SADE CLARKE, BSN, RN
Wellington Regional Medical Center
1
Certification
5
years of professional experience
Work History
Stepdown Registered Nurse
2 Years 3 Months- Provided comprehensive nursing care for 4–6 high-acuity adult patients on a cardiac and medical-surgical step-down unit requiring continuous monitoring and frequent nursing assessments.
- Managed patients with complex medical conditions including acute ischemic and hemorrhagic stroke, STEMI, NSTEMI, congestive heart failure (CHF), cardiac arrhythmias, post-cardiac catheterization recovery, respiratory failure, sepsis, pneumonia, COPD exacerbations, diabetic emergencies (DKA/HHS), acute kidney injury, gastrointestinal bleeding, and post-operative surgical patients.
- Performed comprehensive head-to-toe assessments, neurological evaluations, cardiac rhythm interpretation, and early recognition of patient deterioration while collaborating with rapid response teams and providers.
- Administered medications through oral, enteral, subcutaneous, intramuscular, and intravenous routes, including IV antibiotics, anticoagulants, antihypertensives, diuretics, electrolyte replacements, insulin infusions, pain management medications, corticosteroids, and electrolyte replacement therapies.
- Safely managed and monitored patients receiving continuous IV infusions, titrating medications according to physician orders and hospital protocols, including heparin, insulin, diltiazem (Cardizem), amiodarone, nitroglycerin, and other cardiac medications while closely monitoring hemodynamic status and laboratory values.
- Cared for patients requiring continuous cardiac telemetry, recognizing and responding to dysrhythmias such as atrial fibrillation, atrial flutter, supraventricular tachycardia (SVT), ventricular tachycardia, bradycardia, heart block, and other rhythm abnormalities.
- Monitored neurological status using the NIH Stroke Scale (NIHSS) and performed frequent neuro checks on patients with stroke, traumatic brain injury, and altered mental status.
- Managed patients with oxygen therapy, high-flow nasal cannula, BiPAP/CPAP, chest tubes, wound vacs, central venous catheters, PICC lines, Foley catheters, nasogastric tubes, and surgical drains.
- Interpreted laboratory values, diagnostic testing, and cardiac biomarkers, promptly notifying providers of critical findings and implementing appropriate interventions.
- Coordinated interdisciplinary care with physicians, case managers, pharmacists, physical therapy, occupational therapy, respiratory therapy, speech therapy, and social work to ensure safe, patient-centered care.
- Educated patients and families regarding disease processes, medications, cardiac and stroke recovery, discharge planning, lifestyle modifications, and follow-up care to reduce hospital readmissions
- Maintained accurate electronic medical record (EMR) documentation in cerner while ensuring compliance with hospital policies, patient safety initiatives, infection prevention standards, and quality improvement measures.
Float Registered Nurse
1 Year- Demonstrated exceptional flexibility by adapting to various units and patient care settings as needed.
- Advocated for patient and family education initiatives to foster understanding and facilitate recovery.
- Executed administration of treatments, medications, and IV infusions in strict accordance with physician orders.
- Assessed patients throughout admission and discharge processes, ensuring comprehensive care delivery.
- Collaborated with healthcare team members to develop and implement treatment plans.
- Provided exceptional care to patients recovering from acute incidents and managing chronic conditions.
- Directed teams in prioritizing care standards and best practices to enhance patient outcomes.
- Assessed and managed urgent medical situations for critically ill patients, ensuring timely interventions.
- Explained care plans and medications, including side effects, in easy-to-understand terms.
- Advocated for patient health, safety, and rights.
- Monitored patient reactions to medications and IV therapies.
- Managed post-operative care, including wound care, ostomy care, and pain management.
- Documented patient conditions and modified treatment plans as needed.
- Oversaw patient admissions, triaged based on acuity, and facilitated appropriate department admission.
- Responded quickly to safety and security situations, implementing crisis prevention interventions.
- Accurately documented nursing assessments, treatments, and medications.
Medical surgical/Telemetry Registered Nurse
1 Year 6 Months- Delivered comprehensive, evidence-based nursing care for 5–7 adult patients on a fast-paced medical-surgical telemetry unit, prioritizing care based on patient acuity and clinical status while maintaining patient safety and quality outcomes.
- Managed a diverse patient population with acute and chronic medical conditions including chest pain, congestive heart failure (CHF), myocardial infarction (STEMI/NSTEMI), atrial fibrillation, hypertension, COPD, asthma, pneumonia, pulmonary embolism, sepsis, diabetes mellitus, diabetic ketoacidosis (DKA), hyperosmolar hyperglycemic state (HHS), acute kidney injury (AKI), chronic kidney disease (CKD), gastrointestinal bleeding, pancreatitis, liver disease, electrolyte imbalances, cellulitis, urinary tract infections, stroke, transient ischemic attack (TIA), post-operative orthopedic, general surgery, vascular surgery, urology, and abdominal surgery patients.
- Continuously monitored cardiac telemetry, accurately interpreting cardiac rhythms and promptly identifying dysrhythmias including atrial fibrillation, atrial flutter, supraventricular tachycardia (SVT), premature ventricular contractions (PVCs), ventricular tachycardia, bradycardia, first-, second-, and third-degree heart block, and ST-segment changes, initiating appropriate interventions and notifying providers.
- Performed comprehensive head-to-toe assessments, focused neurological, cardiovascular, respiratory, gastrointestinal, musculoskeletal, and skin assessments while recognizing early signs of patient deterioration and implementing timely interventions.
- Administered medications safely through oral, intravenous, intramuscular, subcutaneous, enteral, and topical routes, including IV antibiotics, anticoagulants, antihypertensives, antiarrhythmics, beta blockers, calcium channel blockers, diuretics, insulin, corticosteroids, bronchodilators, analgesics, electrolyte replacements, blood products, and antiemetics.
