Rebecca N Rivera

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Administered different therapies and medications in line with physician orders and treatment plan.
• Educated patients and answered questions about health condition, prognosis and treatment.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
• Performed triage on incoming patients and determined severity of injuries and illnesses.
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.

• Utilized Fowler's, supine, Sim's or prone positions to position patients for operations, maintaining patients' airways and circulation through procedure and preventing nerve damage.
• Monitored blood pressure and heart rate of patients with cardiac issues and high cholesterol to detect irregular heartbeats and hypertension.
• Used Cerner to maintain information about medicine administered, responses and blood loss for procedures.
• Managed patients recovering from medical or surgical procedures.
• Responded to distress and adverse indications to prevent emergent conditions and stabilize patients.

• Updated and Verified patients information necessary for ongoing care, keeping records current to support accurate treatments, providing guidance on diagnoses, management of medications and prevention methods.
• Documented physicians dictated H&P, POC, Dx and wrote scripts for each patient encounter completing medical record in collaboration with provider.
• Triaged patient phone calls, answering questions, concerns and symptoms assessment need for ER, Clinic or home intervention.

• Prepared and assisted in all Procedures maintaining sterile process, collecting proper supply and equipment; prepared patient accordingly
• Followed patients through radiation treatment, ensuring proper follow up care, provided education and evaluated for side effects
• Maintained collaborative care between provider, clinical staff and outside medical personal to meet patient necessity and requirements of care

• Analyzed assessment, diagnostic and laboratory data to determine nursing diagnosis and appropriate interventions
• Worked with intubated and ventilated patients, monitoring and reporting on conditions to maintain stats within optimal levels.
• Demonstrated responsibility and accountability for own professional practice and patient care utilizing nursing process to individualize care and meet needs of patients.
• Maintained communication and collaborative care relationship with physicians, providers and patient
• Organized, coordinated and prioritized patient care consistently using appropriate resources for acuity of illness
• Demonstrated clinical knowledge of invasive and non-invasive bedside procedures and treatments such as Cardiac Pacing, CRRT, IABP, Central and arterial line insertion, Chest Tube and ETT insertion and management.
• Responded rapidly to critical codes to coordinate stabilization treatments and restore vital functions.

• Cardiac Sheath certified-Managed and discontinued femoral sheaths, Proficient in Cardiac Rhythms
• Code Blue Team
• Managed NIV- Bipap/Cpap, cardiac drips and VS monitoring
• Admission, Discharge and transfer of patients
• Promoted patient independence by establishing care goals and teaching patients about conditions, medications, and self-care skills.

• Skilled at working independently and collaboratively in a team environment.
• Self-motivated, with a strong sense of personal responsibility.
• Improved patient outcomes by implementing evidence-based nursing practices in the ICU setting.
• Managed critical care patients with complex medical conditions, providing compassionate care and support to families.
• Conducted ongoing monitoring of vital signs, lab results, and diagnostic tests to promptly identify changes in patient conditions.
• Provided targeted care and treatment to polysubstance use and homeless patients.

Gained entry level experience as Extern I/II at GRMC, SCU and ER

Established proficiency in clinical setting care.