Summary
Work History
Education
Skills
Affiliations
Certification
Timeline
RegisteredNurse

Pauline Niemann-Tuerck

Certified Registered Nurse Anesthetist
Bastrop,TX

Summary

Skilled CRNA with 18 years of experience, 16 years in Labor and Delivery. Providing Labor Analgesia, Regional and General Anesthesia, for routine and emergency Obstetric and Gynecologic conditions. Well organized, thoughtful and precise care to accommodate rapidly changing patient conditions. Providing on call service for the Obstetric and Gynecologic patients, including routine scheduled cases and emergencies. Collaborative and independent decision making resulting in rapid, effective and competent care using various anesthetic techniques and a range of procedural approaches to support patients in their Labor and Delivery experience. Dedicated to excellent service and continued education to stay abreast of specialty knowledge. Skilled in emergency and high pressure challenging cases. Hard working, reliable and open to learning and growing in knowledge and skills.

Work History

CRNA-locum

Deep Water Anesthesia (formerly James Anesthesia)
Bastrop , TX
2005.03 - Current
  • PC (professional corporation) to provide short and long term temporary and vacation coverage in various anesthesia settings to include IV conscious sedation, MAC, and General Anesthesia cases since 2005.
  • Provided coverage for San Angelo Community Medical Center, Abilene Eye Institute, Stephens Memorial Hospital, and Graham Regional Hospital.
  • Currently contracted with Brownwood Anesthesia to provide locum OB Anesthesia coverage to South Campus of Shannon Medical Center/Shannon Clinic.

CRNA (Main Campus) / CRNA (1099) OB Anesthesia

Shannon Clinic / Brownwood Anesthesia
San Angelo , TX
2005.02 - Current
  • Developed anesthesia care plan based on past medical history, current status and surgical requirements.
  • Delivered targeted pharmacological assistance, mechanical ventilation support and other interventions during routine and complex surgeries.
  • Administered and maintained anesthesia and confirmed proper sedation and pain management.
  • Accounted for factors such as patient weight, sex and general body type to calculate anesthetic dosages.
  • Managed emergency situations by initiating or participating in cardiopulmonary resuscitation.
  • Coordinated skilled emergency response and medical interventions to stabilize patients and treat specific symptoms.
  • Assisted with smooth recoveries by administering step-down medications and fluids.
  • Performed pre-anesthetic physical evaluations and patient interviews and documented results.
  • Administered post-anesthesia medications or fluids to support patients' cardiovascular systems.
  • Selected, prepared or used equipment, monitors or drugs for administration of anesthetics.
  • Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
  • Carried out day-day-day duties accurately and efficiently.
  • Properly record, administer and document use and wastage of controlled drugs
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Worked flexible hours; night, weekend, and holiday shifts.
  • Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
  • Proved successful working within tight deadlines and fast-paced atmosphere.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Offered friendly and efficient service to patients, handled challenging situations with ease.
  • Developed and maintained courteous and effective working relationships.

CRNA-staff

Shannon Clinic-GI Lab
San Angelo , TX
2016.01 - 2018.05
  • Developed anesthesia care plan based on past medical history, current status and surgical/procedural requirements.
  • Delivered targeted pharmacological assistance, mechanical ventilation support and other airway interventions during intravenous conscious sedation and complex surgeries.
  • Administered and maintained anesthesia and confirmed proper sedation and pain management.
  • Accounted for factors such as patient weight, sex and general body type to calculate anesthetic dosages.
  • Assisted with smooth recoveries by administering step-down medications and fluids.
  • Performed pre-anesthetic physical evaluations and patient interviews and documented results.
  • Selected, prepared or used equipment, monitors or drugs for administration of anesthetics.
  • Carried out day-day-day duties accurately and efficiently.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Worked GI lab on top of full-time OB anesthesia to assist Anesthesia department during low staff period
  • Maintained energy and enthusiasm in fast-paced environment, facilitated fast turnover by flipping cases between two rooms
  • Developed and maintained courteous and effective working relationships.
  • Provided emergent anesthesia in ICU for acute GI bleed, esophageal banding.

CRNA

Hendrick Anesthesia Network
Abilene , TX
2002.10 - 2005.02
  • Developed anesthesia care plan based on past medical history, current status and surgical requirements.
  • Delivered targeted pharmacological assistance, mechanical ventilation support and other interventions during routine and complex surgeries.
  • Administered and maintained anesthesia and confirmed proper sedation and pain management.
  • Accounted for factors such as patient weight, sex and general body type to calculate anesthetic dosages.
  • Coordinated skilled emergency response and medical interventions to stabilize patients and treat specific symptoms.
  • Assisted with smooth recoveries by administering step-down medications and fluids.
  • Performed pre-anesthetic physical evaluations and patient interviews and documented results.
  • Administered post-anesthesia medications or fluids to support patients' cardiovascular systems.
  • Selected, prepared or used equipment, monitors or drugs for administration of anesthetics.
  • Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
  • Carried out day-day-day duties accurately and efficiently.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Worked flexible hours in two facilities (Hendrick Medical Center, Texas Midwest Surgery Center); weekend, holiday shifts, and on-call.
  • Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
  • Developed and maintained courteous and effective working relationships.
  • Administered general anesthesia to pediatric and adult populations for differing diagnosis and varying patient levels of health.
  • Rotated through CV, neuro, pediatric, general, ENT, urology, gynecology case assignments
  • EENENT,orthopedic, eye surgery as assigned.

