Rojina Bhari Shrestha

• Working as core staff,ICU RN from 02/2023 -Present
• Worked as an ECL through Adex Medical Staffing as ICU RN from 07/2020 - 01/2023
• Use of critical thinking skills to prioritize nursing interventions based on patients acuity in 24 bedded ICU
• Assess patient to identify changes in condition, notifying physicians and initiating appropriate interventions
• Administer medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Educate patients, families and caregivers on disease process ,on going treatment plan and lifestyle options.
• Provide direct patient care for critically ill patient like septic shock, GI bleed , cardiogenic shock,respiratory failure, AKI,CVA,MI, on CRRT
• Participate in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
• Provide support for patient's families during difficult end-of-life care.
• Patient admission and transfer within and out of facility
• Rapid Response Team and Code Team
• Interaction with Tele- ICU care team and multidisciplinary team for care co-ordination
• Covid Management- proning therapy, infection prevention

>>03/2013 to 01/2017 in Medical - Surgical Unit

• Pharmacological and Non Pharmacological Management of various disorders and diseases
• Assist Physician in procedures such as Lumber Puncture, Pleural tapping, Ascitic tapping, Dressings
• Prepare Pre -Operative patient and handle Post- Operative cases
• Perform procedure such as Foley Insertion, Venipuncture, Phlebotomy, Tracheostomy care, wound dressing And NG tube Insertion
• Effective Counseling in Health maintenance and disease management

>>02/2017-03/2020 in ICU/CCU

• Coordinating assessment ,diagnosis, intervention and evaluation of critically ill patient with multidisciplinary plan of care in 12 bedded ICU
• Prepare patient pre procedure such as Angiography, Angioplasty, ICD placement, PPI and CABG
• Provide care to patient Post Procedure such as Angiography, Angioplasty, ICD placement, PPI and CABG
• Monitor and handling of medical equipment such as Cardiac monitors, Mechanical ventilator and Oxygen delivery devices such as Hi-Flow , Bipap
• Evaluate patient's vital signs and laboratory numbers to determine intervention needed
• Post Operative care after CABG, MVR, AVR, Neuro -Surgery and GI surgery
• Provide direct care to critically ill patient like in sepsis, respiratory failure, Acuter MI, Mechanically ventilated, liver failure, heart failure, GI bleed
• Provide Post mortem care
• Managed care from admission to discharge.