Roxy Michele Gomez, RN

• Assessed and monitored labor progress, fetal heart tones, and maternal vital signs.
• Provided patient education regarding labor and delivery process.
• Performed vaginal exams to assess dilation and effacement of cervix.
• Implemented therapeutic communication techniques to ensure patient comfort during labor.
• Instructed patients on postpartum care after birth of baby.
• Performed newborn assessments such as APGAR scores at one minute and five minutes after birth.
• Managed emergency situations requiring rapid assessment, stabilization, resuscitation, or intervention for mother or infant according to established protocols.
• Initiated breastfeeding support for mothers in the immediate post-delivery period.
• Educated patients about risk factors associated with high-risk pregnancies.
• Cared for a variety of medical conditions experienced by pregnant women including preterm labor, hypertensionand preeclampsia, diabetes mellitus, intrauterine growth restriction, placental abruption.
• Maintained accurate records of all patient information including lab results, medication administration.
• Provided emotional support to family members throughout labor process.
• Ensured safety of both mother and baby before discharge from hospital.
• Identified potential complications that may arise during pregnancy or delivery process.
• Participated in quality improvement initiatives within Labor and Delivery unit.
• Attended educational seminars on new developments in obstetrical nursing practices.

• Assessed and monitored labor progress, fetal heart tones, and maternal vital signs.
• Provided patient education regarding labor and delivery process.
• Performed vaginal exams to assess dilation and effacement of cervix.
• Administered medications including epidurals and narcotics as ordered by physician.
• Collaborated with physicians, midwives, anesthesiologists, neonatologists, and other healthcare professionals during labor and delivery process.
• Implemented therapeutic communication techniques to ensure patient comfort during labor.
• Instructed patients on postpartum care after birth of baby.
• Performed newborn assessments such as APGAR scores at one minute and five minutes after birth.
• Managed emergency situations requiring rapid assessment, stabilization, resuscitation, or intervention for mother or infant according to established protocols.
• Initiated breastfeeding support for mothers in the immediate post-delivery period.
• Promoted evidence-based practice through ongoing research activities related to nursing practice in Labor and Delivery setting.
• Educated patients about risk factors associated with high-risk pregnancies.
• Cared for a variety of medical conditions experienced by pregnant women including preterm labor, hypertension and preeclampsia, diabetes mellitus, intrauterine growth restriction, placental abruption.
• Identified potential complications that may arise during pregnancy or delivery process.
• Monitored fetal heartbeat and length and strength of contractions to guide labor.
• Reviewed and tracked progress of mothers in labor, interpreted fetal heart monitor and informed delivering physician of status.
• Consulted with physicians and other members of care team to identify and assist with complications.
• Assisted physicians in delivery of babies and supported and encouraged mothers during childbirth.
• Cared for pregnant women expecting imminent birth and for babies immediately after birth in hospitals and health clinics.
• Maintained accurate records of all patient information including lab results, medication administration.

• Cared for pregnant women expecting imminent birth and for babies immediately after birth in hospitals and health clinics.
• Monitored fetal heartbeat and length and strength of contractions to guide labor.
• Reviewed and tracked progress of mothers in labor, interpreted fetal heart monitor and informed delivering physician of status.
• Consulted with physicians and other members of care team to identify and assist with complications.
• Assisted physicians in delivery of [Number] babies and supported and encouraged mothers during childbirth.
• Provided information, guidance and hands-on clinical care to support pregnant women.
• Guided new mothers on recovery and infant care to promote and support maternal and family adaptation.
• Oversaw labor by coaching women, assisting with complications and administering medications during birth.
• Briefed next-shift nurses thoroughly on condition, status and needs of mother and newborn.
• Leveraged equipment and administered medications, supporting labor, delivery and care of newborns.
• Discharged mothers and babies after patiently guiding parents through at-home care and follow-up medical care.
• Complied with OSHA standards for healthcare professionals to minimize or eliminate risk of infection.
• Performed tests on newborns to check for rare but serious conditions just after birth.

• Collaborated with department managers to correct problems and improve services.
• Provided strong leadership and guidance to nurses.
• Established and maintained positive relationships with residents, physicians, hospital staff, patients and families.
• Completed daily rounds of nursing department while upholding acceptable nursing standards.
• Maintained quality care systems, standards and HIPAA confidentiality.
• Collaborated with management teams in order to implement and evaluate programs and services.
• Developed and arranged continuing education opportunities for staff to increase knowledge and skills.
• Identified physical, emotional and social needs of patients during daily planning and addressed critical issues immediately.
• Utilized learned nursing skills for wound care, vital sign checking and medication assistance.
• Resolved issues in field by notifying [Job title] immediately to determine course of action.
• Developed care plans, covering goals based on nursing diagnosis and incorporating therapeutic, preventive and rehabilitative nursing actions.
• Notified physicians of changes in patients' conditions.
• Conducted regular re-evaluations to address changes in needs and conditions, and introduced revisions to care plans.

