SESIE RUEDAS DE SILVA

• Performs physical exams, including vital signs, as required.
• Administers medications and immunization as prescribed by the provider or as per protocol.
• Provides patient screening, evaluation, and assessment in a walk-in setting in primary care, and refer them to their PACT or to the ER.
• Coordinates referrals to specialty services as needed for further evaluation and treatment options.
• Conducts post-hospital and ER calls daily.

Number of hours worked: 36 hours/week

Worked as a part of a cohesive team in a telemetry unit to assess, evaluate and diagnose patients and develop effective treatment plans under the direction of the physician.

Floated to Medical-Surgical and DOU units.

Worked with other departments to assist the patient in problem resolution.

Ensured patient understood discharge instructions.

Ensures at all times patient's safety.

Recognized and incorporated diversity in the provision of patient care.

• Utilized telemetry to monitor patients cardiac status.
• Handled telemetry monitoring of patients cardiac rhythms.
• Administered medications in proper dosages as detailed by physicians on patient charts.
• Answered patient questions and provided take-home materials for further information.
• Immunized patients against influenza and pneumonia to protect vulnerable populations from serious illnesses.

Number of hours worked: 36 hours/ week

Works as a Staff and Relief Charge Nurse.

Provides quality care for patients in pre/post cardiac interventions such as open heart surgery, cardiac stent placements, cardiac angiogram.

Floats to ICU/CCU and Telemetry Units.

Conducts diagnostic testing and perform cardiac and respiratory functioning assessments to patients on BIPAP, Vapotherm with telemetry monitoring.

Educates patients and families regarding patient's rights, disease stages, medications, treatment plans and procedure.

participates in learning activities to obtain skills needed in the unit.

• Answers patient questions and provided take-home materials for further information.
• Promotes healthy lifestyle choices to reduce re-emergence of painful or dangerous symptoms.
• Collaborates with physicians and nursing staff to deliver quality care.

• Number of hours worked: 36 hours/ week
• Precepts new Staff nurses, and new graduate nurses at Lakewood Regional Medical Center
• Teaches new nurses regarding hospital policy.
• Devotes time, share knowledge and skills as well as professional insights with a new colleague.
• Mentors, orients, and coaches other staff or new employees in unit specific operations and patient care activities.

Precepts ADN students from Long Beach City College, Cerritos College, Golden west College, West Coast University

• Teaches students how to manage time and develop problem solving and critical thinking skills.
• Assess learning needs of students and collaborates with them to determine learning goals and outcomes.
• Instructs students to perform patient care and other nursing responsibilities to provide opportunity for further practice any nursing skill.
• Maintains safe and comfortable environment for each patient.

• Number of hours worked: 12 hours per week
• Worked as a float pool in medical/surgical, telemetry and DOU units.
• Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
• Developed and maintained quality care systems and standards, including creating and improving medical protocols and guidelines.
• Conducted patient assessments and diagnostic tests to provide physician with important patient health information used to create focused treatment plans and manage ongoing care.
• Administered oral, intramuscular and IV medications to patients and monitored responses.
• Reached out to patients to convey lab results and provide care instructions.
• Administered scheduled medications and therapies intravenously, rectally, orally, subcutaneously and via intramuscular injections while overseeing pain management plans.
• Communicated with primary care physicians or emergency care providers to relay patient needs.

Number of hours worked: 12 - 24 hours/ week

Worked as a float pool staff nurse in MedSurg/Telemetry and DOU floor.

Delegated, supervised and prioritized work assignments.

Care of adult medical, surgical, cardiac and post critical care patients.

Made sure that patient understood medication purpose, side effects etc, procedures/tests, in the hospital as well as on the time of discharge.

Identifed educational needs of patients and/or families and taught them how to manage illness/injury.

• Number of hours: 40 hours/week
• Worked as a Case Manager in Medical/surgical, Telemetry, DOU, CCU and ICU units.
• Accomplished clients' care by assessing treatment needs, developing, monitoring and evaluating treatment plans and progress
• Prepared clients' discharge by reviewing and amplifying discharge plans, coordinating discharge requirements, orienting and providing resources to patients and family members
• Helped patients make informed decisions by acting as their advocate regarding their clinical status and treatment options
• Ensured discharge plan has been discussed with patient, family/significant other in a timely manner
• Reviewed effectiveness of treatment for individual and family situations.
• Determined and coordinated appropriate level of care to meet individual patient needs.
• Reviewed and recorded progress of patients.
• Determined and coordinated appropriate level of care to meet individual patient needs.
• Collaborated with various healthcare providers to facilitate delivery of services.

• Number of hours worked: 36 hours/ week
• Basic cardiac rhythm monitoring techniques, interpretation and treatment.
• Identified irregular telemetry readings and notifies appropriate medical team members.
• Recorded patients' medical information and vital signs.
• Responded to life-saving situations based upon nursing standards and protocols.
• Provided basic, bedside care.
• Recognized the signs and symptoms of cardiopulmonary and respiratory emergencies and knowing how to start standard interventions to stabilize the patient.
• Monitored and educated nursing students on proper care procedures and prioritization strategies.
• Explained treatment procedures, medication risks, special diets and physician instructions to patients.

• Number of hours worked: 12-36 hours/ week
• As Staff RN
• Supervised care, treatment and services of patient care provided by LVNs, CNAs, and other staff on assigned unit and shift
• Reported patient concerns and changes in condition to supervisor and/or physician in a timely manner.
• Communicated appropriate information with the interdisciplinary team.
• Administered oral, IV and intra-muscular medications and monitored patient reactions.
• Executed appropriate steps for patient treatment following careful review of physician medical regimen.
• Organized and delegated tasks during rapid response and high-pressure code situations.
• As Resource Nurse
• Delegated patient care assignments based on competency level and scope of practice of healthcare team members and overseas the unit.
• Distributed assignments to RNs, LVNs while providing guidance and training to ensure proper care was administered to patients.
• Facilitated patient admission, transfer and discharge processes.

Number of hours worked: 8- 40 hours/ week

Consulted and coordinated with health care team members to assess, plan, implement and evaluate patient care.

• Educated patient on surgical procedures
• Provided bedside care for a wide variety of medical patients, including pre and post- surgery patients
• Instructed patients, families and caregivers on diagnoses, chronic disease management and prevention and medication self-management to maintain continuum of care.
• Prioritized patient care assignments based on patient condition, responding to unanticipated interruptions while delegating care to achieve optimal, safe and effective outcomes.
• Delivered physician-ordered treatments and monitored responses to quickly spot complications and side effects.
• Developed and implemented individualized care plans to meet each patients' unique needs.

• Number of Hours worked: 20 hours/week
• Conducted insurance verification and pre-certification and pre-authorization functions.
• Responded to patient callbacks and phone-in prescription refill requests.
• Contacted pharmacies to submit and refill patients' prescriptions.
• Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
• Scheduled appointments for patients via phone and in person.
• Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
• Performed preliminary physical tests to accurately record results in patient history summary.
• Secured patient information and maintained patient confidence by completing and safeguarding medical records.
• Assessed, documented and monitored vital signs for patients within outpatient setting.
• Documented notes during patient visits.