TABITHA KARANJA

• Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
• Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
• Recorded details regarding therapies to keep patient charts updated.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Educated family members and caregivers on patient care instructions.
• Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
• Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.

This is a 7- bed Emergency Room facility, an extension of THOP East Campus which is a Level II trauma hospital. It's a full- service hospital with 218- bed capacity with the ability to offer advanced emergency care for stroke, cardiac and trauma patients.

• Performed triage on incoming patients and determined severity of injuries and illnesses.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Answered codes quickly and orchestrated efficient, skilled medical care.
• Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
• Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
• Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Delivered important IV and venous medications to control symptoms and provide effective treatments.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Monitored patient reactions after administering medications and IV therapies.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Educated family members and caregivers on patient care instructions.
• Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
• Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
• Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
• Recorded details regarding therapies to keep patient charts updated.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
• Arranged quick transfers of critical patients to appropriate higher level facilities for specialty care and compliance with follow up appointments with the primary care physician or referral to speciality providers.

This is a 350- bed hospital in the process of attaining the Level III Trauma Center Designation and has a 20- bed ER. The main patient population that come to the ER are the senior adults as the hospital is located in the older settlement of the city,it is surrounded by several nursing homes in addition to a cardiac rehab facility on hospital"s fifth floor. The pediatric patients also get seen but are few, in the event of critical illness or specialty care they would be transferred to either THOP Memorial Campus or other facilities as appropriate.

Equipment used in this ER range from the basic items needed for blood draw and IV access, IO device for rapid vascular access in critical situations, ultra sound machine for FAST exam and difficult IV access, Alaris pumps for IV medication administration. For the hypothermic patients the bair hugger would be used to keep them warm and the Arctic Sun used to achieve hyperthermia in patients post successful resuscitation. The Woods Lamb for eye examination among others.

Job description

• Performed triage on incoming patients and determined severity of injuries and illnesses
• Answered codes quickly and orchestrated efficient, skilled medical care.
• Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
• Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
• Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Delivered important IV and venous medications to control symptoms and provide effective treatments.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Monitored patient reactions after administering medications and IV therapies.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Educated family members and caregivers on patient care instructions.
• Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
• Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• Recorded details regarding therapies to keep patient charts updated.
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
• Managed patients recovering from medical or surgical procedures.
• Evaluated patient histories, complaints, and current symptoms.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Educated patients and answered questions about health condition, prognosis, and treatment.
• Implemented care plans for patient treatment after assessing physician medical regimens.
• Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information
• Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
• Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

This is a 500- bed hospital with a Level III Trauma center Designation. It has a 39- bed adult ER and a dedicated pediatric ER with 9 beds and equipped to provide both non- life threatening and critical emergency care for patients of all ages.

Equipment used in this ER range from the basic items needed for blood draw and IV access, IO device for rapid vascular access in critical situations, ultra sound machine for FAST exam and difficult IV access, Alaris pumps for IV medication administration. For the hypothermic patients the bair hugger would be used to keep them warm and the Arctic Sun used to achieve hyperthermia in patients post successful resuscitation. The Woods Lamp for eye exams among others.

• Performed triage on incoming patients and determined severity of injuries and illnesses.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Answered codes quickly and orchestrated efficient, skilled medical care.
• Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
• Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
• Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Delivered important IV and venous medications to control symptoms and provide effective treatments.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Monitored patient reactions after administering medications and IV therapies.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Educated family members and caregivers on patient care instructions.
• Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
• Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
• Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
• Recorded details regarding therapies to keep patient charts updated.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.

• Collaborate with members of multidisciplinary health care teams to plan, manage, or assess patient treatments
• Obtain specimens or samples for laboratory work
• Treat wounds or superficial lacerations
• Read current literature, talk with colleagues, and participate in professional organizations or conferences to keep abreast of developments in acute care
• Perform administrative duties that facilitate admission, transfer, or discharge of patients
• Provide prenatal, intrapartum, postpartum, or newborn care to patients
• Manage newborn care during the first weeks of life
• Perform physical examinations by taking vital signs, checking neurological reflexes, examining breasts, or performing pelvic examinations
• Document patients' health histories, symptoms, physical conditions, or other diagnostic information
• Write information in medical records or provide narrative summaries to communicate patient information to other health care providers
• Initiate emergency interventions to stabilize patients
• Monitor fetal development by listening to fetal heartbeat, taking external uterine measurements, identifying fetal position, or estimating fetal size and weight
• Educate patients and family members regarding prenatal, intrapartum, postpartum, newborn, or interconceptional care
• Explain procedures to patients, family members, staff members or others

• Collaborate with members of multidisciplinary health care teams to plan, manage, or assess patient treatments
• Obtain specimens or samples for laboratory work
• Collaborate with patients to plan for future health care needs or to coordinate transitions and referrals
• Treat wounds or superficial lacerations
• Read current literature, talk with colleagues, and participate in professional organizations or conferences to keep abreast of developments in acute care
• Perform administrative duties that facilitate admission, transfer, or discharge of patients
• Provide prenatal, intrapartum, postpartum, or newborn care to patients
• Manage newborn care during the first weeks of life
• Perform physical examinations by taking vital signs, checking neurological reflexes, examining breasts, or performing pelvic examinations
• Document patients' health histories, symptoms, physical conditions, or other diagnostic information
• Write information in medical records or provide narrative summaries to communicate patient information to other health care providers
• Initiate emergency interventions to stabilize patients
• Monitor fetal development by listening to fetal heartbeat, taking external uterine measurements, identifying fetal position, or estimating fetal size and weight
• Educate patients and family members regarding prenatal, intrapartum, postpartum, newborn, or interconceptional care
• Explain procedures to patients, family members, staff members or others