Ruth Gachao
Columbia,MD
Summary
Reliable, motivated Healthcare professional with RN and AGACNP-BC certifications, as well as, hands-on experience providing healthcare services to adults, children, and families, eager to deliver compassionate, quality care Experience providing comprehensive healthcare to individuals and families across all ages and genders. Sound clinical judgment with ability to provide exceptional care in team-oriented and self-directed environments. Interpersonal skills that foster positive relationships with patients, management, co-workers, and other stakeholders. Excellent communicator with ability to remain calm in crisis. Work ethic characterized by accountability and commitment to delivering quality patient care
Overview
19
19
years of professional experience
1
1
Certification
Work History
Float Pool Registered Nurse
Northwest hospital Maryland
- Deliver comprehensive patient-centered nursing care in accordance with physician medical care plan and individual patient needs.
- Act as Charge Nurse on select shifts, implementing clinical leadership skills to ensure effective care. Supervise and manage personnel in provision of patient care.
- Provide care to COVID-19 patients including administering immunizations while maintaining updated knowledge on control guidance and protocol changes.
- Provide direct care to critical patients, including those needing ventilation, cardiac drips, dialysis, and surgery.
- Utilize Cerner to update patient information, ensuring proper implementation of provider orders. Monitor and interpret Cardiac telemetry strips, intervening to address irregularities.
- Manage patients requiring chest tubes and peg-tubes; wound vacs; and JP Drains. Monitor patients with various diagnosis including Gi bleed, stroke, respiratory distress, and sepsis. Administer IV fluids and blood transfusions, as well as prescribed oral, subcutaneous, and intramuscular medications.
- Advocate for patients and their families concerning medical needs, ensuring HIPPA confidentiality during all interactions.
- Accurately communicate critical information to multidisciplinary team.
- Served as Preceptor to 5+ new graduates who remain with the hospital, educating and training them to comprehend and adhere to hospital expectations and standards of care.
- As Charge Nurse during Covid-19 surge, effectively ran a 12 bed ICU stepdown with limited resources.
- Managed 5 patients during Covid-19 surge, with 4 being the normal maximum load.
- On various occasions, suggested treatment adjustments to critical patients that improved care.
- Closely collaborate with nurses, physicians, advance practice providers, technicians, respiratory therapists, and emergency response personnel to streamline operations and yield positive patient outcomes.
Acute Gerontology Nurse Practitioner
Post Acute Physician Partners
09.2024 - Current
- Performed comprehensive physical examinations and documented patient histories to gather information and identify health issues.
- Ordered and interpreted diagnostic tests to develop and implement treatment plans.
- Prescribed and managed pharmacological and non-pharmacological treatments to treat underlying causes and relieve symptoms.
- Provided medical services and care to patients with chronic and acute conditions.
- Worked with families, caregivers and patients to determine best options for treatment, diagnosis, and prevention.
- Participated in multidisciplinary team meetings to discuss patient cases and treatment plans.
- Discussed care plans with patients and explained test results and proper use of medications.
- Educated patients on disease prevention and management strategies, promoting healthier lifestyles.
- Collaborated with interdisciplinary team members to optimize patient care and streamline processes.
- Prevented complications by identifying early warning signs of potential issues through careful examination and history-taking techniques.
- Implemented individualized patient care plans to address assessment findings.
- Managed complex cases involving multiple co-morbidities through diligent monitoring of disease progression and proactive intervention strategies.
- Maintained thorough documentation of all clinical encounters, adhering to HIPAA regulations while facilitating clear communication among team members.
- Appropriately diagnosed and treated variety of diseases and injuries through careful questioning and assessment of patient symptoms.
- Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals.
- Provided comprehensive healthcare services for diverse populations, addressing acute and chronic conditions.
- Developed strong relationships with local specialists to facilitate seamless referral processes when advanced care was required for patients'' wellbeing.
- Coordinated with physicians, specialists, and other medical staff to develop treatment plans for chronic conditions.
- Assessed and diagnosed patients, determining appropriate treatment plans in a timely manner.
Nurse Practitioner
Northwest hospital Maryland
11.2021 - 02.2022
- Complete existing or new patient history and physical examination and interview questions.
