Silvia D'costa
Raleigh
Summary
Epic Optime/Anesthesia Analyst and RN with 7+ years of clinical and technical experience across perioperative, ICU, and ambulatory settings. Master's-prepared in Nursing Informatics with expertise in system configuration, workflow optimization, and cross-functional collaboration. Proven ability to bridge clinical operations and IT to improve usability, compliance, and patient care outcomes. Experienced with mentoring and guiding nursing staff. Utilizes effective communication and leadership to ensure high-quality patient care. Knowledge of clinical procedures and protocols, with focus on impactful training and development.
Overview
9
9
years of professional experience
1
1
Certification
Work History
System Analyst I, Epic Optime/Anesthesia
WakeMed Health & Hospitals
Raleigh, North Carolina
07.2024 - Current
- Build, configure, and test Epic Optime/Anesthesia applications to meet clinical, operational, and regulatory requirements.
- Partner with end users to optimize workflows and improve system performance.
- Troubleshoot application issues and ensure timely resolutions aligned with departmental SLAs.
- Participate in project planning, testing cycles, and implementation phases for version upgrades and enhancements.
- Collaborate with Epic TS, internal IT, and clinical leadership to maintain build accuracy and on-time project delivery.
- Assess workflow pain points in perioperative and anesthesia areas and recommend system improvements.
- Ensure compliance with HIPAA, Meaningful Use, and JCAHO standards.
- Support integration and maintenance of third-party perioperative systems.
Circulating Operating Room Nurse
WakeMed Raleigh Hospital
Raleigh, North Carolina
10.2022 - 07.2024
- Assisted in perioperative surgical care for diverse procedures spanning GYN, general, vascular, ENT, and neurosurgery services.
- Ensured compliance with hospital and regulatory standards for sterile technique and infection prevention.
- Coordinated surgical tools, supplies, and equipment to support surgeons before and during procedures.
- Acted as a patient safety advocate, working alongside surgeons, anesthesiologists, and nursing staff to deliver high-quality care.
Circulating Operating Room Nurse
Inova
Fairfax, Virgina
05.2021 - 10.2022
- Supported complex surgical cases across high-acuity specialties by delivering comprehensive perioperative care.
- Enforced aseptic protocols to preserve sterile field integrity and minimize infection risk.
Circulating Operating Room Nurse
Holy Cross Hospital
Silver Spring, Maryland
03.2020 - 05.2021
- Provided intraoperative support across multiple surgical specialties including gynecology, general surgery, vascular, ENT, and neurosurgery.
- Maintained strict adherence to sterile technique and surgical safety standards throughout all procedures.
- Prepared, organized, and managed surgical instruments and equipment to ensure efficient case flow.
- Served as a patient advocate while coordinating closely with surgeons, anesthesia providers, and operating room staff.
Clinical Ambulatory Nurse
Johns Hopkins Community Physicians
Baltimore
05.2019 - 03.2020
- Consulted and coordinated with interdisciplinary teams to assess, plan, implement, and evaluate patient care plans.
- Supervised junior nurses and provided healthcare education to patients, families, and auxiliary personnel.
- Triaged telephone calls, provided home care instructions, and referred patients to primary care or ER using critical thinking.
- Provided complex care to patients with using the nursing process and proficiency in real-time documentation.
Critical Care Nurse
MedStar Washington Hospital Center
Washington
07.2018 - 04.2019
- Performed emergency medical procedures and stabilizing interventions for incoming patients.
- Documented pertinent patient health data while providing exceptional bedside manner.
- Interpreted results from diagnostic testing and operated invasive medical equipment for patients.
Clinical Nurse Extern
Johns Hopkins Hospital
Baltimore
05.2017 - 07.2018
- Provided basic life support (BLS) alongside trauma team for cardiac arrest patients and trauma patients.
- Recorded vital signs and assisted nurses and physicians with the operation of medical equipment.
- Ambulated and supported patients with performing physical daily activities, transportation, and surgical preparation.
Education
Master of Science - Nursing Informatics
University of Maryland School of Nursing
Baltimore05-2022
Bachelor of Science - Nursing
The Catholic University of America
Washington, DC05-2018
Skills
- Electronic Medical Records (EMR) Systems: Epic Intra-Op/Optime (expert level), Cerner Surginet (expert level)
- Software & Tools: JIRA, Microsoft Office (Access, PowerPoint, Excel, Word), Visio
- System Development Life Cycle (SDLC/STLC): Agile and Waterfall Methodologies
- System Configuration & Optimization: Epic Optime/Anesthesia applications, Trackcore system usability testing
- Emergency & Critical Care Procedures: ACLS, BLS, IV administration, blood transfusions, diagnostic test interpretation
- Surgical Equipment & Device Use: General Medical Devices – IV lines, mechanical ventilators, cardiac monitors, feeding tubes, suction pumps, Foley catheters, pupilometer, DaVinci Robot XI Surgical Equipment – Stryker video tower, Bovie, LigaSure, Neuro/Spine/ENT microscope, Malis Bipolar, Midas Rex drill, Aquamantys, Fluent system, Neptune suction Neurological Equipment – Extra ventricular drain, Intracranial pressure monitor, Arctic Sun cooling system
- Clinical expertise, Clinical instruction, Direct patient care, Clinical education
Certification
- Registered Nurse, State of NC
- Certified Perioperative Nurse (CNOR)
- Epic Certification Anesthesia
- Epic Certification Optime
- AHA Basic Life Support/Advanced Cardiac Life Support
Links
Timeline
System Analyst I, Epic Optime/Anesthesia
WakeMed Health & Hospitals
07.2024 - Current
Circulating Operating Room Nurse
WakeMed Raleigh Hospital
10.2022 - 07.2024
Circulating Operating Room Nurse
Inova
05.2021 - 10.2022
Circulating Operating Room Nurse
Holy Cross Hospital
03.2020 - 05.2021
Clinical Ambulatory Nurse
Johns Hopkins Community Physicians
05.2019 - 03.2020
Critical Care Nurse
MedStar Washington Hospital Center
07.2018 - 04.2019
Clinical Nurse Extern
Johns Hopkins Hospital
05.2017 - 07.2018
Master of Science - Nursing Informatics
University of Maryland School of Nursing
Bachelor of Science - Nursing
The Catholic University of America