Monica Shelton Herning RN, BSN, CV-BC
Greenfield,IN
Summary
Dynamic Registered Nurse with over 25 years of experience with a focus on Critical Care, Cardiology, and Electrophysiology Nursing. Strong patient advocate who has demonstrated the ability to remain calm and confident in times of critical need. Works well with diverse patient populations and fosters trusting relationships to improve outcomes. Quality focused and efficiency driven leader.
Overview
33
33
years of professional experience
Work History
Registered Nurse
IU Health Methodist , Pre Post Care, Outpatient
Indianapolis, IN
07.2016 - 01.2024
- Managing peri/post-operative care for patients undergoing outpatient procedures for, but not limited to; Cardiac Catheterization, Electrophysiology, Interventional Radiology, CT Scan, Ultrasound, and Heart Station. Procedures include, but not limited to CV and PV Interventions, Pacemakers, ICDs, Electrophysiology ablations, Watchman device placements, TAVR, Mitral Clip, biopsy’s of heart, lung, liver, kidneys and bone, pre/post cardiac, lung, liver and kidney transplant patient procedures, cerebral angiograms and embolizations, fistula related procedures, vertebroplasty, TEE and cardioversions. RN PACU for Electroconvulsive Therapy. Efficient in this fast paced environment, managing patients pre/post procedure simultaneously.
- Educated patients, families and caregivers on procedure and post procedure expectations, diagnosis and prognosis, treatment options, disease process and management lifestyle changes.
- Mentor for new employees and capstone students. Former Charge Nurse
- Strong collaboration with Leadership, Physicians, and ancillary departments.
- Competent with Ultrasound for peripheral IV placement.
- Member of Nursing Professional Governess Academic Health Center (AHC) and subcommittee of Healthy Work Environment, Former Member of AHC Infection Prevention Committee.
- Cross Trained to Peri Surgical Unit,/Bronchoscopy Recovery, and Radiology ( Procedural Nurse in US and CT cases). Formerly Cross Trained to Pre-Admission Testing Clinic. Covid 19 reassignment to Cardiovascular Surgical Critical Care as Family Patient Liaison. Vaccination Nurse in Covid 19 clinic.
Registered Nurse
IU Health Methodist Hospital, Emergency Department
Indianapolis, IN
01.2007 - 05.2007
- Provided emergency medical care to patients in non acute, acute and critical patients in fast-paced Level One Trauma Center.
- Managed care from admission to discharge, including patient assessments, care planning, health educations and discharge support.
- Administered medications via oral, IV and intramuscular injections, and monitored responses.
- Provided direct patient care, stabilized patients and determined next course of action.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use and disease management.
- Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
- Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
- Trained on trauma and emergency interventions involving serious head injuries, gunshot wounds and thoracic trauma.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
Partner Registered Nurse
IU Health Methodist, Electrophysiology Lab
Indianapolis, IN
11.2001 - 05.2013
- Electrophysiology Lab specializes in identification and treatment of cardiac arrhythmias.
- Patient population included: Pacemaker & ICD implants, electrophysiology studies, radiofrequency ablations and cryoablations (endocardial, epicardial) of SVT, VT, Atrial Fibrillation and Flutter, and AV Nodes, and Lead Extractions. Assisted in placing intra aortic balloon pumps and ventricular assist devices for complex ablations.
- Patient population included complex congenital heart patients with histories of: Tetralogy of Fallot, Coarcation of aorta, Patent ductus arteriosus, and single ventricle to name of few.
- Roles included scrub & circulating nurse and documentation of case.
- Clinical skills encompass moderate (and former deep sedation)and programmed electrical stimulation for electrophysiology studies and ablations.
- Maintained, operated and performed troubleshooting of Carto and ESI mapping systems, as well as Stereotaxis and all accessory equipment.
- Charge Nurse, collaborated with staff, physicians and collaborating departments to deliver safe and efficient care.
- Cross Trained to Cardiac Cath Lab.
- Managed department Quality Improvement for Infection Control and assisted with product inventory for unit. Reference for clinical documentation team in regard to appropriate and needed chart documentation needed for appropriate reimbursement.
- Promoted to Partner Registered Nurse via Career Advancement Program via AACN Synergy Model of Care.
- Resource Nurse in design and implementation of Computer Informatics in Lab.
- Chairperson for Unit Clinical Practice Committee, Member of Hospital Clinical Committee Practice Committee and Magnet Committee.
- Beta test site for numerous research studies.
