Stephana Merosier

• Provide hospital-wide administrative and clinical supervision for the Emergency Department, Intensive Care Unit (ICU), Medical-Surgical Unit, and other patient-care areas during assigned shifts.
• Serve as the primary nursing leadership resource during evenings, nights, weekends, and periods when senior administration is not immediately available.
• Coordinate daily hospital operations to ensure safe, efficient, and high-quality patient care across all nursing departments.
• Manage staffing needs, including call-outs, overtime, reassignment of staff, and redistribution of nursing resources based on patient acuity and operational needs.
• Collaborate with Emergency Department and ICU staff regarding critically ill patients, admissions, transfers, and appropriate levels of care.
• Respond to staffing conflicts and provide leadership during challenging clinical and operational situations.
• Provide coaching, mentoring, and real-time education to nursing staff to promote clinical competency and professional practice
• Handling patient and family concerns
• Ensuring compliance with regulations and protocols
• Coordinates with interdisciplinary teams
• Ensuring efficient workflow

Provide administrative and clinical supervision for Inpatient Psychiatric units and a standalone emergency department, ensuring safe , efficient operations throughout the assigned shift.

Maintain accurate supervisory documentation , shift reports, staffing records, incident reports, and leadership communication.

Serve as the primary nursing leadership resource during evenings, nights, weekends, and periods when senior administration is not immediately available.

Collaborate with physicians, advanced practice providers, nursing staff, respiratory therapy, pharmacy, laboratory, radiology, case management, and other interdisciplinary departments

Provide leadership during behavioral emergencies , escalating situations, psychiatric codes, and other clinical emergencies.

Ensure appropriate suicide, self -harm, elopement, violence, and fall risk precautions are implemented and maintained according to patient needs and facility policy.

Respond to and oversee emergency situations involving aggressive or assaultive behaviors while promoting the least restrictive and safest interventions.

Address patient, family, and staff concerns and facilitate timely resolution of clinical and operational issues.

• Administered critical IV medications to stabilize patients for assessment and treatment.
• Responded quickly to codes and coordinated efficient and skilled care.
• Maintained open and clear communication with physicians to coordinate effective patient care.
• Assessed patients upon arrival, performing initial triage, and determining the severity of their condition.
• Provided immediate and specialized nursing care to patients with critical conditions such as trauma, cardiac arrest, or severe illness.
• Administered medications and treatments as prescribed by physicians, ensuring accurate dosage and patient safety.
• Monitored patient vital signs, symptoms, and overall condition throughout their stay in the ED.
• Worked closely with physicians, surgeons, and other healthcare professionals to develop and implement patient care plans.
• Assisted in emergency procedures such as intubation, CPR, wound care, and managing life-threatening emergencies.
• Provided education to patients and their families about their condition, medications, and follow-up care upon discharge.
• Maintained accurate and detailed patient records, including nursing assessments, interventions, and outcomes.
• Trauma level 3

• Provided direct patient care in Level II trauma center.
• Conducted initial patient assessments, including vital signs, medical history, and chief complaints. Triage patients based on urgency.
• Administered medications, start IV lines, and perform other emergency procedures as needed. Assist with resuscitation efforts during trauma cases or cardiac arrests.
• Worked closely with physicians, other nurses, and healthcare professionals to ensure comprehensive patient care.
• Advocated for patients' needs and ensure they receive appropriate care and information.
• Maintained accurate and detailed patient records and charts.
• Provided patients and their families with information about conditions, medications, and follow-up care.
• Assisted in the training and supervision of new staff members and support teamwork within the ED.
• Participated in disaster preparedness drills and protocols.
• Contributed to quality improvement initiatives within the ED to enhance patient outcomes and efficiency.
• Adhered to hospital policies, procedures, and regulatory requirements.
• (Internal float pool travel team within Trinity Health of New England)

• Quickly assessed patient conditions upon arrival and prioritizing care based on the severity of the patient's condition.
• Administered emergency medical treatment, including CPR, wound care, medication administration, and other interventions as needed.
• Regularly monitored patients' vital signs and symptoms, and reporting changes to the healthcare team promptly.
• Worked closely with doctors, specialists, and other healthcare professionals to develop and implement patient care plans.
• Educated patients and their families about medical conditions, treatments, and post-discharge care.
• Accurately documented patient information, treatments, and responses in the medical records.
• Ensured all care is provided in compliance with hospital policies, procedures, and regulatory requirements.
• (Internal float pool travel team within Trinity Health of New England)

