Olga Bulgakova

• Monitor and manage treatment plans for 4-5 high-acuity pulmonary and complex medical patients within a high-pressure acute care facility.
• Manage patients with acute respiratory failure, organ transplant complications, respiratory distress, and end-stage chronic illness
• Recognize and escalate acute patient deterioration, collaborating with rapid response and interdisciplinary teams to support timely critical interventions
• Care for patients requiring chest tubes, high-flow oxygen therapy, respiratory support, and complex medication regimens
• Assist physicians during bedside procedures including thoracentesis and advanced pulmonary interventions
• Facilitate collaboration among multidisciplinary teams during rapid response scenarios and end-of-life care planning.
• Execute high-alert medication administration and titratable therapy management to ensure patient safety and compliance with hospital standards.
• Deliver informative sessions to patients and families, focusing on disease management strategies, discharge planning, and care goals
• Recognize and escalated acute patient deterioration, collaborating with rapid response and interdisciplinary teams to support timely critical interventions

Managed 4 high-acuity patients in a fast-paced progressive care unit, including cardiac, stroke, sepsis, overdose and complex multi-system conditions• Monitored continuous telemetry and identified critical rhythm changes, escalating care appropriately to prevent deterioration •Provided care for patients with severe electrolyte imbalances (including life-threatening hypokalemia and hypomagnesemia), ensuring timely intervention and stabilization •Administered IV push medications and continuous infusions, including experience with vasoactive and high-alert medications in high-risk patients• Managed patients with acute respiratory compromise, utilizing oxygen therapies such as NC/High-flow NC, non-rebreather, BiPAP/CPAP •Successfully managed multiple unstable patients simultaneously, including cases of severe hypokalemia, stroke, and hemodynamic instability, demonstrating advanced clinical judgment and prioritization under pressure• Collaborated with interdisciplinary teams, including physicians, RT/PT/OT/SLP and case managers to develop and implement individualized care plans• Educated patients and families on disease processes, medications, and discharge care to promote understanding and reduce readmissions• Served as preceptor for new graduate nurses and nursing students, fostering clinical skill development and adherence to safety protocols• Maintained compliance with infection control, fall prevention, and hospital safety standards in accordance with Joint Commission guidelines