Robert Merryfield
Melissa,TX
Summary
Dynamic Registered Nurse with extensive experience, excelling in patient assessment and IV medication administration. Proven ability to respond swiftly in emergencies while fostering collaborative relationships with multidisciplinary teams. Skilled in cardiac rhythm analysis and precepting new staff, ensuring high-quality patient care and adherence to best practices.
Overview
18
18
years of professional experience
Work History
Registered Nurse
North Central Surgical Hospital
Dallas, Texas
02.2025 - 05.2025
- Monitored vital signs and reported changes to the healthcare team.
- Educated patients on post-operative care and rehabilitation practices.
- Collaborated with physicians to develop patient treatment plans.
- Documented patient progress and treatment interventions in electronic records.
- Provided support during diagnostic tests and imaging procedures.
- Monitored post-operative recovery progress; reported any changes in status to attending physician immediately.
- Effectively managed ortho-neuro joint replacement patients.
- Performed patient assessments including vital signs, pain scales and mobility evaluations.
Registered Nurse
Baylor Scott and White Plano
Plano, Texas
01.2024 - 05.2024
- Educated patients and families on treatment plans and side effects.
- Collaborated with multidisciplinary teams to ensure comprehensive care delivery.
- Maintained accurate documentation of patient assessments, changes in condition, treatments administered and progress notes in electronic health records.
- Reviewed laboratory results for abnormalities and reported them to physicians for further investigation.
- Fostered positive relationships with patients by responding quickly to their needs while maintaining a professional demeanor at all times.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Coordinated discharge planning to ensure continuity of care post-hospitalization.
Registered Nurse
Baylor Scott and White Mckinney
McKinney, Texas
03.2018 - 06.2023
- Administered medications and monitored patient reactions in the orthopedic unit.
- Monitored patients receiving heparin drips, as well as IV PCA hydromorphone and morphine pain medications.
- Monitored labs associated with IV heparin drips, and made adjustments according to protocols.
- I trained new nursing staff on the unit as a preceptor, maintaining protocols and best practices in patient care.
- Supervised nursing assistants in performing delegated tasks according to established policies and procedures.
- Identified potential risk factors associated with orthopedic conditions; implemented interventions as needed.
- Collaborated with physicians regarding patient assessment results, treatment plans and discharge planning.
- Coordinated discharge planning to ensure continuity of care post-hospitalization.
Registered Nurse
HCA Medical City Plano
Plano, Texas
10.2016 - 06.2018
- Utilized telemetry to monitor patients' cardiac status, monitoring for lethal rhythms and changes in cardiac rhythms to appropriate staff and MDs.
- Responded quickly to any changes in patient's condition or vital signs.
- Ensured that all necessary documentation was completed accurately and timely.
- Initiated appropriate action during code blue situations.
- Administered intravenous fluids, medications and other therapies as ordered by physician.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Precepted newly graduated RN staff, while maintaining safety and protocols.
- Mentored nursing students in clinical practices and patient care techniques.
- Educated preceptees on evidence-based practice guidelines and standards of care for specific populations.
- Provided guidance and support to new staff members in the clinical setting.
Registered Nurse
HCA Medical City Lewisville
Lewisville, Texas
08.2015 - 09.2016
- Evaluated patient care plans to ensure compliance with rehabilitation protocols.
- Collaborated with multidisciplinary teams to address patient needs effectively.
- Educated patients and families on rehabilitation processes and discharge planning.
- Assisted in developing individualized treatment plans based on patient assessments.
- Documented patient progress in electronic health records accurately and timely.
- Collaborated with interdisciplinary team members to ensure best possible outcomes for patients.
- Maintained accurate records of nursing assessments, interventions, evaluations and progress notes.
Registered Nurse, Medical-Surgical Unit
HCA Medical City Plano
Plano, Texas
12.2010 - 07.2015
- Administered medications and treatments as per physician orders in a busy medical-surgical unit.
- Monitored patient vital signs and reported changes to the healthcare team promptly.
- Assisted in wound care and dressing changes following established protocols and procedures.
- Trained new nursing staff on unit protocols and best practices for patient care delivery.
- Prioritized workloads according to urgency levels ensuring timely completion of assignments.
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Implemented evidence-based practices while caring for Telemetry patients.
- Responded promptly to any emergencies that arose during shift hours.
- Monitored electrocardiogram for abnormal rhythms or other changes in cardiac status.
Progressive Care Registered Nurse
HCA St David's Medical Center
Austin, Texas
01.2007 - 09.2010
- Administered medications and managed intravenous therapies for patient care.
- Performed bedside procedures, including wound care, catheterization, and IV administration.
- Educated patients on disease processes and medication management.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Monitored patients on cardiac drips and adjusted them according to MDs' orders.
- Monitored patients on arterial art lines, and adjusted ordered IV drips to maintain arterial blood pressure goals.
- Removed arterial sheaths while holding inguinal pressure on the arterial artery, monitored the arterial site, and took appropriate action if the need arose.
- Monitored for lethal rhythm changes, and took appropriate action per ACLS protocols.
- Precepted experience oncoming staff members
Education
Associate of Applied Science - Nursing
Austin Community College
Austin, TX12-2006
Skills
- Patient assessment
- IV medication administration
- Electronic health records
- Wound care management
- Time management
- Critical thinking
- Cardiac rhythm analysis
- IV drug therapy management
- Tracheostomy care
- Chest pain management
- Advanced cardiac life support (ACLS) certification
- Precepting
- EMR systems
- Meditech/Epic use
- IV insertion, PICC lines, central line care
- Foley insertion
- Colostomy, JP drains, wound vac
Accomplishments
- Preceptor of the year Dallas/ Fort Worth Area 2017 by DFWHC
Custom
ACLS Certified
BLS Certified
Stroke Certified
Timeline
Registered Nurse
North Central Surgical Hospital
02.2025 - 05.2025
Registered Nurse
Baylor Scott and White Plano
01.2024 - 05.2024
Registered Nurse
Baylor Scott and White Mckinney
03.2018 - 06.2023
Registered Nurse
HCA Medical City Plano
10.2016 - 06.2018
Registered Nurse
HCA Medical City Lewisville
08.2015 - 09.2016
Registered Nurse, Medical-Surgical Unit
HCA Medical City Plano
12.2010 - 07.2015
Progressive Care Registered Nurse
HCA St David's Medical Center
01.2007 - 09.2010
Associate of Applied Science - Nursing
Austin Community College
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