• Provided direct patient care in Level I trauma center.
• Handled medical emergencies resulting from event such as strokes, cardiac arrest, car accident, stabbings, head injuries, drug overdose, alcohol detox and assault. Assess and stabilize patients with expedience and accuracy.
• Display expert clinical skills in managing the critical care of all category’s aspects of Emergency Department patients
• Reacted effectively in emergency scenarios, demonstrating sound decision-making that helped save patient lives
• Supervised LPNs and ED technicians and served as a preceptor/mentor to Graduate Nurses
• Collaborated with various ER professionals to ensure effective patient care.
• (Internal float pool travel team within Trinity Health of New England)

• Provided direct patient care in Level II trauma center.
• Assessed patients upon arrival, performing initial triage, and determining the severity of their condition.
• Provided immediate and specialized nursing care to patients with critical conditions such as trauma, cardiac arrest, or severe illness.
• Administered medications and treatments as prescribed by physicians, ensuring accurate dosage and patient safety.
• Monitored patient vital signs, symptoms, and overall condition throughout their stay in the ED.
• Worked closely with physicians, surgeons, and other healthcare professionals to develop and implement patient care plans.
• Assisted in emergency procedures such as intubation, CPR, wound care, and managing life-threatening emergencies.
• Provided education to patients and their families about their condition, medications, and follow-up care upon discharge.
• Maintained accurate and detailed patient records, including nursing assessments, interventions, and outcomes.
• (Internal float pool travel team within Trinity Health of New England)

• Administered critical IV medications to stabilize patients for assessment and treatment.
• Responded quickly to codes and coordinated efficient and skilled care.
• Maintained open and clear communication with physicians to coordinate effective patient care.
• Assessed patients upon arrival, performing initial triage, and determining the severity of their condition.
• Provided immediate and specialized nursing care to patients with critical conditions such as trauma, cardiac arrest, or severe illness.
• Administered medications and treatments as prescribed by physicians, ensuring accurate dosage and patient safety.
• Monitored patient vital signs, symptoms, and overall condition throughout their stay in the ED.
• Worked closely with physicians, surgeons, and other healthcare professionals to develop and implement patient care plans.
• Assisted in emergency procedures such as intubation, CPR, wound care, and managing life-threatening emergencies.
• Provided education to patients and their families about their condition, medications, and follow-up care upon discharge.
• Maintained accurate and detailed patient records, including nursing assessments, interventions, and outcomes.

• Provided direct patient care in Level I trauma center.
• Assessed patients upon arrival, performing initial examinations, and determining priority of care based on acuity.
• Administered medications, treatments, and procedures as ordered by physicians or protocols, ensuring timely and appropriate interventions.
• Monitored patient conditions closely, documenting observations, interventions, and outcomes accurately in the electronic medical record (EMR).
• Collaborated with physicians, other healthcare providers, and multidisciplinary teams to optimize patient care outcomes.
• Communicated effectively with patients and their families regarding treatment plans and progress.
• Advocated for patient needs and rights, ensuring informed consent, and maintaining patient confidentiality.
• Participated in disaster preparedness drills and maintaining readiness to respond to emergencies effectively.
• Participated in quality improvement initiatives, following evidence-based practices, and contributing to departmental goals.
• Provided patient education related to conditions, medications, and follow-up care instructions.
• Utilized critical thinking skills to assess complex situations rapidly and make appropriate decisions in emergency scenarios.
• Agency – Maxim Health

• Provided direct patient care in Level II trauma center.
• Triaged and treated high-volume caseload in busy emergency room setting.
• Administered critical IV medications to stabilize patients for assessment and treatment.
• Responded quickly to codes and coordinated efficient and skilled care.
• Maintained open and clear communication with physicians to coordinate effective patient care.
• Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care.
• Conducted patient assessments and diagnostic tests to provide physician with important patient health information.
• Treated patients by administering various types of medications and therapies.
• Answered patient questions and provided take-home materials for further information.
• Recorded patient condition, vital signs, recovery progress and medication side effects.
• Upheld patient safety standards by preventing unauthorized access or incorrect dosage administration.
• Supported criminal inquiries by reporting injuries and completing evidence collection kits.
• Maintained comprehensive base of unit supplies to meet expected patient demands, public health emergencies and mass casualty incidences.
• Provided emergency care to critically ill patients in a timely manner.
• Administered medications and treatments as prescribed by physicians.
• Assessed patient condition and developed individualized care plans.
• Collaborated with multidisciplinary teams to ensure optimal patient outcomes.
• Agency – Maxim Health

• Continuous assessment of arterial lines, central lines, and cardiac monitor to detect rapid changes
• Managing ventilators and advanced devices
• Titrating complex IV drips.
• Frequent, detailed, and comprehensive cardiovascular and Neurological assessments
• CTICU

• Provided direct patient care in Level I trauma center.
• Triaged and treated high-volume caseload in busy emergency room setting.
• Agency – The Specialty

