Randolf Malveda, BSN,RN

• Provides holistic patient-centered care to 4-5 telemetry patients
• Enhanced patient care by accurately interpreting cardiac monitor readings and promptly reporting critical findings to healthcare team.
• Decreased patient complications through diligent monitoring of vital signs, lab results, and other telemetry data.
• Collaborated with interdisciplinary healthcare teams to develop and implement individualized care plans for patients with complex conditions.
• Streamlined communication between nursing staff and physicians, ensuring timely intervention for urgent issues.
• Administered prescribed medications safely and effectively while closely monitoring potential side effects or adverse reactions.
• Increased patient satisfaction scores through attentive listening, empathetic support, and timely addressing of concerns.
• Prevented life-threatening complications by quickly recognizing early warning signs of deterioration in critically ill patients under close observation.
• Ensured patient safety through vigilance in infection control practice.
• Documents accurately, concisely and in a timely manner the care provided and its outcome. Skilled in EPIC (EMR), fall prevention strategies, and medication administration protocols.

• Provides care to male adult clients with cancer and other related medical-surgical cases in a 19-bed capacity unit with isolation room.

• Performs comprehensive and systematic nursing assessment, diagnosis, planning, interventions, and evaluations; and modification of nursing care plan as necessary.

• Acts rapidly and accordingly in urgent, complex and emergency situations.

• Provides care to clients before and after antineoplastic treatment (e.g. chemotherapy, immunotherapy, radio-active iodine therapy) and diagnostic procedures (e.g. PET scan, endoscopy, colonoscopy, ultrasound -guided biopsy)

• Provides pre-operative and post-operative care and teachings to clients who will receive surgical treatment

• Provides care to clients with artificial airway on non-invasive ventilatory support

• Performs primary nursing care such as pain management, incontinence management, bathing, turning, lifting, and ambulating.

• Administers antineoplastic agents, blood products, medications,

intravenous fluids, enteral feedings, and enemas.

• Performs blood sampling and suctioning; intravenous catheter, urinary catheter insertions; tracheostomy care, ventilator care, wound care, and colostomy care.

• Assists physicians during rounds and bedside procedures.

• Acts as patients’ advocate.

• Observe infection control measures.

• Attends educational workshops and reviews professional publications for clinical advancement.

• Collaborates with physicians and members of interdisciplinary team; Updates and reports changes on client’s status to the healthcare provider.

• Maintains accurate and detailed documentations.

• Teaches and supervises new nurses and student nurses; and gives opportunities for learning.

• Assumes Charge Nurse duties - Supervises and evaluates the care given by 2-3 Nurses, with a nurse-patient ratio of 1:5, depending on the clients’ acuity; Utilizes clinical judgement and problem solving skills; Facilitates diagnostic tests and procedures to be done during the shift; Handles and regulates narcotic and controlled medications in the unit; Manages crash cart and routinely checks defibrillator; Supervises nurses’ documentations and ensures physicians’ orders are applicable to the patient’s condition and are carried out; Communicates with physicians and members of interdisciplinary team about patients’ status; Coordinates with inter-hospital departments to ensure an organized and a systematic operation of the unit; Assigns patients to incoming shift’s nurses according to experience and competency; Reports and gives updates to the Unit Manager.

• Managed patient care by providing comprehensive assessments, planning interventions, and evaluating outcomes for medical-surgical patients.
• Reduced complications with thorough patient education on post-operative care and medication administration.
• Collaborated in interdisciplinary team meetings to discuss treatment plans and optimize patient results.
• Promoted patient safety by following strict infection control protocols, preventing hospital-acquired infections.
• Enhanced teamwork among nursing staff through effective communication and sharing of best practices.
• Delivered high-quality care with attention to detail in administering medications, treatments, and wound care.
• Monitored patient vital signs to perform thorough condition assessments.
• Provided health education to patients and families regarding discharge instructions and plans of care.
• Managed patient pain relief and sedation by providing non-pharmacological and pharmacological interventions.

• Evaluated patient histories, complaints, and current symptoms.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Educated family members and caregivers on patient care instructions.
• Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Developed strong rapport with patients through active listening skills and empathy toward individual needs.