Selah Decew RN, BSN

• Treated patients with broad range of acute, life-threatening diagnoses as well as patients suffering from catastrophic traumatic injuries.
• Provided direct care in surgical, cardiac and neurological critical care conditions.
• Managed peripheral IV's, central lines, arterial lines.
• Vasoactive drug administration and titration, sedation and paralytic administration and titration.
• Thorough knowledge of vast range of mechanical ventilation.
• Assessed patient conditions, implemented care plans and reassessed conditions continuously.
• Formulated knowledgeable diagnoses based on direct patient assessments, laboratory results and evaluations of medical histories.
• Acted as preceptor - oriented and trained oncoming, new critical care nurses.

St. Joseph's Children's Hospital (PICU): Tampa, FL / January 2023-June 2024

Palms West Hospital (PICU): Loxahatchee, FL / August 2022-December 2022

• Main duties included but not limited to: patient lead management, patient care coordinating, preoperative consultations, initial consultations, dressing changes/drain removal, room turnover, after-hours clinical calls, instrument cleaning, in-office procedure assist, surgery booking, tissue expansion fills, seroma aspirations, wound care, and surgical quotes.
• Communicate with patients to discuss desired outcomes and explained potential complications and side effects of specific surgical procedures.
• Demonstrate excellent bedside manner to help patients feel at ease during surgeries.
• Educated patients and families on treatment plans for long-term and at-home recovery.
• Conducted follow up appointments after patient surgeries to discuss findings and ongoing symptoms for proper care and healing.
• Managed inventory of supplies, drugs, and equipment to ensure availability during procedures.
• Proficient with tele-med phone triage
• Knowledge of e-prescribing and phone prescription orders
• Document pre and post-op orders and obtain any consent necessary
• Effectively organizes time with hands-on patient care, office paperwork, phone calls, and overall practice workflow with no prompting

• Monitored and managed various treatment and care interventions specific but not limited to: pre/post heart transplant patients, post cardiac caths, pre/post cardiac repairs (TOF, Coarc, TGA,
  DORV, HLHS, etc.)
• Interacted with physicians and other members of the interdisciplinary team working with the patient and family/caretaker.
• Educated family members/caretakers and patients about disease process, medications, and prevention
• Monitored vital signs, adequacy of ventilation, and levels of consciousness and pain.
• Ventilator and trach trained, medication administration (titration of drips, IV, SQ, IM, enteral) competent.
• Demonstrates abilities of skills such as critical thinking, delegating to other clinical team members, and multitasking.
• Continually utilizes the nursing process to evaluate patient’s progress towards goals and applies appropriate interventions to ensure effective outcomes.
• Floated to other PICU care units when necessary.
• Nurse: Patient ratio; 1:1 or 1:2

• Duties were as stated above.

• Provide clients excellent services with advanced medical-grade technologies and skin care product recommendations on their customized skin care journey.
• Provide safe and efficient laser facials for customers of all ages, including, but not limited to Nd:YAG and fractional lasers.
• Advanced knowledge of personal skincare regimens alongside and implementing Skin Laundry product line.
• Excellent time-management with making customer feel at ease and refreshed while staying on pace with set appointments.
• Great customer service and proven satisfaction with rapid growing clientele.

• Provide care for pediatric patients ranging from birth to 18 years old who are being treated for a variety of congenital heart defects and acquired heart conditions.
• Proficient knowledge of interpreting cardiac telemetry and taking appropriate actions when necessary (notifying MD and intervening as appropriate within scope of practice)
• Acts as patient/family advocate alongside the ability to assess patient status and notify team of any acute clinical changes and intervene as necessary.
• Work well with a multi-disciplinary team that coordinates complex care for patients with specialized and specific cardiac needs.
• Float to other acute care specialty units (med/surg, surgery/trauma, heme/onc).
• Proficient knowledge of PALS medications and resuscitation protocols.
• Ability to quickly recognize when a pediatric patient is declining and when it is appropriate to activate RRT/STAT code.
• 1:3 or 1:4 nurse to patient ratio.