- Provide medical care, consultation, coordination, and education under physician supervision.
- Order labs, diagnostic test, referral and suggest medical intervention under physician supervision
- Promoted holistic wellness philosophy through encouraging self-care and
- Provide education and counseling to prevent illness and complication
- Prepare patient for pre-operation
- Facilitated the coordination of specialty referrals when necessary for further evaluation or treatment options.
- Established effective relationships with patients and families by respecting patient rights and involving patients and families in decision making.
- .Contributed to a positive work environment by fostering collaboration among colleagues while maintaining a professional demeanor at all times.
- Processed lab tests for influenza, strep and urinary tract infections.
- Referred patients to medical specialists and coordinated patient care with social workers, case managers and mental health professionals.
- Improved patient outcomes by providing thorough assessments and implementing appropriate care plans.
- Conducted physical exams and health screenings.
- .Supported patients in navigating the healthcare system by providing guidance on insurance issues, appointment scheduling, and medication management.
- Assisted emergency personnel in escalated cases by engaging in life support treatments and resuscitation.
- Managed acute illnesses by prescribing medications or recommending non-pharmacological interventions as appropriate based on individualized patient needs.
Agency nurse
Chesapeake medical staffing agency
01.2020 - 01.2022
- Deliver comprehensive patient-centered nursing care in accordance with physician medical care plan and individual patient needs.
- Provide care to COVID-19 patients including administering immunizations while maintaining updated knowledge on control guidance and protocol changes.
- Provide direct care to critical patients, including those needing ventilation, cardiac drips, dialysis, and surgery.
- Utilize Epic to update patient information, ensuring proper implementation of provider orders. Monitor and interpret Cardiac telemetry strips, intervening to address irregularities.
- Manage patients requiring chest tubes and peg-tubes; wound vacs; and JP Drains. Monitor patients with various diagnosis including Gi bleed, stroke, respiratory distress, and sepsis. Administer IV fluids and blood transfusions, as well as prescribed oral, subcutaneous, and intramuscular medications.
- Advocate for patients and their families concerning medical needs, ensuring HIPPA confidentiality during all interactions.
- Accurately communicate critical information to multidisciplinary teams.
- Served as Preceptor to 5+ new graduates who remain with the hospital, educating and training them to comprehend and adhere to hospital expectations and standards of care.
- As Charge Nurse during Covid-19 surge, effectively ran a 12 bed ICU stepdown with limited resources.
- Managed 5 patients during Covid-19 surge, with 4 being the normal maximum load.
- On various occasions, suggested treatment adjustments to critical patients that improved care.
- Closely collaborate with nurses, physicians, advance practice providers, technicians, respiratory therapists, and emergency response personnel to streamline operations and yield positive patient outcomes.
Nurse Practitioner
Northwest hospital Maryland
08.2021 - 11.2021
- Provides direct patient care services for acutely ill inpatients in an intermediate level care or observation care setting, in collaboration with and under the supervision of the nurse practitioner.
- Admitting patients from the Emergency Department
- Elicits patient histories, performs physical exams, collects, and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations
- Assesses and responds to changes in patients’ clinical status, prescribes appropriate interventions and medications
- Coordinates the care during admission and discharge of patients, and provides direct
- Complete existing or new patient history and physical examination and interview questions.
- Provide medical care, consultation, coordination, and education under nurse practitioner supervision.
- Order labs, diagnostic test, referral and suggest medical intervention under nurse practitioner supervision
- Promoted holistic wellness philosophy through encouraging self-care and
- Provide education and counseling to prevent illness and complication
- Prepare patient for pre-operation
Nurse Practitioner
St Agnes Hospital Maryland
05.2021 - 08.2021
- Complete existing or new patient history and physical examination and interview questions.
- Provide medical care, consultation, coordination, and education under physician assistant supervision.
- Order labs, diagnostic test, referral and suggest medical intervention under physician assistant supervision
- Promoted holistic wellness philosophy through encouraging self-care and
- Provide education and counseling to prevent illness and complication
- Prepare patient for pre-operation
Nurse Practitioner
St Agnes Hospital Maryland
03.2021 - 05.2021
- Complete existing or new patient history and physical examination and interview questions.
