Pamela Braganza
Tigard,OR
Summary
Compassionate and dedicated Registered Nurse with 8 years of experience specializing in dialysis care, including hemodialysis and peritoneal dialysis. Proven ability to manage complex patient cases, including acute and chronic kidney disease, through expert assessment, treatment, and education. Skilled in operating advanced dialysis equipment, monitoring patient vitals, and responding to emergencies with quick, effective interventions. Strong collaborator, working closely with nephrologists, interdisciplinary teams, and patients to develop and implement individualized care plans. Adept at providing emotional support to patients and families, ensuring the delivery of high-quality, patient-centered care. Committed to maintaining patient safety, promoting infection control, and continuously improving clinical practices in a fast-paced environment. Seeking to leverage dialysis expertise and critical care skills in a new nursing role to enhance patient outcomes and contribute to a dynamic healthcare team.
Overview
9
9
years of professional experience
Work History
Registered Nurse
Fresenius Medical Care
Portland, OR
09.2022 - Current
- Administered hemodialysis and peritoneal dialysis treatments to patients with end-stage renal disease (ESRD) in an outpatient setting, ensuring optimal care and patient safety.
- Assessed and monitored patients’ vital signs, lab results, and overall condition before, during, and after dialysis treatments.
- Prepared and calibrated dialysis machines and equipment, ensuring they met safety standards and functioned properly during treatments.
- Managed and responded to complications such as hypotension, cramping, bleeding, and clotting, in a timely and professional manner.
- Educated patients and their families on dialysis procedures, home dialysis options, dietary requirements, and self-care techniques.
- Collaborated with nephrologists and interdisciplinary team members to develop individualized care plans and optimize treatment outcomes.
- Documented patient information, treatment progress, and adverse events in electronic health records (EHR) to ensure accurate and up-to-date medical records.
- • Provided patient education on managing chronic kidney disease (CKD), including medication administration, fluid restrictions, and lifestyle modifications.
- Ensured infection control protocols were strictly followed to prevent catheter-related infections and other complications.
- Promoted a compassionate and supportive environment to help patients cope with the emotional and physical challenges of long-term dialysis treatment.
Travel Dialysis Nurse
Health Care Support
Portland, OR
03.2022 - 09.2022
- Administered hemodialysis and peritoneal dialysis treatments to patients with end-stage renal disease (ESRD) in an outpatient setting, ensuring optimal care and patient safety.
- Assessed and monitored patients’ vital signs, lab results, and overall condition before, during, and after dialysis treatments.
- Prepared and calibrated dialysis machines and equipment, ensuring they met safety standards and functioned properly during treatments.
- Managed and responded to complications such as hypotension, cramping, bleeding, and clotting, in a timely and professional manner.
- Educated patients and their families on dialysis procedures, home dialysis options, dietary requirements, and self-care techniques.
- Collaborated with nephrologists and interdisciplinary team members to develop individualized care plans and optimize treatment outcomes.
- Documented patient information, treatment progress, and adverse events in electronic health records (EHR) to ensure accurate and up-to-date medical records.
- • Provided patient education on managing chronic kidney disease (CKD), including medication administration, fluid restrictions, and lifestyle modifications.
- Ensured infection control protocols were strictly followed to prevent catheter-related infections and other complications.
- Promoted a compassionate and supportive environment to help patients cope with the emotional and physical challenges of long-term dialysis treatment.
REGISTERED NURSE
Fresenius Medical Care
Phoenix, AZ
01.2019 - 03.2022
- Administered hemodialysis and peritoneal dialysis treatments to patients with end-stage renal disease (ESRD) in an outpatient setting, ensuring optimal care and patient safety.
- Assessed and monitored patients’ vital signs, lab results, and overall condition before, during, and after dialysis treatments.
- Prepared and calibrated dialysis machines and equipment, ensuring they met safety standards and functioned properly during treatments.
- Managed and responded to complications such as hypotension, cramping, bleeding, and clotting, in a timely and professional manner.
- Educated patients and their families on dialysis procedures, home dialysis options, dietary requirements, and self-care techniques.
- Collaborated with nephrologists and interdisciplinary team members to develop individualized care plans and optimize treatment outcomes.
- Documented patient information, treatment progress, and adverse events in electronic health records (EHR) to ensure accurate and up-to-date medical records.
- • Provided patient education on managing chronic kidney disease (CKD), including medication administration, fluid restrictions, and lifestyle modifications.
- Ensured infection control protocols were strictly followed to prevent catheter-related infections and other complications.
- Promoted a compassionate and supportive environment to help patients cope with the emotional and physical challenges of long-term dialysis treatment.
REGISTERED NURSE
US RENAL
Phoenix, USA
10.2017 - 10.2018
- Administered acute hemodialysis treatments to critically ill patients in hospital settings, including those with acute kidney injury (AKI) or exacerbations of chronic kidney disease (CKD).
