Robert Mccommas
RN
McAllen,TX
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. 10 years of Critical Care experience totaling 20 years of direct patient care experience. Adept at doctor communication and patient education with extensive knowledge of Neuroscience, Cardio, Trauma, and Intensive care treatments and planning long-term for patients. Successful at advocating patient needs and quick diagnoses.
Overview
19
19
years of professional experience
Work History
Intensive Care Cardiothoracic
RIO GRANDE REGIONAL HOSPITAL
04.2021 - Current
- Trained in recovery of post cardiothoracic surgical patients including CABG, mitral/aortic valve replacements, and thoracotomy procedures.
- Recovery and care of post cardiac Cath lab procedures including PCI, Watchmen, and post angiography.
- Trained and coached new employees on protocols and best practices to promote ideal patient outcomes.
- Provided targeted care and treatment to mechanically vented patients.
- Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery.
- End of life care
CIRCULATING OR NURSE
SOUTH TEXAS VASCULAR INSTITUTE
03.2021 - Current
- Intraoperative team member for peripheral vascularization procedures utilizing pedal artery approach as well as femoral artery access sites
- Assist or staff with intra-vascular ultrasound machines (Phillips and Boston Scientific) obtain vascular measurements of vessel diameter and assist in sizing of vascular stents
- Primary treatment rendered for treatment of peripheral arterial disease, chronic venous insufficiency, post thrombotic syndromes requiring use of excismer laser atherectomy, balloon angioplasty and stenting.
PICC RN
Premier IV Solutions, LLC
01.2015 - Current
- Received PICC bard training and help restart ICU PICC team, acted as lead by making call schedule provided educational in-services to nursing staff through Power Point presentations and bed side clinical training
- Proficient with US guided PIV placement and current evidence-based practices for Vascular Access.
- Utilized 3 CG Sherlock tip location technologies.
- Over 500 successful PICC/Midline insertions
Interim Director of Nursing
Laser Surgical Solutions
11.2019 - 03.2021
- In an OBL Ambulatory Surgical Settings I have assumed the roles of preoperative, post-operative, sedation, and circulating nurse
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Collaborated with staff, management, and external groups to coordinate patient care.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Developed policies and procedures for effective pharmacy management.
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- In pre- and post-operative role I am responsible for obtaining consents, verifying laboratory data, EKG, IV start, pre-anesthesia/sedation assessment, and assist in regional block by CRNA
- When in role of postoperative nurse, perform assessments, monitor hemodynamics, and provide patient education pertinent to disease process and or procedural discharge instructions
- In the OR I have assumed the role of circulating RN and Sedation RN.
Float RN
Doctors Hospital At Renaissance Health System
01.2018 - 09.2019
- Renassaince Floated to various nursing units on daily basis primarily in Emergency Room holding but not limited to Med/Surg, Telemetry, and ICU.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Monitored patient reactions after administering medications and IV therapies.
- Conducted rounds with medical staff to promote improved understanding between patients, nursing staff and medical staff to support continued quality of communication and care.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Administered and maintained comfort, treatment, medication, intravenous infusion and health care to support patient needs.
ACLS Instructor
Mcallen Medical Center
01.2014 - 08.2019
- Conducted clinical simulations and provided feedback for each individual student.
- Supervised students when administering medications to maintain patient safety.
- Collaborated with ACLS instructors to implement best practices to enhance student learning.
- Instructed students on how to perform head-to-toe assessments on patients and how to intervene in medical emergencies.
- Acted as a team leader in group projects, delegating tasks and providing feedback.
- Provided immediate and constructive feedback to students individually and as group.
- Analyzed clinical settings' success in helping students achieve course and program outcomes.
Clinical SUpervisor Neuroendovascular / Interventional Radiology
South Texas Health SYstems
02.2018 - 06.2019
- Played large role in the building of the Neuroendovascular Program at STHS MMC which recently gained Comprehensive Stroke Center accreditation through DNV
- Perform focus assessment of Acute/ Hemorrhagic Stroke patients facilitate the use of IV tPA, provide educational in-services in relation to evidence-based practices Neuroscience
- Schedule outpatient procedures, make call schedules, and supervise Radiology Staff
- Provide training to ICU nurses cross-training to the Neuro IR Cath Lab
- Circulate, monitor, administer moderate sedation, document, and manage patient care for Special procedure and Neuro IR
- Perform employee evaluations, validate competencies, extract data, and actively participates in Neuroscience Committee meeting
- Clinical Research Coordinator Complete Registry
House Supervisor and Bed Boar Coordinator
Mcallen Medical Center
10.2017 - 02.2018
- Board Coordinator in which I facilitated transfers, scheduled staffing for all units, scheduling OR, GI procedures after hours
- Maintained records and prepared reports for administration
- Essentially resource and after-hours administrator for hospital.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Collaborated with physicians regarding patient conditions, updates and necessary care changes.
