Sihomara Damaris Beltran Castelo

• Collaborated with other departments to ensure quality patient care was provided throughout the hospital system.
• Evaluated patient records regularly to identify opportunities for improvement in service delivery.
• Explained policies, procedures and services to patients.
• Established solid relations with leadership and staff by attending board meetings and coordinating interdepartmental information exchanges.
• Developed, implemented and adjusted patient care plans in response to new symptoms or developments.
• Facilitated interdisciplinary meetings between physicians, nurses, social workers, therapists, dietitians, and pharmacists to discuss treatment plans for individual patients.
• Coordinated staffing schedules to meet patient needs while adhering to budgetary constraints.
• Reviewed and completed admission and discharge assessments.
• Actively listened to concerns from both patients and staff members regarding issues related to patient care.
• Audited and completed charts, evaluations and medical forms.
• Coordinated work activities and scheduling of medical, nursing and physical plant staff.
• Collaborated with multi-disciplinary staff to improve overall patient care and response times.
• Observed and interpreted patients' symptoms, devised individualized care plans, delivered best and most suitable care and advice and communicated to nursing staff and physicians.

• Identified training needs of nurses and provided appropriate instruction and coaching as needed.
• Reviewed medical charts to ensure accuracy of documentation and appropriateness of orders.
• Observed nurse administration of oral, intramuscular, and IV medications to patients as prescribed, monitoring responses for adverse reactions.
• Resolved conflicts between staff members in a timely manner while maintaining morale.
• Educated patients and families about their illness or injury, treatment options, medications, and follow-up care instructions.
• Monitored inpatient bed use, facilities and staff to provide optimal use of resources.
• Evaluated effectiveness of nursing interventions by assessing patient responses.
• Ensured compliance with all applicable laws and regulations related to nursing practice.
• Collaborated with other healthcare professionals to develop and implement treatment plans for patients.
• Trained other nurses on patient care and daily tasks, supporting growth and professional development.
• Utilized critical thinking skills to assess patient needs and provide appropriate interventions.
• Created individualized patient plans based on assessment findings.
• Applied clinical judgment and comprehensive knowledge of facility policies to assist floor nurses with patient care decisions.
• Collaborated closely with team members to achieve project objectives and meet deadlines.
• Monitor patient’s condition and assess their needs to provide the best possible care and advice
• Observe and interpret patient’s symptoms and communicate them to physicians
• Collaborate with physicians and nurses to devise individualized care plans for patients
• Perform routine procedures (blood pressure measurements, administering injections etc.) and fill in patients’ charts
• Adjust and administer patient’s medication and provide treatments according to physician’s orders
• Inspect the facilities and act to maintain excellent hygiene and safety (decontaminating equipment, sanitizing surfaces, preparing beds etc.)
• Provide instant medical care in emergencies
• Assist surgeons during operations
• Supervise and train LPNs and nursing assistants
• Foster a supportive and compassionate environment to care for patients and their families
• Expand knowledge and capabilities by attending educational workshops, conferences etc.

Skills

• Proven experience as a registered nurse
• Excellent knowledge of nursing care methods and procedures
• Excellent knowledge of emergency care
• In-depth knowledge of health and safety guidelines and procedures (sanitation, decontamination etc.) and willingness to follow them at all times
• A team player with excellent communication and interpersonal skills
• Responsible and compassionate
• Outstanding organizational and multi-tasking

• Observed strict safety measures, including checking medication dosages before administration to patients.
• Demonstrated ability to work independently as well as collaboratively within a team environment.
• Utilized critical thinking skills to assess clinical situations quickly and accurately.
• Coordinated with healthcare team to establish, enact and evaluate patient care plans.
• Created, implemented and evaluated patient care plans with medical team.
• Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
• Administered local, inhalation or intravenous anesthetics to patients undergoing procedures.
• Collaborated with multi-disciplinary staff to improve overall patient care and response times.

• Provided patient care in accordance with physicians' orders and nursing standards of practice.
• Monitored vital signs, fluid intake and output levels, glucose levels, and other medical tests results.
• Collected blood, urine or sputum from patients to perform routine laboratory tests.
• Evaluated nursing intervention outcomes by conferring with other healthcare team members.
• Managed emergency situations promptly according to established protocols.
• Maintained a safe environment by following infection control policies and procedures.
• Worked as part of healthcare team to assess patient needs, plan and modify care and implement interventions.
• Administered medications and therapies in accordance with physicians orders.
• Provided emergency care when required including performing cardiopulmonary resuscitation.
• Operated mechanical ventilators following specified parameters of treatment.
• Reviewed current literature related to respiratory disorders and treatments in order to update clinical skillset.
• Inspected and cleaned respiratory therapy equipment to maintain functionality.
• Maintained patient airways with endotracheal intubation.
• Administered medication and ventilatory support.
• Transcribed physicians' notes and maintained patient charts with treatment data.
• Identified high risk situations such as airway obstruction or inadequate ventilation and took appropriate action.
• Collaborates with attending physicians to provide patient care, record/sign progress notes, physician orders, etc. in accordance with all current regulations and company policies.
• Care for critical, Vent dependent patients.
• Oversees and directs C.N.A.s and other clinical support persons in performing nursing procedures and treatments in accordance with physician orders and patient needs within scope of practice.
• Complete nurses’ notes accurate/descriptive of the nursing care being provided, including the resident’s responses to the care, and that care is in accordance with the resident’s wishes and physician orders.
• Administers treatments and medications, charting/documenting as required
• Interprets, and evaluates diagnostic tests to identify and assess patients' conditions; relay labs to physicians, carry out orders if necessary.
• Collaborates with nursing staff and leadership team to create a Plan of Care for patients
• Ensures a kind, positive, safe work environment for everyone, ensuring professional communication at all times and escalating any concerns to the Administrator.

• Provided patient care in accordance with physicians' orders and nursing standards of practice.
• Monitored vital signs, fluid intake and output levels, glucose levels, and other medical tests results.
• Prepared patients for examinations, tests or treatments and explained procedures.
• Conduct the daily nursing functions in accordance with current rules, regulations, and guidelines that govern the long term care facility.
• Ensure that all nursing personnel assigned to you comply with the written policies and procedures including the safety program.
• Admit, transfer, and discharge residents with documentation regarding care and service provided.
• Participate in the orientation of new residents/family members to the facility.
• Make rounds with health care provider.
• Utilize nursing personnel qualifications according to the resident’s care plan, wishes, and health care provider orders.
• Complete daily clinical and environmental rounds to evaluate resident care being provided and report significant events.
• Meet and resolve issues with residents and/or family members. Report significant issues to the supervisor.
• Participate in facility surveys (inspections) as requested by management.
• Responsible for clinical programs as directed, e.g. dementia, wound care, quality assurance, infection control, admissions.