Subina Manandhar
Silver Spring,MD
Summary
Dedicated, compassionate, patient focused and skilled professional Registered Nurse (RN) with 12 years of progressive career history in intensive care unit providing professional care to the wide variety of critically ill medical and surgical patient along with post operative cardiac surgery patients, patient post interventional cardiology procedures. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Registered-nurse II
Adventist Healthcare White Oak Medical Centre
04.2021 - Current
- Received and provide detailed handoff communication using SBAR format, perform head to toe assessment of patients and documentation.
- Provide care to the patient applying nursing process: assessment, diagnosis, formulation of plan of care and implementation of care plan.
- Actively participate in multidisciplinary rounds, communicate relevant information to promote continuity of care, develop plan of care and implement and intervene as per nursing standards, policies and procedures.
- Assist patient with performing activities of daily living including personal hygiene, elimination, nutrition and ambulation, perform routine turning and positioning and facilitate patient mobility as possible.
- Coordinate with intensivist, pharmacist, labs, respiratory, physical and occupational therapist to develop and implement individualized plan of care.
- Provide care for critically ill patient with multiple drips, vasopressors, sedation, patient with central and arterial lines, administration of blood and blood products.
- Provide care to the patient with artificial airway / mechanical ventilation.
- Monitor and interpret cardiac rhythm and respond accordingly under defined protocol and policies.
- Actively participate during crisis situation, code, resuscitation, perform CPR per protocol.
Registered Nurse, ICU
Tribhuvan University Teaching Hospital
04.2018 - 12.2020
- ·Ensure highest standard of clinical care maintained by systematic approach to planning and delivery of nursing care, allocating available resources and nursing responsibilities appropriately.
- Manage life support equipments, IV administration of fluids and medication and blood and blood products.
- Invasive hemodynamic monitoring such as arterial blood pressure and central venous pressure.
- Management of patients with artificial airways and mechanical ventilation.
- Continuous cardiac monitoring with arrhythmia interpretation and prompt management.
- Therapeutic modalities including chest tube maintenance, temporary external pacing, permanent invasive pacing, ventilator support, hemodialysis, emergency resuscitation including defibrillation/cardio-version, cardiopulmonary resuscitation, medication delivery and pharmacological interventions including intravenous vasoactive and anti- arrhythmic drugs, anticoagulation and immunosuppressive therapy.
- Nutritional support (enteral feedings,PPN, TPN), Psychosocial and emotional support for patient and family.
- Infection control and safety management, proper recording and reporting, identification of acute and potential health problems and its management.
- Co-ordinate with surgeon, anesthesiologist, medicine doctors, ward incharge, OT nurses, co-workers, nurses from other wards, ward attendants and visitors.
- Manage crisis situation tactfully and timely.
Registered Nurse
Manmohan CardiothoracicVascular & Transplant Centr
10.2011 - 04.2018
- Provided nursing care to cardiac, thoracic and vascular patients, especially post operative care following the institutional ICU protocol.
- Assessment, planning, implementation and evaluation of actual or potential heath problems and therapeutic plans for assigned patients, interpreted and reported responses of patients to appropriate members of the healthcare team.
- Recorded and maintained nursing care plan and progress notes on patients to ensure continuity of care.
- Continuous cardiac monitoring with dysrhythmia interpretation and prompt management, management of patients with artificial airway and mechanical ventilation.
- Made records of equipment, instruments and emergency drugs in an inventory.
Education
Bachelor of Science - Nursing
Kathmandu Medical College Teaching Hospital
Kathmandu, MD03.2011
Skills
- ICU and critical care
- IV Management
- Empathetic
- CPR
- Bedside Monitoring / Telemetry
Certification
Registered Nurse
Maryland Board of Nursing- R249407
Advanced Cardiac Life Support
American Heart Association (2023-2025)
Basic Life Support
American Heart Association (2023-2025)
Registered Nurse
Nepal Nursing Council - RN 15972
Critical Care Nursing Skills training by CCNEPAl 2014
Timeline
Registered-nurse II
Adventist Healthcare White Oak Medical Centre
04.2021 - Current
Registered Nurse, ICU
Tribhuvan University Teaching Hospital
04.2018 - 12.2020
Registered Nurse
Manmohan CardiothoracicVascular & Transplant Centr
10.2011 - 04.2018
Bachelor of Science - Nursing
Kathmandu Medical College Teaching Hospital
Registered Nurse
Maryland Board of Nursing- R249407
Advanced Cardiac Life Support
American Heart Association (2023-2025)
Basic Life Support
American Heart Association (2023-2025)
Registered Nurse
Nepal Nursing Council - RN 15972
Critical Care Nursing Skills training by CCNEPAl 2014
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