Michelle Toland
South Texas Health Systems
McAllen,TX
1
Language
1
Certification
6
years of professional experience
Dynamic Registered Nurse with an active Texas(NCL) RN license, and experience in emergency charge nursing, clinical assessment, patient care coordination, and electronic health record documentation. Extensive knowledge in collaborating with physicians and multidisciplinary teams, coordinating patient transfers, supporting treatment decisions, and educating patients on discharge plans and follow-up care. Skilled in clinical prioritization, documentation accuracy, and coordinating care for patients with complex and urgent needs.
Work History
Registered Charge Nurse, Emergency Department
3 Years 1 Month- Performed comprehensive patient assessments and documented findings in electronic medical records.
- Administered medications and monitored patient responses for safety and treatment effectiveness.
- Collaborated with physicians and interdisciplinary staff to coordinate individualized care plans.
- Educated patients and families on discharge instructions, medications, and follow-up care.
- Prioritized multiple patient assignments while maintaining accurate charting and timely interventions.
- Recognized changes in patient condition and escalated concerns to support prompt clinical action.
- Supported continuity of care through thorough handoffs and clear communication across shifts.
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
- Streamlined medication administration processes for increased safety and accuracy during busy shifts.
- Collaborated with interdisciplinary teams to develop comprehensive care plans for complex cases.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Triage patients using acuity assessments to prioritize emergency interventions and care planning.
- Coordinated patient assignments and balanced unit staffing to maintain safe, efficient charge nurse operations.
- Supervised bedside nurses, assigning responsibilities and supporting safe, efficient delivery of emergency care.
- Coordinated emergency department patient flow, prioritizing acuity and aligning staffing with real-time census needs.
- Initiate team huddles and help coordinate clinical workflows
- Provided thorough documentation of patient encounters, ensuring accurate record-keeping for billing purposes.
- Facilitated effective communication between physicians, patients, families, and other healthcare professionals to ensure optimal patient outcomes.
Clinical Nurse
2 Months- Delivered direct patient care in compliance with clinical protocols and government healthcare standards.
- Assessed patient conditions, documented findings, and updated care plans accurately in electronic records.
- Administered medications and treatments while monitoring responses and reporting adverse changes promptly.
- Coordinated care with physicians, therapists, and support staff to support continuity of treatment.
- Maintain accurate and timely electronic medical record documentation to support clinical decision-making and continuity of care.
- Completed initial health assessments and medical history documentation for patients.
- Supported medical clearance workflows and communicated relevant patient information to the care team.
- Triaged patient concerns and prioritized interventions based on acuity, safety, and clinical need.
- Supported quality care delivery by reviewing documentation, identifying issues, and correcting care gaps.
- Maintained strong working relationships with physicians and ancillary staff, fostering a collaborative approach to patient care delivery.
- Responded to patient emergencies to provide prompt and correct intervention .
- Ensured accurate documentation of all patient records, contributing to improved quality assurance measures.
- Monitored patients, evaluated results, and recommended further courses of treatment to quickly improve patient outcomes.
- Acted as a clinical resource for colleagues seeking guidance on best practices or challenging cases, contributing to a supportive learning environment within the unit.
- Stayed current with health system initiatives and incorporated evidence-based practice and research into care routine.
- Served as a patient advocate, ensuring individual needs were met and concerns addressed promptly.
- Handled patient transfers, following safety protocols to prevent injuries.
- Provided wound care to promote healing and prevent infection.
- Coordinated with multidisciplinary teams to ensure cohesive patient care and treatment strategies.
- Administered medications and treatments to patients, contributing to their overall well-being and recovery.
- Advocated for patients' needs and preferences, ensuring their voices were heard in treatment decisions.
Registered Nurse, Emergency Department
4 Months- Assessed emergency patients quickly, prioritizing care based on acuity and clinical presentation.
- Administered medications and treatments accurately while monitoring responses and documenting interventions.
- Collaborated with physicians, technicians, and ancillary staff to coordinate timely emergency care.
- Initiated IV access, collected specimens, and supported diagnostic testing for rapid treatment decisions.
- Monitored vital signs and cardiac rhythms, escalating changes in patient condition promptly.
- Documented assessments, treatments, and outcomes in electronic health records with consistency.
- Educated patients and families on discharge instructions, medications, and follow-up care.