• Read physician orders and administered therapies, treatments and medications.
• Administered medications, tracked dosages and documented patient conditions.
• Explained treatment procedures, medication side effects, special diets and physician instructions to patients.
• Recorded patient condition, vital signs, recovery progress and medication side effects.
• Prioritized patient care assignments based on patient conditions to achieve optimal outcomes.
• Reviewed physician orders and participated in medication management to optimize patient safety.
• Performed nursing rounds to complete scheduled tasks and interact with patients.

• Collaborated with physicians on patient medications, medical needs and performance.
• Developed patient care plans, overall patient health assessments and evaluations.Actively participated in family and patient planning processes.
• Assessed and reviewed patients for discharge and planning and integrated services for patients requiring home care, home infusion and durable medical equipment (DME).
• Updated and maintained discharge plan of care with physician, members of healthcare team, patients and families.
• Collaborated in consults, patient care plans development, patient monitoring and evaluations.
• Collaborated with physicians during medical rounds, updated treatment plans and provided plan of care to patients and families.
• Determined and coordinated appropriate level of care to meet individual patient needs.
• Participated in on-call rotations, delivering daily continuous quality care to patients.
• Supervised nurse administration of oral, intramuscular and IV medications to patients as prescribed, monitoring responses for adverse reactions.
• Trained, guided and mentored home healthcare providers to ensure all objectives were met.

• Reviewed and tracked progress of mothers in labor, interpreted fetal heart monitor and informed delivering physician of status.
• Cared for pregnant women expecting imminent birth and for babies immediately after birth in hospitals and health clinics.
• Assessed and documented physical condition of mothers and babies and assisted doctors in identifying and treating preeclampsia.
• Discharged mothers and babies after patiently guiding parents through at-home care and follow-up medical care.
• Stability of sick mothers and /or infants for transport

• Duties included working in labor/delivery/newborn nursery/postpartum.
• Implemented physician orders, cared for patients requiring fetal assessments and fetal monitoring.
• Administered prescribed medications and monitored vital signs, assisted physician/ CNM during deliveries, treatment and examination.
• Monitored, recorded and communicated patient condition as appropriate.
• Utilized computerized as well as paper documentation systems, educated patients and families as well as provided age and culturally appropriate care.
• Job was contract position for MSN

• Duties included working in LDRP unit with relatively low risk patients
• Implementing physician orders
• caring for the patient requiring fetal assessments and fetal monitoring and labor management,
• administering prescribed medications as ordered and monitoring vital signs,
• assisted physicians during deliveries, procedures, treatments and examinations as well as sample collection, attending C-sections to care for the newborn both stable and unstable infants,
• staffing for next shift as well as to get needed personnel for current emergencies that may be going on.
• Monitoring, recording and communicating patient conditions as appropriate.
• Utilizing computerized documentation systems, educate patients and families as well as providing age and cultural specific care.
• Familiar with computer charting in EPIC

• Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
• Treatments for medical and psychiatric conditions and following detox protocols including COWS and CIWA scores.
• Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive care over entire stay.
• Developed and adapted individualized treatment plans according to patient recovery goals. Updated physicians on patient test results.
• Guided therapeutic communication, conflict resolutions and interventions by deflecting undesirable behaviors to assist patients with developing and amplifying coping mechanisms.
• followed through with labs as well as reported in a timely fashion.
• Maintained personal and team compliance with medication administration standards and patient care best practices.

• Duties included working in LDRP unit with relatively low risk patients that if they meet certain high risk criteria they may be stabilized then transferred to sister hospital with higher level of care.
• Implemented physician orders, caring for the patient requiring fetal assessments and fetal monitoring and labor management,
• Administering prescribed medications as ordered and monitoring vital signs, assisted physicians during deliveries, procedures, treatments and examinations as well as sample collection, circulating C-sections, caring for newborn.
• Monitoring, recording and communicating patient conditions as appropriate.
• Utilizing computerized documentation systems in EPIC.
• Educate patients and families as well as providing age and cultural specific care.

