NANCY "NIKKI" LEGASPINA
Las Vegas,USA
Summary
Clinical Nurse Manager with experience in directing and improving operations through effective employee motivational strategies and strong policy enforcement. Proficient in best practices and regulatory requirements of organization operations. Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Dedicated to completing work on time and reputation for consistently going beyond what is required. Resourceful in completing assigned projects; ability to multi-task effectively. Recognized for excellent teaching and coaching abilities. Strong analytical skills, able to quickly assess conditions and implement appropriate interventions. Relate well with people from a variety of cultures and socio-economic conditions. Readily develop rapport with patients, families, staff, and other health care professionals. Excellent work ethic and attendance record. Passionate about learning and committed to continual improvement.
Overview
29
29
years of professional experience
1
1
Certification
Work History
CLINICAL MANAGER Surgical Neuro ICU (SICU/NSCU)
University Medical Center - UMC Hospital
04.2019 - Current
- Managed and motivated employees to be productive and engaged in work
- Maintained professional, organized, and safe environment for employees and patients
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring the delivery of high-quality patient care
- Ensured compliance with regulatory standards by conducting regular audits of documentation and procedures
- Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills
- Regularly evaluated employee performance and provided feedback
- Promoted high morale and staff retention through dynamic communication, prompt problem resolution, proactive supervisory practices and facilitation of positive work environment
- Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
- Regularly evaluated employee performance and provided feedback.
- Promoted a culture of safety within the department by enforcing policies related to infection control, medication administration, and incident reporting procedures.
- Fostered a positive work culture by recognizing employee achievements and addressing any concerns proactively.
- Worked with other nurse managers and leaders to develop nursing staff through education, evaluation, performance management, and competency improvement.
- Communicated with patients and family members during bedside rounding, asked appropriate questions, and employed active listening to determine the best plan of care.
- Managed budgets and allocated resources effectively to ensure sufficient staffing levels and the availability of necessary equipment and supplies.
- Ensured compliance with regulatory guidelines and accreditation standards through consistent monitoring and implementation of corrective actions when needed.
- Managed 55 employees with various personalities and from different cultures for a 16-bed capacity critical care department Surgical Neuro ICU (SICU/NSCU).
- Updated infection control protocols, significantly reducing incidence of hospital-acquired infections.
- Conducted comprehensive audits of clinical practices, identifying areas for quality improvement.
- Coordinated multidisciplinary rounding, i.e., ABCDEF Bundle rounds and Interdisciplinary Discharge Planning rounds to streamline patient care plans, improving overall treatment outcomes.
CLINICAL SUPERVISOR, MERT TEAM PROGRAM LEAD
University Medical Center - UMC Hospital
05.2018 - 04.2019
- Enhanced emergency response times by streamlining communication protocols and optimizing team collaboration
- Collaborated with multi-disciplinary teams to ensure seamless transitions in patient care during high-stress emergencies
- Ensured proper documentation for each response scenario by maintaining accurate records of patient information, treatment provided, and incident details
- Expedited transport of patients to higher level of care by following UMC’s established protocols and communicating effectively with multidisciplinary team members
- Served as a liaison between clinical staff and administration to address concerns and optimize workflows.
- Enhanced team collaboration through regular staff meetings, shift huddles, and training sessions
- Responded to emergencies with calm and professional approach to optimize support
- Mentored newly hired MERT RNs in clinical best practices, contributing to a culture of continuous learning and professional growth.
- Utilized various outcome measures in order to evaluate the effectiveness of interventions and adjust treatment plans as necessary.
- Facilitate hiring of qualified MERT Team personnel by interviewing applicants making recommendations and offering professional assessment during deliberation after the panel interview for employment.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
CLINICAL SUPERVISOR, MEDICAL ICU (MICU)
University Medical Center - UMC Hospital
09.2017 - 05.2018
- Collaborated with multidisciplinary teams to coordinate care for clients with complex needs, ensuring comprehensive support was provided across all domains of life functioning
- Assessed patients, determined needs, and managed care
- Enhanced team collaboration through regular staff meetings, attending shift huddles, and training sessions
- Monitored, analyzed, and corrected staff performance and worked with Director to raise standards of practice
- Improved patient outcomes by implementing evidence-based treatment plans and clinical interventions
- Ensured compliance with regulatory standards by conducting regular audits of documentation and procedures
- Collaborated with multidisciplinary teams to coordinate care for clients with complex needs, ensuring comprehensive support was provided across all domains of life functioning.
