Samantha Romero, BSN, CCRN

• Provided trauma specific patient care such as stabilizing critical patients, performing mass transfusion protocol (MTP), giving crash blood, or fluid resuscitation. Also by titrating intravenous critical drips by interpretation of non-invasive and invasive hemodynamic monitoring values, ACLS, assist providers with chest tube, line insertions, lumbar punctures, and life saving bedside procedures, wound care, brain death protocols while working w/ TOSA, RSI, and following protocols to prevent falls, pressure injuries, VAP, CAUTI, and CLABSI. As well as, but not limited to spine precautions, sinus precautions, seizure precautions, etc.
• Part of the Nurse Unit Practice Committee, Recruitment Retention and Recognition Committee, and Skin Team Committee.

PREVIOUSLY WORKED ON OTHER UNITS WITHIN UNIVERSITY HOSPITAL, San Antonio TX:

STARS ICU Float Pool, Jan 2020 - Nov 2020 (Nights 36+hrs/wk)

• Trained for two weeks on all the ICU's within the hospital, such as Neuro, Cardiothoracic/ Transplant, and Medical ICU. Learned how to perform unit specific care for the provided patient population.

Surgical Trauma ICU, Dec 2018 - Jan 2020 (Nights 36+hrs/wk)

• Performed RN duties for critically ill trauma, orthopedic, vascular, oral, maxillofacial, otorhinolaryngological, neurosurgery, urology, and a plethora of post-surgical patients.
• Learned how to competently care for specific surgical trauma patients such as: MVC, MCC, MV vs. ped., reconstructive plastic and vascular surgery patients such as leech therapy, heparin & TPA admin. & titrating, and associated monitoring (pulse checks, flap checks, cook doppler, external doppler, chest wall protocol for rib fractures, c-spine hold while turning, log rolling patients for spinal fractures.

Transplant/ Cardiothoracic Acute Care Unit, Dec 2017- Dec 2018 (Nights 36+hrs/wk)

• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Learned how to monitor chronic/ acute renal/liver transplants, and signs of rejection.

PRN ICU RN SHIFTS THROUGHOUT METHODIST HOSPITALS, San Antonio TX: Metropolitan, Texsan, MSTH, Main Methodist, and Methodist Atascosa.

Methodist Metropolitan MICU/COVID ICU contract, (June 2021 - Sept 2021, Nights 48+ hrs/wk)

• Participated in daily multidisciplinary patient rounds by presenting all pertinent data of my 1-2 pt. assignment to the intensivists and team members while encouraging patient/family participation during rounds to coordinate care with other disciplines. Therefore, promoting effective communication and everyone to be in agreement of the patient plan of care.
• Responsible for treating 1-2 critically ill patients presenting with conditions such as sepsis, shock, MODS, DIC, ARDS, GI bleeds, DKA, ARF, MI, CVA, CHF, COPD, renal and liver failure, and complex comorbidities.
• Acted as a resource and mentor to fellow nurses, and improving overall unit competency and patient care standards. The teamwork established at Metropolitan is like none other, and it continues to be so until today.
• Flexible and frequently floated to other units within assigned hospital, such as Telemetry, PCU, Med-Surge, ER holds, and oncology floor.

PROLINK STAFFING

Baptist Health Medical Center, Little Rock AR, (COVID ICU Contract Oct 2021 - Dec 2021, Days 72+ hrs/wk)

• Ensured implementation and maintenance of protocols were followed in compliance with evidence based nursing practice standards and patient care outcomes, as well as maintaining regulatory standards of core measures as the assigned charge RN for the overflow 10 bed COVID ICU unit. Along with completing other charge RN duties such as making assignments, checking crash carts, checking on fellow RNs, etc.
• Provided emotional support for patients and families, addressing concerns and offering resources needed, such as and iPad for face-timing or zoom conferencing since strict adherence to policies were followed where no visitors were allowed.

KRUCIAL STAFFING

Parkland Hospital, Dallas TX, Level 1 Trauma (COVID ICU Contract Jan 2021 - Mar 2021, Nights 72+hrs/wk)

• Managed ventilator care for critically ill patients, optimizing settings based on clinical assessments and physician orders. Patients were all intubated, sedated, pharmaceutically paralyzed, and on some anti-pulmonary hypertensive medication.
• Occasionally floated to MICU, Burn ICU, PCU, Neuro ICU.

McAllen Heart Hospital, McAllen TX, (COVID ICU/COVID PCU Contract July 2020 - Nov - 2020, Nights 72+hrs/wk)

• Enhanced patient safety by strictly adhering to infection control protocols and maintaining a clean environment by donning and doffing in designated areas, and frequently wiping surfaces down that are used routinely.
• Educated patients and their families on disease processes, treatment options, and self-care management techniques to be followed at home.

(Nights, 36 +hrs/wk).

• Served as primary RN for 4-5 patients providing care to mainly cardiac based patients and medical patients with a multitude of co-morbidities, assessed physical, psychological, physiologic, and cognitive status of patients.
• As needed frequently assumed charge RN role's a strong leader in a stroke certified 34 bed unit responsible for performing duties such as, supervising all unit staff, coordinating patient assignments based on acuity and staff competency, serve as leader and resource for all staff on unit, and upholding standards of excellent patient care and customer satisfaction.
• Demonstrated excellent time management skills while juggling multiple priorities in a fast-paced environment.