• Duties included working in LDRP unit with low to moderate risk patients
• implementing physician orders, caring for the patient requiring fetal assessments and fetal monitoring and labor management,
• Administering prescribed medications as ordered and monitoring vital signs, assisted physicians during deliveries, procedures, treatments and examinations as well as sample collection, circulating C-sections, caring for newborn
• Staffing next shift as well as to get needed personnel for current emergencies. Monitoring, recording and communicating patient conditions as appropriate.
• Utilizing computerized documentation systems in EPIC
• Educate patients and families as well as providing age and cultural specific care.

• Duties included working inLDRP
• Implementing physician orders, caring for the patient requiring fetal assessments, fetal monitoring and labor management,
• Administering prescribed medications as ordered and monitoring vital signs, assisted physicians/midwives
  during deliveries, procedures, treatments and examinations as well as sample collection.
• Monitoring, recording and communicating patient conditions as appropriate.
• Utilizing computerized documentation systems in Meditech.
• Educate patients and families as well as providing age and cultural specific care.
  

• Duties included working in LDRP.
• Implementing physician orders, caring for the patient requiring fetal assessments and fetal monitoring and labor management
• Administering prescribed medications as ordered and monitoring vital signs, assisted physicians/midwives during deliveries, procedures, treatments and examinations as well as sample collection.
• Monitoring, recording and communicating patient conditions as appropriate. Utilizing computerized documentation systems,
• Educate patients and families as well as providing age and cultural specific care.
• Familiar with computer charting in Centricity and Meditech

Duties included working in busy labor/delivery/newborn nursery/postpartum. Implementing physician orders, caring for the patient requiring fetal assessments and fetal monitoring and labor management, administering prescribed medications as ordered and monitoring vital signs, assisted physicians/midwives during deliveries, procedures, treatments and examinations as well as sample collection. Monitoring, recording and communicating patient conditions as appropriate. Utilizing computerized documentation systems, educate patients and families as well as providing age and cultural specific care. Familiar with computer charting in Watchchild . This Job was contract position, Personal Contract with IHS which I did in conjunction with my permanent job with RMCH

Duties included working in labor/delivery/newborn nursery/postpartum. Implemented physician orders, cared for patients requiring fetal assessments and fetal monitoring. Administered prescribed medications and monitored vital signs, assisted physician during deliveries, treatment and examination. Monitored, recorded and communicated patient condition as appropriate. Utilized computerized documentation systems, educated patients and families as well as provided age and culturally appropriate care. Familiar with QS labor system as well as HMS system. Job was contract position. For 3 months with Liquid Agents

Nursing Supervisor of urgent care clinic in which duties included the scheduling of nurses as well filling in for vacations or absences, placing orders for state and private vaccine programs, ordering supplies as well as staying within the budget. Triage of patients including health history, medical profiles and history of current illness. Performing EKG’s, and notifying
higher level of care when needed, administer TB tests and vaccine, input into VacTrak system and assist physicians as needed for direct patient care, removing stitches, burn care, wound care and redressing wounds. Dispense or administer medications as ordered by physician, chart in patient medical records. Provide patient follow-up calls and call in prescriptions and lab results, assist with patient referrals, prior authorizations for medications and patient procedures and testing, confirmations of pregnancy, as well as any state reporting that must be made to the CDC. Reason for Leaving: Relocated back to Lower 48 

Duties included being responsible for the direct and indirect nursing care provided for a primarily adult/geriatric ESRD patient population. Using the nursing process to care for patients in an outpatient setting according to their individual needs, determine and implement a plan of care, evaluate and revise plan according to changing patient care needs. Provided on-going patient and family education and included patient/family incare planning, using appropriate forms to document care provided. Maintain communication with physicians, ancillary services, and other healthcare providers to ensure continuity of care for each patient. Responsible for maintaining standards of professional nursing practice and delegating tasks appropriately. Reason for leaving: our patients got moved to another dialysis clinic, and hours got cut down to the point there was no need for 3 nurses

Contract position in labor and delivery/postpartum/newborn nursery/OR/Triage. Average of 200-300 deliveries per month in a busy labor and delivery unit serving mainly Alaska Native population of Alaska from all over the State. Duties included implementing physician orders, cared for patients requiring fetal assessment and fetal monitoring, administered prescribed medications and monitored vital signs. Assisted physicians during delivery, treatment, examination and surgical procedures, monitored, recorded and communicated patient condition as appropriate. Utilized computerized documentation systems (Cerner), educated patients and families as well as provided age and culturally appropriate care. Reason for leaving: travel contract (Personal Contract with ANMC or IHS

