Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Samuel Melles

San Antonio,TX

Summary

Experienced Registered Nurse with over 15 years in emergency and critical care settings. Proven leader in managing diverse teams and optimizing patient care. Skilled in rapid triage and stabilization in high-pressure environments. Committed to improving patient outcomes through effective communication and innovative care solutions.

Overview

21
21
years of professional experience

Work History

Travel RN - ER Charge Nurse

ProLink Healthcare
Lompoc, CA
07.2024 - 04.2025
  • Led team operations for optimal staffing and care delivery in a high-pressure ER environment.
  • Coordinated seamless patient flow, reducing ER bottlenecks and enhancing care efficiency.
  • Acted as a key liaison for interdisciplinary teams, resolving issues promptly.
  • Directed comprehensive care for diverse critical cases, ensuring adherence to best practices.
  • Facilitated advanced emergency procedures, contributing to improved patient outcomes.

ER Travel Nurse

Aya Healthcare
Stanford, CA
06.2022 - 06.2023
  • Directed care for more than 20 patients per 12-hour shift at a Level I Trauma Center ER.
  • Executed triage and stabilization of life-threatening cases for urgent treatment.
  • Partnered with diverse teams to expedite intervention and recovery outcomes.
  • Conducted thorough patient education to aid in effective discharge planning.
  • Contributed to complex procedures such as chest tube insertion and IV therapy.
  • Administered emergency nursing across various critical conditions including trauma and cardiac issues.
  • Applied the Emergency Severity Index for efficient triage prioritization.
  • Formulated personalized care plans in coordination with medical teams under pressure.

ER Travel Nurse

ProLink Healthcare
Clovis, NM
01.2022 - 05.2022
  • Managed high-volume ER caseloads, addressing trauma and critical care patients.
  • Reduced patient wait times by optimizing triage processes and enhancing ER throughput.
  • Delivered effective emergency nursing care to diverse populations in high-acuity scenarios.
  • Conducted rapid triage using Emergency Severity Index to prioritize incoming patient care.
  • Collaborated with physicians and interdisciplinary teams to create tailored care plans.
  • Administered IV therapy, medications, and respiratory care to stabilize patients.
  • Ensured appropriate treatment pathways through thorough patient assessments.
  • Maintained high standards of care in fast-paced, high-pressure environments.

ER & ICU Travel Nurse

Ethos Medical Staffing
Albuquerque, NM
10.2021 - 01.2022
  • Cared for critical ICU and ER patients, including ventilated and high-acuity cases.
  • Performed rapid triage and stabilization of patients with life-threatening conditions.
  • Coordinated multi-specialty care teams, ensuring compliance with care plans.
  • Monitored patients on advanced life support, adjusting therapies based on assessments.
  • Responded to medical emergencies, delivering precise interventions during Code Blue and Rapid Responses.
  • Assisted with procedures such as intubation, central line placement, and chest tube insertion.
  • Administered IV medications and complex therapeutic regimens in accordance with protocols.
  • Provided comprehensive care across trauma, cardiac, neuro, and respiratory cases.

ICU Travel Nurse

Quantum World Technology
Ridgecrest, CA
01.2020 - 04.2021
  • Managed care for 2-3 ventilator-dependent patients in critical conditions.
  • Delivered comprehensive, high-acuity care to critically ill patients in Emergency Room and ICU.
  • Performed rapid triage and stabilization of life-threatening conditions, including sepsis and stroke.
  • Monitored patients on advanced life support, adjusting therapies based on assessments.
  • Adhered to strict infection control protocols within COVID ICU setting.
  • Responded effectively to medical emergencies, delivering precise interventions during Codes and Alerts.
  • Assisted with procedures such as intubation and central line placement, ensuring patient safety.
  • Administered IV medications and complex therapeutic regimens per facility protocols.

ER Charge Nurse / Manager Director

Nix Medical Center
San Antonio, TX
12.2015 - 12.2019
  • Company Overview: Short Term Acute Care, Level IV Trauma Center
  • Supervised 8 RNs and 2 Techs; delegated assignments and ensured care standards.
  • Conducted onboarding, performance evaluations, and staff development.
  • Streamlined ER workflow to reduce patient wait times and improve care delivery.
  • Delegated assignments based on patient acuity, nurse skill level, and departmental needs to ensure optimal patient care and staff efficiency.
  • Acted as a liaison between frontline staff, physicians, and hospital administration to ensure smooth operations and resolve issues in real-time.
  • Coordinated patient flow from triage through discharge or admission, minimizing bottlenecks and improving wait times in a high-volume ER setting.
  • Oversaw emergency care delivery for a wide range of patients, including trauma, cardiac arrest, stroke, sepsis, and pediatric emergencies.
  • Responded to Code Blue, Stroke, Trauma Alerts, and Rapid Response calls as both a clinical responder and a team leader.
  • Short Term Acute Care, Level IV Trauma Center

Status Center Admission Nurse

Methodist healthcare system
San Antonio, TX
11.2011 - 12.2015
  • Company Overview: Short Term Acute Care, Level III Trauma Center
  • Utilized InterQual and Milliman to determine appropriate patient status.
  • Coordinated communication across physicians, nurses, and case managers.
  • Reviewed all patient admissions to ensure appropriate level-of-care status designations (inpatient, observation, or outpatient) based on clinical criteria using InterQual and Milliman guidelines.
  • Collaborated with physicians, case managers, and nursing staff to determine medical necessity and correct status placement, promoting compliance with CMS and hospital billing standards.
  • Facilitated efficient and accurate communication between admitting providers, nursing units, and case management to ensure smooth patient placement and timely documentation.
  • Participated in multidisciplinary rounds and coordinated care to support discharge planning and resource utilization.
  • Interpreted clinical documentation and applied evidence-based guidelines to support appropriate reimbursement and prevent payer denials.
  • Provided education to medical and nursing staff regarding status determination, regulatory requirements, and hospital policy.
  • Short Term Acute Care, Level III Trauma Center

