Nico S. Pfeifer, BSN, RN
Portland,OR
Summary
I am a caring, organized, efficient registered nurse with over 22 years of experience in pediatrics and mother-baby nursing. My practice expanded over the last few years to include care coordination at Doernbecher Children's Hospital and pediatric home health nursing through KidsCare Home Health. I have a passion for caring for medically fragile patients and interdisciplinary coordination of care.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Home Health RN
KidsCare Home Health
11.2022 - Current
- Provided focused, culturally competent, family-centered care to medically complex children in their homes.
- Administered medication and treatments according to established protocols and patient care plans.
- Monitored patient vital signs and documented changes in health status accurately. Performed assessments and followed changes over time, reporting significant issues to parents, case management and providers as necessary.
- Collaborated with multidisciplinary teams to develop individualized care plans for patients.
- Educated families on medication management, daily care routines, and safety procedures.
RN Coordinator, Neuromuscular Program
Doernbecher Childrens Hospital
03.2019 - 01.2022
- Identified and provided case management to medically fragile pediatric patients who have complex psychosocial and medical needs.
- Participated in an interdisciplinary team to improve health outcomes and increase patient and family satisfaction through comprehensive assessment and proactive goal setting.
- Comprehensively assessed patient diagnoses, medical care needs, history, barriers, risks, current concerns and health status.
- Development of family-centered plan of care and effective interventions to address gaps in care based on needs identified in assessment.
- Served as a single point of contact for the patient/family and the multidisciplinary team.
- Responsible for care coordination, telephone advice and pharmacy needs for this patient population.
- Planned, provided and delegated ongoing educational needs of patients and families in collaboration with the health care team.
- Coordinated and mobilized health care and community resources to meet the needs of patients and their families.
Registered Nurse, ICU
Randall Children's Hospital At Legacy Health
04.2016 - 02.2019
- Provided comprehensive care to patients with multiple pediatric critical care diagnoses including traumas, respiratory failure and distress, post operative cardiac management, endocrine disorders such as DKA, and medically unstable psychiatric diagnoses. Cared for indwelling urinary catheters, central and peripheral vascular lines, feeding tubes and ECMO cannulae, as well as end of life care.
- Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals, including physicians and physician assistants, pharmacists, social workers and child life specialists.
- Precepted and onboarded new nurses onto the unit, educating new hires on policies, procedures and nursing best practices. Mentored senior nursing students during the practicum phase of their education.
- Educated patients, families and caregivers on diagnosis and diagnostic procedures, disease process and management and lifestyle management. Educated families to decrease the risks of hospital acquired pressure injuries, urinary catheter associated infections and central line associated blood stream infections while hospitalized.
- Cared for patients while they were treated with ECMO.
- Used Epic to chart relevant health information in a timely and efficient manner.
Registered Nurse, Labor and Delivery
Pullman Regional Hospital
05.2008 - 05.2016
- Provided direct patient care to laboring patients and continued that care through recovery phase and into the postpartum period. Managed the labor continuum including labor progression, fetal well-being, pain management and coordination with physicians and anesthesia providers.
- Educated new parents extensively regarding postpartum care, newborn care and feeding, breast and bottle feeding and safe sleep.
- Managed the in and outflow of outpatients for testing and labor checks. Coordinated with nursing and provider colleagues.
Registered Nurse, Medical-Surgical Unit
Seattle Children's Hospital
06.2004 - 05.2008
- One year of practice on the Medical Unit, providing care to pediatric medical patients with complex diagnoses including endocrine, respiratory, GI, neurologic and other disorders. Care of children with tracheostomies, some on ventilators, and with feeding tubes, both surgical and nasogastric.
- Four years in the NICU providing care to critically ill neonates as part of the neonatal team. Provided care to patients on ECMO. Cared for indwelling urinary catheters, central lines, peripheral lines and ECMO cannulae.
- Provided parent and patient education. Practiced as part of the team to provide holistic end of life care when necessary.
Education
Bachelor of Science - Nursing
Intercollegiate College Of Nursing
Spokane, WA2003
Bachelor of Arts - English-Writing
University Of Puget Sound
Tacoma, WA1995
Certification
Basic Life Support through October 2026
Past certifications in NRP, STABLE and PALS
Timeline
Home Health RN
KidsCare Home Health
11.2022 - Current
RN Coordinator, Neuromuscular Program
Doernbecher Childrens Hospital
03.2019 - 01.2022
Registered Nurse, ICU
Randall Children's Hospital At Legacy Health
04.2016 - 02.2019
Registered Nurse, Labor and Delivery
Pullman Regional Hospital
05.2008 - 05.2016
Registered Nurse, Medical-Surgical Unit
Seattle Children's Hospital
06.2004 - 05.2008
Bachelor of Science - Nursing
Intercollegiate College Of Nursing
Bachelor of Arts - English-Writing
University Of Puget Sound