Travel contract in labor and delivery/postpartum/newborn nursery. This unit had an average of 60-70 deliveries per month. Duties included caring for patients in a very remote area of Alaska with very limited resources, implemented physician orders, cared for patients requiring fetal assessment and fetal monitoring, administered prescribed medications and monitored vital signs, assisted physician during delivery, treatment, examination and surgical
procedures, monitored, recorded and communicated patient condition as appropriate utilizing computerized documentation systems, educated patients and families, providedage and culturally appropriate care. Reason for leaving: travel contract Travel Contract with American Mobile

Interim Director of Nursing for 45-bed psychiatric facility. Treated disorders ranging from drug and alcohol dependence to depression, schizophrenia, eating disorders, suicide, bipolar disorder and anxiety. Worked with adults and adolescents.
Managed RN’s, LPN’s and Mental Health Specialist’s. This job was very demanding and required many hours of call. Maintained compliance with SAMA teaching. Provided first- day orientation and PPD and safety compliance. Responsible for scheduling RN’s, LPN’s and Mental Health techs according to census and acuity level.
Have thorough knowledge of mental health nursing and exceptional knowledge and working experience of inpatient psychiatric nursing. Possess the ability to educate and explain planned treatment for patients. Maintained proven organizational, prioritization, excellentoral and written communication skills. Coordinated with medical and paramedical professionals daily. Was part of treatment team responsible for identifying behavioral problems to make suitable recommendations for POC, monitored, administered medication plans and recorded changes. Acted in accordance with facility policies and appropriate nursing standards of care, followed physician orders and implemented basic nursing interventions, maintained therapeutic milieu using acceptable standards

Duties included working in labor/delivery/newborn nursery/med surgical and ER. Worked with many medical-surgical patients unless labor or postpartum patients. Implemented physician orders, cared for patients requiring fetal assessments and fetal monitoring.
Administered prescribed medications and monitored vital signs, assisted physician during deliveries, treatment, examination and surgical procedures, monitored, recorded and communicated patient condition as appropriate. Utilized computerized documentation systems, educated patients and families as well as provided age and culturally appropriate care. Reason for leaving: travel contract Through Careerstaff Unlimited

Interim Director of Nursing until permanent DON could be found and New Mexico State survey could be repeated and improvements could be made. Responsible for 102-bed facility. Oversaw and managed 80-staff members including nursing, CNAs and CMAs. Reported to corporate weekly, which included reporting progress with improvements and implemented programs. Duties included scheduling all staff members daily according to
census and acuity. Required 24-hour call and availability to my staff for support and frequent problem solving. Had to remain current of all facility policies and procedures and educated staff for compliance with New Mexico guidelines. Was responsible for implementing fall program, toileting program, wound prevention and current wound healing programs. Created pain management program and supervised care plan meetings weekly to assure programs were in place and affective. Reason for leaving: travel contract.

Director of Nursing for 35-bed facility. Duties included supervision of nursing staff, CNAs and CMAs. Scheduled and covered shifts when needed. Responsible for updating all employee records. Insured State teaching and educational information was current on all clinical staff. Responsible for obtaining TILE level for Medicaid reimbursement and input for MDS data for State of Texas. (Permanent Position) Reason for Leaving:Owner of Business Deceased)

RN travel assignment in labor delivery /postpartum. Average of 200 deliveries per month. Provided care to patients with complications of pregnancy requiring hospitalization. Cared for patients in labor with uncomplicated deliveries, managed patient care in operating room during delivery. Maintained accurate, detailed reports and records, monitored, recorded and reported symptoms and changes in patients' conditions. Recorded patient medical information and vital signs. Modified patient treatment plans as indicated by patient responses and conditions. Educated patients and families as well as provided age and culturally appropriate care. Reason for leaving: travel contract.

Full time RN in a busy 15-bed labor and delivery unit with a five-bed antepartum, and a 20- bed postpartum unit. This is a very large well baby nursery with an average of 300-400 deliveries per month. Implemented physician orders, cared for patients requiring fetal assessments and fetal monitoring. Administered prescribed medications and monitored vital signs. Assisted physicians during delivery, treatment, examination and surgical procedures, monitored, recorded and communicated patient condition as appropriate utilizing computerized documentation systems. Educated patients and families, provided age and culturally appropriate care. Circulated C-sections, tubal pregnancies and hysterectomies, as well as recovery in PACU.