Tiffany Guerra

Level III Trauma Center - 19 Bed Unit with both psychiatric and fast track rooms included. PRN Staff Nurse - working 48h per 6 week period.

• Utilized critical thinking skills to make quick decisions in high-pressure situations, prioritizing patient needs and addressing emergent issues promptly.
• Monitored vital signs, lab results, and other indicators to detect changes in patients'' conditions promptly.
• Participated in unit-based quality improvement initiatives focused on enhancing patient outcomes through process improvements.
• Enhanced patient care by implementing evidence-based practices and individualized care plans.
• Delegated tasks to nursing assistants and support staff effectively, ensuring safe and efficient care delivery.
• Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
• Implemented medication and IV administration, catheter insertion, and airway management.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Assessed physical, psychological, physiologic, and cognitive status of patients.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.

• Excellent Microsoft Office skillset with proficient use of Excel, Word, PowerPoint, etc.
• Proficient skillset within LotusOne, Nova, Microsoft Teams
• Proactively market facility needs to secure prospects for clients
• Improved team productivity with regular communication and progress updates, fostering a collaborative work environment.
• Created and implemented new process to increase efficiency in facility WOC process, resulting in a higher rate of on time starts, and streamlined communication
• Submit appropriate candidates for assignments with our contracted client facilities
• Negotiate contracts with healthcare facilities resulting in mutually beneficial terms
• Became primary point of contact for facility troubleshooting in the LotusOne roll out
• Ability to work in a fast-paced environment and maintain a sense of urgency

Level II Trauma Center - Worked as travel RN on assignment for 8 weeks at Emory University Midtown in Downtown Atlanta, GA. 30+ bed ER with fast track and psychiatric rooms included. Provided competent acute and critical care to patients.

• EMR used = Cerner
• Increased patient safety through diligent monitoring of vital signs, administering medications accurately, and promptly addressing any concerns.
• Ability to adapt quickly to new environments, swiftly becoming familiar with facility-specific workflows and practices while maintaining a high level of performance.
• Facilitated seamless transitions between shifts by delivering detailed handoffs that effectively communicated pertinent information related to each patient''s condition and ongoing treatment plan.
• Maintained high-quality patient care standards by adhering to facility protocols, policies, and procedures.

Community Hospital - I managed and operated an infusion clinic within the GI department at EACH at Fort Carson. Myself and my PA worked together, serving 30+ patients who were Active Duty, Prior Service, Retired, and Military Spouses/dependents.

• Build rapport with patients that are seen anywhere from every 4,6, or 8 weeks.
• Ensuring clinical documentation is accurate in accordance to patient’s infusion that is being received.
• IV starts and medication administration as well as understanding of lab values.
• Working alongside PA to manage care of over thirty patients
• Work as the sole infusion nurse within the clinic
• Checking lab values, and ensuring labs are ordered if necessary to ensure that bloodwork is up to date and accurate.
• Infuse medications such as remicade and entivyo
• Preceptor for nursing students
• Provide education for patient’s based on diagnosis and medication that he/she will be receiving.
• Manage patient appointments, as well as ensuring patients are being seen by other providers regularly.
• Provide patients with appointment reminders.

Level II Magnet recognized organization. 37 bed ER with fast track and psychiatric rooms included. Providing competent acute and critical care to patients.

• Triaging patients appropriately according to ESI levels
• Ensuring clinical documentation is accurate in accordance to ESI levels
• Use of EPIC EMR system
• IV Starts and medication administration
• Proficient in understanding lab values
• Member of Sepsis Committee - worked alongside MDs and other unit RNs to address and organize a workflow for documentation for Sepsis patients
• Member of Fall Risk Committee with intention to prevent falls within the hospital
• Worked as Charge RN - organizing staffing/department flow, etc.
• Worked as preceptor - teaching oncoming RNs as well as student nurses.

Community level hospital with 23 bed ER that involves working alongside and caring for Active Duty service members from all
branches of the military. Began working at this facility as a Government Contract RN and transitioned into a PRN Staff RN position.
• Charge RN duties and responsibilities
• Preceptor for new nurses & nursing students
• Paper charting and documentation, ensuring to meet the standards of care per each individual patient
• Obtaining and evaluating vital signs and performing medical interventions as needed.
• Providing competent acute and critical care.
• Working closely with case management and other ancillary departments to ensure adequate patient care.

Traveled across the state of Colorado to provide infusion nursing in the comfort of the patients own home.
• Start and discontinue IV access as well as knowledge on PICC lines and Ports, use and the care needed for each.
• Providing competent medication knowledge.
• Knowledge on infusions such as IVIG as well as Factor infusions
• Worked as an RN in a case study that specialized in a rare bone disease called FibrodysplasiaOssificans Progressiva in a
pediatric case to see the effectiveness of a medication on the disease.
• Understanding and knowledge of lab draws, preparation, couriers and dry ice as well as how to prep the lab draws using a
centrifuge.

Worked as a travel RN on assignment for 13 weeks at St. Mary Corwin Hospital. Level III Trauma Center. Receiving patients from New Mexico and Colroado and providing appropriate acute and critical care as well as transferring patients to appropriate tertiary care centers when needed.
• Appropriate documentation on Meditech systems.
• Triaging patients appropriately based off chief complaints according to ESI level standards.
• Understanding the need and reasoning of tertiary and higher levels of care and transferring patients efficiently as to not hinder
appropriate patient care.

Large, Level I Trauma Center - Teaching Facility - 74 Bed ER - Stood as the only Level I within a 250 mile radius.

• Completed 16 week New Grad Residency
• Thorough knowledge of multiple lifesaving procedures such as MTP, Level One infuser, Ventilators, TPA, Trauma skills and techniques
• Periodic Chart Audits to ensure documentation of staff met hospital standards
• Preceptor of New RNs as well as nursing students
• TNCC Instructor
• Ability to stay focused in fast paced environment while appropriately maintaining high standard patient care.
• Medication administration and IV Starts
• Proficient EKG interpretation