Natasja van de Graaf
Madera,CA
Summary
Experience Neuro ICU Critical Nurse with 17+ years of experience in a variety of settings. Adept at collaborating with interdisciplinary medical teams. Dedicated to delivering best-in-class patient care and individualized plans for families and patients.
In addition detail oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Skilled at providing advanced patient care, managing emergency situations, and ensuring optimal outcomes. Strong focus on team collaboration, reliability, and adaptability to changing needs.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Neuro ICU RN II
Community Medical Center- Fresno
05.2018 - Current
- Improved patient outcomes by implementing evidence-based nursing practices and providing high-quality care in the ICU setting.
- Served as an advocate for patients and their families, addressing concerns and facilitating open lines of communication between healthcare providers and loved ones.
- Experience in all aspects of the Neuro ICU setting
- Mentored new nursing staff in ICU-specific procedures, fostering professional growth and promoting a positive work environment.
- Trained and coached new employees on protocols and best practices to promote ideal patient outcomes.
- Collaborated with interdisciplinary healthcare teams to develop comprehensive care plans and coordinate appropriate treatment interventions.
- Enhanced patient safety by diligently monitoring vital signs, identifying early warning signs of complications, and taking prompt action in emergent situations.
- Farm Team for over 2 years
- Contributed to efficient care coordination by collaborating with case managers, social workers, and other support staff to ensure timely patient discharges and smooth transitions between care settings.
Endoscopy RN II
Community Medical Center-Clovis
11.2017 - 05.2018
- Trained in all phases of the procedural unit; preop, procedural sedation and Recovery for Endoscopy, colonoscopy, bronchoscopy, EUS, EBUS, ERCP
- Administration of IV Sedation
- Advanced vascular access skills
- Strong patient assessment skills
- Monitor for adverse effects during procedure
- Patient and family education
- Specimen collection and documentation
- Accurate documentation skills
- PEG insertion competency
- Recovery of patients after conscious and Anesthesia
Lead Clinical RN Coordinator Lung Cancer Screening Program-Start up of Program for CRMC
Community Medical Center
02.2017 - 11.2017
- Screening patients for criteria for Lung Screening
- Planning and implementing program for CRMC
- Marketing, outreach and education to Central Valley providers
- Entering data into national registry base
- Continuing problem solving of new program
- Coordinating CME dinners/meetings for lead Physician
- Preceptor to other Lung screening nurse/staff
- Strong interpersonal communication skills
- Educating medical providers through out the valley on the Lung Screening Program
Home Health- Case Manager
Community Medical Center- Fresno
03.2016 - 08.2016
- Home visits to Patients with Home Health Needs
- Charting
- Labs
- Wound Care
- IV medication administration
- Educating patients/caregivers on disease management, medications, etc
- Case Management of patients including education on other resources; palliative care, hospice, etc
Endoscopy RN
Community Medical Center - Fresno
07.2012 - 03.2016
- Trained in all phases of the procedural unit; preop, procedural sedation and Recovery for Endoscopy, colonoscopy, bronchoscopy, EUS, EBUS, ERCP
- Administration of IV Sedation
- Advanced vascular access skills
- Strong patient assessment skills
- Monitor for adverse effects during procedure
- Patient and family education
- Specimen collection and documentation
- Accurate documentation skills
- PEG insertion competency
- Recovery of patients after conscious and deep sedation
Endoscopy RN
Central California Endoscopy Center - Fresno
05.2014 - 05.2015
- Trained in all phases of the procedural unit; preop, procedure and recovery
- Administration of IV Sedation
- Advanced vascular access skills
- Strong patient assessment skills
- Monitor for adverse effects during and after procedure
- Patient and family education
- Collect and document specimens
- Accurate documentation skills
PICC RN
Community Medical Center - Fresno
10.2011 - 11.2012
- PICC line insertion care and maintenance
- Assessing patient for criteria for PICC insertion
- Inserting PICC lines under sterile technique
- Educating patients and staff on PICC line care
- Mediport access and maintenance
- Evaluation of patient for PICC insertion criteria
- Patient, family & staff education on care and maintenance of PICC line
- Ultrasound guided PICC insertion competency
- 3CG technology competency
- Hospital rounds for care and maintenance of PICC/Central lines
- Central/PICC line de-clot procedure
RN-Oncology/Actue-medsurg
Community Medical Center - Fresno
12.2007 - 10.2012
- Patient assessments, charting; recognizing and acting on critical labs, acute changes and oncological emergency; patient and family education; administration of chemotherapy, multiple IV meds and blood products; patient care and excellent interpersonal communication skills
- Strong patient assessment skills
- Excellent interpersonal communication skills
- Monitor labs and changes in patient reporting to MD in timely manner
- Safe administration of Chemo/Biotherapy agents
- Implanted port access care and maintenance
- Education to patient/family on course of treatment; chemotherapy, diagnosis, end of life
- Blood product administration
- Thorough Discharge planning
- Strong patient/family advocate
- Work well under pressure
- Ability to prioritize
Owner/Therapist
Serenity Springs Day Spa - Fresno
05.1995 - 01.2008
- In addition to maintaining my own clientele as a massage therapist, my responsibilities included; hiring and managing of 6-12 staff members; marketing; budgeting; overall functions of maintaining a business
- Sharp business acumen
- Excellent interpersonal communication skills
- Strong marketing skills
- Orientating new staff members
- Bookkeeping
- Self-motivated
Education
Associate of Science - Health science
Fresno City College
Fresno12.2007
Skills
- Decision-making
- Care coordination
- Clinical leadership
- Team leadership
- Mentoring and coaching
- Work Planning and Prioritization
- Interdisciplinary collaboration
- Delegation and motivation
- Strong clinical judgment
- Works well under pressure
- Critical thinking
- Issue resolution
- Patient care standards
- Patient Flow
Certification
- Registered Nurse #722477
- BLS 12/2026
- ACLS 02/2027
- CRRT (enrolled for class 04/02/2025
Membership
AACN- Member # 13566293 2/28/2026
Timeline
Neuro ICU RN II
Community Medical Center- Fresno
05.2018 - Current
Endoscopy RN II
Community Medical Center-Clovis
11.2017 - 05.2018
Lead Clinical RN Coordinator Lung Cancer Screening Program-Start up of Program for CRMC
Community Medical Center
02.2017 - 11.2017
Home Health- Case Manager
Community Medical Center- Fresno
03.2016 - 08.2016
Endoscopy RN
Central California Endoscopy Center - Fresno
05.2014 - 05.2015
Endoscopy RN
Community Medical Center - Fresno
07.2012 - 03.2016
PICC RN
Community Medical Center - Fresno
10.2011 - 11.2012
RN-Oncology/Actue-medsurg
Community Medical Center - Fresno
12.2007 - 10.2012
Owner/Therapist
Serenity Springs Day Spa - Fresno
05.1995 - 01.2008
Associate of Science - Health science
Fresno City College
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