Serena Carr
Sutter Coast Hospital
Klamath,CA
1
Certification
13
years of professional experience
PA Board-Certified Registered Nurse with a Bachelors Degree and over 13 years of experience delivering high-quality care to patients in ICU and Step-Down care units. Proven leader effective at uniting and guiding nursing teams toward achieving patient care goals, improving satisfaction and continuously driving widespread healthcare system initiatives. Enthusiastic RN with 4 years of Clinical Coordinator experience eager to contribute to team success through hard work, attention to detail and excellent organizational skills.
Work History
Registered Nurse, Intensive Care Unit
2 Years 4 Months- As charge nurse, oversaw staff in critical situations.
- Participated in creating a policy for more effective IV titration.
- Lead the ICU staff in implementing interdepartmental collaboration by implementing charge nurse rounding of the hospital.
- Audited titratable drip administration and educated nursing on joint commission expectations.
- Conflict resolution between nursing and physicians.
- Enhanced ICU team efficiency by providing continuous education on best nursing practices and protocols.
- Handled ventilator support, feeding tubes and central lines.
- Assisted physicians with bedside procedures, ensuring accurate treatment administration and timely patient recovery.
- Demonstrated advanced critical thinking skills while managing complex clinical situations involving multiple organ systems failures in critically ill patients.
- Administered medications and treatments as prescribed by physicians.
Travel Registered Nurse, ICU
7 Months- As Charge Nurse, oversaw the care of critically ill patients in a 9 bed ICU.
- Audited charts to monitor for the proper titration of high risk medications.
- Worked closely with House Supervisor to provide proper bed placement for critically ill patients.
- Maintained respectful treatment environment that honored patients' and families' cultural and religious traditions and preferences.
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
- Delivered age-appropriate medical care for adult, adolescent, and geriatric ICU patients.
- Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery.
Travel Registered Nurse, ONS Step-Down
3 Months- Cared for patients in an Ortho-Neuro-Surgical Step-down unit.
- Provided care to patients in different states of disability from MVA to gunshot wounds.
- Treated patients requiring stabilization and resuscitation for variety of illnesses and injuries.
- Created warm, supportive atmosphere to keep patients feeling safe and comfortable immediately before and after surgery.
- Evaluated patients to detect contraindications before anesthesia or scheduled surgery.
- Monitored patients on different high risk drips requiring titrations based on blood sugars to blood pressures.
- Certified in NIHSS to care for patients who have had a stroke.
- Cared for patients with different orthopedic devices such as external fixators.
- Set up and maintained proper alignment and provided comfort to patients requiring Bucks Traction.
Travel Registered Nurse, ICU
9 Months- As frequent charge nurse, oversaw the care of patients and staff in a 9 bed ICU.
- Provided critcal care of a patient awaiting organ procurement will supporting the family.
- Provided education to other RNs on policies and procedures.
- Oversaw and participated in bedside procedures, such as thoracentesis, chest tube placement and central line placements.
- Frequent preceptor to new nurses and student nurses.
- Filled in when needed in other positions, such as house supervisor.
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
- Observed patients' vital signs and administered physician-prescribed medications and treatments.
- Administration of sedation, vasopressors, Insulin and other high risk IV titratable drips.
- Monitoring of patients post op following some orthopedic and general surgeries.
- Assisted in the transfer of patients to HLOC.
Travel Registered Nurse-Step-Down
1 Month- Trauma/surgical step-down patients
- Monitored patients with complex orthopedic devices, such as external fixators and halos.
- Assessed for pain and medicated per orders.
- Followed doctors orders for cleaning of orthopedic devices.
- Treated patients requiring stabilization and resuscitation for variety of illnesses and injuries.
- Dealt with Insulin and high risk cardiac titratable drips.
- Followed protocols for electrolyte replacement.
- Administered medications through peg tubes and NG tubes, as well as IV and oral routes.
- Provided feedings through Peg tubes.
Travel Registered Nurse, Step-down
8 Months- Provided direct patient care, stabilized patients and determined next course of action.
- Monitoring of patients with GI bleeds.
- Administration of blood products while monitoring vital signs and for signs and symptoms of reactions.
- Preparing patients for EGD and Colonoscopies.
- Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and orienting patients to the unit.
- Maintained quality care and comfort for patients with GI bleeds, liver failure, and other conditions.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Reviewed clinical documentation to asses standards and quality of care.
- Monitoring and treating patients appropriately on CIWA protocols.
- Titration of insulin and different high risk cardiac drips.
