Marsha I. Tucaling

• Managed daily operations of the emergency department to ensure efficient patient care.
• Supervised nursing staff and coordinated schedules for optimal resource allocation.
• Monitored patient flow, staffing levels, and resource utilization to ensure efficient operations.
• Facilitated communication between departments to improve patient flow and outcomes.
• Implemented quality assurance protocols to enhance service delivery standards.
• Analyzed performance metrics to identify areas for operational improvement and efficiency.
• Evaluated existing processes and identified opportunities for streamlining workflow efficiency.
• Reviewed incident reports and directed corrective actions.
• Actively participated in developing strategic plans aimed at enhancing operational effectiveness of the Emergency Department.
• Facilitated collaboration between administrative personnel from different departments across the hospital network.
• Conducted regular staff meetings to discuss performance issues and address concerns.
• Provided timely feedback on employee performance in order to improve work quality standards.

Provide thorough pre- and post-procedural care for patients undergoing various

heart procedures, using clear patient education to reduce anxiety and ensure

comfort.

Perform essential nursing tasks, including advanced monitoring of heart function

and managing devices like intra-aortic balloon pumps, Impella, and ECMO, while

quickly identifying any negative changes in patients' conditions.

Work closely with a team of healthcare professionals to create care plans that

respect patients' dignity and choices, especially for those with complex heart issues.

Gain experience in treating a wide range of conditions, including adult congenital

heart disease, aortic stenosis, arrhythmias, atrial fibrillation (AFib), coronary artery

disease, heart failure, and structural heart disease.

Assist in minimally invasive heart surgical procedures, including mitral valve repair

and transcatheter aortic valve replacement (TAVR), as well as transcatheter

tricuspid interventions.

Support the implantation of devices that manage heart rhythms, including

pacemakers and implantable cardioverter-defibrillators (ICDs).

Help with the use of left atrial appendage closure devices to reduce the risk of stroke

by permanently closing off a part of the heart where clots can form.

Follow strict departmental protocols to ensure patient safety and improve care

delivery, maintaining excellent compliance with standards for timely treatment of

heart attacks.

• Facility Type: Acute Care Hospital, Teaching Facility: Yes, Trauma level: 1, Total Beds: 402
• Assessed patient conditions in high-pressure emergency situations.
• Collaborated with multidisciplinary teams for comprehensive patient care.
• Administered medications and treatments as prescribed by physicians.

• Facility type: Acute Care Hospital
• Provided immediate care to patients in high-stress emergency situations.
• Collaborated with multidisciplinary teams to develop patient care plans.
• Administered medications and monitored patient responses effectively.

• Facility Type: Acute Care Hospital
• Provided emergency care to diverse patient populations in high-pressure situations.
• Collaborated with multidisciplinary teams to develop effective treatment plans.
• Administered medications and monitored patient responses in critical care settings.

• Ensuring and delivering high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift.
• Serves as the primary decision maker for clinical operations during a given shift and modifies staff assignments/mix according to the changes in acuity/volume.
• Makes decisions regarding activities within the unit based on Administrative Operational Standards, Nursing Administrative Standards, Human Resource Standards, and Standards of Care for the unit, in collaboration with other members of the management team.
• Collaborating with other members of the management team and healthcare team that is involved in patient care, monitors and evaluates nursing care in accordance with established policies/ procedures.
• Acted as a resource person for staff and modeled a commitment to the organization’s mission/vision/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance.
• Cultivated a culture that enhanced staff productivity and ensured efficient unit operations.

• Acted as a relief Charge Nurse (2 years)
• Assess, intervene, and stabilize a variety of trauma and illnesses with decisive action.
• Making a quick and accurate assessment about incoming patients including trauma, STEMI, Stroke, and mental health conditions.
• Provided quality emergency treatment according to physician orders, hospital policy, and standard nursing practice.
• Working calmly and carefully while juggling many different tasks and cases at once such as dealing with life-threatening injuries.
• Displayed confidence in uncertain situations, fostering a calming environment for patients.
• Able to handle crisis situations, attention to detail and flexible.
• Collaborates with various ER professionals to ensure effective patient care.
• Coordinated with multiple EMS to streamline triage process, improving patient care flow through the department.
• Assigned patients and supervised new hires and less-experienced staff to enhance team performance and patient care.
• Perform daily rounds to ensure patient satisfaction.
• Commended for timely and consistently accurate trauma documentation multiple times.
• Providing attentive, integrity driven and quality patient care.

• Assigned patients and adjusted staffing to optimize workload management and enhance patient care.
• Makes rounds on the unit noting patient condition, care, and environment.
• Performed musculoskeletal health examinations, encouraging patients to increase their mobility, educating patients about how to protect their joint and bone health, and implementing strategies to minimize pain especially right after hip/s and knee/s surgeries.
• In depth knowledge for aggressive pain management techniques and post-surgical recovery such as using pain pumps.
• Demonstrated and assisted patients with use of prescribed therapies including continuous passive motion (CPM) devices.
• Being empathetic and supporting family involvement in accordance with patient’s wishes regarding caregiving, decision making and end-of life care.
• Prioritized identified problems and modified care plans based on guidelines and protocols.
• Developed and implemented strategies that decreased length of stay while improving patient and family satisfaction.
• Provided comprehensive patient care and support at Houston Northwest Medical Center.

• Cared for patients with long-term illnesses, providing emotional support and enhancing their quality of life.
• Communicated warmly and professionally with patients, families, and visitors to foster a supportive healthcare environment.
• Maintaining the dignity and privacy of all patients and respecting their rights to confidentiality.
• Liaised between patients, families, and healthcare team members to collect and relay critical information, ensuring coordinated care.
• Performed dressing wounds on all wound stages, PEG tube feedings, tracheostomy care, colostomy, ileostomy, and JP drain care.
• Pressure ulcer management, assessing risk factors, documenting stages, initiating and maintaining skin care protocol.