Nadira Deonarine

• Championed efficient way to manage and update all medications requiring prior authorizations across teams to prevent any lapses in coverage and implemented this new method across two departments.
• Trained 15 staff members on this new workflow change within clinic.
• Developed improved workflow change to ensure continuation of care within the Urology department when pending prescription refills to designated doctors.
• Trained 5 staff members on this updated workflow change.
• Ensure all Family and Medical Leave Act papers are filled out with required supporting documentation attached and faxed in a time-sensitive manner.
• Documented vital signs and health history for patients who present to clinic.
• Assisted in performing female pelvic examinations to evaluate and assess vaginal and other organ prolapses.
• Independently performed Post-Void Residual bladder scans, Uro-flows, urine analysis and send urine cultures for testing.
• Independently performed active voiding trial procedures, insertion and removal on indwelling catheters.
• Involved in setting up sterile field using aseptic principles for procedures such as cystoscopies and vasectomies.
• - Collaborated with medical and administrative personnel to maintain patient- focused, engaging and compassionate environment.

• Assisted and maintained lab compliance with the IBC and IACUC assisting with ICC and IACUC amendments
• Maintained meticulous lab records including logs of bacterial strains and cell lines.
• Involved in preparations of 7H9 broth with OADC. 7H9 is standard broth medium for growing Mycobacterium Tuberculosis (Mtb) and OADC was a supplement with oleic acid, albumin and dextrose to enhance Mtb growth.
• Involved in preparations of 7H11 agar based medium which is similar to 7H10 (which includes malachite green to inhibit growth of contaminants), it also includes a pancreatic casein digest to enhance Mtb growth.
• Involved in preparations of R2YE, a dextrose and sucrose- rich agar designed to stimulate Mycelium formation and sporulation for Streptomyces Species.
• Provided lab support with purchasing lab consumables and autoclaved instruments to next day use.

• Communicated effectively with patients and ensured all medical and health information was kept private
• Implemented successful healthcare practice with professionalism, high quality of care, medical teaching, and patient satisfaction
• Reviewed and evaluated test results to suggest care and treatment options
• Discussed medical diagnosis with patients in effort to address questions, concerns, and treatment plans in effort to enhance patients' compliance
• Detailed patient history, physical examination maneuvers, diagnosis and treatment plans were proposed and charted for over 100+ patients during one month long rotation.

• Thoroughly examined patients and elicited medical history data to use in assessing health and identifying conditions
• Reviewed patient records, medications, and immunization statuses
• Collected, recorded, and maintained patient information such as medical history, physical examination, and laboratory and diagnostic results into EMR database
• Conducted focused physical examinations and performed relevant standardized tests to check responses
• Diagnosed conditions and implemented treatment plans to resolve problems or help manage symptoms including pulmonary, cardiovascular, renal, endocrine, and neurological systems for over 120+ patients.
• Advised and counseled patients and care-givers about lifestyle modifications such as diet and activity, medication compliance, hygiene to improve health and disease prevention

KEY ACHIEVEMENT:

Received a 100% doctor-patient interaction rating from my preceptor, Dr. Sood.

• Maintained confidentiality of all patient information to conform with HIPAA and other internal regulatory standards and protocols
• Critically analyzed pathophysiology of current diagnosis, evaluated possible treatment options, and decided on most effective plan going forward for over 90+ patients.
• Exhibited emotional strength, resilience, professionalism, focus, and empathy with terminally ill patients while ensuring excellent patient care

• Evaluated strengths and limitations of different imaging modalities and studies for different diagnoses
• Related abnormal radiologic findings to pathophysiology
• Performed thyroid ultrasounds and detected pathological nodules of varying sizes on 3 patients.
• Shadowed multiple radiologists as image reports were generated and related findings to patients' clinical signs and symptoms for over 50+ patients.

KEY ACHIEVEMENTS:

Successfully diagnosed an Acoustic Neuroma on an MRI of the brain

Successfully diagnosed a Pancoast tumor on a chest CT scan - rare tumor making up

• Interacted with patients to discuss medical histories and current complaints
• Conducted focused physical examinations of relevant body areas and performed standardized maneuvers to check reflexes
• Diagnosed conditions and implemented treatment plans to resolve problems or help manage symptoms for over 120+ patients.
• Reviewed patient records, medications, and immunization statuses
• Ordered and executed various tests, analyses and diagnostic images to provide information on patient condition
• Analyzed test results and examination information for accurate patient diagnosis
• Discussed possible side effects of medications and immunizations with patients and patients' families
• Consulted and coordinated patient care with other physicians, pharmacists and specialists as part of continuation of care

KEY ACHIEVEMENTS:

• Received 100% patient care satisfaction rating on patient satisfaction survey that assessed for professionalism, bed-side manner, empathy, and doctor-patient interaction
• Increased follow- up visits by 5% by accessing patient's medical records and lab results and informing patients via phone calls of need to be followed up on by PCP.

