Rebecca Miller
Windsor,California
Summary
Accomplished Registered Nurse with a proven track record at Kaiser Permanente, excelling in Healthful Lifestyle Coaching, providing patient empowerment, and emotional support. Leveraged strong clinical judgment and patient advocacy to surpass patient satisfaction benchmarks. Skilled in both critical care and pediatric support, demonstrating a commitment to excellence and patient-centered outcomes.
Overview
40
40
years of professional experience
1
1
Certification
Work History
Recovery Room Registered Nurse - SN IV
Kaiser Permanente
03.2006 - 04.2024
- Collaborated with interdisciplinary teams to provide comprehensive care for patients recovering from surgery or other medical procedures.
- Educated patients about post-operative instructions for medication administration, infection complications and preventive health measures.
- Enhanced patient recovery by closely monitoring vital signs and implementing appropriate interventions.
- Developed personalized care plans to address each patient''s unique recovery goals and challenges.
- Cared for 18-30 patients in recovery.
- Cared for children ages 1 year to 18 years in recovery room after surgical procedures.
- Managed pain effectively for patients by administering medications as prescribed and adjusting doses based on individual needs.
- Educated patients and families about post-operative care, answering questions, addressing concerns, and promoting adherence to discharge instructions.
- Promoted patient autonomy by involving them in decision-making processes related to their recovery process and plans of care.
- Exceeded hospital benchmark for patient satisfaction scores through consistent delivery of high-quality nursing care and excellent bedside manner during recovery period.
- Demonstrated strong clinical judgment with rapid response to changes in patient condition, initiating appropriate interventions and escalating concerns as needed.
Pre-and Post Operative Registered Nurse
Healdsburg District Hospital
03.2000 - 03.2006
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Managed about 10 surgical patients per day.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Managed care from admission to discharge.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
Critical Care Registered Nurse
Adventist Health St Helena Hospital
06.1991 - 03.2000
- Administered life-saving medications and therapies under strict protocols, guiding patients towards recovery from acute illnesses or injuries.
- Assessed and managed various patient treatments for numerous patient diagnoses from sepsis to acute respiratory distress.
- Monitored hemodynamic parameters and analyzed complex data sets, making appropriate adjustments to treatment plans based on patient response.
- Cared for 1 to 2 critically ill patients in ICU.
- Served as preceptor for new nurses entering critical care field, sharing knowledge and expertise to facilitate successful integration into team.
- Demonstrated high level of adaptability in adjusting to ever-changing patient acuity levels within critical care unit, ensuring consistent delivery of safe and effective nursing care.
- Actively participated in continuing education opportunities to remain current with best practices in rapidly evolving field of critical care nursing.
- Oversaw various aspects of telemetry by administering pa catheters and arterials, vasoactive drugs, titration, thrombolytic therapy, dysrhythmia interpretation, and chest tubes.
- Improved patient outcomes by developing and implementing comprehensive care plans for critically ill patients.
- Trained and coached new employees on protocols and best practices to promote ideal patient outcomes.
- Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.
- Assessed and documented changes in patient's condition and prepared patient for transfer to higher level of care.
Pediatric Intensive Care Registered Nurse
Kapiolani Women's And Children's Hospital
06.1986 - 05.1991
- Provided direct patient care for 1 to 2 critically is children in PACU, stabilized patients, and determined next course of action.
- Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Managed care from admission to discharge.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as liaison between healthcare team and loved ones.
- Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
- Educated family members and caregivers on patient care instructions.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
Registered Nurse, Float Pool
Bozeman Deaconess Hospital
01.1985 - 05.1991
- Served as resource for other nurses on Float Pool, offering guidance on policies, procedures, and best practices.
- Improved patient satisfaction by providing high-quality nursing care and addressing individual needs.
- Increased efficiency in Float Pool by effectively prioritizing tasks and managing time across multiple units.
- Expanded professional knowledge and maintained licensure by participating in ongoing educational opportunities and conferences related to nursing practice.
- Strengthened relationships between nursing teams across various units through regular collaboration on shared float pool initiatives and projects.
- Mentored new nursing staff, sharing best practices for patient care and fostering supportive team atmosphere.
Intensive Care Registered Nurse
St Helena Hospital
05.1984 - 12.1984
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
- Cared for 1 to 2 critically ill patients in ICU.
- Utilized critical thinking skills to identify potential issues or complications in timely manner, taking appropriate action to mitigate risks.
- Assisted physicians with diagnostic tests and invasive procedures as needed while maintaining strict adherence to established safety guidelines.
- Improved patient outcomes by implementing evidence-based nursing practices and providing high-quality care in ICU setting.
- Promoted culture of safety within ICU environment by adhering to established protocols and procedures, reporting potential hazards, and participating in ongoing education opportunities.
- Managed ventilator settings for mechanically ventilated patients based on physician orders and clinical assessment findings.
- Coordinated patient transfers between units or facilities while ensuring continuity of care and seamless transitions for patients and their families.
- Monitored patients'' vital signs and responded promptly to changes or abnormalities, maintaining patient stability and preventing complications.
- Administered prescribed medications and treatments to ICU patients, ensuring accurate dosage and timely administration for optimal results.
- Conducted comprehensive assessments for critically ill patients, developing individualized care plans to address their unique medical needs.
- Delivered age-appropriate medical care for adult, adolescent, and geriatric ICU patients.
- Advocated for patients'' healthcare needs and preferences, collaborating with physicians to ensure that individualized treatment plans were developed.
Education
Nurse Coaching
Nurse Coach Collective
On Line11.2023
Bachelor of Science - Nursing
Loma Linda University
Loma Linda, CA06.1983
Skills
- Strong Clinical Judgment
- Patient and family advocacy
- Preventive Healthcare
- Emotional Support
Certification
- Certified Nurse Coach
What brings me joy?
Married for just shy of 40 years to the wonderful guy I met in kindergarten!
We share 5 of the wildest, silliest, most lovable grandkids around.
A wonderful day starts with mindfulness, prayer, and gratitude followed by a rejuvenating one mile bike ride to the foothills trailhead.
A vigorous hour hike and an easy bike ride home again. It's the simple pleasures that renew and satisfy.
Timeline
Recovery Room Registered Nurse - SN IV
Kaiser Permanente
03.2006 - 04.2024
Pre-and Post Operative Registered Nurse
Healdsburg District Hospital
03.2000 - 03.2006
Critical Care Registered Nurse
Adventist Health St Helena Hospital
06.1991 - 03.2000
Pediatric Intensive Care Registered Nurse
Kapiolani Women's And Children's Hospital
06.1986 - 05.1991
Registered Nurse, Float Pool
Bozeman Deaconess Hospital
01.1985 - 05.1991
Intensive Care Registered Nurse
St Helena Hospital
05.1984 - 12.1984
Nurse Coaching
Nurse Coach Collective
Bachelor of Science - Nursing
Loma Linda University
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