Nichole Keomaka
Avondale,AZ
Summary
Dedicated, hard-working patient-oriented Registered Nurse with 28 years of diverse experience in direct patient care, staff supervision and department operations. Highly skilled in critical assessments and interventions, organized workflow, multitasking and prioritizing patient needs. Offering expertise with a predominate specialty in Medical Intensive Care.
Overview
28
28
years of professional experience
Work History
Staff Nurse, Medical Intensive Care Unit
Valleywise Health
03.2021 - 09.2023
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Developed strong rapport with patients and families, fostering trust and open communication during challenging times.
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Demonstrated excellent time management skills while juggling multiple priorities in a fast-paced environment.
- Acted as a patient advocate, ensuring their needs were met and their rights protected throughout their healthcare journey.
- Assisted physicians with diagnostic procedures, ensuring accurate results for optimal treatment planning.
- Mentored new nursing staff, supporting their professional growth and development.
- Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures, and nursing best practices.
- Exhibited strong critical thinking skills when assessing complex medical situations and determining appropriate interventions.
- Collaborated with interdisciplinary team members for comprehensive patient assessments and treatment plans.
ED Staff Registered Nurse
Valleywise Health, Maryvale Campus
01.2020 - 01.2021
- Conducted thorough assessments of patients presenting with diverse medical conditions, ensuring prompt identification of potential issues for early intervention.
- Provided emotional support and guidance to patients experiencing trauma or mental health crises, connecting them with appropriate resources for further assistance.
- Promoted a culture of safety through strict adherence to infection control protocols and safe medication administration practices.
- Provided life-saving interventions during critical situations, such as administering CPR, managing airways, and stabilizing patients for transport.
- Improved patient outcomes by implementing evidence-based nursing practices and providing high-quality care.
- Educated patients and their families on post-discharge care instructions, reducing the likelihood of complications and ensuring a smooth transition to home care.
- Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
- Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Evaluated patient histories, complaints, and current symptoms.
- Proficient in triage
Utilization Review Nurse
Valleywise Health, Maryvale Campus (ED)
04.2019 - 12.2019
- Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
- Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
- Maintained professional competence by staying current on industry trends, best practices, and regulatory requirements specific to utilization review nursing.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Utilization Review Nurse
Valleywise Health, Main Campus
02.2018 - 03.2019
Staff Registered Nurse MICU
Valleywise Health
06.1999 - 01.2018
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
Staff Registered Nurse Telemetry (APCU)
Valleywise Health
06.1997 - 06.1999
Medical Surgical Staff Registered Nurse
Valleywise Health
07.1995 - 06.1997
Education
Bachelor of Science - Nursing
Grand Canyon University
Phoenix, AZ02.2018
Associate of Science - Nursing
Maricopa Community Colleges - Scottsdale Community College
Scottsdale, AZ05.1995
High School Diploma -
Horizon High School
Scottsdale, AZ05.1990
Skills
- Clinical judgment
- Compassionate Care
- Intravenous therapy
- Telemetry monitoring
- Problem-Solving
- Honest and Dependable
- Reliable and Responsible
- Blood Transfusion Administration
- Decision-Making
- Certified in CPR/AED
- Patient Monitoring
- Vitals monitoring
- Emergency Interventions
- Advanced Cardiovascular Life Support (ACLS)
- Medication Administration
- Coaching and Mentoring
- Nursing Staff Supervision
- Documentation And Reporting
- Medical Device Monitoring
- Cardiac monitors
- Diagnostic Procedures
- Fluid Intake and Output Monitoring
- Patient Assessment
- Endotracheal Intubations
- Family advocacy
- Shock Symptom Identification
Timeline
Staff Nurse, Medical Intensive Care Unit
Valleywise Health
03.2021 - 09.2023
ED Staff Registered Nurse
Valleywise Health, Maryvale Campus
01.2020 - 01.2021
Utilization Review Nurse
Valleywise Health, Maryvale Campus (ED)
04.2019 - 12.2019
Utilization Review Nurse
Valleywise Health, Main Campus
02.2018 - 03.2019
Staff Registered Nurse MICU
Valleywise Health
06.1999 - 01.2018
Staff Registered Nurse Telemetry (APCU)
Valleywise Health
06.1997 - 06.1999
Medical Surgical Staff Registered Nurse
Valleywise Health
07.1995 - 06.1997
Bachelor of Science - Nursing
Grand Canyon University
Associate of Science - Nursing
Maricopa Community Colleges - Scottsdale Community College
High School Diploma -
Horizon High School
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