Nadia Paniagua
Tallahassee,FL
Summary
Compassionate, hardworking and purpose driven professional in healthcare with a focus on critical care, known for high productivity and efficiency in task completion.
Overview
15
15
years of professional experience
Work History
Neuro-Trauma ICU Nurse
Tallahassee Memorial Hospital
Tallahassee, FL
05.2023 - Current
- Performed bedside procedures, including arterial blood gas draws, chest tube insertion and removal, and central line dressing changes.
- Provided direct patient care in a high-acuity environment with complex medical needs.
- Coordinated daily multidisciplinary team meetings to discuss patient care plans and goals of treatment.
- Developed individualized patient care plans based on assessment findings, diagnostic tests, and physician orders.
- Administered medications and treatments as prescribed by physicians, according to the hospital's policy and procedure manual.
- Evaluated the response to interventions, and adjusted the plan of care accordingly.
- Educated patients, families, and healthcare staff regarding diagnosis, prognosis, treatments, medications, and lifestyle modifications.
- Maintained accurate documentation in accordance with standards of practice for all patient assessments and interventions provided.
- Collaborated with interdisciplinary teams to ensure optimal outcomes for patients in an ICU setting.
- Performed ongoing critical thinking skills when assessing changes in a patient's condition, or responding to emergent situations.
- Utilized advanced clinical knowledge to provide evidence-based nursing care within the scope of practice guidelines.
- Demonstrated excellent communication skills while interacting with patients and their families.
- Participated in quality improvement initiatives related to the neuro ICU.
- Provided emotional support to family members affected by their loved one's illness or injury.
- Ensured compliance with infection control policies throughout shift assignments.
- Instructed new employees on proper techniques for providing neuro ICU nursing care.
- Managed multiple tasks simultaneously while prioritizing the urgent needs of critically ill patients.
- Identified potential risks associated with specific treatments or conditions prior to implementation.
- Actively participated in code blue situations, utilizing ACLS protocols for rapid response resuscitation efforts.
- Informed the treating team of subtle changes indicative of derangement of cerebral hemodynamics, intervening appropriately.
- Executed oral care, endotracheal suctioning, repositioning, and chest physiotherapy for critically ill patients.
- Assessed the patient's neurological status and monitored vital signs.
- Initiated action to reduce or correct risk in response to emergent data, visualized on assessment tools and clinical observation.
- Assessed patients for delirium risk factors, managing pain, sedation, and agitation.
- Performed therapeutic nursing care interventions for patients with neurosurgical and neurological injuries.
- Coordinated care for critical issues such as cerebral edema, intracranial pressure, hemodynamic instability, and spinal injuries.
- Resuscitated and stabilized patients with complex cerebral injuries and disorders.
- Measured cerebrospinal fluid pressure to help treat hydrocephalus.
- Assisted with procedures such as spinal reconstructions, and follow-up recovery care.
- Monitored abnormal electrical activity in patients' brains to track symptoms and treatment progress.
- Responded to emergency situations with speed, expertise, and level-headed approaches to provide optimal care, support, and life-saving interventions.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery, and reducing compliance issues.
- Advocated for patient needs with an interdisciplinary team and implemented the outlined treatment plans.
- Conducted specified laboratory tests to help detect conditions and determine diagnoses.
- Assessed patient conditions, monitored behaviors, and updated supervising physicians with observations and concerns.
- Prepared medical equipment and tools to aid physicians during the examination and treatment of patients.
- Administered oral, IV, and intramuscular medications, and monitored patient reactions.
- Coordinated with the healthcare team to establish, enact, and evaluate patient care plans.
- Delivered information regarding care and medications to patients and caregivers in comprehensible terminology.
- Achieved departmental goals and objectives by instituting new processes and standards for inpatient care.
Orthopedics Registered Nurse/ Charge Nurse
Tallahassee Memorial Hospital
Tallahassee, FL
09.2021 - 05.2023
- Monitored vital signs such as heart rate, blood pressure and temperature during surgical procedures in order to identify any changes that may require intervention or adjustment of medication dosages.
- Conducted pre-operative evaluations on orthopedic patients prior to surgery to ensure they were medically fit for the procedure.
- Checked in patients, completed intakes and performed initial assessments.
- Participated in weekly clinical rounds with attending physician staff members in order to discuss current cases and formulate treatment plans accordingly.
- Collaborated with a multidisciplinary team consisting of physicians, surgeons, therapists, case managers and other healthcare professionals to develop individualized care plans for each patient.
- Conducted specified laboratory tests to help detect conditions and determine diagnosis.
- Prepared medical equipment and tools to aid physician during examination and treatment of patients.
- Performed post-operative assessments on orthopedic patients following surgery to assess recovery status and evaluate effectiveness of prescribed treatments.
- Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
- Aided patients with functional mobility and daily task performance to increase comfort and reduce disability.
- Documented patient histories, conditions, treatments, changes and responses and used critical thinking skills to assess and evaluate patient's physical, psychosocial and emotional needs.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Acted as a liaison between families and caregivers and healthcare providers by providing up-to-date information regarding a patient's condition.
- Provided direct care for orthopedic patients including wound care, administering medications and injections, and assisting with rehabilitation exercises.
- Collaborated with physical and occupational therapists, case managers and physicians during treatment, examination and testing.
- Attended regular continuing education courses related to Orthopedics nursing in order to stay abreast of current trends within the field.
- Developed protocols for pain management utilizing both pharmacological agents as well as non-pharmacological modalities such as massage therapy or electrical stimulation therapies.
- Promoted patients' independence by establishing patient care goals and educating on orthopedic concerns.
- Coordinated discharge planning to ensure continuity of care post-hospitalization.
- Monitored surgical sites for signs of infection and maintained optimal wound hygiene.
- Taught patients how to use devices, care for wounds and prevent complications with proper care.
- Delivered array of direct nursing care services such as cleaning and dressing wounds and coordinated discharge planning for patients with fractures, arthritis and osteoporosis.
- Educated orthopedic patients about their conditions and treatment plans to ensure understanding of procedures.
- Evaluated the efficacy of existing policies related to Orthopedics nursing practices in order to recommend appropriate modifications or revisions.
- Helped patients manage pain and recovery processes with medications and non-pharmacological interventions.
- Treated injuries and illnesses affecting muscles and bones, developed individualized health care plans and educated patients and families about self-care and available support systems.
- Instructed family members on proper homecare techniques after discharge from hospital setting.
- Instructed patient and family on proper use and care of bandages, braces, splints and prostheses and verified patient and family readiness before discharge.
- Help patients improve mobility and functionality by helping them redesign their personal spaces, and recommending gadgets and furniture that support the bone structure and promote healing.
Orthopedics Registered Nurse
Singapore General Hospital
Outram Road, Singapore
01.2015 - 06.2021
- Plan, implement, and provide skilled patient care activities to orthopedic patients.
- Provide guidance to junior nurses in the following patient care-related activities to ensure care is delivered according to established policies and procedure guidelines.
- Demonstrating competence in the application and management of patients with Vacuum Assisted, Ambient Control Device, Continuous Passive Motion Machines, and Cryocuffs.
- Demonstrating competence in applying the following skin tractions: Buck's traction, Hamilton's Russell traction, Halter's traction, Thomas splint traction, and pelvic traction.
- Assisting and participating with doctors in the preparation of setting up skeletal traction.
- Demonstrating competence in managing common orthopedic wounds.
- Evaluate, document, and update the Nurse Clinician or Doctor in charge when there is a change in the wound condition.
- Participating in and reviewing nursing care for patients who receive analgesia via Patient-Controlled Analgesia, epidural, and intrascalene catheters.
- Plan and conduct preoperative education for patients undergoing the following orthopedic surgeries: Total Knee Arthroplasty, Total Hip Arthroplasty, Anterior Cruciate Ligament Reconstruction, Microdiscectomy, Laminectomy, Intramedullary Nailing, Dynamic Hip Screw, Below-Knee Amputation, and Above-Knee Amputation.
- Provide leadership, supervise new staff and students, and work collaboratively with allied health.
- Developed and implemented individual plans of care in collaboration with members of healthcare team to promote patient and family centered care in healing environment.
Surgical ICU Registered Nurse
Western Visayas Medical Center
Iloilo, Philippines
08.2013 - 12.2014
- Supervised cardiac monitors, mechanical ventilators and alarms and oxygen delivery devices.
- Evaluated patient vital signs and laboratory data to assess needs and provide emergency interventions.
- Identified abnormal and critical respiratory patterns through direct pulmonary assessments.
- Identified potential problems and concerns before they become serious issues requiring intervention.
- Monitored laboratory values according to established standards.
- Collaborated with physicians and other healthcare professionals to develop individualized plans of care for each patient.
- Documented patient progress notes, changes in condition, and treatment administered accurately in a timely manner.
- Provided care for critically ill patients in an ICU setting, including monitoring vital signs and administering medications.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Demonstrated excellent communication skills with both staff members and families regarding changes in condition or treatments being implemented for each patient.