• Obtained comprehensive patient histories and documented complete information about examinations, treatment plans, lab results directly into charts on EMR for over 110+ patients.
• Independently performed Strep throat testing and Influenza testing on 5 patients.
• Discussed side effects and obtained consent from parents to administer age-appropriate vaccinations
• Mentored two medical students. Supervised them as vital signs were performed, patient history was extracted, and patient information accurately documented in EMR. Assigned them patients based on their learning objectives

KEY ACHIEVEMENTS:

Independently performed Strep throat and Influenza testing on 5 patients and communicated results to preceptor and parents.

• Examined patient histories, current complaints, and responses to stimuli as facets of comprehensive investigations for over 50+ patients.
• Tackled acute and chronic concerns by investigating symptoms, assisted with conducting tests (EMGs and EEGs), and evaluated results
• Inquired about patients’ social support systems and living situations to ensure proper follow up care. Communicated with health care professionals and care givers regarding patients' conditions and care
• Maintained energy and enthusiasm in fast-paced inpatient and outpatient environment
• Demonstrated respect, friendliness, and willingness to help wherever needed
• Delivered exceptional level of service to each patient by actively listening to concerns and answering questions

KEY ACHIEVEMENT:

Accurately diagnosed the rare condition, Amyotrophic Lateral Sclerosis in a patient using the EMG monitor.

Received "an exceeds expectation" rating from Dr. Harjit Bajaj as indicated in my clinical performance evaluation.

• Engaged in comprehensive care of patients from initial visit to disposition
• Calculated due dates, detected and noted fetal heart tones / heart rates using a doppler and measured fundal heights
• Generated medical reports on patient admissions, treatment, and discharge for disbursement to various departments

KEY ACHIEVEMENT:

Performed a vaginal delivery on Sept 11th, 2019 under the supervision of Ob-gynecology preceptor, Dr. Stern. Monitored the strength and frequency of contractions on the tocadynomometer and guided the mother when to push and successfully delivered a beautiful and healthy baby boy.

• Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals
• Performed various interventions such as wound dressing, vital sign monitoring, and specimen collection
• Gathered patient health data through interviews and observation, and documented it in electronic records. Updated patient charts with data such as medications to keep records current and support accurate treatments
• Communicated all necessary information for ongoing care, provided guidance on diagnoses, management of medications, and prevention methods to both patients and their care givers
• Advocated for patients and their families and educated them on how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence
• Monitored patients' conditions and reported changes in vitals, labs, physical ability, appearance, and behavior to discuss treatment with physicians
• Assessed medical status of patients pre- and post-operation by checking vital parameters, supervised food intake, and monitored urine output.

KEY ACHIEVEMENT:

Received "an exceeds expectation" rating from Dr. Singh ( My surgical preceptor) on my clinical performance evaluation during my 3 month long surgical rotation.

• Obtained thorough details from patients during follow up visits including comprehensive patient history, compliance with medications, possible side-effects, and coping strategies in outpatient setting for over 60+ patients.
• Established proficiency in accessing CRISP database to rule out drug-seeking behaviors and poly-pharmacy
• Entered data accurately and efficiently into charts using EMR database
• Scheduled patient appointments at front desk

• Worked in fast-paced environment, shadowing preceptors in various specialties such as Critical care unit, Intermediate care unit, Emergency Department/ initial assessment, Night admissions, Infectious Disease, Gastroenterology, and Palliative Care.
• Thoroughly examined patients and elicited medical history data to use in assessing health and identifying conditions in over 200+ patients.
• Ordered and interpreted tests (under supervision of my preceptor) and analyzed records, reports and examination information to diagnose patient condition
• Documented relevant information into EMR database Epic, and discussed historical medical information, recent symptoms and current complaints at each visit to maintain comprehensive records
• Discussed potential conditions, treatment plans, and healthy lifestyle choice recommendations with patients.
• Explained procedures and discussed test results or prescribed treatments with patients
• Presented patient at rounds. Conferred with specialists to obtain expertise on patient conditions and referred individuals in need of additional care under supervision of preceptor.

KEY ACHIEVEMENT:

Took advantage of the eagerness of various preceptors to teach and spent 50-60 hours per week for 12 weeks under their supervision, to learn as much as I can.

• Participated in routine care of children in outpatient setting with emphasis on normal childhood health supervision, growth development, developmental milestones, nutrition, prevention, and other common pediatric concerns
• Obtained comprehensive histories and performed physical examinations for over 70+ patients.
• Developed problem-oriented differential diagnoses, plans of evaluation, and therapeutic interventions appropriate to individual problems
• Completed charting before, during, and after hours using EMR
• Liaised with parents- follow up care, communicating lab results, scheduling follow up visits when necessary

KEY ACHIEVEMENT:

Dr. Abdur-Rahaman was impressed with my dedication in providing quality follow- up care to my patients via phone calls. She indicated as such in my clinical performance evaluation.

• Reviewed patient records, medications and immunization statuses
• Completed thorough patient examination for symptoms and physical information
• Entered comprehensive histories and physical examinations into patient's medical record for over 30+ patients.
• Presented patients to preceptors
• Proposed treatment plans

KEY ACHIEVEMENT:

Drew blood for laboratory testing and independently performed four pap smears.