Travel Registered Nurse, Step-Down
6 Months- Managed the care of patient's after heart catherizations.
- Updated patient charts using EPIC with data such as medications to keep records current and support accurate treatments.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Monitored hemodynamic variances to identify signs of life-threatening complications.
Clinical Coordinator
4 Years 5 Months- Managed 30 nurses, 8 nurse aides and nursing activities in 22-bed unit by providing comprehensive nursing guidance and maintaining outstanding patient satisfaction and care standards.
- Managed conflict resolution with patients and families, as well as among staff.
- Audited and monitored charts for completion of core measure requirements
- Created weekly schedules for 30 nurses, taking into account sick days, vacation time, and the needs of the unit.
- Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
- Oversaw delivery of care for all patients on 22-bed Pulmonary Medical Step-Down unit, providing direct care to up to 5 patients, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians and unit clerks.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Made patient assignments based on acuity and skill level of nurses.
- Flex per staffing guidelines to maintain productivity
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Evaluated employees' strengths and assigned tasks based upon experience and training.
- Established and updated work schedules to account for changing staff levels and expected workloads.
Registered Nurse, Pulmonary Medical Step-down
7 Years 5 Months- Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
- Managed quality care for patients with varied conditions, including heart failure, end-stage renal disease and coronary artery disease.
- Oversaw delivery of care for all patients on 22-bed pulmonary medical step-down unit, providing direct care to up to 5 patients, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians and unit clerks.
- Provided direct patient care, stabilized patients and determined next course of action.
- Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
- Provider care to patient with tracheostomies, on or off the ventilator.
Traveling ICU Registered Nurse
3 Years- Observed patients' vital signs and administered physician-prescribed medications and treatments.
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
- Recorded patients' medical status and treatment details in electronic charts to accurately document medical care.
- Maintained respectful treatment environment that honored patients' and families’ cultural and religious traditions and preferences.
- Cared for patients in 15-bed unit, supporting fellow nurses in delivering outstanding treatment to patients.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Registered Nurse
2 Years 4 Months- Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
- Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Gathered lab specimens, ordered testing and interpreted results to diagnose patients.
- Provided wound dressing changes and education for discharge.
Medical ICU Registered Nurse
3 Years 4 Months- Recorded patients' medical status and treatment details in electronic charts to accurately document medical care.
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
- Observed patients' vital signs and administered physician-prescribed medications and treatments.
- Developed and implemented patient care plans based on physicians' instructions and generally accepted nursing practices.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
Education
High School Diploma
Associate of Science - Nursing
Bachelor of Science - Nursing
Skills
Process improvements
Team Leadership
Patient Relations
Strong clinical judgment
Multidisciplinary Team Collaboration
Charge Nurse
Preceptor
Scheduling
Certification
- ACLS Instructor Training, AHA
- PALS Instructor Training, AHA
- BLS Instructor Training, AHA
- NIHSS
Timeline
Registered Nurse, Intensive Care Unit
Sutter Coast Hospital
04.2024 - CurrentRead More
Travel Registered Nurse, ICU
AYA Healthcare-Sutter Coast Hospital
09.2023 - 04.2024Read More
Travel Registered Nurse, ONS Step-Down
TNAA-Monument Health
06.2023 - 09.2023Read More
Travel Registered Nurse, ICU
Aya Healthcare-Sutter Coast Hospital
08.2022 - 05.2023Read More
Travel Registered Nurse-Step-Down
Aya Healthcare-Prisma Health Richland
06.2022 - 07.2022Read More
Travel Registered Nurse, Step-down
AYA Healthcare-Monument Health
08.2021 - 04.2022Read More
Travel Registered Nurse, Step-Down
Allied Resources-Wellspan Chambersburg
01.2021 - 07.2021Read More
Traveling ICU Registered Nurse
Allied Resource-PennHighlands Dubois
09.2016 - 09.2019Read More
Clinical Coordinator
Conemaugh Memorial Medical Center
07.2016 - 12.2020Read More
Registered Nurse
Select Speciality
04.2015 - 08.2017Read More
Medical ICU Registered Nurse
Somerset Hospital
04.2014 - 08.2017Read More
Registered Nurse, Pulmonary Medical Step-down
Conemaugh Memorial Medical Center
07.2013 - 12.2020Read More
Mount Aloysius College
Bachelor of Science from Nursing
Read More
Westmoreland County Community College
Associate of Science from Nursing
Read More
Charlotte Valley Central School
High School Diploma
Read More