- Assessed patients, determined needs, and managed care.
- Enhanced team collaboration through regular staff meetings, case conferences, and training sessions.
- Responded to crisis situations with calm and professional approach to optimize support.
- Improved patient outcomes by implementing evidence-based treatment plans and clinical interventions.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Monitored, analyzed, and corrected staff performance and worked with nurse manager to raise standards of practice.
CHARGE NURSE Relief/RN Staff Nurse ICU/SDU
VA Hospital of Southern Nevada
07.2012 - 09.2017
- Demonstrates the ability to assign, organize, and delegate assessed needs to other members of multidisciplinary team
- Participates actively in safety and quality initiatives on the unit and supports continual JCAHO survey readiness
- Demonstrates complex critical thinking skills to anticipate and respond to changes in patient condition and emergencies
- Serves as a member of the Code Blue and Rapid Response Team for the entire VA Hospital
- Pursues personal and professional growth through continuing education, participation in professional organization and in-services
- Utilizes resources in influencing care outcomes by coordinating and collaborating with multidisciplinary team to provide quality care based on policies and procedures
CHARGE NURSE Relief/RN Staff Nurse, ICU
Summerlin Hospital and Medical Center
02.2008 - 08.2012
- Manages the care of the adult or elderly patient experiencing life-threatening problems requiring complex assessment, high intensity therapies and interventions, and continuous nursing vigilance
- Demonstrate leadership through the assessment, planning, implementation and evaluation of critical care patients in the ICU
- Provide nursing care through remote monitoring, with the goal of early detection of clinical deterioration
- Solves clinical patient problems independently and in a timely manner, communicates unresolved problems to the physicians
- Uses critical thinking skills in diagnosing clinical problems and defining interventions
- Re-evaluates prior diagnoses and care plans at appropriate intervals in accordance with expected patient outcomes
- Prioritizes clinical problems accurately and in a timely manner
NURSE MANAGER - Dialysis Unit
Clark County Detention Center
11.2008 - 11.2010
- Directs and coordinates the administrative, nursing, and technical activities in the dialysis unit
- Assists and serves as a consult in the planning of patient care needs and treatments
- Evaluates staff performance through observation, spot-checking of work, conferences and testing
- Oversees the maintenance of clinical records in accordance to State/Medicare/JCAHO/Department of Corrections standards
- Maintains good public relations with physicians, patients, health care agencies and the Department of Corrections
- Assures that staff maintains a professional, courteous attitude when dealing with patients, physicians, superiors, or other departments and the Department of Corrections
- Plans for and makes out staff vacation schedules, staffing schedules, patient dialysis schedules, meetings and in-services and special projects
- Assists staff with nursing and technical duties and provide direct patient care as needed
- Participates in the development of operational and budgetary goals and objectives
- Reports regularly to the Dialysis Operations Manager and to the HSA (Health Services Administrator) keeping him/her informed of unit activities and potential problems
- Maintains professional and open communications with physicians, patients and Department of Corrections
CHARGE NURSE
Clark County Detention Center
03.2007 - 11.2008
- Implements adherence to policies and procedures for nursing activities, which are incompliance with NCCHC, ACA standards and contractual requirements
- Regularly confers with the HSA regarding specific nursing problems, and programs and recommends the assignment of sufficient number of staff and support personnel to meet the nursing needs of the institution
- Observes and evaluates the performance of the shift nurses
- Implements and evaluates the philosophy, goals, objectives, structure and operation of NaphCare and medical unit
- Ensures that the practice of nursing is consistent with the Nurses Practice Act, current standards, and requirements according to the ACA and NCCHC
- Provide guidance to the nurses, and supports professional development programs and acts as a role model for the therapeutic nursing intervention in health care problems
- Assists co-workers as needed to assure that the shared mission of the unit is optimally fulfilled
CLINICAL SUPERVISOR IMC/PCU
Summerlin Hospital & Medical Center
12.1999 - 02.2008