- Coordinated daily rounds with interdisciplinary teams to discuss plan of care updates for assigned patients.
- Assessed patient's condition and managed complex medical and surgical diagnoses.
- Detected emerging problems by monitoring patients' behavior, vital signs and fluid intake and output.
- Maintained current knowledge of nursing practices related to critical care nursing through continuing education classes and seminars.
- Managed ventilators and other respiratory support devices as needed.
- Performed advanced assessments of patients to determine their response to treatments.
- Ensured that all necessary equipment was available when treating a patient in the ICU setting.
- Contributed ideas towards process improvement initiatives aimed at improving outcomes within the Surgical ICU department.
- Participated in multidisciplinary conferences regarding difficult cases or new developments in technology or procedures relevant to Surgical ICU nursing practice.
- Cared for post-operative patients by providing wound care, pain management, and infection control protocols.
- Responded quickly and effectively in emergency situations while ensuring patient safety at all times.
Medical Surgical Registered Nurse
Western Visayas Medical Center
Iloilo, Philippines
12.2010 - 08.2013
- Administered treatments, therapies, and medication according to prescribed methods and protocols.
- Prepared medical equipment and tools to aid physician during examination and treatment of patients.
- Specialized in nursing care for patients requiring continuous and comprehensive observation and acute trauma patients with multitudes of injuries.
- Monitored vital signs, administered intravenous fluids, medications, blood transfusions and other treatments according to physician orders.
- Performed cardiopulmonary resuscitation accurately and effectively.
- Performed wound care including dressing changes, debridement and irrigation; monitored healing progress.
- Assisted physicians with procedures as needed during rounds or bedside examinations.
- Monitored unexpected patient events, interactions or outcomes and recorded incident report in certain situations.
- Implemented pre, intra- and post-care, evaluating response to clinical interventions with progression toward discharge.
- Maintained aseptic environment to prevent patient infections or other unwanted outcomes.
- Observed surgical procedures to closely monitor patient and quickly assist physician with potential complications or additional needs.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
- Provided patient education on disease processes, medications, treatment plans, diet and lifestyle modifications.
- Administered medications and treatments as directed and as appropriate for patient's medical care in collaboration with multi-disciplinary team.
- Assessed patients for signs and symptoms of medical conditions and reported changes to physicians.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
Post Graduate Practicum Nurse Trainee
Western Visayas Medical Center
Iloilo, Philippines
09.2009 - 12.2009
- Monitored and recorded vital signs, including blood pressure and temperature.
- Maintained accurate records of patient vitals, medications, treatments, and other pertinent information.
- Assisted with the implementation of patient care plans developed by nursing staff.
- Performed physical assessments in alignment with individual treatment plans.
- Assisted patients with daily living tasks by helping with bathing, changing clothes and trips to restroom.
- Demonstrated knowledge of basic life support techniques such as CPR and first aid management.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
- Assisted with diagnostic procedures and collected data for patient assessments.
- Collaborated with nursing staff to devise treatment methods designed to reduce pain and discomfort.
- Shadowed nursing staff to better understand care approaches and learn proper procedures.
- Performed routine assessments of patients' health condition.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Engaged in continuous learning to enhance nursing knowledge and skills.
Education
Bachelor of Science - Nursing
Riverside College
Philippines03-2008
Skills
- Critical Care
- Ethical practice
- Wound Care
- IV and venipuncture certified
- Advanced Cardiac Life Support Certification
- Preceptorship
- Central Line Care
- Initial Trauma Life Support
- Compassionate and Caring
- Neurology assessments
Accomplishments
ā Daisy Award for Extraordinary Nurses
Date of Nomination: 3 June 2022
Languages
English
Native/ Bilingual
Filipino
Native/ Bilingual
References
References available upon request.
Timeline
Neuro-Trauma ICU Nurse
Tallahassee Memorial Hospital
05.2023 - Current
Orthopedics Registered Nurse/ Charge Nurse
Tallahassee Memorial Hospital
09.2021 - 05.2023
Orthopedics Registered Nurse
Singapore General Hospital
01.2015 - 06.2021
Surgical ICU Registered Nurse
Western Visayas Medical Center
08.2013 - 12.2014
Medical Surgical Registered Nurse
Western Visayas Medical Center
12.2010 - 08.2013
Post Graduate Practicum Nurse Trainee
Western Visayas Medical Center
09.2009 - 12.2009
Bachelor of Science - Nursing
Riverside College
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