Ruth Mae Palomares BSN-RN, C-EFM

Hospital/Department Achievement

• Delivered care in a high-volume suburban hospital, and managed diverse patient demographics.
• Assisted in about 150 to 200 deliveries per month, including high-risk and emergency cesarean sections.
• Facility bed capacity: 173, and designed to grow to almost 300 beds.
• Department bed capacity: 20 inpatient rooms, 8 labor, delivery, and recovery rooms, 2 operating rooms, 5 examination rooms.
• Provided specialized care to patients at 32 weeks' gestation and above.
• Level II Trauma Center.

Hospital/Department Achievement

• Recognized for providing top-class, total patient care in an L&D unit with about 200 to 300 births per month.
• Facility bed capacity: over 1,000.
• Department bed capacity: 35 inpatient rooms, 10 labor, delivery, and recovery rooms, 3 operating rooms, 3 PACU rooms, 6 examination rooms, private rooms, and sleeping facilities for overnight guests.
• Ranked number 1 - World's Best Specialized Hospital 2024, according to Newsweek.
• Forefront for Fetal Therapy Research.
• Magnet hospital
• Level IV Trauma Center.
• High-risk obstetric management.

LDRP Skills/Experience

• Provide holistic care for patients throughout labor, delivery, recovery, and postpartum stages.
• Assisted physicians with cesarean sections (circulating nurse), vaginal deliveries, baby catchers, intrauterine fetal demise (IUFD), and emergency interventions.
• Performed patient triage to determine urgency and appropriate care.
• Conducted sterile vaginal exams to accurately assess labor progress.
• Managed care for fetal therapy patients and those in the antepartum phase.
• Demonstrated proficiency in Fetalink/OBIX fetal monitoring to ensure timely assessment and treatment of abnormal fetal heart patterns.
• Demonstrated expertise in IUPC calibration and ensuring accurate internal fetal monitoring (spiral electrode).
• Administer medications, including intravenous oxytocin, insulin, magnesium sulfate therapy, heparin, antihypertensive medications, nicardipine drip, blood transfusion, and pain management drugs (PCA-epidural/Alaris pump), ensuring compliance with hospital protocols.
• Responded to obstetric emergencies, including preeclampsia/eclampsia, postpartum hemorrhage, and shoulder dystocia, using evidence-based practices.
• Administered medications, and maintained Central/PICC lines.
• Monitored and maintained arterial lines to ensure accurate blood pressure readings.
• Prepared medical equipment and tools to aid physicians during examinations (SVE/speculum exam) and treatment of patients.
• Educated patients on breastfeeding, newborn care, and postpartum health, fostering confidence and independence.
• Performed tests on newborns to check for rare but serious conditions just after birth.
• Provided comprehensive care for newborns in the nursery, including NAS management, incubator monitoring/thermoregulation, and car seat testing/education.
• Performed glucose monitoring for newborns and hypoglycemia management.
• Assisted the physician in performing the circumcision, D&C, and tubal ligation.
• Utilized the EPIC/Cerner system for patient documentation, and managed medication dispensing using Pyxis.

• De-escalated problematic customer concerns, maintaining calm, friendly demeanor and achieved 98% customer satisfaction.
• Educated customers on special pricing opportunities and company offerings.
• Documented conversations with customers to track requests, problems, and solutions.
• Assisted customers in making payments on accounts and setting up payment plans.
• Upheld strict quality control policies and procedures during customer interactions.
• Trained new employees on procedures and policies to maximize team performance

• Educated patients on oral hygiene, disease prevention and postoperative care.
• Documented dental treatments and services in patient charts.
• Selected and prepared materials and instruments for specialized and routine procedures.
• Conserved resources with intentional supply monitoring and mindful use of dental materials.
• Prepared patients for dental treatments with welcoming and comforting manner to reduce stress.
• Safeguarded patients and personnel through strict compliance with proper sterilization, biohazard, and infection-control procedures.
• Helped dentists manage dental and medical emergencies by maintaining CPR certification, emergency drug and oxygen supply and emergency telephone directory.
• Took dental images and X-rays to identify areas of concern and presented to dentists for review.
• Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.

• Assigned in Medical-Surgical ward and sometimes float in departments such as Labor and Delivery, Emergency Dept and Pediatrics.
• Updated physicians on patient test results and assisted in developing care plans.
• Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
• Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
• Administered medications, tracked dosages, and documented patient conditions.
• Prioritized nursing tasks and assignments and accurately reported patient status.
• Assessed patients' response to treatment and suggested ways to combat side effects.
• Improved patient outcomes and quality of care by determining and suggesting changes to processes.