Michelle Mabelle De Asis
Gallatin,TN
Summary
An advancing Registered Nurse with more than 10 years of experience caring for patients across the lifespan in different settings. Smoothly deliver comprehensive patient care and delegate tasks according to patient needs and personnel skillsets. Dedicated to providing top quality care within multidisciplinary team environment.
Overview
17
17
years of professional experience
Work History
Registered Nurse, Neuro
Triage Staffing Inc. (UofL Jewish Hospital)
Louisville, KY
01.2024 - Current
- Performed physical examinations on neurological patients to assess their condition.
- Assessed neurological status of patients, including cognitive and motor functions, reflexes, cranial nerve functioning, and coordination.
- Monitored vital signs of neurological patients during treatment or recovery periods.
- Documented patient progress in accordance with standards of practice for nursing care.
- Educated patients and family members on proper care techniques for neurological conditions.
- Collaborated with multi-disciplinary team members to ensure best outcomes for neurological patients.
Registered Nurse, Orthopedics, Neurology & Surgery
Triage Staffing Inc. (Monument Health)
Rapid City, SD
07.2023 - 12.2023
- Created, implemented and evaluated patient care plans with medical team.
- Adhered to infection control procedures to facilitate safe, clean patient environment.
- Administered medications and treatments, monitoring patients for reactions and side effects.
- Assessed, planned, implemented and evaluated nursing care for Orthopedics, Neurology and Medical - Surgical patients.
- Complete steps in inpatient stroke code protocol and patients with altered mental status to use best practices and interventions to optimize outcomes for this group of patients
- Provided patient care and education to patients and families.
- Utilized critical thinking skills to assess clinical situations quickly and accurately.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Oversaw patient admission and discharge processes to coordinate related paperwork.
Acute Dialysis RN
Dialysis Clinic Inc.
Nashville, TN
01.2021 - 04.2023
- Provides hemodialysis/SLEDD treatments to both acute and chronic patients as well as patients on peritoneal dialysis and CRRT.
- Follows per hospital policies and protocols in the care management of patients.
- Communicates with Nephrologists regarding patients' laboratory results, medications, treatment orders and machine settings.
- Observance of strict aseptic technique in accessing central venous catheters (Vascath/Permacath), fistulae or grafts.
- Close patient monitoring before, during and after every treatment.
- Manages patient complications and completes documentation required.
Chronic Dialysis RN
Dialysis Clinic Inc.
Lebanon, TN
07.2020 - 11.2020
- Performs Hemodialysis treatments for ESRD and AKI patients in accordance with approved clinic policies and procedures.
- Hemodialysis machine testing and preparation prior to start of treatment ensuring quality standards are met.
- Ensure the highest safety and quality patient care initiation, monitoring and termination of dialysis treatments.
- Strict enforcement of infection control guidelines.
- Administration of pre, intra and post dialysis medications.
- Manage patient complications that may arise during a Hemodialysis session ensuring patient comfort and safety.
- Provide initial and ongoing patient education including compliance with the ESRD Network, regulatory agencies and quality assurance programs.
- Communicates with Nephrologists or Advance Practitioners patient's plan of care and pertinent changes to clinical condition.
Critical Illness Recovery RN
Select Specialty Hospital - Nashville
Nashville, TN
01.2020 - 07.2020
- Provides comprehensive and specialized care for patients with acute or chronic respiratory disorders such as tracheostomy patients or patients being weaned off from mechanical ventilation, patients who developed post-surgical complications requiring intensive wound care management, as well as, cardiac patients like those with Heart Failure, Cardiomyopathy, post MI and post cardiac surgery patients.
- Patients requiring focused nursing care and therapy for long-term IV antibiotics, malnutrition, cancer, renal failure and multi-system complications.
- Collaborate with other health care professionals to develop and revise treatment plans based on identified needs and assessment data as well as to prioritize nursing care for the critically ill.
- Updated charts throughout shifts with current, accurate information to maintain strict recordkeeping standards.