Senior Case Manager - CCU

North Central Baptist Hospital
San Antonio, TX
02.2011 - 11.2011
  • Company Overview: Short Term Acute Care, Level III Trauma Center
  • Managed 35-40 patients, coordinated utilization reviews, and facilitated discharges.
  • Conducted in-depth clinical reviews using InterQual and Milliman criteria to ensure appropriate level-of-care designations and medically necessary services.
  • Collaborated with physicians, nursing staff, therapists, social workers, and external providers to develop and execute individualized care plans and safe discharge strategies.
  • Led daily interdisciplinary rounds to assess progress toward discharge, remove barriers to care, and facilitate communication across clinical teams.
  • Coordinated post-acute services including home health, SNF placement, rehab, hospice, and durable medical equipment, aligning resources with patient needs.
  • Initiated and submitted denial letters when appropriate and worked proactively with insurance payers to minimize denials and delays.
  • Educated patients and families on discharge instructions, insurance coverage, and available community resources.
  • Short Term Acute Care, Level III Trauma Center

Registered Nurse - Home Health

Premier Home Health Agency
San Antonio, TX
12.2010 - 02.2011
  • Provided in-home care, education, and discharge planning.
  • Delivered skilled nursing care to patients in their homes, managing a wide range of chronic and acute conditions including diabetes, hypertension, wound care, post-surgical recovery, and mobility impairments.
  • Conducted comprehensive patient assessments to determine physical, emotional, social, and environmental needs, and developed individualized care plans accordingly.
  • Educated patients and family members on medication administration, disease management, home safety, and lifestyle modifications to improve health outcomes and reduce hospital readmissions.
  • Coordinated with physicians, therapists, social workers, and home health aides to ensure cohesive, patient-centered care across disciplines.
  • Monitored vital signs, administered medications (including IV and IM), performed wound care, catheter management, and other skilled nursing procedures in accordance with physician orders.
  • Maintained detailed clinical documentation using EMR systems, ensuring compliance with state, federal, and agency regulations.
  • Evaluated the effectiveness of care plans on an ongoing basis, making adjustments based on patient condition and progress.
  • Provided emotional support and health education to patients and caregivers, helping them navigate complex care needs and community resources.

Staff RN - Charge ER Nurse

Methodist Hospital Metropolitan
San Antonio, TX
06.2004 - 12.2010
  • Delegated assignments by patient acuity and departmental needs to enhance care.
  • Instructed patients on proper self-care techniques, diet, exercise regimens and preventative measures to promote health maintenance.

  • Actively participated in interdisciplinary team meetings to discuss plan of care updates and revisions based on current assessment findings.
  • Trained other nurses on patient care and daily tasks, supporting growth, and professional development.
  • Demonstrated strong leadership skills by providing guidance to other nurses on the unit.

Staff RN - Home Health

Caprock Home Health
San Antonio, TX
06.2008 - 12.2009
  • Conducted comprehensive assessments to identify patients' physical, emotional, and social needs.
  • Developed individualized care plans based on thorough home assessments and ongoing evaluations.
  • Delivered skilled nursing care for chronic and acute conditions, ensuring adherence to physician orders.
  • Monitored vital signs and administered medications, including IV and IM injections, as required.
  • Educated patients and families on medication management, health maintenance, and safety practices.
  • Coordinated multidisciplinary care with physicians, therapists, and social workers for optimal patient outcomes.
  • Maintained accurate clinical documentation in EMR systems to meet regulatory compliance standards.
  • Provided emotional support and resources to assist patients and caregivers with complex healthcare needs.

Education

Associate of Science - Nursing

Fayetteville Technical Community College
Fayetteville, NC
05-2003

Skills

  • Advanced Cardiovascular Life Support (ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Basic Life Support (BLS)
  • Trauma nursing core course (TNCC)
  • Clinical Decision-Making
  • Multidisciplinary Team Collaboration
  • Emergency Severity Index Proficiency
  • Patient Advocacy

References

References available upon request.

Timeline

Travel RN - ER Charge Nurse

ProLink Healthcare
07.2024 - 04.2025

ER Travel Nurse

Aya Healthcare
06.2022 - 06.2023

ER Travel Nurse

ProLink Healthcare
01.2022 - 05.2022

ER & ICU Travel Nurse

Ethos Medical Staffing
10.2021 - 01.2022

ICU Travel Nurse

Quantum World Technology
01.2020 - 04.2021

ER Charge Nurse / Manager Director

Nix Medical Center
12.2015 - 12.2019

Status Center Admission Nurse

Methodist healthcare system
11.2011 - 12.2015

Senior Case Manager - CCU

North Central Baptist Hospital
02.2011 - 11.2011

Registered Nurse - Home Health

Premier Home Health Agency
12.2010 - 02.2011

Staff RN - Home Health

Caprock Home Health
06.2008 - 12.2009

Staff RN - Charge ER Nurse

Methodist Hospital Metropolitan
06.2004 - 12.2010

Associate of Science - Nursing

Fayetteville Technical Community College

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