Sarah Singleton

• Orthopedic 10% (Ortho):

Skills & Drips: Traction, wound care, dressing changes, pain management (opioids, NSAIDs, nerve blocks), mobility assistance, neurovascular checks, post-op care, IV antibiotics, IV fluids, anticoagulants, nerve blocks, anti-inflammatory meds, wound vacs, Penrose drain, according drain, Jp drain, steri strips,

• IMCU (50%):

Skills & Drips: Cardiac rhythm interpretation, vital signs monitoring, IV medication administration, airway management, hemodynamic monitoring, vasopressors, IV antibiotics, sedation, anti-dysrhythmics, IV fluids, electrolyte correction, blood transfusions, heparin infusions, diuretics, vasodilators, chest tubes, nephrectomy tubes, urostomy, ileostomy, tube feeds, NG & dobhoff placement

• ED Borders (10%):

Skills & Drips: Rapid triage,, IV access, fluid resuscitation, pain control, antiarrhythmics, blood products, anti-seizure meds, recommending floor placement

• Tele (10%):

Skills & Drips: Cardiac monitoring, arrhythmia recognition, antiarrhythmic drugs, pacemaker management, IV beta-blockers, calcium channel blockers, vasodilators, sedatives, IV fluids, electrolyte management

• Telemetry: Oversaw various aspects of telemetry, dysrhythmia interpretation titration: Amio, Dilt, metop, dobutamine, nitro, lasix, bumex, heparin.
• Assessed and managed various patients with sepsis to acute respiratory distress, AKI, liver failure, DKA w/ insulin drip, TVAR, Cath, ablations, chest tube, drains and wound care.
• 10% Ortho: Managed patients recovering from medical or surgical procedures: Total knee/hip replacement, Exfix, ORIF, closed-reduction, traction and realignment, laminectomy, spinal fusion, herniated disc, spinal stenosis, spinal fusion.
• Pain: PCA, PECA, alaris drips: morphine, fentanyl, ketamine, dilaudid
• 30/% Neuro: Stoke, TBI , ICP shunt, CIWA, seizures, SAH, craniotomy, craniectomy, ALS, MS, total/partial spine precautions: log rolling, 2% NS drip.
• 10% Burns: (stable patients)pain management, infection control, debridement, cleansing, dressing changes, topical gels, scar management.
• 50% Ed Boarders: Gunshots wounds, stab wounds, MVA, fractures, dislocations etc.

• Managed patients recovering from medical or surgical procedures.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
• Assisted with wound care, dressing changes and NG tube placement to maintain stable patient conditions.
• Implemented medication and IV administration, catheter insertion, and airway management.
• Provided direct patient care, stabilized patients, and determined next course of action.
• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
• Managed care from admission to discharge.

• Floated to multi floors: PCU, Telemetry, Medsurg, ED holds/overflow, triage, Orthopedic and Oncology.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Performed triage on incoming patients and determined severity of injuries and illnesses.
• Managed patients recovering from medical or surgical procedures
• Multiple different types of cardiac drips
• Stroke patients
• Insulin drips
• BIPAP/CPAP/HFNC

• Conducted continuous cardiac monitoring on patients stepping down from ICU care.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Managed patients recovering from medical or surgical procedures.
• Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
• Implemented medication and IV administration, catheter insertion, and airway management.
• Helped patients maintain healthy skin by checking wounds, assessing integrity, and bathing bedbound individuals.

• Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern.
• Oversaw various aspects of telemetry by administering, vasoactive drugs, identifying life threatening dysrhythmia, as well as administrating dysthymia drug: levophed, nitro, lasix, dopamine, dobutamine, Amio, Dilt, Metop, phenobarbital, precedex, albumin, insulin drips: DKA, HHS, pancreatitis
• Worked with: HFNC, proning, BIPAP, CPAP, Trachs, as well as assisted with intubations, ABG/VBG interpretation
• Monitoring patients for signs of life-threatening complication: such as sepsis, respiratory distress, bleeding and strokes, end of life care
• Providing care for 3 patients ranging from young adult to geriatric
• Responding to code blue and rapid response alerts
• Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity..
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

• Performed EKGs and interpreted cardiac rhythms, continuous telemetry, echo, serial trops, serial H/H, blood admin Managed TIA and stroke assessments
• Post laparoscopic surgeries including appendectomies, cholecystectomies, and endoscopic procedures
• Continuous bladder irrigation, 3 way foley, Foley catheter insertion, manual bladder irrigation
• Administer medications, perform wound care, and manage acute symptoms to stabilize patients for safe discharge or transfer.
• Educate patients and families on post-discharge care, medication regimens, and follow-up needs.

• Performed patient assessments to monitor expected response to medications and altering treatment plans.
• Provided direct quality care to patients by monitoring, recording and evaluating psychiatric conditions.
• Withdraw management, COWS, CIWA
• Developed successful discharge plans to help continuity of care upon patient release.
• Responded to numerous volatile situations and violent outbreaks to restore safety and security of patients and staff.
• Monitored vital signs, nutritional intake and signs and symptoms of complications to report deviations to supervisor.
• Oversaw care of suicidal patients and acted swiftly to reduce risk of harm to themselves or others.
• Assessing risk to self and others