Registered Nurse
IU Health Methodist Hospital, Transfer Center
Indianapolis, IN
05.2012 - 08.2016
- Telephonic Case Management Position encompassing coordinating all aspects of transfers into 8 hospitals of IU Health Organization. Managed bed placement for 6 hospitals of IU Health Organization.
- Triaged medical necessity and identifying appropriate medical service, facility, level of care, coordinating staff and appropriate departments needed for initial treatment plan.
- Reviewed and interpreted medical records utilizing HIM to identify patient needs, optimizing patient care while avoiding duplicate treatment. Reviewed and interpreted medical records utilizing HIM to identify patient needs to optimize patient care.
- Identified contextual clues and information that was not clearly presented and effectively communicated with physicians and nursing.
- Evaluated appropriateness of admission and stay, offered solutions for patient treatment for specialized care with respect to available hospital beds.
- Expedited time sensitive emergent, urgent, and non emergent transfers for tertiary care.
- Continual collaboration among physicians’, nurses, and EMS systems. This involved internal and external providers while planning for IUH admissions and sending hospital discharges.
- Assisted in coordinating LIfeline helicopter, fixed wing air transportation, national and international transfers.
- Support in aligning specialty services needed upon arrival for patients transferring into organization. Goal is to streamline referral and acceptance process to optimize positive patient outcome, striving for reduction in length of stay, and improved patient satisfaction.
- Strong All RN staff in Transfer Center for better transfer comprehension of patient condition, level of care, and early intervention for deteriorating patient status.
- Bed Management responsibilities included in this role are maintaining patient flow hospitals, which is essential of efficiency of organization. Competent with Tele tracking computer system.
- Developed strong communication and negotiation skills.
Registered Nurse
Wishard Hosptial, Resource ICU Float Pool Nurse
Indianapolis, IN
10.2005 - 06.2011
- Staff nurse at Wishard (currently Eskanazi) Hospital; assigned to following areas: ICU, SICU, MICU, PICU, Burn Unit, Emergency Department (ambulance triage and critically ill patients) and PACU in a Level One Trauma Center.
- Demonstrated ability to be flexible and adaptable to fast paced, diverse population. Complex patient population, demonstrated competence in all equipment utilized in a critical care environment.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
Registered Nurse
The Care Group, Arrhythmia Services
Indianapolis, IN
06.1998 - 03.2002
- Provided patient care in pacemaker and ICD follow up clinic for over 5,000 patients.
- Clinical Skills encompass transtelephonic monitoring of pacemakers, device interrogation and programming of pacemakers and ICDs, and patient education.
- Patent education on devices and appropriate course of action for specific arrhythmias.
- Placement of Cardiac Event Monitors: included patient education, monitoring and interpreting cardiac arrhythmias, strong collaboration with physicians, and guiding patient action in life threatening situations.
- Involved in initial billing selections with responsibility of justifying billing selections chosen.
- Resource for numerous outlying offices throughout state of Indiana.
Registered Nurse
Methodist Hospital, Coronary Critical Care
Indianapolis, IN
06.1992 - 10.1998
- Patient population included: acute myocardial infarctions, cardiogenic shock, cardiac arrest, cardiac arrhythmias,pre/post angioplasty and cardiac stents, pre-heart transplants, and adult critical care overflow.
- Charge Nurse, precepted new employees, and precepted new nurses to charge role.
- Provided direct patient care, stabilized patients and determined next course of action.
- Instructor for basic ECG interpretation class, BLS, ACLS, and for various staff education in-services.
- Member of Education, Policy & Procedure, and QI/QA committees.
- Audited charts and reviewed clinical documents to verify accuracy.
- Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments, and supervising team comprised of nurses, LPNs, technicians and unit clerks.
- Participated in numerous research studies including amiodarone, GUSTO I & II.
Registered Nurse Per Diem
IU Health Methodist, Cardiovascular Critical Care
Indianapolis, IN
10.1998 - 05.2013
- Patient population included, but not limited to; cardiovascular surgical critical care patients: post open heart recovery, valve repair and replacement, heart and lung transplants, trauma, thoracic and vascular surgeries.
- Maintained continuous growth of professional knowledge and competencies through ongoing education opportunities.
- Clinical skills encompass advanced hemodynamic monitoring via swan ganz catheters, continuous cardiac output monitors, and intra-aortic balloon pumps. Proficient with medical devices associated with ICU environment such as: ventilators, arterial lines, temporary pacemakers and variety other monitoring and medical equipment.
Registered Nurse
Methodist Hospital, Oncology/Hematology Unit
Indianapolis, IN
10.1990 - 06.1992
- Clinical nurse in medical surgical Oncology/Hematology unit.