- Managed peripheral IVs, midlines, PICC lines, and central venous catheters while administering intermittent IV medications and continuous infusions according to hospital policy and provider orders.
- Monitored and managed continuous IV therapies including heparin, insulin, amiodarone, diltiazem (Cardizem), nitroglycerin, maintenance fluids, electrolyte replacements, and other protocol-driven infusions, adjusting therapy as ordered and monitoring for therapeutic effectiveness and adverse reactions.
- Collected and interpreted laboratory values, arterial blood gases, cardiac enzymes, coagulation studies, renal function tests, and electrolyte panels, promptly communicating critical results and implementing physician orders.
- Assisted with the care of patients before and after procedures including cardiac catheterization, pacemaker placement, endoscopy, colonoscopy, orthopedic procedures, abdominal surgeries, vascular procedures, and interventional radiology procedures.
- Performed wound assessments, sterile dressing changes, negative-pressure wound therapy (wound VAC) management, drain care, ostomy care, Foley catheter insertion and maintenance, nasogastric tube management, tracheostomy care, and enteral feeding management.
- Administered and monitored oxygen therapy, nebulizer treatments, incentive spirometry, CPAP/BiPAP support, and collaborated with respiratory therapy to optimize pulmonary function.
- Completed frequent pain assessments and implemented pharmacologic and non-pharmacologic pain management strategies to improve patient comfort and recovery.
- Implemented fall prevention measures, pressure injury prevention protocols, infection control practices, and patient safety initiatives in accordance with hospital standards.
- Responded rapidly to changes in patient condition, activated Rapid Response Teams when indicated, initiated emergency interventions, and assisted during medical emergencies and patient transfers to higher levels of care.
- Coordinated multidisciplinary care with physicians, advanced practice providers, pharmacists, respiratory therapists, physical therapists, occupational therapists, speech therapists, case managers, dietitians, and social workers to ensure comprehensive, patient-centered care.
- Educated patients and families regarding medications, disease processes, cardiac monitoring, diabetes management, post-operative recovery, lifestyle modifications, discharge instructions, and follow-up care to promote self-management and reduce hospital readmissions.
- Documented assessments, interventions, medication administration, patient education, and clinical outcomes accurately and thoroughly in the electronic medical record while maintaining compliance with regulatory, safety, and quality standards.
- Served as a patient advocate by promoting effective communication, participating in interdisciplinary rounds, and ensuring continuity of care throughout hospitalization and discharge planning.
Telephone Triage Registered Nurse
7 Months- Provided comprehensive telephonic nursing assessments for 75–120 patient calls per shift, utilizing evidence-based clinical decision support tools and nursing judgment to determine the appropriate level of care based on patient symptoms, medical history, medications, and risk factors.
- Assessed patients presenting with acute and chronic medical concerns including chest pain, shortness of breath, fever, abdominal pain, urinary symptoms, respiratory infections, gastrointestinal complaints, hypertension, diabetes, medication side effects, wound concerns, neurological symptoms, musculoskeletal injuries, skin conditions, and behavioral health concerns.
- Utilized standardized triage protocols to determine the appropriate disposition, including emergency department referral, activation of EMS (911), urgent care evaluation, same-day provider appointments, routine primary care follow-up, home care recommendations, or self-management education.
- Identified red flag symptoms requiring immediate medical intervention, including signs of stroke, myocardial infarction, sepsis, respiratory distress, severe allergic reactions, altered mental status, uncontrolled bleeding, and other life-threatening conditions, ensuring timely escalation of care.
- Conducted comprehensive medication reconciliation and educated patients regarding medication administration, potential side effects, drug interactions, adherence, and appropriate follow-up recommendations.
- Provided evidence-based patient education on disease management, preventive health measures, symptom monitoring, infection prevention, chronic disease management, and when to seek additional medical evaluation.
- Coordinated care with primary care providers, specialists, pharmacies, emergency departments, home health agencies, and other healthcare professionals to facilitate continuity of care and timely follow-up.
- Documented detailed patient assessments, nursing interventions, triage decisions, education provided, and disposition recommendations in the electronic health record while maintaining compliance with regulatory and organizational documentation standards.
- Prioritized high call volumes while maintaining excellent clinical judgment, patient safety, accuracy, professionalism, and customer service.
- Assisted patients with appointment scheduling, prescription refill requests, laboratory result follow-up, referrals, and coordination of diagnostic testing according to organizational policies.
- Monitored for worsening symptoms during patient interactions and provided clear return precautions, emergency instructions, and follow-up recommendations based on evidence-based nursing protocols.
- Applied critical thinking and independent nursing judgment to evaluate complex clinical scenarios, recognizing subtle changes in patient condition and escalating concerns to physicians or advanced practice providers when appropriate.
- Maintained strict compliance with HIPAA, patient confidentiality, quality assurance standards, infection prevention guidelines, and organizational policies during all patient interactions.
- Established therapeutic relationships with patients and caregivers through active listening, empathy, effective communication, and culturally competent care while promoting positive patient experiences.
Education
Bachelor of Science - Nursing
Certification
- Registered Nurse (RN), State of Florida, New York and California
- Basic Life support (BLS) Certification
- Advance Cardiovascular Life Support (ACLS) Certification
Timeline
Stepdown Registered Nurse
Wellington Regional Medical Center
04.2024 - CurrentRead More
Float Registered Nurse
Trusted Resource Associate
04.2023 - 04.2024Read More
Medical surgical/Telemetry Registered Nurse
Bethesda East Hospital
07.2021 - 01.2023Read More
Telephone Triage Registered Nurse
Call 4 Health
07.2021 - 02.2022Read More
Chamberlain College of Nursing
Bachelor of Science from Nursing
Read More