- Supervise the patient flow in and out of the unit while delivering quality patient care
- Assure that everyone is doing their job in the most efficient/productive manner possible
- Assure that patient needs are being met and customers are satisfied
- Recognize the need of nursing staff according to patient acuity, making assignments that are consistent with staff competency and skill level
- Collaborate with the physicians in planning care for all patients in the unit
- Fulfill the role of Charge Nurse with the responsibility to supervise 3 RNs for 12 patients per shift
- Embrace the challenge of oncology patients undergoing chemotherapy and biotherapy treatment involving their family in planning of care
- Monitor cardiac patients who are receiving cardiac drips under IMC protocol for possible acute change in status
CHARGE NURSE, Brain Injury Unit
Healthsouth Rehabilitation Hospital
05.1997 - 02.2000
- Implemented total patient care through a team nursing process covering 14 high acuity patients specializing in spinal cord and brain injuries
- Coordinated nursing care on unit through staff assignments, assisting and rounding departments with physicians, monitoring patient orders, and communicating with ancillary
- Assessed patient condition and advised the physician on-call of changes in status
- Served as a liaison between nursing staff, physicians, and management, fostering open communication channels among all parties involved in patient care
- Remained calm and professional throughout critical situations and incidents
- Educated patients for home care and discharge planning
- Promoted a safe working environment by adhering to infection control policies and regularly reviewing safety protocols
- Resourceful problem solver capable of implementing solutions to complex problems
STAFF Registered Nurse
Sunrise Hospital and Medical Center
10.1998 - 12.1999
- Performed professional nursing work of considerable difficulty, including the care of clients as outlined by physicians and the objectives and policies of the institution; exercising supervision over LPNs and CNAs
- Assessed the condition and care for all patients assigned, to determine if there is a need to contact the consulting physician
- Excellent ability to apply nursing techniques; observe and record symptoms and behavior; keep records and prepare reports; gained the interest, respect and cooperation of patients, co-nurses, physicians, and managers
- Implemented patient care up to 9 patients per section
- Excellent skills in medical terminology and medication administration
HOUSE SUPERVISOR
Emmanuel Healthcare
08.1995 - 07.1998
- Performed patient care in a long term, geriatric care center
- Responsible for patient care in a complex environment providing care for geriatric patients
- Worked in teams with doctors, nurses and ancillary personnel
- Evaluated staffing requirements, floor assignments and organize unit activities for a 60bed facility, which provide service to geriatric patients
- Participated in the Quality Assurance programs in cooperation with quality improvement committees
- Responsible to monitor health and safety compliance and infection control within the facility
NURSE MANAGER
Dialysis Systems
12.1996 - 05.1997
- Supervised 6 Hemodialysis Technicians at a time, each having 3 patients during hemodialysis treatments throughout a 10-12hour shift
- Reviewed patients' labs and decide how much and which dialysis bath each patient need according to their electrolytes levels each day
- Operated and maintained monitors of bio-medical equipment, following the company's policies and procedures to ensure patient's safety
- Maintained sterile fields and application of dressings over vascaths and permacaths
- A patient advocate, assess patient status and notify physicians of clinical changes
- Coordinates personnel scheduling and work commitments, providing direction on balancing the staffing schedule for the unit to operate smoothly
- Educated patients/families on health care needs, updates on their conditions, and provide different options and alternatives in diet and activities while on hemodialysis
- Maintained patient's privacy; charts and confidential files, at all times especially when dealing with a large group of patients in an open area of dialysis treatment
Education
Master of Science - NURSING
Grand Canyon University (GCU)
Phoenix, Arizona12.2025
BACHELOR OF SCIENCE - NURSING
UNIVERSITY OF THE VISAYAS
01.1992
Skills
- Patient Safety
- Care Coordination
- Staff Supervision
- Clinical Leadership
- Quality Compliance
- Patient Satisfaction
Objective
Dedicated Registered Nurse with over 25 years of experience, now seeking a position, which will make use of my extensive nursing, professional, clinical, and leadership experience.