- Clinical Skills; Chemotherapy administration including IV and Oral, patient education, administration of all types of blood products.
- Floated to Bone Marrow Transplant Unit.
Registered Nurse
St. Vincent Hospital, Electrophysiology Lab
Indianapolis, IN
10.2013 - 05.2017
- Clinical RN in traditional Electrophysiology Cardiac Cath Lab as well as Hybrid OR EP Lab.
- Procedures include; Pacemaker, ICDs, Ablations, Implanted Loop Recorders, and Operating Room Lead Extractions, Complex ablations including placed Impella Ventricular Devices for procedure, and epicardial ablations.
- Patient population included adult and pediatric patients in fast paced, high volume traditional and hybrid labs.
- Maintained, operated, and performed troubleshooting on radiofrequency and cryoablation equipment, Steriotaxis, Carto, ESI, and various equipment required to manage EP Lab.
Registered Nurse
Freelance Positions
Indianapolis, IN
- Your Encore/Indianapolis-Nurse Consultant Per Diem. Reviewed and provided One Page Patient Summaries (for adverse reactions to Clinical Trial Drugs) to FDA for Eli Lilly. Reviewed and interpreted patient charts, collaborated with Eli Lilly Staff to determine particulars of what was submitted to FDA.
- General Research/IU Hospital RN Per Diem. Provided care for patients enrolled in various Clinical Trials. Administered medications via oral and IV, monitored and reported responses. Collected various specimens, recorded and stored specimens according to protocol. Closely collaborated with Research Coordinators.
- Cardiovascular Data Collection Per Diem. Reviewed and interpreted charts for National Databases ( surgical and medical) of Nursing Quality Indicators.
- Medical Director-Preschool 1992. Medical Director responsible for ensuring proper compliance with local, state and federal guidelines. This included vaccine and infection prevention guidelines/policies. Resource for medical, noncompliance issues.
- RN Specialties PRN, agency providing nursing staff relief in acute care environments in Indianapolis and surrounding areas.
Education
Bachelor of Science - Nursing
Indiana University - Purdue University Indianapolis
Indianapolis, INAssociate of Science - Nursing
Indiana University East
RichmondSkills
- Resourceful problem solver capable of implementing solutions to complex issues
- Strong knowledge of regulatory compliance guidelines and legal implications
- Communicates confidently & effectively with superiors, colleagues, and patients
- Demonstrated strength in identifying and addressing process & system improvements
- Vast experience allowing the ability to see the bigger picture of a department, facility and organization
- Effective communication and negotiation skills, able to handle difficult situations with tact and sensitivity
- Competent with numerous equipment utilized in a high acuity nursing environment
- Demonstrated adept nursing preceptor and mentor
Accomplishments
- Distinguished Nurse Excellence Recognition by IU Health Leadership
- Cardiac Vascular Board Certified
- Who’s Who Among Students in Universities and Colleges
- Who's Who Among Women in Nursing
Affiliations
- American Association of Critical Care Nurses, AACN, member
- Former Preventative Cardiovascular Nurse Association member, PCNA, member
- Former Board Member & Member of Indiana Society of Pacing and Electrophysiology.
- Former ANA/ISNA Member
Additional Information
- State of Indiana Nursing License
- Compact Nursing License
- Indiana Cardiac Catheterization Radiology Certificate
- BLS, ACLS, PALS Certified
- Former BLS and ACLS Instructor
Timeline
Registered Nurse
IU Health Methodist , Pre Post Care, Outpatient
07.2016 - 01.2024
Registered Nurse
St. Vincent Hospital, Electrophysiology Lab
10.2013 - 05.2017
Registered Nurse
IU Health Methodist Hospital, Transfer Center
05.2012 - 08.2016
Registered Nurse
IU Health Methodist Hospital, Emergency Department
01.2007 - 05.2007
Registered Nurse
Wishard Hosptial, Resource ICU Float Pool Nurse
10.2005 - 06.2011
Partner Registered Nurse
IU Health Methodist, Electrophysiology Lab
11.2001 - 05.2013
Registered Nurse Per Diem
IU Health Methodist, Cardiovascular Critical Care
10.1998 - 05.2013
Registered Nurse
The Care Group, Arrhythmia Services
06.1998 - 03.2002
Registered Nurse
Methodist Hospital, Coronary Critical Care
06.1992 - 10.1998
Registered Nurse
Methodist Hospital, Oncology/Hematology Unit
10.1990 - 06.1992
Registered Nurse
Freelance Positions
Bachelor of Science - Nursing
Indiana University - Purdue University Indianapolis
Associate of Science - Nursing
Indiana University East