Racheal Pegouskie

• Ensured patient safety, while providing quality care.
• Reduced potential infections using ChloraPrep, pre-op prep, Mueller and Snowden-Pence Surgical laparoscopic instruments, capital and infection prevention products.
• Observed surgical procedures to closely monitor patient and quickly assist physician with potential complications or additional needs.
• Supported successful administration of care plans by communicating with cross-functional teams.
• Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
• Documented all aspects of pre-, intra-, and post-operative nursing care accurately in the medical record.
• Sterilized and arranged operating equipment and instruments to prepare room for surgery.
• Assessed patients on admission to evaluate and continually monitor.
• Reported issues or unusual occurrences to charge personnel to act as patient advocate.
• Administered oral, IV and intra-muscular medications and monitored patient reactions.
• Provided emotional support to both patients and family members throughout the perioperative period.
• Stocked clinical workstations and procedure rooms with necessary supplies.
• Responded to emergency situations ACLS protocol.
• Transported patients to holding area to prepare for operating procedures.
• Built relationships with pre- and post-surgical patients with compassion and positive attitude.
• Assessed, monitored and evaluated patient vital signs pre-and post-operatively.
• Maintained a sterile field in the operating room at all times in accordance with accepted standards of practice.
• Observed strict safety measures, including checking medication dosages before administration to patients.
• Administered medications, intravenous fluids, blood products and other treatments as prescribed by the physician.
• Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.

-Provided safe, compassionate care to patient and their families.

- Qualified Home Care, hospice or palliative care based on my physical and neurological assessment.

-Communicated with physicians, physical therapist, occupational therapist, social work, and field support staff on my case load of 25 patients on average.

- Participated in interdisciplinary care meetings for each patient.

- Submitted appropriate charting accordance to medicare and organization policy in a timely manor.

- Provided skilled nursing care including medication administration, IV placement, dressing changes, foley care, ileostomy care, colostomy care, ect.

- Educated patient and family members on patient conditions, illness, prevention and care.

- Educated families and patient on emergency situations and follow up.

- Assess patient knowledge to customize needs of patient.

- Provide triage for patient over the phone and in person.

• Coordinated with healthcare team to establish, enact and evaluate patient care plans.
• Provide safe, companionate care to patients.
• Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
• Educated patients on disease processes and medication management.
• Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
• Regulated medications and treatments according to physician orders.
• Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
• Completed day-to-day duties accurately and efficiently.
• Prepared medical equipment and tools to aid physician during examination and treatment of patients.
• Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
• Participated in interdisciplinary rounds providing input regarding changes in plan of care.
• Conducted pre-admission assessments for new admissions into the unit.
• Assisted with end-of-life care planning when needed.
• Responded promptly to patient call lights or requests for assistance.
• Prepared medical equipment to aid physician during examination and treatment of patients.
• Conducted specified laboratory tests to help detect conditions and determine diagnosis.
• Administered local, inhalation or intravenous anesthetics to patients undergoing procedures.
• Ensured compliance with regulatory agencies such as The Joint Commission and Centers for Medicare and Medicaid Services.
• Observed, evaluated, recorded and reported symptoms, reactions and progress of residents.
• Monitored vital signs and administered medications in accordance with physician orders.
• Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.

• Ensure aseptic technique and safety of patient before, during and after surgical procedure.
• Prepare supplies for future surgical case.
• Anticipating surgeon needs during case.
• Specialized in each surgical procedure detail to assist surgeon in positive patient outcomes.
• Educate non surgical staff and patients on surgical procedure and surgical prep.
• Assuring correct count of surgical supplies before, during and after case for patient safety.
• Surgical sterilization of surgical instruments.
• Packaging and wrapping of surgical instruments.
• X- Ray tech
• Positioning patients safely.

• Ensure aseptic technique and safety of patient before, during and after surgical procedure.
• Prepare supplies for future surgical case.
• Anticipating surgeon needs during case.
• Specialized in each surgical procedure detail to assist surgeon in positive patient outcomes.
• Educate non surgical staff and patients on surgical procedure and surgical prep.
• Assuring correct count of surgical supplies before, during and after case for patient safety.
• Surgical sterilization of surgical instruments.
• Packaging and wrapping of surgical instruments.
• X- Ray tech
• Positioning patients safely.

My responsibilities included but not limited to providing safe, efficient, companionate care to my clients. Assisting with ADLs, vitals and reporting any change in client condition to nurse.

My responsibilities included but not limited to providing efficient, quality, companionate care to clients. Providing care while prioritizing care needs and out comes of my clients. Assisting with ADLs and obtaining vital. Reporting any changes in client conditions and vitals to the nurse.