RICHARD A. GAYRAMA

Qualified and dynamic nurse with 15 years of experience in high volume Emergency Department. Specialized in triage and providing immediate emergency care to trauma patients. Team oriented and reliable with expert healthcare knowledge, clear verbal and written communication skills and sound clinical judgement.

Experienced with patient care management, delivering compassionate and efficient nursing services. Utilizes critical thinking skills to make informed decisions in fast-paced environments. Track record of effective communication and collaboration with healthcare teams.

Healthcare professional with extensive experience in providing high-quality patient care and ensuring compliance with clinical standards. Committed to fostering collaborative environment and achieving optimal patient outcomes. Reliable team player with strong adaptability and excellent communication skills.

ER/ED IV WARRIOR;

KING OF ULTRASOUND GUIDED IV CANNULATION

• CALIFORNIA RN - LICENSE NUMBER – 95414754
• TEXAS RN – LICENSE NUMBER – 968835
• TENNESSEE RN – LICENSE NUMBER – 255867
• WASHINGTON STATE RN – RN70019888

• Observed and performed triage, assessed critical nature and severity of patients’ conditions
• Took down and recorded patient vital signs, regularly monitored for changes in status
• Administered necessary treatments and procedures in order to stabilize and improve patient condition
• Provided a variety of treatment depending on the condition, range of procedures could be from administration of medication to first aid.
• Charted the patient’s complete medical history, contact information, current condition, and present list of medications
• Administered critical IV medications such as Cardizem, Dopamine, Insulin, Nitroglycerin, and Adenosine
• Assisted in the care of multiple traumas, cardiac arrests, stroke codes, and conscious sedations
• Constantly communicated and collaborated with physicians and other healthcare professionals to ensure optimal care was given to patients in a timely manner

• ADVANCE CARDIAL LIFE SUPPORT (ACLS) Methodist Le Bonheur Healthcare Validity: 11/2026
• BASIC LIFE SUPPORT (BLS) Methodist Le Bonheur Healthcare Validity: 10/2026
• PEDIATRIC ADVANCED LIFE SUPPORT (PALS) Methodist Le Bonheur Healthcare Validity: 09/15/2026
• TRAUMA NURSE CORE COURSE (TNCC) ENA UNIVERSITY (ENA) Validity: 05/31/2028

During my three years at Methodist Hospital in Germantown TN, I developed advanced skills in ultrasound-guided iv insertion, providing vascular access for difficult-to-stick patients and those requiring specialized medications that necessitate dependable peripheral IV line.