Sruthi Salagala

• Provided high-quality comprehensive nursing care within 700-bed university hospital while managing daily 5:1 patient ratio.
• Managed daily caseload of acute medical patients with HF, stroke, advanced neurocognitive impairments, pancreatitis, acute confusion, UTI, diabetes, wounds, cellulitis, COPD, pneumonia, severe physical frailty, while coordinating surgical workflows for pre-operative patients.
• Ensured patient safety by rigorously adhering to infection control policies and procedures.
• Educated patients and families on health care needs, conditions, and options, enhancing understanding and engagement in care plans.
• Implemented pre-operative safety protocols and clinical checklists, ensuring thorough documentation for adult patients transitioning to major surgical intervention.
• Utilized digital Early Warning Scoring (EWS) to track real-time patient vitals, recognizing subtle clinical deterioration early to successfully mitigate sepsis and acute kidney injury (AKI) risks.
• Coordinated safe patient transitions and complex discharges by collaborating with occupational therapists, physical therapists, and social workers to ensure continuity of care.
• Logistics & Patient Flow: Expert in navigating TeleTracking central bed-management software to optimize patient throughput, minimize boarding times, and expedite acute medical/pre-operative admissions.
• Care Coordination: Proficient in using integrated CareFlow Patient Flow modules for digital whiteboard coordination, real-time census tracking, and multidisciplinary discharge mapping.
• Provided EKG monitoring for patients in multiple clinical settings.
  Supported physicians in analyzing EKG data to detect medical irregularities and facilitate diagnoses.

Executed float pool assignments across diverse specialties in 500 bed teaching hospital, enhancing staffing flexibility and patient care continuity.

Critical Care Unit

• Managed critically ill patients requiring advanced life support, invasive monitoring, and complex medication regimens.
• Supervised and mentored team of 5 nurses, promoting skill development and ensuring adherence to best practices that improved team performance.
• Implemented evidence-based protocols that reduced ICU length of stay by 10% and improved patient recovery rates.
• Demonstrated clinical expertise in accessing central venous access devices (CVADs), executing precise blood cross-matching, and monitoring for acute hemolytic transfusion reactions.
• Coordinated multidisciplinary care to optimize patient outcomes and streamline discharge processes.

Maternity Unit

• Conducted prenatal assessments and tracked fetal development to identify high-risk pregnancies requiring specialist referral.
• Delivered postnatal care and breastfeeding support to new mothers during their hospital stay and recovery.
• Identified patterns in maternal health complications and reported findings, contributing to enhanced ward protocols and nurse training.
• Reduced infection rates in the maternity ward by reinforcing hand hygiene and sterile technique during deliveries and neonatal care.
• Supervised labor and delivery for low-risk pregnancies and called physicians when complications required immediate intervention.

Medical and Surgical Unit

• Provided post-operative care with strict adherence to aseptic techniques.
• Conducted training for junior staff on catheterization techniques and wound dressing protocols in surgical ward.
• Identified and managed various post-operative emergencies through prompt recognition of cues.
• Monitored vital signs and laboratory results to evaluate patient status.
• Developed individualized nursing care plans and assessed their effectiveness.
• Administered medications with precision, ensuring proper treatment delivery.
• Documented assessments and interventions, maintaining comprehensive patient records.
• Educated patients and families on treatment protocols and discharge procedures.
• Communicated promptly with physicians regarding patient condition concerns.
• Performed nursing procedures in accordance with established hospital standards.
• Collaborated with multidisciplinary teams to improve patient care outcomes.

Emergency Unit

• Managed triage during emergency admissions and assigned priority levels based on clinical presentation and resource availability.
• Demonstrated clinical mastery in performing difficult peripheral IV insertions, managing central lines, and precisely titrating high-alert intravenous medications.
• Trained junior nurses on IV insertion techniques and proper catheter care protocols during their orientation period.
• Served frequently as Designated Charge Nurse during high-volume shifts, overseeing unit workflows, delegating clinical tasks to assistive personnel.

Burn Unit

• Delivered specialized trauma interventions within a dedicated Burn Unit, managing complex, high-percentage total body surface area (TBSA) thermal injuries.
• Executed strict sterile techniques during extensive burn debridement and advanced wound dressing changes, maintaining zero-tolerance infection control parameters.
• Calculated and managed aggressive fluid resuscitation protocols, titrated continuous analgesic infusions, and closely monitored hourly urine output metrics.

Pandemic Surge Response (COVID-19)

• Deployed to high-acuity isolation wards during severe COVID-19 pandemic outbursts, managing continuous care for critically ill patients suffering from acute respiratory distress syndrome (ARDS).
• Programmed and monitored high-flow nasal cannula (HFNC) oxygen delivery systems and collaborated on non-invasive ventilation parameters.
• Enforced strict airborne/droplet isolation protocols, mastered rapid personal protective equipment (PPE) donning/doffing, and championed safety compliance across the interdisciplinary team.

• Led clinical team in diverse patient care scenarios.
• Prepared patient units for procedures, adhering to hospital policies.
• Provided care for patients requiring ventilators, BiPAP, and high-flow oxygen therapy.
• Initiated resuscitation efforts during cardiac arrests as part of code blue team.
• Administered IV medications, fluids, blood products, and collected samples for testing.
• Independently performed procedures of Basic Nursing care, Oxygen administration, IV Cannulations, Tracheal Suctioning, NG tube insertion, Central vein catheter management, NG feeding, Bowel and Bladder wash.
• Assisting in procedures such as intubation, extubation, arterial line and CVC insertion and bronchoscopy.
• caring for patient experiencing severe sepsis, septic shock, acute or chronic renal failure, gastrointestinal bleed, acute exacerbation of COPD, myocardial infarction, CABG, PTCA, TPN, and patient with IABP.