Stephanie Letcher
St. Petersburg,FL
Summary
Compassionate and highly experienced RN with 19 years of clinical excellence in high-acuity adult and pediatric care. Skilled in critical decision -making, patient education, interdisciplinary collaboration, and electronic documentation. Seeking to transition to a remote healthcare role where my clinical knowledge, communication skills, and attention to detail can support patient care, triage, or clinical documentation from a virtual setting.
Overview
19
19
years of professional experience
1
1
Certificate
Work History
Pediatric Critical Care Registered Nurse
St. Josephs Children's Hospital
03.2017 - Current
- Provided expert care to post-operative pediatric and adult cardiac patients (e.g.,TOF, HLHS, TGA, VSD, cardiomyopathy) with complex devices (e.g., ECMO, CRRT, ventilators, invasive lines)
- Managed, interpreted, and responded to complex hemodynamics (e.g., CVP, Arterial line, PAP, RAP)
- Administered and titrated continuous infusions (e.g., inotropes, sedatives, anticoagulants)
- Interpreted complex diagnostic data (e.g., ABG's, VBG's, STAT labs, X-rays, telemetry, ECHOs) to guide care decisions in real-time.
- Served as a charge nurse, preceptor, and mentor; supervised daily unit operations, onboard new staff, and reinforced clinical standards and patient safety.
- Cross-trained and floated to NICU and PICU. Supported continuity of care across critical care units by stepping into these roles during high census or staffing needs.
- Educated and supported families through complex hospital courses, discharge planning, and home care needs.
- Responded to medical emergencies including rapid response, code blue, and ECMO initiation; maintained BLS, ACLS, & PALS.
- Acted as a collaborative liaison between, patients, families, and care teams during daily rounds and critical decision-making moments.
- Assisted with emergency bedside procedures (e.g., chest tubes, re-exploration of chest, pacing, bronch, lines, drains)
- Delivered detailed shift reports using SBAR and unit-specific protocols to support safe transitions and effective team communication.
- Participated in unit-based quality improvement initiatives that were focused on safety, infection prevention, and workflow optimization.
- Maintained accurate, HIPPA-compliant documentation in EMRs(e.g., Cerner) with meticulous and timely charting.
Cardiac ICU Registered Nurse
Tampa General Hospital
05.2015 - 12.2016
- Provided care for adult patients in an 18 bed Cardiac ICU. Experienced level 3 RN for Pre/post-op patients with (e.g., CABG, valves, heart and lung transplants,heart caths, STEMI, Non-STEMI, AAA surgical rpr. ECMO, LVAD's and RVAD's; Heartmate II, III and Heartware devices, CRRT; NxStage)
- Gained a vast knowledge and experience in the adult population with (e.g., gtts., codes, blood transfusions, various arrhythmias, vents(rapid wean protocol), nitric, trachs, chest tubes, Swanz-ganz, central lines, arterial lines, IABP, drains, sterile procedures; open-chest re-explorations at bedside,
- Assisted physicians with (e.g., lines, chest tubes, bronch, intubation)
- Collection and interpretation of all lab values (e.g., CBC,BMP, ABG's, ACT's, PTT)
- Anticipated potential complications in high-risk cardiac patients through vigilant assessment of vital signs trends and EKG changes, initiating prompt interventions.
- Educated patients and families on Post-operative care, medication regimens, and lifestyle modifications to support recovery and prevent readmissions.
- Collaborated with cardiologists, cardiothoracic surgeons, pharmacists, dietitians, and case managers to coordinate holistic patient care plans.
- Maintained clinical documentation in compliance with HIPPA, JCAHO, and hospital quality standards while meeting charting deadlines.
- Participated in quality improvement projects focused on reducing infection rates, improving pain management, and streamlining discharge planning.
