters (nephrostomy tubes, biliary drains, abscess drains, cholecystostomy tubes, and gastric feeding tubes) embolization of blood vessels (GI bleeds, renal, liver, splenic, uterine artery embolizations), and neuro-spine pain injections. Also skilled at US-guided paracentesis/thoracentesis, US-guided biopsies, aspirations, and steroid injections
- Reviews allergies, patient history, and physical assessment findings with the patient and medical team prior to the scheduled procedure. Uses clinical expertise to determine if patient is appropriate for procedure
- Administers moderate sedation intra-procedure as well as titrating medications appropriately. Monitors patient throughout procedure and helps to circulate and hand off needed supplies in procedure room
Registered Nurse: Weinberg Intensive Care Unit
Johns Hopkins Hospital
Baltimore, MD
04.2012 - 10.2017
- Manage mostly postoperative and some preoperative critically ill patients on a 20 bed intensive care unit
- Compiled of surgical oncology patients, trauma patients, and patients transferred from outside hospitals
- Surgical population include ENT, Thoracic, GI, Colorectal , Gynecologic oncology, Orthopedic, and General ICU surgery
- Nurse to patient ratio is 1:1 or 1:2
- Competent in titrating complex medications such as vasoactive drugs, neuromuscular blocking agents, sedative and pain medications, anticoagulation drips, and insulin drips
- Skilled in post-op surgical management of wound vac therapy, JP drains, hemovac drains, tracheostomies, laryngectomies, free-flaps, chest tubes, leach therapy, ostomies, nephrostomy tubes, ileal conduits, enterocutaneous fistula wound management, dressing changes, palliative and end of life care
- Manage arterial lines, ventilators, pulmonary artery catheters, bladder pressures, CVVHD dialysis machines, train-of-four twitch monitors, and permanent and temporary pacemakers
- Provide education to patient and families before discharging to an IMC floor, rehab facility, or home
- Preceptor to both experienced and new-graduate nurses
- Experienced charge nurse on day/night shift
- Team member of the Virtual ICU (VICU)-flexible surgery ICU unit made up of a pool of experienced ICU RNs that are dispatched wherever the need is, to help ICU patients get the ICU level of care (i.e PACU, different ICU) without having a physical bed in an ICU, as well as helping with OR holds, Rapid Responses and Codes
- Main Campus-Baltimore, MD
Student Nurse Extern: Heart Failure Unit
Christiana Care Health System
Newark, DE
07.2011 - 02.2012
- Responsible for taking patient's vital signs, daily weights, input and output volumes, changing linens, recording data, charting, and discharge protocols
Student Nurse
Diabetes Kamp for Kids
Newark, DE
07.2011 - 08.2011
- Assisted in organizational structure of the camp, responsible for checking camper's glucose levels, determining the correct dosage of insulin, counting carbohydrates, and educating campers about diabetes
Education
Bachelor of Science - Nursing: Accelerated Nursing Program
University of Delaware
Newark, DE02.2012
Bachelor of Science - Exercise Science
University of Delaware
Newark, DE01.2010
Skills
- ACLS certification
- BLS certification
- PALS certification
- EPIC electronic charting system
- POE electronic charting system
- Microsoft Office
- Excel
- Powerpoint
- EMR / EHR
Activities
- JHH: Magnet Ambassador for the WICU, Virtual ICU RN team member, Co-Chair of the Retention and Recruitment Committee, Member of the Education Committee, 01/01/12, 12/31/17
- Medical Mission trip to Dominican Republic, 07/01/13, 07/31/13
- Delaware Autism Program volunteer, 01/01/09, 12/31/10
- Habitat for Humanity, 01/01/09, 12/31/09
Timeline
Registered Nurse: Interventional Radiology
Anne Arundel Medical Center
11.2017 - Current
Registered Nurse: Weinberg Intensive Care Unit
Johns Hopkins Hospital
04.2012 - 10.2017
Student Nurse Extern: Heart Failure Unit
Christiana Care Health System
07.2011 - 02.2012
Student Nurse
Diabetes Kamp for Kids
07.2011 - 08.2011
Bachelor of Science - Nursing: Accelerated Nursing Program
University of Delaware
Bachelor of Science - Exercise Science
University of Delaware
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