Rachel Ramos

Deliver acute and emergency care to obstetric and postpartum patients, managing 1–3 high-acuity patients per shift with conditions such as preeclampsia, obstetric hemorrhage, and maternal infections. Perform rapid triage, comprehensive maternal-fetal assessments, and implement evidence-based interventions. Proficient in IV therapy, fetal monitoring, emergency protocols, and electronic medical records (EMR).

Conduct medical chart audits, lead hand hygiene compliance checks, and participate in hospital-wide patient experience rounding. Collaborate with interdisciplinary teams to improve patient outcomes and clinical workflows.

Serve as Relief Charge Nurse, coordinating staff assignments, managing patient throughput, and supporting team communication. Active member of shared governance councils focused on medication safety, unit-based quality improvement, and integration of evidence-based practice (EBP).

Certified in Personal Protective Equipment (PPE) and designated as a Resuscitation Quality Improvement (RQI) Superuser. Completed formal training to serve as a Peer Support Coach, providing emotional support and crisis debriefing for colleagues. Also serve as a Spiritual Ambassador, offering prayer and spiritual encouragement to support team well-being and resilience.

Delivered comprehensive, evidence-based care to laboring, postpartum, and newborn patients in a high-acuity, family-centered unit. Managed 1–2 labor patients or up to 4 postpartum couplets per shift, supporting safe deliveries, recovery, and maternal-infant bonding.

Expert in fetal monitoring, labor support techniques, emergency obstetric care, and newborn stabilization following delivery, including APGAR scoring, resuscitation, and coordination with NICU teams. Assisted with baby catching and functioned as primary support for mothers during spontaneous vaginal deliveries.

Circulated in the OR for cesarean sections, ensuring sterile field integrity, proper surgical documentation, and seamless transitions through pre-op, intra-op, and PACU phases. Triaged and assessed 1–3 patients per shift presenting with labor symptoms, complications, or other obstetric concerns.

Active participant in shared governance, promoting quality improvement, unit-based decision-making, and staff development. Served as an Epic Super User during system launch, training staff, troubleshooting workflow issues, and supporting adoption of electronic documentation standards.

Provided expert nighttime care in a high-acuity Level III Labor and Delivery unit, delivering comprehensive support to high-risk obstetric patients. Managed 1–2 active laboring patients per shift and performed initial newborn stabilization following vaginal deliveries, coordinating closely with NICU teams for complex cases.

Assessed and treated 1–3 patients at a time in OB triage, identifying labor progression, complications, and emergent maternal or fetal issues. Functioned as a circulating nurse in the operating room during cesarean sections, maintaining sterile field integrity, assisting surgical teams, and ensuring continuity of care. Provided immediate postoperative care in PACU, monitoring maternal recovery, managing pain, and preventing complications.

Skilled in fetal monitoring, emergency protocols, IV therapy, and EMR documentation. Collaborated with physicians, midwives, anesthesia, and pediatrics to ensure timely, evidence-based interventions and safe outcomes. Actively participated in maternal emergency drills and maintained readiness for obstetric complications including hemorrhage and eclampsia.

• Antepartum, intrapartum, postpartum pt care. OR Circulator, Pacu, Triage.

• Operating and interpreting readings from fetal monitoring equipment. Perform vaginal examinations, phlebotomy, and Ante-partum. Perform the duties of a circulating nurse in the OR.

• Worked in conjunction with obstetricians and midwives in the labor room. Provided newborn and maternal care during the postpartum phase.

Performed psychiatric intake assessments and coordinated admissions for adult and geriatric patients presenting with acute mental health crises, chronic psychiatric disorders, or dual diagnoses. Conducted comprehensive mental status exams, gathered psychosocial histories, and collaborated with interdisciplinary teams to determine appropriate level of care.

Developed individualized care plans upon admission, incorporating medical history, medication needs, and psychiatric evaluations. Administered medications, monitored for adverse reactions, and initiated safety precautions for patients at risk of self-harm or aggression.

Functioned as a 3–11 Float Nurse, supporting various inpatient units based on acuity needs. Supervised patient care technicians and ensured adherence to safety protocols, de-escalation techniques, and therapeutic milieu standards. Maintained accurate, timely documentation and ensured compliance with hospital and state mental health regulations.

Managed a caseload of 30–50 patients, delivering comprehensive, patient-centered care coordination and case oversight in a home health setting. Conducted detailed initial assessments, opened new cases, and developed individualized care plans tailored to each patient’s medical needs, goals, and home environment.

Monitored clinical progress, adjusted care plans as needed, and ensured timely interventions. Supervised and provided guidance to Certified Nursing Assistants (CNAs) to support continuity and quality of care. Oversaw wound care management, including assessment, dressing changes, and prevention of infection.

Maintained compliance with agency protocols, documentation standards, and regulatory guidelines. Served as a liaison between patients, families, providers, and interdisciplinary teams to ensure coordinated, holistic care delivery.

• Coordinated staffing and assignments on a 35 bed floor. Implemented nursing care for surgical and geriatric patients.

• Supervised Nursing Care of 60 patients in resident Care facility. Responsible for medication management and wound care and developing nursing care plans.

• Private Duty Cases, Including Pt's Vent Dependent, Pediatric Cases, Wound Care, Opening Cases, Health Assessments for Life Insurance.