Registered Nurse, Neuro
Health Carousel (Rapid City Regional Hospital)
Rapid City, SD
05.2018 - 01.2020
- Performs a full range of professional nursing duties on clinical areas trained in, such as Oncology, Medical, Orthopedics-Neurology-Surgery (ONS), Cardiac Intermediate Care Unit (CIU), or Progressive Care Unit (PCU) depending on current staffing needs of the hospital.
- Duties include nursing process of assessment, care planning, implementing patient care plans in accordance with established standards of practice, protocols and evidence-based care.
- Administer medications and perform procedures within the nurse's scope of practice, electronic documentation using hospital information system EPIC in a timely manner.
- Provide education to patients and families relevant to their care and promotion of their health and well being.
- Job entails flexibility with work assignments, resilience, stability under pressure, good communication and interpersonal skills, professionalism and teamwork to deliver quality, culturally competent care.
Neonatal/Pediatric ICU Registered Nurse
Adventist Medical Center
Bacolod, Philippines
03.2017 - 08.2017
- Implements the nursing process for the total care of newborns who may be diagnosed with congenital defects, delivery complications, or prematurity.
- Provides care for children and adolescents, up to the age of 18, who are critically ill, post-surgical, with life-threatening or high acuity conditions that require constant monitoring.
- Preparation of patients for diagnostic procedures, treatment and other prescribed therapeutic regimen.
- Ensure patients have proper identification bracelets and charts filled with accurate information.
- Administer medications safely and timely with proper documentation.
- Conduct health education and information to patient and family regarding medications, breastfeeding, proper positioning, cord care, routine newborn care and other pertinent discharge instructions.
Nurse Case Manager
IBM Philippines Inc
Quezon City, Philippines
09.2015 - 06.2016
- Applies the principles of Nursing, Public Health, and Epidemiology to provide medical case management.
- Daily contact with employees and IBM Management on highly confidential, personal and sensitive medical information.
- Adheres to geography specific guidelines and procedures supporting disability management and return to work practices.
- Manages times to facilitate resolving conflicts, being decisive and accountable while exercising sound business judgment.
- Handles large case load with varying degrees of complexity with some requiring extensive follow-up when performing assessments of employee health needs and developing individual management plans, collecting and reporting data to support disability analytics, being accountable for individual and team results while assuming additional responsibilities as assigned.
Utilization Review Nurse
Health Connections - Healthcare Assoc of America
Taguig, Philippines
03.2014 - 05.2015
- Performs utilization review activities, including pre-certification, concurrent and retrospective reviews according to guidelines.
- Determines the medical necessity of each request by applying appropriate medical criteria to first level reviews and utilizing state or health plan recommended guidelines.
- Assists with the negotiation of the appropriate length of care or alternative level of care when allowed by state jurisdiction.
- Reviews, documents and communicates all utilization review activities and outcomes including but not limited to, all fax made and received in regard to case communication and all demographic and service group information.
- Coordinates the appeal process as applicable with requesting and utilization review physician.
- Remained up-to-date on various benefit plans, medical policies and state-specific clinical guidelines or criteria.
Registered Nurse, Pediatric Oncology
Jordan Hospital and Medical Center
Amman, Jordan
05.2012 - 10.2013
- Manages the holistic care of sick, injured, disabled or convalescing children ages 1 to 18 taking into account their age, development stage, medical, social, cultural and family circumstances.
- Assesses vital signs (temperature, pulse, heart rate, blood pressure, pain score, oxygen saturation).
- Observes aseptic techniques when handling long-term venous central access catheters (i.e. Hickman, femoral, port-a-cath, PICCs)
- Establish peripheral IV access, regulate and monitor infusions (IV fluids, blood and blood products, medications, chemo agents, immunoglobulins)
- Prepares and administers chemotherapeutic agents in compliance with established guidelines when giving cytotoxic drugs, management of side effects and proper waste disposal.
- Maintained a safe environment for all patients by adhering to infection control policies and procedures.
- Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with invasive or non-invasive procedures.
