Subin Sim

School Nurse

Full time: 47.5 hours/week + per diem

• Documented patient assessment findings and responses to nursing intervention to progress toward problem resolution
• Performed ongoing patient assessments, notifying supervising clinician of abnormal findings
• Liaised with multidisciplinary teams to organize and coordinate health and care services to meet patients' complex care needs
• Prepared patients for examinations, operations, and treatments and assisted during procedures
• Delivered non-judgmental and non-discriminatory care sensitive to patient diversity, preserving dignity and rights
• Provided customized patient and family education to foster continuum of care
• Educated patients and family members about treatments, care requirements, and other relevant information
• Performed therapeutic nursing interventions to promote patient well-being
• Protected patients' rights and dignity by delivering care without judgment or discrimination
• Consulted and coordinated with healthcare team members to assess and evaluate patient care plans
• Maintained confidentiality in patient matters to comply with HIPAA guidelines and measures
• Obtained specimens to run monitoring or diagnostic tests
• Initiated resuscitative measures to reduce disability and death from acute circulatory and respiratory emergencies
• Reported symptoms, condition changes, and vital signs to primary care doctors, patients, and families.
• Proactively identified potential patient safety risks, taking corrective actions to prevent harm or injury.
• Provided compassionate and empathetic support to patients and their families during difficult situations.
• Served as a liaison between patients, families, and healthcare providers to facilitate clear communication and coordination of care plans.

Acute Inpatient Hemodialysis RN at Saint Francis Hospital, Long Island,

NY, USA

Full-time: 40 hours/week and per diem

• Prepared dialysate according to formulas and primes with saline or heparinized solution
• Collaborated with interdisciplinary team in achieving positive dialysis patient outcomes through the development of quality goals and implementation of action plans
• Educated patients and families on renal disease, prescribed dialysis treatment and medical regimen, and explained pre- and post-dialysis care.
• Observed and monitored patients during procedures to report changes or adverse reactions
• Obtained blood samples for laboratory analysis to complete physician orders
• Explained the operation of dialysis machine to answer patient questions about dialysis procedures
• Calculated fluid removal or replacement to be achieved during dialysis procedure
• Performed cleaning and quality control to maintain and disinfect dialysis equipment
• Used proper techniques to access dialysis site and correctly connect patient to dialysis machine
• Provided emotional support for families dealing with difficult situations or diagnoses.

Waters Place Dialysis Center. Bronx, NY, USA

Chronic outpatient Hemodialysis RN

Full time: 40 hours/week

• Collaborated with interdisciplinary team in achieving positive dialysis patient outcomes through development of quality goals and implementation of action plans
• Educated patients and families on renal disease, prescribed dialysis treatment and medical regimen, explaining pre- and post-dialysis care
• Calculated fluid removal or replacement to be achieved during dialysis procedure
• Facilitated patient access to appropriate medical and specialty providers to drive care continuum
• Performed cleaning and quality control to maintain and disinfect dialysis equipment
• Monitored, recorded, and reported symptoms or changes in patients' conditions
• Ordered, interpreted, and evaluated diagnostic tests to identify and assess patient's condition
• Administered medications to patients and monitored for reactions or side effects
• Referred patients to specialized health resources and community agencies for further assistance
• Followed infection control procedures to prevent or stop spread of infections
• Used computers to complete necessary patient charts and documentation on patients' progress
• Provided emotional support for families dealing with difficult situations or diagnoses
• Consulted and coordinated with healthcare team members to plan, implement, or evaluate patient care plans
• Informed physician of patient's condition during procedures
• Educated individuals and families on health education and disease prevention.

Full time: 40 hours/week

Educated patients regarding medications, procedures, and treatments who have physical disability of due to spinal cord injury, stroke, brain injury, and patients who need care after orthopedic operation

• Assess patient condition (v/s check, lab result review, operation wound dressing, skin trouble monitor, check of pain intensity, I/O check, range of physical movement, patient's mood change, any discomfort or complaint)
• Educated patients regarding medications, procedures, and treatments who have physical disability of due to spinal cord injury, stroke, brain injury, and patients who need care after orthopedic operation
• Take physician's order and notify the doctor about patients' physical and mental condition
• Educate patient's health management and rehabilitation plan; how to manage their physical condition
• Administer medicine (IV, IM, or oral pills)
• Drawing blood samples and Inserting peripheral IV catheter and assessing the IV site as protocol
• Prepare nursing records and patient evaluation charts
• Educate patients on admission, treatment, and discharge planning (Screening, interviewing, and collecting health history and medical data of patients in admission; initiating nursing care plans and interventions)
• Operation wound or sore wound, daily dressing, and wound change monitoring
• Collaborated daily with physicians and health care team to deliver optimum patient care
• Advocated for patient needs and assisted patients and families in receiving proper medical care during hospitalization.

