Tierra Hunter, MSN, RN, CCRN
Midlothian,TX
Summary
Registered Nurse and experienced Nurse Leader with a Master of Science in Nursing (Administration) and progressive leadership experience within the Veterans Health Administration and acute care hospitals. Demonstrates expertise in nurse management, staffing and scheduling, labor and budget support, regulatory compliance, performance management, and veteran-centered care delivery. Proven ability to lead large interdisciplinary teams, support high-reliability organization principles, and ensure compliance with VHA, Joint Commission, and OIG standards while maintaining high-quality clinical outcomes.
Overview
12
12
years of professional experience
3
3
Certifications
Work History
Assistant Nurse Manager - Cardiac Telemetry/Med-Surg
Veterans Health Administration- NTXHCS (40+hrs/wk)
Dallas, TX
12.2023 - Current
- Provide operational and clinical leadership for a 20-bed cardiac telemetry/medical-surgical unit within the VHA system.
- Supervise and support a multidisciplinary team of 54 RNs, LVNs, and Nursing Assistants, ensuring safe staffing and high-quality veteran care.
- Collaborate with the Nurse Manager to develop and implement staffing plans, schedules, onboarding processes, and performance evaluations in alignment with VA policies.
- Assist with labor management and budget oversight, contributing to decreased overtime utilization while maintaining safe nurse-to-patient ratios.
- Monitor unit compliance with VHA directives, Joint Commission standards, and OIG requirements, supporting accreditation readiness, and survey success.
- Address veteran and family concerns using Veteran-Centered Care principles, promoting patient satisfaction, and trust.
- Serve as the acting Nurse Manager designee, as assigned, ensuring continuity of unit operations, staff accountability, and administrative oversight.
- Promote a culture of accountability, safety, and continuous quality improvement, consistent with High Reliability Organization (HRO) principles.
Assistant Nurse Manager, Intensive Care Unit
Dameron Hospital (36 hours/week)
Stockton, CA
08.2021 - 03.2023
- Supervised ICU nursing staff providing high-acuity care to adult, adolescent, and geriatric patients.
- Coordinated staff assignments, patient flow, and bed utilization to support safe operations, and optimal throughput.
- Developed and implemented individualized care plans based on physician orders and evidence-based nursing practice.
- Led rapid response and emergency situations, prioritizing patient needs, and delegating tasks effectively.
- Conducted staff coaching, mentoring, and informal performance feedback to promote professional growth and adherence to standards.
- Ensured accurate EMR documentation, medication administration, and compliance with hospital policies.
- Educated patients and families regarding diagnoses, treatment plans, and care expectations.
House Supervisor, ICU Clinical Staff
Labette Health (36 hours/week)
Parsons, Kansas
04.2019 - 05.2021
- Provided hospital-wide supervisory oversight during assigned shifts, addressing staffing, patient flow, and operational challenges.
- Served as an administrative and clinical resource for nursing staff and physicians across departments.
- Responded to emergency and crisis situations, ensuring patient, staff, and visitor safety.
- Collaborated with providers to adjust care plans based on changes in patient conditions.
- Monitored compliance with regulatory requirements, and investigated operational or patient-care issues.
- Advocated for patients using clinical expertise and evidence-based practice standards.
ICU Clinical Nurse
Via Christi Hospital (36 hours/week)
Pittsburg, Kansas
05.2018 - 04.2019
- Utilized critical thinking skills to assess complex situations and make appropriate decisions in emergency situations.
- Collaborated with interdisciplinary healthcare professionals to create, implement, and adapt individualized care plans.
- Provided invasive hemodynamic monitoring and care of patients with mechanical ventilation while titrating drips.
- · Provided care for the critically/acutely ill patient while maintaining patient safety, care standards, and confidentiality
- Educated patients and families on disease processes, and provided emotional support for end-of-life care.
ICU Clinical Nurse
Texas Health Resources (36 hours/week)
Arlington, Texas
04.2016 - 01.2018
- Managed the care of patients on mechanical ventilation, optimizing respiratory function and monitoring for complications.
- Provided comprehensive care to critically ill patients, including those with complex medical and surgical conditions.
- Participated in quality improvement initiatives to enhance patient care and safety.
- Facilitated communication between patients, families, and healthcare professionals.
- Provided individualized patient care in response to the identified needs of patients, with an emphasis on cardiovascular conditions and interventions.
- Monitored telemetry and responded to calls in emergent, life-saving situations.
- Monitored, recorded, and communicated patient condition as appropriate, utilizing a computerized documentation system.
Cardiac PCU/ICU Clinical Nurse
Medical City Fort Worth (36 hours/week)
Fort Worth, Texas
06.2014 - 10.2016
- Class training in patients requiring CRRT, Impella, and IABP.
- Assessed, planned, and evaluated patient care needs to provide high-quality care.
- Titrated drips, provided hemodynamic monitoring, and managed airway management techniques for mechanical ventilation support.
- Collaborated with interdisciplinary teams to develop patient care plans and interventions.
- Recognized cardiopulmonary arrest situations promptly and initiated life-saving measures accordingly.
- Managed multiple tasks simultaneously while demonstrating excellent time management skills.
Education
Master of Science - Nursing Administration
The University of Texas At Arlington
Arlington, Texas, TX08.2022
Bachelor of Science - Nursing
Sam Houston State University
Huntsville, TX05.2013
Skills
- Veterans Health Administration (VHA) Policies & Directives
- Staffing, Scheduling & Labor Management
- Budget & Resource Stewardship
- Quality Improvement & Patient Safety
- Joint Commission, OIG & Regulatory Compliance
- Performance Evaluations & Coaching
- Interdisciplinary Collaboration
- Emergency Preparedness & Rapid Response
- Veteran-Centered Care & Advocacy
Certification
BLS 04/2025- 04/2027
Timeline
Assistant Nurse Manager - Cardiac Telemetry/Med-Surg
Veterans Health Administration- NTXHCS (40+hrs/wk)
12.2023 - Current
Assistant Nurse Manager, Intensive Care Unit
Dameron Hospital (36 hours/week)
08.2021 - 03.2023
House Supervisor, ICU Clinical Staff
Labette Health (36 hours/week)
04.2019 - 05.2021
ICU Clinical Nurse
Via Christi Hospital (36 hours/week)
05.2018 - 04.2019
ICU Clinical Nurse
Texas Health Resources (36 hours/week)
04.2016 - 01.2018
Cardiac PCU/ICU Clinical Nurse
Medical City Fort Worth (36 hours/week)
06.2014 - 10.2016
Master of Science - Nursing Administration
The University of Texas At Arlington
Bachelor of Science - Nursing
Sam Houston State University