Critical Care nurse
Mcallen Medical Center
01.2013 - 02.2018
- Medical, Surgical, Trauma, and Neuro patients in which I managed, coordinated, participated in provided evidence-based quality care to these populations
- Proficient with ARDS, MODS, SIRS, Multi-system Trauma, Sepsis, TBI patients on mechanical ventilation, CRRT, and various modalities for managing the critically
- Operated critical care equipment to keep patients stable and promote recovery.
- Counseled patients and families on treatments, care options and discharge instructions.
- Protected critically ill patients from unnecessary risks by limiting visitors, using proper PPE, and using strong infection control procedures.
- Performed timely resuscitation and stabilization of acutely ill patients.
- Assisted Intensivists with bed side procedure, provided education to patient and family while upholding facility code of conduct and policies
- NOMINATED FIVE TIMES FOR DAISY AWARD Unknown Author is licensed under CC BY
- Managed needs of chronically ill and acute patients with well-coordinated treatment strategies.
Clinical Team Leader
Urology Associate Of South Texas
01.2006 - 01.2012
- UROLOGY aSSOCIATE OF sOUTH TEXAS
- PERFORMED NEW PATIENT INTAKE IN EMR, COLLECTED SPCIMENT SAMPLES, PROVIDED PATIENT EDUCATION REGARDING UROLOGIC DISORDERS, CATHERIZATION OF ALL PATIENT POPULATIONS, PERFORMED TUMT UNDER MD SUPERVISION, ASSISTED MD WITH ENDOSCOPIC PROCEDURES INCLUDING BIOPSIES, CIRCUMCISIONS, URETHRAL DILATIONS ECT.
- PARTICAPTED AS RESEARCH ASSISTANT FOR OFFICE MAINTAINING LOGS AND PERFORMING CLINICAL SKILL REQUIRED BY RESEARCH PROTOCOLS
- WILEX Phase 3 Clinical Trial
- NYMOX Phase 3 Clinical Trial SCHEDULED OUPATIENT SURGIES WITH LOCAL HOSPITALS, OBTAINED INSURANCE AUTHORIZATIONS.
LVN
HARLING NURSING & REHABILITATION CENTER, WESLACO
01.2004 - 01.2006
- AND BROWNSVILLE FACILITES)
- PERFOMED NUMEROUS BASIC NURSING SKILLS, WOUND CARE NURSE
Education
Bachelor of Science - Nursing Science
Chamberlain College of Nursing
Downers Grove, IL04.2022
Associate of Applied Science - Nursing
South Texas College
Mcallen, TX05.2012
Certificate of Proficiency - Nursing
The University of Texas At Brownsville And Texas Southmost College
Brownsville, TX05.2003
Skills
- Electronic Charting
- Swan-Ganz Catheters
- Patient Health Information Access
- Medication Side Effect Knowledge
- Critical Care Nursing
- IV Administration
- Safety Protocols
- PICC Lines
- Advanced Cardiac Life Support (ACLS)
- Invasive Procedures
- Endotracheal Intubation
- Mechanical Ventilation Equipment
- Cerebrovascular Accidents
- Central Line Placement
- Coronary Artery Bypass Surgery
- Tracheostomy Care
- Critical Care Assessments
Accomplishments
- ENLS- Emergency Neurologic Life support
- Sedation certified registered nurse (EXP
- 01/31/2022)
- Previously: VA-BC – vascular access board certified TNCC- Trauma nurse core certification
- ACLS instructor
- Formerly CCRN
Additional Information
Nominated for Daisy Award 5 Times
Languages
Spanish
Native or Bilingual
Timeline
Intensive Care Cardiothoracic
RIO GRANDE REGIONAL HOSPITAL
04.2021 - Current
CIRCULATING OR NURSE
SOUTH TEXAS VASCULAR INSTITUTE
03.2021 - Current
Interim Director of Nursing
Laser Surgical Solutions
11.2019 - 03.2021
Clinical SUpervisor Neuroendovascular / Interventional Radiology
South Texas Health SYstems
02.2018 - 06.2019
Float RN
Doctors Hospital At Renaissance Health System
01.2018 - 09.2019
House Supervisor and Bed Boar Coordinator
Mcallen Medical Center
10.2017 - 02.2018
PICC RN
Premier IV Solutions, LLC
01.2015 - Current
ACLS Instructor
Mcallen Medical Center
01.2014 - 08.2019
Critical Care nurse
Mcallen Medical Center
01.2013 - 02.2018
Clinical Team Leader
Urology Associate Of South Texas
01.2006 - 01.2012
LVN
HARLING NURSING & REHABILITATION CENTER, WESLACO
01.2004 - 01.2006
Bachelor of Science - Nursing Science
Chamberlain College of Nursing
Associate of Applied Science - Nursing
South Texas College
Certificate of Proficiency - Nursing
The University of Texas At Brownsville And Texas Southmost College
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