Worked for labor and delivery, postpartum, and newborn baby care

Full time: 40 hours/week

• Prenatal education and counseling women on health habit (diet, exercise)
• Health care of women and fetus during whole delivery procedure (fetal heart monitoring, pelvic examination, evaluation of blood test result, sonogram result and vital signs etc)
• Notify doctor if maternity women and fetus have health problems especially and do immediate proper treatment (IV injection, administering medication, Preparing and initiating blood transfusion, fluid hydration, o2 inhalation, inserting urinary catheter or foley catheter, pre c/sec preparation, etc.)
• Emotional and physical assist and coach of women how to manage labor
• Receive a baby and placenta
• Assist of doctor's perineal suture
• Check up and monitoring of new born baby's vital sign
• In emergency situation - doing new born baby resuscitation-Bag valve mask, heart massage
• Intubation with laryngoscope and Tracheal tube (endotracheal tube)
• Postpartum education and assist of breast feeding (flat or inverted nipple or baby's lip tie and tongue tie in may difficult situations)
• Assisted neonatologist or pediatrician in receiving newborns during cesarean section procedures
• Modified patient treatment plans as indicated by patients' responses and conditions
• Educated patient and family on labor, pain and newborn care
• Coordinated with nursing teams and physicians to provide treatment based on emotional, cultural and physical needs
• Monitored, recorded and communicated patient condition with computerized documentation systems
• Assessed and cared for patients with pre-term labor and high-risk pregnancies
• Observed patients following C-section operations by noting blood pressure, vital signs and reactions to anesthesia
• Collaborated with lactation nursing consultants on proper methods for newborn breastfeeding
• Developed strong relationships with patients through compassionate communication techniques.

Rehabilitation Ward - Nursing care of patients after CVA, stroke, hemiplegia, spinal cord injury, post-op care of orthopedic operation and etc.

Full time: 40 hours/weeks

• Administer medicine (IV, IM)
• Inserting peripheral IV catheter and assessing the IV site as protocol; drawing blood samples (include arterial blood gas) as physicians' order and tracking lab results, updating result to physicians
• Educate patients on taking medicine and dose
• Educating patients or caregivers in patient's discharge regarding medication procedures, pre- and post-operative care; example –using PCA pump, caring and suctioning tracheostomy, dressing and caring ostomy and foley catheter, injecting medication through SC, diet, enteral feeding, wound care and medication regimen at home
• Evaluating patients for physical, medical and psychological abnormalities for life plans as performing physical exams and assessments
• Preparing and initiating blood transfusion/TPN, monitoring patients as protocol
• Prepare nursing records and patient evaluation charts
• Educate patients on admission, treatment, and discharge planning (Screening, interviewing, and collecting health history and medical data of patients in admission; initiating nursing care plans and interventions)
• Assessment and evaluation of patient's wound disinfection and daily dressing
• Change foley catheters and urine bags on a regular basis
• Nasogastric tube intubation, bag change and feeding
• Report patient conditions to doctors and receive orders
• Check vital signs and INPUT/OUTPUT and report to doctors in case of an emergency
• Inform patients of their conditions, treatment progress, and medicine taking
• Acted as key player in stand-up clinical meetings to communicate and identify patient status
• Assisted in making nursing staff assignments based on patient acuity and competency of staff
• Administered medications to patients per physician's orders
• Recorded vital signs to note changes and pursue more-specific investigations
• Facilitated patient discharge and follow-up care plans
• Developed strong relationships with patients through compassionate communication techniques
• Performed physical examinations to make tentative diagnoses.