Certification
- Registered Nurse License (RN) - State Board of Nursing.
- Critical Care Registered Nurse (CCRN) - American Association of Critical-Care Nurses.
- Advanced Cardiac Life Support Certification (ACLS)
- Basic Life Support Certification (BLS)
Affiliations
- Active Member - Philippine Nurses Association
- Active Member - Nevada Nurses Association
- Active Member - American Nurses Association
Hobbies and Interests
- Participated in American Diabetes Walk at UNLV starting 2006 and every other year thereafter.
- Participated in American Heart Association Walk at UNLV in year 2006 and 2007 and every other year thereafter.
- Active Participant at the Jerry Lewis Telethon for Muscular Dystrophy.
- Active Participant in Save Our School Program handing out school supplies starting August of 2006.
Awards
- 05/08/24, UMC Nurses' Week - Winner for Unit Excellence Award
- 06/17/24, UMC Department of Nursing Quality Award: Recognized for Outstanding Nurse Sensitive Quality Outcomes
- 03/01/16, VA Letter of Recognition - For passing the CCRN Certification.
- 07/01/15, VA Certificate of Appreciation - "I Care" Award, from a patient's sincere letter to Leadership.
- 06/01/15, VA Certificate of Appreciation - Exemplary Service.
- 07/01/14, VA Certificate of Achievement for creating the Skin bundle that reached the National level.
- 06/01/14, VA Certificate Achievement Award - Poster Presentation at the Annual Nova National Conference.
- 11/01/09, Nominated Nurse of the Year under Critical Care Category while at Summerlin Hospital and won the March of Dimes Nurse of the Year Runner Up.
- 01/01/07, Nominated Nurse of the Year under Charge Nurse @ Summerlin Hospital.
- 01/01/06, Nominated Nurse of the Year under Charge Nurse Category in while at Summerlin Hospital.
- 01/01/04, Nominated Nurse of the Year under Oncology Category at Summerlin Hospital.
- 01/01/03, Nominated for Peak Excellence Award while at Summerlin Hospital.
- 01/01/99, Nominated Nurse of the Year under Med-Tele Staff RN category while at Sunrise Hospital.
- 01/01/97, Nominated Nurse of the Year under Charge Nurse Category while at Healthsouth Rehabilitation Hospital.
Timeline
CLINICAL MANAGER Surgical Neuro ICU (SICU/NSCU)
University Medical Center - UMC Hospital
04.2019 - Current
CLINICAL SUPERVISOR, MERT TEAM PROGRAM LEAD
University Medical Center - UMC Hospital
05.2018 - 04.2019
CLINICAL SUPERVISOR, MEDICAL ICU (MICU)
University Medical Center - UMC Hospital
09.2017 - 05.2018
CHARGE NURSE Relief/RN Staff Nurse ICU/SDU
VA Hospital of Southern Nevada
07.2012 - 09.2017
NURSE MANAGER - Dialysis Unit
Clark County Detention Center
11.2008 - 11.2010
CHARGE NURSE Relief/RN Staff Nurse, ICU
Summerlin Hospital and Medical Center
02.2008 - 08.2012
CHARGE NURSE
Clark County Detention Center
03.2007 - 11.2008
CLINICAL SUPERVISOR IMC/PCU
Summerlin Hospital & Medical Center
12.1999 - 02.2008
STAFF Registered Nurse
Sunrise Hospital and Medical Center
10.1998 - 12.1999
CHARGE NURSE, Brain Injury Unit
Healthsouth Rehabilitation Hospital
05.1997 - 02.2000
NURSE MANAGER
Dialysis Systems
12.1996 - 05.1997
HOUSE SUPERVISOR
Emmanuel Healthcare
08.1995 - 07.1998
BACHELOR OF SCIENCE - NURSING
UNIVERSITY OF THE VISAYAS
- Registered Nurse License (RN) - State Board of Nursing.
- Critical Care Registered Nurse (CCRN) - American Association of Critical-Care Nurses.
- Advanced Cardiac Life Support Certification (ACLS)
- Basic Life Support Certification (BLS)
Master of Science - NURSING
Grand Canyon University (GCU)
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