Medical Surgical Registered Nurse
Governor Celestino Gallares Memorial Hospital
Tagbilaran, Philippines
10.2009 - 11.2010
- Use nursing process of performing individualized nursing assessment, prioritization of adult patient needs, ongoing assessments and reprioritization as necessary, implement prescribed therapeutic interventions, evaluation, re-evaluation and documentation of effectiveness of care.
- Maintain confidentiality and preserve patient's autonomy, dignity and rights.
- General care responsibilities include but are not limited to the following: bedside care, close monitoring of vital signs and pain level, intake and output monitoring, safe administration of prescribed medications, IV therapy, blood and blood administration, specimen collection, basic life support and cardiopulmonary resuscitation as necessary.
- Additional responsibilities include but are not limited to: provision of an environment conducive to recovery, ensure proper aseptic technique, preventions of falls and patient/family education.
Clinical Instructor
The College of Maasin
Leyte, Philippines
08.2007 - 02.2008
- Handles first and second year nursing students in both theoretical and clinical aspects of Nursing which includes providing lectures and classroom discussions in various subjects.
- Prepares examinations and evaluate student's progress in both theory and clinical practice.
- Coordinates with other clinical instructors in the learning process and participates in the continuous improvement of the school curriculum.
- Imparts knowledge, skills, attitudes and values that will facilitate a smooth transition from the classroom-based setting to the real work environment.
Education
Bachelor of Science - Nursing
Silliman University
Philippines03.2006
Skills
- Strong Clinical Judgment
- Patient Care Planning
- Patient Education and Counseling
- Professional Bedside Manner
- Patient Assessment
- Nursing Plan Development and Modification
- Family and Patient Support
- IV Drug Therapy Management
- Tracheostomy Care
- Patient Monitoring
- Advanced Cardiac Life Support (ACLS) Certification
- Gastrostomy Tube Care
- Disease Management Programs
- Epic, Cerner, Meditech, Point Click Care EHR Management Systems
Licenses and Certifications
- State of USRN Licensure: Tennessee (Multi-State) license #202682 (active)
- Philippine RN License #: 0447249 (active)
- CPI Nonviolent Crisis Intervention (Card #NCI2EC9A3E) - January 9, 2024
- AHA NIH Stroke Scale (Certificate #11661068) - June 29, 2023
- AHA Advanced Cardiac Life Support (ACLS) w/ Instructor Lucas Collins (eCard Code 235403999168) - February 24, 2023
- Basic Life Support (CPR and AED) w/ Instructor Racheal Thomas (eCard Code 235413050338) - January 23, 2023
REFERENCES
- Susan Tenney (Charge RN) Monument Health - (712) 330-5376
- Alfred Waldo (Charge RN) Monument Health - (605) 671-9246
- Cora Moralde (Charge RN) Dialysis Clinic Inc - (615) 668-4061
- Arlene Vaughan (Charge RN) Dialysis Clinic Inc - (615) 939-3967
Timeline
Registered Nurse, Neuro
Triage Staffing Inc. (UofL Jewish Hospital)
01.2024 - Current
Registered Nurse, Orthopedics, Neurology & Surgery
Triage Staffing Inc. (Monument Health)
07.2023 - 12.2023
Acute Dialysis RN
Dialysis Clinic Inc.
01.2021 - 04.2023
Chronic Dialysis RN
Dialysis Clinic Inc.
07.2020 - 11.2020
Critical Illness Recovery RN
Select Specialty Hospital - Nashville
01.2020 - 07.2020
Registered Nurse, Neuro
Health Carousel (Rapid City Regional Hospital)
05.2018 - 01.2020
Neonatal/Pediatric ICU Registered Nurse
Adventist Medical Center
03.2017 - 08.2017
Nurse Case Manager
IBM Philippines Inc
09.2015 - 06.2016
Utilization Review Nurse
Health Connections - Healthcare Assoc of America
03.2014 - 05.2015
Registered Nurse, Pediatric Oncology
Jordan Hospital and Medical Center
05.2012 - 10.2013
Medical Surgical Registered Nurse
Governor Celestino Gallares Memorial Hospital
10.2009 - 11.2010
Clinical Instructor
The College of Maasin
08.2007 - 02.2008
Bachelor of Science - Nursing
Silliman University
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