3rd Ward- nursing care of senior patients with internal medical diseases

Full time: 40 hours/week

• Educating patients or caregivers in patient's discharge regarding medication procedures, pre- and post-operative care; example – using PCA pump, caring and suctioning tracheostomy, caring ostomy and foley catheter, injecting medication through SC, diet, enteral feeding, wound care and medication regimen at home
• Preparing and initiating blood transfusion/TPN, monitoring patients as protocol
• Educate patients on admission, treatment, and discharge planning (Screening, interviewing, and collecting health history and medical data of patients in admission; initiating nursing care plans and interventions)
• Nasogastric intubation, bag change and feeding
• Kept accurate records and charts related to medications and treatments according to policies, procedures, and physician orders
• Assessed and evaluated patient physical, mental and emotional status to assist with care needs
• Obtained specimens and performed EKG tests using proper techniques and procedures
• Educated patients and family members about treatments, care requirements, and other relevant information
• Initiated resuscitative measures to reduce disability and death from acute circulatory and respiratory emergencies
• Prepared patients for examinations, operations, and treatments and assisted during procedures
• Conducted patient assessment, prioritizing data collection based on patient condition or needs
• Performed ongoing patient assessments, notifying supervising clinician of abnormal findings
• Documented patient assessment findings and responses to nursing intervention to progress toward problem resolution.

Nursing care for mother and baby at postpartum unit after delivery with breastfeeding management

Full time: 40 hours/week

• Administer postpartum medicine iv, IM, PO (antibiotics, magnesium sulfate, painkillers, digestive medicines, etc.)
• Educate mothers and fathers how to take care of their newborn babies including breast-feeding and bottle feeding, etc
• Initiated discharge plan and admitted and cared pre, and post-surgical patients
• Provided emotional support for families dealing with difficult situations or diagnoses
• Consulted and coordinated with healthcare team members to plan, implement, or evaluate patient care plans
• Developed strong relationships with patients through compassionate communication techniques
• Assessed patient's physical and psychosocial status to determine readiness for discharge
• Educated individuals and families on health education and disease prevention
• Informed physician of patient's condition during procedures.

Work in labor and delivery center

Full time: 40 hours/week

• Women and fetus health care during whole delivery procedure (fetal heart monitoring, pelvic examination, evaluation of blood test result, sonogram result and vital sign etc.)
• Notify to doctor and if maternity women and fetus have health problem especially and doing immediate proper treatment (iv injection, administer medications, Preparing and initiating blood transfusion, fluid hydration, c/s preparation o2 inhalation, foley catheterization and etc.)
• Assist of doctor's perineal suture and episiotomy
• Check up and monitoring of new born baby's vital sign
• Circulated in cesarean section
• In emergency situation - doing new born baby resuscitation-ambu bagging, heart massage
• Intubation with laryngoscope and tracheal tube (endotracheal tube)
• Postpartum education and assist of breast feeding (flat or inverted nipple or baby's lip tie and tongue tie in may difficult situations)
• Educated families on ideal postpartum practices for continual health prioritization
• Assisted in baby delivery with adherence to families' preferences
• Provided encouragement and comfort during delivery to yield successful birth experiences
• Maintained steady support during stressful deliveries to reinforce mothers' assuredness of successful birth
• Maintained documentation of all patients' contacts, reviewed, and updated records as necessary
• Provided information about physical and emotional processes involved in pregnancy, labor, birth, and postpartum periods
• Fetal heat monitoring through heartbeat detection, body measurement, and palpation.

Midwife training Delivery room, OR, Postnatal Ward, Pediatrics Ward, NICU, IR, OB/GY Ward, ER, and Prenatal care

Full time: 50 hours/week

· Premature birth (lecture on premature birth and nursing care)

· Help with delivery (I helped with more than 60 cases of delivery during probation under supervision)

· Mother's care before and after childbirth

· Care for newborns and premature babies

· Gave advice on breast-feeding and rooming-in

· Rotated positions to understand various department processes and goals.

· Maintained steady support during stressful deliveries to reinforce mothers' assuredness of successful birth.

· Administered prenatal tests to uncover potential birth complications.

· provide prenatal care; labor and birth management, postpartum care; gynecologic, reproductive, and sexual health care; primary health care; and care of the newborn

· Advised families with suggestions on hospital bookings and helpful routine tests.

· Assisted in baby delivery with adherence to families' preferences.

· Recommended use of vitamin and mineral supplements to enhance health of patients and children.

· Recommended dietary supplements for aiding healthy pregnancy and childrearing.

· Estimated patients' due dates and re-evaluated as necessary based on examination results.

· Obtained complete health and medical histories from patients including medical, surgical, reproductive, and mental health histories.

· Counseled women regarding nutritional requirements of pregnancy.

Performed post-partum health assessments of mothers and babies at regular intervals.