- Demonstrated strong clinical reasoning skills when assessing patients'' conditions, initiating appropriate interventions, and escalating concerns to physicians as needed.
- Improved patient outcomes by consistently providing high-quality emergency care and implementing evidence-based nursing practices.
- 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.
- Collaborated with multidisciplinary healthcare teams to develop comprehensive care plans for patients presenting with diverse medical conditions in the Emergency Department.
- Reduced patient wait times by efficiently triaging patients based on acuity levels and prioritizing urgent cases.
- Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
- Optimized patient flow within the Emergency Department by collaborating with charge nurses in coordinating bed assignments and discharges according to capacity constraints.
- Enhanced patient satisfaction by delivering compassionate, culturally sensitive care tailored to individual needs and preferences.
- Acted as a resource for colleagues by sharing clinical expertise, participating in educational opportunities, and serving as a preceptor for new nurses joining the Emergency Department team.
- Upheld professional nursing standards and ethical principles when advocating for patients'' rights, respecting their autonomy, and maintaining confidentiality at all times.
- Promoted a safe and supportive environment for both patients and staff members by adhering to infection control protocols, maintaining equipment, and following safety guidelines.
- Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
- Contributed to the creation of a positive work culture within the Emergency Department by actively participating in team-building activities, offering constructive feedback, celebrating successes, and fostering a sense of camaraderie among colleagues.
- Prevented potential medication errors by diligently verifying orders, double-checking dosages, and administering medications according to established protocols.
- Coordinated with healthcare teams to ensure seamless patient transitions from emergency care to specialized departments.
- Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
- Initiated trauma, stroke, and critical situations using established emergency protocols.
- Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
- Worked with healthcare team to develop new dialysis treatment flow sheet and other log forms, improving clinical documentation and accountability.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Registered Nurse
2 Months- Implemented infection control protocols and maintained compliance with clinical safety standards.
- Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
- Served as a preceptor for nursing students during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
- Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
- Created medication administration records under provider orders.
- Coordinated appointments for unaccompanied children based on identified concerns and care needs.
- Collaborated with healthcare providers to support individualized patient treatment plans.
- Promoted a culture of safety within the healthcare facility by participating in quality improvement initiatives, identifying potential hazards, and advocating for best practices in nursing care delivery.
- Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
- Monitored patient reactions after administering medications and IV therapies.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Registered Nurse, Emergency Department
8 Months- Provided nursing care to patients experiencing acute medical conditions and traumatic injuries, including cranial injuries, gunshot wounds, and motor vehicle accident-related trauma.
- Delivered important IV and venous medications to control symptoms and provide effective treatments.
- Answered codes quickly and orchestrated efficient, skilled medical care.
- Educated family members and caregivers on patient care instructions.
- Assessed patient conditions, supported stabilization, and communicated clinical findings to the care team.
- Coordinated care from admission through discharge, including patient assessments, care planning, health education, and discharge support.
- Provided valuable support to families during critical situations by offering emotional support, answering questions, and assisting with decision-making processes related to their loved one''s care.
- Educated patients and answered questions about health condition, prognosis, and treatment.
- Monitored patient reactions after administering medications and IV therapies.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
Education
Associate of Science - Nursing
- Honor Roll
Skills
Clinical judgment
Multilingual abilities
Patient-centered care
Proficient in airway management techniques
Clinical Data Entry and Record Maintenance
Cerner/ Oracle Health
Electronic Health Record (EHR/EMR) Documentation
Pediatric care
Expertise in neurological assessments
Obstetric care
Psychiatric care
Privacy and confidentiality
Assessment of physiological indicators
Certification
- BLS
- ACLS
- NIHSS
- NRP
- TNCC
- PALS
Languages
Spanish
Native or Bilingual
Timeline
Registered Charge Nurse, Emergency Department
South Texas Health Systems
09.2023 - CurrentRead More
Clinical Nurse
Loyal Source Government Services, LLC
08.2022 - 10.2022Read More
Registered Nurse, Emergency Department
South Texas Health Systems
04.2022 - 08.2022Read More
Registered Nurse
Loyal Source Government Services, LLC
01.2022 - 03.2022Read More
Registered Nurse, Emergency Department
Doctors Hospital
03.2021 - 11.2021Read More
South Texas College
Associate of Science from Nursing
Read More