Registered Nurse/ CCU

Sierra Medical Center
El Paso , TX
1992.01 - 2000.03
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing cardiac conditions.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
  • Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
  • Provided direct patient care, stabilized patients and determined next course of action with physician collaboration.
  • Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
  • Maintained quality care and comfort for patients with heart failure, pulmonary hypertension, respiratory failure and other critical conditions.
  • Organized and managed care of patients undergoing various therapies and procedures.
  • Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
  • Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
  • Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments, and supervising team comprised of nurses, LPNs, technicians and unit clerks.
  • Secured controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities.
  • Collected blood, tissue and other laboratory specimens and prepared for lab testing.
  • Managed care from admission to discharge.
  • Administered medications via oral, IV and intramuscular injections and monitored responses.
  • Reviewed post-procedure orders and continuously monitored patients' post-procedural vitals, set up PCA and fluids and oriented patients to unit.
  • Monitored patient reactions to drugs and carefully documented findings.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Provided exceptional care to high-accuity patients needing complex care such as ventilator management, post cath-lab, and cardiac rehabilitation.
  • Implemented medication and IV administration, catheter insertion and ventilatory management.
  • Stabilized and treated patients experiencing acute myocardial infarction, administered clot-busting medication, transferred and received patients to and from the cath lab undergoing emergency coronary stenting.
  • Managed and weaned patients from supportive/life saving therapies: IABP, ventilator, and CAVVHD.

Education

Master of Science - Anesthesia

St. Mary's University of Minnesota
Minneapolis, MN
08.2002

Bachelor of Science - Nursing

New Mexico State University
Las Cruces, NM
05.1994

Associate of Science - Nursing

New Mexico State University
Las Cruces, NM
12.1992

Skills

  • Endotracheal Intubation/Airway management-emergent and routine-CMAC/Glidescope user
  • Obstetric and Gynecologic Surgery-emergency and routine
  • Cardiopulmonary Resuscitation (CPR) Adult, Pediatric and Neonatal
  • Blood Product Transfusion
  • Local Anesthetics/Labor Analgesia Management/Continuous Infusions
  • Disease Processes associated with Pregnancy
  • Hospital Guidelines-policies and procedures
  • Anesthetic Administration, including Regional (spinal and epidural) and General Anesthesia
  • Infection Control Procedures-practicing according to Standards of Care
  • Laboratory Testing/review, assessment, treatment of abnormal values
  • Patient Flow/management of multiple labor rooms and 2 OR's as primary single provider
  • Gynecological Surgery/Dilation and Curettage
  • Sanitizing Surfaces/maintaining work areas clean and sanitized including Airway Systems
  • IV Administration/IV conscious sedation
  • PPE Compliance
  • Self-Motivated, Flexible, Adaptable, Detail-oriented, Organized and excellent Time Management
  • Active Listening and supporting patient's reproductive and Labor/Delivery plans
  • Cultural Awareness
  • Excellent Communication and Documentation-EPIC EMR
  • Analytical and Critical Thinking
  • Planning and Coordination with team members
  • Teamwork and Collaboration

Affiliations

American Association of Nurse Anesthetists (AANA)

Texas Association of Nurse Anesthetist (TX-ANA)

Certification

CRNA/ via primary certification and renewal NBCRNA

ACLS, PALS, NRP

Timeline

CRNA-staff

Shannon Clinic-GI Lab
2016.01 - 2018.05

CRNA-locum

Deep Water Anesthesia (formerly James Anesthesia)
2005.03 - Current

CRNA (Main Campus) / CRNA (1099) OB Anesthesia

Shannon Clinic / Brownwood Anesthesia
2005.02 - Current

CRNA

Hendrick Anesthesia Network
2002.10 - 2005.02

Registered Nurse/ CCU

Sierra Medical Center
1992.01 - 2000.03

Master of Science - Anesthesia

St. Mary's University of Minnesota

Bachelor of Science - Nursing

New Mexico State University

Associate of Science - Nursing

New Mexico State University

ACLS, PALS, NRP

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Pauline Niemann-TuerckCertified Registered Nurse Anesthetist