Swastika Shrestha

• Monitored 4-5 patients per day and administered care to neurological, cardiac and trauma patients including cardiac monitoring, heart rhythm monitoring, neurological assessments
• Collaborated with interdisciplinary healthcare teams to develop and implement individualized care plans for patients with complex conditions.
• Performed emergency response procedures, including CPR and airway management, to stabilize patients.
• Increased patient satisfaction scores through attentive listening, empathetic support, and timely addressing of concerns.
• Ensured patient safety through vigilance in infection control practices, falls prevention strategies, and medication administration protocols.
• Mentored new nursing staff members by sharing expert knowledge on cardiac monitoring techniques, medication administration protocols, and evidence-based interventions for common conditions seen in telemetry units.
• Streamlined communication between nursing staff and physicians, ensuring timely intervention for urgent issues.
• Advocated for patient needs, ensuring personalized and compassionate care.
• Participated in continuing education programs to stay current on best practices and provide optimal care to patients.

Preoperative unit- 05/08/2019 -04/30/2020

And 01/01/2021 to 10/22/2022

Emergency unit- 05/01/2020 - 12/31/2020

Responsibilities in preoperative ward

• Floated to post operative ward, Medical ward, CCU, MICU, as needed
• Provided total patient care to at least 22 -24 cases per shift while having total patient care responsibility for 10-12 patients in preoperative ward.
• Monitored the patient for acute ischemic changes and arrhythmias and prepared patients for cardiac surgeries including educating patients regarding their medications, procedure and treatments including pre-operative, post-operative care instruction
• Cared for culturally-diverse patients, liaising with family members and specialists to address changing needs and enhance individual experience.
• Assisted the physician in different medical procedure such as Cardio-pulmonary resuscitation (CPR), chest tube insertion and removal, central line insertion
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Maintained privacy and confidentiality of patient's records and private information
• Attended regular in-service education classes provided by Hospital for professional growth and development

Responsibilities in Emergency ward

• Assisted in triaging patients upon arrival, evaluating the severity of conditions to prioritize care based on urgency, along with prompt and accurate use of emergency cardiac care technique and skills that comprise high quality cardiopulmonary resuscitation and use of defibrillator appropriately.
• Upheld professional nursing standards and ethical principles when advocating for patients'' rights, respecting their autonomy, and maintaining confidentiality at all times.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Provided valuable support to families during critical situations by offering emotional support, answering questions, and assisting with decision-making processes related to their loved one''s care.
• Improved patient outcomes by consistently providing high-quality emergency care and implementing evidence-based nursing practices.

Oncology unit, Medical unit, Surgical unit, Orthopedic unit

Responsibilities in oncology unit

• Floated to emergency ward, neuro ward, ICU, post operative ward, preoperative ward, stepdown unit, pediatric ward as needed
• Supervised and evaluated care given by 4-5 staff nurses for at least 24-25 patients per shift while having total patient care responsibility for 5-6 patients on the floor
• Provided care to both medical and surgical oncology patient focusing on providing exceptional care through chemotherapy preparation,therapy administration( chemotherapy,blood products,enteral feedings), symptoms management and supportive care.
• Provided a continuum of holistic patient care from prevention, early detection, diagnosis, treatment, follow-up, counseling ,palliation, end of life care
• Demonstrated counseling skills in assisting patient and family with coping mechanisms throughout the continuum of care from diagnosis to survivorship/end of life
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Assessed, handled and maintained peripheral IV's, Implanted Ports, PICC lines, including needle insertion in port, flushing and dressing of port and PICC lines
• Assisted physicians with procedures such as pleural and ascetic tapping and bone marrow aspiration and biopsies, central line insertion, picc lines
• Specialized in working with terminally ill and end stage oncology patients and families

Responsibilities in medical, surgical and orthopedic units

• Conducted comprehensive patient assessments, gathering relevant health histories and identifying nursing diagnoses to inform individualized care plans.
• Prevented complications for post-operative patients through careful monitoring, early detection of issues, and prompt intervention when needed.
• Educated patients and families on medical-surgical procedures, therapeutic regimens, pain management techniques, wound management, lifestyle modification to promote longterm wellness.
• Applied appropriate wound care dressings and management techniques to promote healing and prevent infection.
• Educated patients and families on postoperative care, fostering understanding of recovery processes and promoting adherence to treatment plans.
• Assisted orthopedic patients with mobility tasks such as ambulation, transfers, and range-of-motion exercises as part of their rehabilitation process.
• Maintained recording and reporting according to institutional policies.
• Participated in regular staff meetings to share best practices, address challenges, and foster collaboration among team members.
• Collaborated with interdisciplinary team members for comprehensive patient assessments and treatment plans.