Nuala Rippere

• PICC, midline and PIV expert
• Clinical resource
• Relief charge duties
• Recent collaboration with ED to improve USGPIV skills

• Assisted physicians with diagnostic and interventional procedures, ensuring optimal patient care and safety.
• Administered nursing care to cardiac patients undergoing diagnostic, therapeutic or emergency services.

• Pre, post and intra-procedural sedation and patient care for diagnostic and emergent interventional radiology procedures
• PICC placement
• Charge RN duties

• Complex patient care, including management of hemodynamic monitoring, CRRT, IABP, Impella, & ventriculostomies.
• Care of patients post open-heart surgery from 2010-2015.
• Charge RN duties
• Preceptor of novice ICU nurses

Primary Charge Nurse on night shift of busy ED

Served as a clinical resource, preceptor and informal mentor for staff.

• Improved staff hiring, retention and overall morale by restructuring our staffing schedule to match the patient census pattern.
• Quickly transitioned from 9 FTE of travelers to zero.
• Led the interdepartmental development and implementation of our Code STEMI policy
• Managed the successful transition from paper charting to an ED EMR including the implementation of CPOE
• Reduced staff overtime from almost 6% to less than 2%
• Reduced the patient LWBS rate from 5% to 1.3%
• Enhanced patient satisfaction levels by implementing process improvements and focusing on patient-centered care.
• Facilitated open communication among team members by promoting a culture of transparency, accountability, and mutual respect within the department.

Patient care and charge nurse duties in busy ED

Patient care and charge nurse duties in busy Level 2 trauma center

Completed comprehensive ICU training program

Patient care in medical-surgical ICU