Seandra Watanabe

• I am experienced in neonatal intensive care, as well as resuscitation and stabilization of neonates in the labor and delivery setting, and evaluation of infants in the postpartum setting.
• I am experienced with adult respiratory care, adult critical care, and adult emergency care. I am experienced in pediatric respiratory care and emergency care.
• I am competent in neonatal intubation by RT, Curosurf administration by RT, capillary blood gas drawn by RT, HFOV, and inhaled nitric oxide in both the neonatal and adult settings.
• Manage and operate mechanical ventilators to deliver airway management in both adult and neonatal settings.
• Adjust ventilator settings based on continuous assessment of blood gas analysis results, improving overall ventilation efficacy for critically ill patients in adult and neonatal settings.
• Provide emergency response during cardiac arrests or other life-threatening situations, utilizing advanced life support measures when required in the emergency room, adult, and neonatal settings.
• Assess cardiac rhythms, X-rays, lab results, CAT scan results, echocardiogram results, and other test results, and help identify patient needs.
• Provide thorough patient assessment, and deliver treatment for patients experiencing chronic and acute respiratory illnesses.
• Evaluate patient responses to respiratory treatments, and add therapies such as bronchial hygiene, CPT, inhaled medications, lung recruitment maneuvers, pulmonary toilet, and oxygen therapy to the patient regimen as indicated, and revise care plans accordingly within protocols.
• Provide non-invasive ventilation with NIPPV or CPAP, using various devices and interfaces to support patient needs and help prevent intubation.
• Evaluate patients with obstructive sleep apnea and support needs such as assisting with patients home CPAP, providing CPAP or oxygen therapy, placing patient on an overnight continuous pulse-oximetry study monitor, and downloading study results with computer software for patient records.
• Coordinate with physicians and other care team members on care and treatments. Reach out to physicians for further needs by patients, or concerns with changes in patient status.
• Respond to Rapid Response Events and provide interventions to stabilize patients.
• Aide physicians and practitioners with various procedures, such as ventilator management, intubations, and needle decompressions.
• Consistently respond within time limits to requests for respiratory assessments in all areas of the adult and neonatal hospital setting.
• Implement evidence-based practices to improve overall patient satisfaction with respiratory care services.
• Mentor new employees, providing guidance on best practices in respiratory therapy treatments and techniques. I have precepted many new hires in the NICU setting.
• I have written and created the education module for resuscitation, stabilization, and management of the neonate in the NICU setting that is used for WRMS's respiratory therapy new hire and annual training. This training was also approved by the Arkansas State Medical Board for CEUs.
• I observe the demonstration of skills and complete forms for annual ISTAT and ABG competency renewals for my coworkers.
• Complete continued education units annually to stay current with respiratory therapy advancements, and maintain compliance with administrative regulations.
• I have attended the Audrey Harris Neonatal Conference yearly for nine years to stay up to date with evidence-based practice, hear different viewpoints, and connect with vendors about changes in equipment and tools in the field.

I worked PRN on my student license and continued until I was employed closer to home at WRMS.