- Provide medical care, consultation, coordination, and education under physician supervision.
- Order labs, diagnostic test, referral and suggest medical intervention under physician supervision
- Promoted holistic wellness philosophy through encouraging self-care and
- Provide education and counseling to prevent illness and complication
- Prepare patient for pre-operation
- Collaborated with interdisciplinary teams for comprehensive treatment planning and optimal patient management.
- Actively involved in creating targeted educational materials that enhanced patients'' understanding of their medical conditions or treatments plans.
- Enhanced patient satisfaction through compassionate, patient-centered care and effective communication.
- Demonstrated flexibility in adapting to changing workload demands and prioritizing tasks to ensure optimal patient care outcomes.
Critical care nurse (CVSICU)
John Hopkins hospital
07.2014 - 07.2016
- Complete initial assessment for new admits and initiate treatment as needed.
- Prime dialyzer and bloodlines, recording patients' medical information, complete progress notes, and care plan.
- Assess patient per, post, and during treatment and administer medications including thrombolytic
Home care services
Chesapeake medical staffing agency
01.2014 - 01.2016
- Complete initial assessment for new admits and initiate treatment as needed.
- Administering medication to patients.
- Creating reports to track the patients' progress.
- Working with other professionals to create treatment plans.
- Cleaning and re-dressing wounds if needed.
- Measuring vital signs.
- Monitoring changes in behavior and progress.
Critical care nurse (general ICU, Cath lab and CCU)
07.2006 - 06.2014
- Perform independent health assessments of individuals and families by evaluating their physical, mental, social and environmental health status; and provide nursing intervention based on needs assessment.
- Provide case management for clients by developing care plans, consulting with other health care providers such as home health aides, social workers, physical therapists and physicians.
- Develop a pipeline of qualified leads from referral sources through networking.
Education
AGACNP -
Walden University
01.2022
BSN - undefined
University of South Africa
01.2015
RN - undefined
Maua Methodist school of nursing
01.2002
Skills
- Medication and Pain Management
- Patient Advocacy and Education
- Clinical, Acute care
- Privacy / HIPAA Regulations
- Personnel Mentoring and Training
- Patient Diagnosis and Treatment
- Health Assessments and Screenings
- Electronic Health Records
- Epic, Cerner, Medtronic, sunrise
- Proficiency with Microsoft Office- MS Word, MS Excel, and MS PowerPoint, and Outlook
Certification
- Adult Gerontology Acute Care Nurse Practitioner (AGACNP-BC), American Nurses Credentialing Center, 5/2022
- Licensed Registered Nurse, State of Maryland
- Basic Life Support (BLS),), Current Certification
- Current Certification Advanced Cardiovascular Life Support (ACLS)
Timeline
Acute Gerontology Nurse Practitioner
Post Acute Physician Partners
09.2024 - Current
Nurse Practitioner
Northwest hospital Maryland
11.2021 - 02.2022
Nurse Practitioner
Northwest hospital Maryland
08.2021 - 11.2021
Nurse Practitioner
St Agnes Hospital Maryland
05.2021 - 08.2021
Nurse Practitioner
St Agnes Hospital Maryland
03.2021 - 05.2021
Agency nurse
Chesapeake medical staffing agency
01.2020 - 01.2022
Critical care nurse (CVSICU)
John Hopkins hospital
07.2014 - 07.2016
Home care services
Chesapeake medical staffing agency
01.2014 - 01.2016
Critical care nurse (general ICU, Cath lab and CCU)
07.2006 - 06.2014
Float Pool Registered Nurse
Northwest hospital Maryland
BSN - undefined
University of South Africa
RN - undefined
Maua Methodist school of nursing
AGACNP -
Walden University
Nurse Practitioner Practicum:
More than 500 hours of clinical rotation in uploading high standards of nurse practitioner care for a diverse population of patients ranging from 18 years of age to geriatric in a variety of settings including critical care, emergency department, acute care units, and rehabilitation departments.
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