- Monitored patients’ vital signs, lab results, fluid status, and overall condition during dialysis, responding to any complications such as hypotension, arrhythmias, or electrolyte imbalances.
- Operated and maintained dialysis equipment, including hemodialysis machines, vascular access devices, and monitors, ensuring safety and efficacy throughout the procedure.
- Collaborated with nephrologists, intensivists, and multidisciplinary teams to develop and adjust individualized treatment plans based on the patient’s acute condition and response to therapy.
- Assisted with the initiation, monitoring, and termination of dialysis procedures in both emergency and ICU settings, ensuring timely and effective treatment.
- Administered prescribed medications, such as anticoagulants, and closely monitored for adverse reactions or side effects during treatment.
- Educated patients and their families about the acute nature of their condition, dialysis procedures, and potential outcomes, providing emotional support during stressful times.
- Documented patient data, treatment outcomes, and any complications in electronic health records (EHR) for accurate tracking and continuity of care.
- Ensured strict adherence to infection control protocols to prevent complications like catheter-related infections and other dialysis-associated risks.
- Provided ongoing assessment and intervention for patients' fluid and electrolyte balance, adjusting the dialysis prescription as needed in collaboration with the medical team.
- Participated in on-call rotations and emergency response, delivering critical dialysis care to patients in urgent situations.
REGISTERED NURSE
Fresenius Medical Care
Phoenix, USA
10.2016 - 10.2018
- Analyzed emergency situations and took prompt action to save lives
- Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care
- Educated family members and caregivers on patient care instructions
- Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care
- Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems
- Collected blood, tissue and other laboratory specimens and prepared for lab testing
- Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion
HOME HEALTH NURSE
Foundation For Senior Living
Phoenix, USA
12.2015 - 10.2016
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions
- Provided all daily living tasks to enhance quality of life for elderly patients
- Determined and addresses individual home care needs by completing detailed assessments and reviewing documentation
- Responded to patient requests with appropriate clinical and personal assistance
- Introduced changes to patient care plans based on regular evaluations and patient changes
- Took samples such as blood and urine to complete diagnostic and routine assessment tests
- Provided complete care to home health patients, including physical assessments, medication and chronic disease management
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options
- Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care
Education
Bachelor of Science - Nursing
UNIVERSITY OF SANTO THOMAS
MANILA, PHILIPPINES03.2012
Skills
Patient Assessment & Clinical Evaluation: Expertise in conducting thorough patient assessments, interpreting vital signs, lab results, and physical findings to make informed clinical decisions across a variety of patient populations
Critical Thinking & Decision-Making: Ability to rapidly assess and respond to complex patient situations, adjusting care plans as needed
Care Coordination & Interdisciplinary Collaboration: Proven experience working collaboratively with physicians, social workers, dietitians, and other healthcare professionals to create and implement comprehensive care plans for patients
Patient Education & Counseling: Skilled in educating patients and families about disease processes, treatment options, lifestyle modifications, and self-care techniques, applicable to any nursing specialty
Time Management & Prioritization: Excellent ability to juggle multiple patients and tasks, prioritize care needs, and respond efficiently to urgent situations, a valuable skill in any fast-paced healthcare environment
Infection Control & Aseptic Techniques: In-depth understanding of infection prevention practices, sterile techniques, and safe handling of medical devices, crucial in any nursing role involving patient care
Crisis Management & Emergency Response: Strong background in managing acute complications and emergency situations, including hypotension, arrhythmias, and catheter issues
Patient Advocacy & Emotional Support: Providing emotional support to patients and their families, fostering trust, and advocating for patient needs
Clinical Documentation & Legal Compliance: Expertise in accurate documentation and adherence to legal and regulatory standards (HIPAA, CMS), applicable to all areas of nursing
Team Leadership & Mentorship: Experience mentoring and training new nurses or support staff, promoting a collaborative team environment, and ensuring high-quality patient care
Cultural Competence & Communication Skills: Ability to provide care and communicate effectively with diverse patient populations, respecting cultural differences, which is critical in any nursing setting
Pain Management & Symptom Control: Knowledge in managing chronic and acute pain, particularly related to dialysis, which translates well to nursing specialties such as palliative care, oncology, and wound care
Problem Solving & Process Improvement: Experience in identifying operational inefficiencies, proposing solutions, and improving patient care processes, a valuable skill for quality improvement initiatives in any healthcare setting
References
References available upon request.
Timeline
Registered Nurse
Fresenius Medical Care
09.2022 - Current
Travel Dialysis Nurse
Health Care Support
03.2022 - 09.2022
REGISTERED NURSE
Fresenius Medical Care
01.2019 - 03.2022
REGISTERED NURSE
US RENAL
10.2017 - 10.2018
REGISTERED NURSE
Fresenius Medical Care
10.2016 - 10.2018
HOME HEALTH NURSE
Foundation For Senior Living
12.2015 - 10.2016
Bachelor of Science - Nursing
UNIVERSITY OF SANTO THOMAS
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