NELLY M. PADFIELD

Currently working at Arrowhead Trauma Medical Center in Colton. Prior work at Orange County Global Trauma Center And St Joseph Systems Hospitals In Orange County.

Provide and treatment of the acute Trauma patient. Profound knowledge of general nursing and critical nursing and critical nursing practices. Ability to recognize and develop plans accordingly to each patients' needs. Proficiency to educate patients and their families in compliance with the hospital and regulations, patient's rights, etc. Ability to function independently while still exhibiting profound teamwork to allow the unit to function easily, as well as a multitasking ability not compromising with the quality of work that is done. Serving patients through important cases like assessment, planning, intervention and implementation in compliance with unit standards.

• Reported unusual or urgent circumstances in patients' condition or environment immediately to nurse supervisor

• Performed mobile advanced wound care & General Practice, in Los Angeles, CA & San Bernardino County with special training and skill in preventing, diagnosing, and treating physical and psychological conditions for patients of all ages Specialize in Wound healing.
• As a General Practice would treat & maintain patient's pain and infection.
• Practitioner, performs medical history analysis, screenings, and non-surgical procedures to address a wide range of common medical conditions
• General Practice is a medical specialty focused on disease prevention and general maintenance of patients' whole health - including debridement.
• define and document patient diagnoses.
• Significant diseases and conditions treated by General Practice Doctors include the common cold, strep throat, bronchitis, the flu, high blood pressure, asthma, diabetes, heart attacks, and strokes
• Medical tests, procedures and therapies provided.
• Practice Doctors include physical exams, diagnostic exams (like urine, stool, or blood tests), immunizations, emergency care, and specialist referrals.
• Effective communication skills and customer service skills.

• Prescribed appropriate pharmacologic and non-pharmacologic treatment modalities to support health and comfort of patients.
• Ordered and interpreted diagnostic tests to develop and implement treatment plans.
• Coordinated with physicians, specialists, and other medical staff to develop treatment plans for chronic conditions.
• Educated patients on treatment options, medical needs, and non-medical options for treatments and therapy.
• Performed patient physicals and compared and contrasted results with established medical records to provide proper diagnosis and facilitate appropriate treatment.
• Educated and guided patients on disease prevention and healthy lifestyle habits to prevent Type-2 diabetes and other complications.
• Monitored patient progress and adjusted treatments accordingly.
• Coordinated referrals for specialty services and additional care.
• Helped patients manage acute and chronic pain.
• Utilized evidence-based and holistic approaches to care in family practice settings.
• Educated and guided patients on disease prevention and healthy lifestyle habits
• Evaluated patient histories, complaints, and current symptoms.
• Coordinated care with other healthcare professionals, promoting optimal patient outcomes.
• Assessed patient needs, clearly communicating diagnosis and treatment plans to patients and families.
• Discussed care plans with patients and explained test results and proper use of medications.

• Provide nursing care within level 2 trauma center of this prestigious hospital
• Handle medical emergencies resulting from events such as cardiac arrest, strokes, car accidents, stabbings, head injuries, poison ingestion, drug overdoses, sexual assault and burns
• Assess and stabilize patients with experience and accuracy
• Displayed expert clinical skills in managing the critical care of all categories of Emergency Department patients
• React effectively in emergency scenarios, demonstrating sound decision making that helped save patients’ lives
• Served as a fill in preceptor/mentor for nursing students
• Efficiently and knowledgeably provided RN care for all ER patients
• Provided nursing care for the patient requiring temporary cardiac pacer support
• Providing nursing care for the patient requiring respiratory interventions, and patient requiring cardiac monitoring
• Provided respiratory and ventilator management and monitoring for patients.

• Cared for chronic and acute ill patients
• Managed and stabilized their care and continued to give treatment
• Used holistic approach to assist family and patient for better spiritual and emotional outcome during their stay.Monitored acute and chronic cardiac, pulmonary and stroke patients in the unit
• Provided nursing care effectively per protocol Collaborative closely with the physician (hospitalist).

• Assessed need for, ordered, obtained and interpreted appropriate lab tests
• Oversaw average of [1-4] patients per shift
• (CABG, IABP, ICU, SDU, telemetry patients
• Interact daily with a variety of personnel including physicians, radiology technologists, other medical staff, and patients; directly assist physicians in performing invasive and non-invasive procedures.
• Conscious sedation of all radiology, GI, line placement, cardioversion and small procedures at the bedside.
• Monitored and used Swan-Ganz post CABG, arterial lines, SVO2 monitoring patients to keep stable.
• Communicated with Spanish patients and families.
• Analyzed rhythm strips and lab values, performed 12 lead ECG
• Assisted in code on trauma and critical patients
• Collaborated effectively with an interdisciplinary team to lead groups to new knowledge of computer charting and changes prior to computer charting
• Was an ambassador for the staff
• Rapid Response Nurse functioning demands a high level of nurse-physician collaboration, along with respiratory therapist, primary nurse
• As a Rapid Response Team, I assisted in patient safety initiatives to reduce adverse events and prevent avoidable deaths among hospitalized patients.

• Oversaw and manage clinical and support staff in patient care activities between ICU/ SDU departments
• Developed and maintained quality care systems, including creating and improving medical protocols and guidelines
• Responsible for scheduling night shift staff
• Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments