Nmesoma Ibewuike

• Deliver comprehensive critical care to patients with sepsis, ARDS, multi-organ failure, and complex comorbidities.

• Manage mechanical ventilation, non-invasive ventilation, and advanced airway support.

• Administer and titrate vasoactive drips, sedatives, insulin infusions, and other high-alert IV medications.

• Perform frequent hemodynamic, respiratory, and neurological assessments to detect and respond to patient deterioration.

• Manage, and monitor central lines, arterial lines, chest tubes, and other invasive devices.

• Collaborate with intensivists, respiratory therapists, pharmacists, and interdisciplinary teams during daily rounds.

• Implement evidence-based protocols for sepsis management, glycemic control, and ventilator-associated pneumonia prevention.

• Provide education and emotional support to patients and families regarding disease process, prognosis, and end-of-life care.

• Implemented evidence-based strategies to prevent pressure injuries in high-risk patients, reducing overall incidence rates on the unit.

• Provide comprehensive care to critically ill neurological patients including those with traumatic brain injuries, strokes, aneurysms, spinal cord injuries, and post-neurosurgical cases.

• Perform frequent neuro assessments (GCS, cranial nerves, pupil checks, NIH stroke scale) and promptly recognize subtle changes in neurological status.

•Manage patients with intracranial pressure (ICP) monitors, external ventricular drains (EVDs), lumbar drains, and ventriculostomies; titrate therapies to maintain cerebral perfusion.

•Administer and titrate vasoactive, sedative, and hyperosmolar medications (e.g., mannitol, hypertonic saline, propofol, norepinephrine) to maintain hemodynamic and neuro stability.

•Operate and troubleshoot ventilators and advanced airway devices for patients with compromised neurological function.

•Collaborate with neurosurgeons, intensivists, and interdisciplinary teams during rounds to optimize patient outcomes.

• Care for post-thrombectomy and post-craniotomy patients, monitoring for complications such as hemorrhage, vasospasm, or increased ICP.

• Utilize continuous EEG monitoring to detect seizures and communicate findings to neurology.

• Provide post-operative care for patients receiving tPA or other advanced stroke interventions.

• Educate patients and families on disease process, prognosis, and rehabilitation needs with compassion and clarity.

• Implement evidence-based protocols for seizure precautions, stroke bundles, and ventilator-associated pneumonia prevention.

• Serve as patient advocate, ensuring safety, dignity, and family involvement in critical care decision-making.

• Safely titrated vasoactive medications according to hemodynamic parameters, optimizing blood pressure management for critically ill patients.
• Administered medications accurately and safely, following hospital protocols and standards of practice.
• Managed ventilator settings for critically ill patients, ensuring optimal respiratory support while minimizing complications.
• Assisted physicians during complex bedside procedures such as lumbar punctures or central line insertions, ensuring successful outcomes and minimal discomfort for patients.
• Championed a culture of teamwork and collaboration on the neuro ICU unit, promoting positive morale and enhanced patient care.
• Reduced incidences of hospital-acquired infections through strict adherence to infection control policies and procedures.
• Responded swiftly to emergency situations, initiating appropriate interventions to stabilize patients conditions quickly.

• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
• Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.

• Greeted customers at counter to fulfill requests and answer questions.
• Precisely measured, weighed, sliced, and packaged deli products according to customer requests while minimizing waste.
• Maintained a safe working environment by adhering to food safety guidelines and promptly addressing any hazards.
• Prevented food spoilage by monitoring dates, rotating stock, and following proper storage procedures.
• Cleaned and sanitized dishes and utensils, consistently keeping adequate supplies on hand for expected customer loads.

• Greeted customers and provided friendly customer service.
• Operated cash registers to process payments for goods and services.
• Balanced cash drawers at the end of each shift.
• Processed credit card transactions accurately and efficiently.
• Assisted customers with locating merchandise within the store.
• Informed customers about product pricing and answered questions regarding products and services available in the store.

• Stocked and replenished kitchen supplies and ingredients as needed.
• Prepared a variety of foods according to customers' orders or supervisors' instructions, following approved procedures.
• Cleaned and sanitized work surfaces, equipment, utensils, dishes, or silverware.
• Cooked meals or specialty items in cooperation with the rest of the kitchen staff.