• Provided direct patient care in Level III trauma center.
• Emergency department Trauma 3 Adult and Pediatric emergency department.
• Triaged and treated high-volume caseload in busy emergency room setting.
• Administered critical IV medications to stabilize patients for assessment and treatment.
• Responded quickly to codes and coordinated efficient and skilled care.
• Maintained open and clear communication with physicians to coordinate effective patient care.
• Oversaw patient immunization, supporting nurses through vaccine specific training and supervising administration.
• Provided emergency care to critically ill patients in a timely manner.
• Assessed patient condition and developed individualized care plans.
• Administered medications and treatments as prescribed by physicians.
• Agency – Krucial

• Provided direct patient care in Level II trauma center.
• ICU Float One of the Bronx’s busiest trauma centers, providing the highest level of care.
• St Barnabas Hospital is a designated 911-receiving hospital, a regional trauma center, an emergency heart care center.
• Rendered direct patient care by stabilizing patients and determining course of action based on triage.
• Performed triage on incoming patients and determined severity of injury and illnesses.
• Stabilized patients determined health needs and provided direct patient care.
• Responded quickly to codes and coordinated efficient and skilled care.
• Administered critical IV medications to stabilize patients for assessment and treatment.
• Triaged and treated high-volume caseload in busy emergency room setting.
• Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care.
• Answered patient questions and provided take-home materials for further information.
• Conducted patient assessments and diagnostic tests to provide physicians with important patient health information.
• Maintained comprehensive base of unit supplies to meet expected patient demands, public health emergencies and mass casualty incidences.
• Performed assessments and triaged patients based on acuity level.
• Ensured patient safety by monitoring vital signs, administering medications, and providing effective pain management.
• Provided detailed instructions to families regarding post-discharge care.
• Conducted health promotion activities for the public to reduce emergency room visits.
• Managed multiple high stress situations while maintaining a calm demeanor and providing quality care to all patients.
• Utilized critical thinking skills to assess emergent conditions and initiate appropriate interventions in a timely manner.
• Float - ICU

• Provided direct patient care in Rehab and Nursing home.
• (Sub-Acute) Administer medications, immunization, g-tube, wound care, and administer IV's
• Administered medications, tracheostomy, follow-up on meds order, pick up order
• Collaborated with the interdisciplinary team (dietitian, physical therapy, pharmacy, and Md).
• Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with non-invasive procedures.
• Adhered to infection control procedures to facilitate safe, clean patient environment.
• Maintained thorough, accurate and confidential documentation in electronic medical records.
• Recorded patient condition, vital signs, recovery progress and medication side effects.
• Monitored and managed various treatment and care interventions.
• Advocated for patients by supporting and respecting basic rights, values and beliefs

• Utilized strong assessment skills to determine necessary patient care.
• Administered medications intravenously, by injection or orally.
• Educated patients and family members about preventive health care and recovery.
• Learned and developed unique skills, specialties and practices based on site and patient needs.
• Inserted and cared for catheters, feeding tubes and access sites.
• Adhered to infection-control policies and protocols to protect employees and patients.
• Identified patient care requirements by establishing personal rapport with patients and families.
• Trained other nurses on patient care and daily tasks, supporting growth and professional development.
• Interviewed patients to obtain medical information and measure vital signs.
• Developed and executed care plans for assigned patients.
• Directed and instructed patients and family members on proper discharge care.
• Ordered and interpreted diagnostic tests to identify and assess patient condition.
• Prepared medical equipment and devices to aid physician during examination and treatment of patients.
• Assessed and evaluated patient's medical condition to determine the best course of treatment.
• Ensured that all documentation was completed in a timely manner and met all standards for accuracy.
• Educated patients and families regarding disease processes, treatments plans, safety measures, medication usage and self-care techniques.
• Collaborated with interdisciplinary team members to ensure continuity of care across settings.

• Developed and arranged continuing education opportunities for staff to increase knowledge and skills.
• Conducted interviews with prospective employees, supervised hiring process for new staff members.
• Managed employee relations activities such as performance appraisals and corrective action plans when needed.
• Facilitated communication between staff members through meetings or one-on-one interactions.
• Oversaw ordering of supplies and equipment necessary for successful unit operation.
• Participated in interdisciplinary teams to assess patient outcomes and develop treatment plans.
• Ensured that all documentation was completed accurately in a timely manner according to facility policy.
• Educated nursing staff on changes in protocols or practices based on current evidence-based research.
• Provided support to nurses during stressful situations or emergencies on the floor.
• Resolved conflicts among team members or between departments in a diplomatic manner.
• Prepared reports summarizing data from patient charts regarding diagnosis, treatments administered.
• Provided leadership by setting standards for professional practice and role modelling behaviors.
• Coordinated the daily operations of the unit, including staffing, scheduling, budgeting and resource management.
• Trained other nurses on patient care and daily tasks, supporting growth and professional development.