Pediatric Critical Care Registered Nurse
Joe Dimaggio Children's Hospital
09.2014 - 03.2015
- Provided care in a 28-bed mixed PICU/Cardiac ICU setting. Pediatric population ranging from neonate to young adult. Patient ratio 1:1, 2:1, and at times 3:1. Primarily cared for patients with Berlin heart; right & left ventricular support. Pre and post cardiac surgeries (e.g, ASD, VSD, PA-banding, Norwood, RV-PA conduit, heart cath) Also PICU patients with (e.g., spinal fusions, diabetes, BPD, CHF, PHTN, CVA, chronic trach/vent, immunological disorders, renal failure, PD-dialysis, tumors, neuroblastoma, craniofacial surgery)
- Administered and titrated (e.g., Epi, Vaso, Milrinone, Bumex, Precedex, Argatroban, Heparin, Nimbex, Morphine, Versed)
- Educated patients and families about disease processes, pathophysiology, and medications.
- Practiced family centered care by consistently keeping patient and families involved and updated on plan of care.
- Collaborated with multidisciplinary team; followed physician orders and reported any changes in condition. Consistent in making patients and families concerns a first priority.
Pediatric Critical Care Registered Nurse
All Children's Hospital
10.2006 - 10.2013
- Provided nursing care in a 22-bed unit; pediatric and adult cardiac patients. Patient ratio 1:1, 2:1 caring for pre/post surgical patients (e.g., heart transplant, CABG, Norwood, Arterial switch, PA-banding, ASD repair, VSD repair, heart cath)
- Specialized in the management of patients with advanced therapies (e.g., ECMO, Berlin Heart, L-VAD, Impella, CRRT, )
- Experienced with (e.g., cardiac monitors, defibrillators, codes, blood transfusions, various arrhythmias, vents, nitric, heliox , trachs, chest tubes, central lines, arterial lines, atrial lines, IABP)
- Assisted physicians with (e.g., bronch, intubation, cardioversion, sterile open-chest re-explorations, lines, chest tubes, drains)
- Administered and calculated medicated gtts (e.g., Milrinone, Epi, Vaso, Levo, Dopamine, Fenoldopam, Nipride, Nitro, Lasix, Heparin, Vec, Morphine, Fentanyl, Versed, Precedex)
- Proficient with GEM and I-STAT. Obtained and interpret ABG's, VBG's and ACT's.
- Displayed a team approach with every shift. All tasks completed while maintaining a positive attitude.
- Leadership and preceptor experience; training and developing new/student nurses and ancillary staff.
- Served as a mentor to several peers.
- Member of the Code Team; responsible for responding to all emergency situations in the entire hospital.
- Attended many cardiac conferences and educational opportunities to further professional development. Consistently utilizing critical thinking with the most up-to-date research and evidence based data to provide safe and high quality care.
- Created a family-centered environment by practicing with a holistic approach. Communicated effectively, keeping patient and families involved, updated and provided with education.
- Ensured the most cohesive patient care possible by displaying professional interpersonal communication skills with the medical team. Established rapport and respect amongst physicians and surgeons.
Education
Associate of Science - Nursing
St. Petersburg College
St. Petersburg, FL01.2006
Skills
- In-depth understanding of critical care & cardiac pathophysiology
- Skilled in rapid assessment, critical thinking, & complex problem solving
- EMR expertise (eg, Epic, Cerner)
- Proven ability to build rapport with co-workers, patients, & families
- Effective at prioritization & multitasking
- Cultured in dealing with diverse patient populations
- Clinical leadership (charge nurse, preceptor, & mentor roles)
- Remote learning & E-learning participation
- Secure messaging & Virtual communication platforms (eg, Zoom & Microsoft Teams)
- Chart auditing & Quality assurance
- HIPPA compliance in digital communication
- Able to work independently, effective time management & self-directed learning
Certification
- FL License: RN 9254918
Timeline
Pediatric Critical Care Registered Nurse
St. Josephs Children's Hospital
03.2017 - Current
Cardiac ICU Registered Nurse
Tampa General Hospital
05.2015 - 12.2016
Pediatric Critical Care Registered Nurse
Joe Dimaggio Children's Hospital
09.2014 - 03.2015
Pediatric Critical Care Registered Nurse
All Children's Hospital
10.2006 - 10.2013
Associate of Science - Nursing
St. Petersburg College
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