Tiffany Toronto
Winter Garden
Summary
Detail-oriented team player with strong organizational skills. Has 12+ years of experience working as a staff nurse in the emergency room and another 4 years experience working as a staff nurse in the intensive care unit. At Orlando Health South Lake Hospital ER, currently works part time 24 hours/week independently managing 4:1 patient staff ratio assignment. Previously at Maine Medical Center, floated between multiple critical care units, including medical/surgical, neuro, burn/trauma, CICU (Cardiac), and CVICU (cardiovascular). Ability to handle multiple projects simultaneously with a high degree of accuracy. Currently interested in securing a per diem position in the emergency room.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Part Time Emergency Room Staff Nurse
Orlando Health South Lake Hospital
07.2023 - Current
- Manage full patient assignment of 4:1 ratio independently while also assisting other nurses in a collaborative work environment
- Manage up to 12 patients at a time in the rapid treatment unit portion of the emergency room (fast track patients)
- Collaborate with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
- Administer medications via oral, IV, and intramuscular injections and monitored responses
- Assist physicians during invasive procedures such as central line insertions or intubations, ensuring safe and accurate completion of tasks
- Streamline emergency room operations by efficiently triaging patients according to the severity of their condition
- Facilitate clear communication with patients, families, and colleagues, fostering a positive environment in a fast-paced setting
- Deescalate tense situations involving agitated patients or family members through active listening skills and empathetic responses
- Provide emotional support to patients and families during crisis situations, helping them cope more effectively with difficult circumstances
- Educate patients and answered questions about health condition, prognosis, and treatment
Staff Nurse/Per Diem, Intensive Care Unit
Maine Medical Center
09.2016 - 10.2020
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection
- Administered medications via oral, IV, and intramuscular injections and monitored responses
- Assessed physical, psychological, physiologic, and cognitive status of patients
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians
- Implemented medication and IV administration, catheter insertion, and airway management
- Updated patient charts with data such as medications to keep records current and support accurate treatments
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization
- Observed patients' vital signs and administered physician-prescribed medications and treatments
- Delivered age-appropriate medical care for adult, and geriatric ICU patients
- Kept work areas clean, organized, and safe to promote efficiency and team safety
- Utilized critical thinking skills to prioritize nursing interventions based on patients' acuity levels and individual needs
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary
Staff Nurse/Charge Nurse, Emergency Department
Metrowest Hospital
01.2014 - 06.2016
- Analyzed complex trauma conditions and quickly determined treatments for various illnesses and injuries
- Evaluated, prioritized, diagnosed and stabilized patients at two different sister hospital campuses
- Operated diagnostic testing equipment such as EKGs, scans, and other devices
- Showed compassion when dealing with family members and kept families informed of patient status
- Worked in a small community hospital at night (Natick campus), where there is only two nurses, one tech, and one doctor
- Managed emergency department as charge nurse several times per week, dealing with staffing issues, patient placement, customer service, hospital admissions, and triaging patients
- Further developed psychiatric emergency treatments, where patients routinely had to stay for multiple days in the emergency room until inpatient bed placement was available
- Evaluated patient histories, complaints, and current symptoms
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care
Travel Nurse, Emergency Department
Millennium Staffing Solutions
10.2013 - 01.2014
- Assessed patient conditions by taking vital signs and evaluating symptoms to determine appropriate treatment
- Performed all nursing duties in accordance with the state currently residing in, while adhering to all facility policies and procedures
- Successfully completed 13 week travel contract assignment at Leonard Morse Hospital in Natick, MA (Metrowest Hospital)
Staff Nurse, Emergency Department
Dartmouth-Hitchcock Medical Center
07.2011 - 07.2013
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection
- Administered medications via oral, IV, and intramuscular injections and monitored responses
- Assessed physical, psychological, physiologic, and cognitive status of patients
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians
- Trained in level 1 trauma center and thus became experienced with working both trauma 9's and trauma alerts for a host of different injuries
- With DHMC operating as a teaching hospital, I also became accustomed to working side by side with residents, medical students, and attending doctors on a daily basis
- Gained further experience working with a large portion of pediatric patients that included children with genetic anomalies
- Learned how to triage patients according to Canadian Triage System (CTAS) and became adept at being triage RN
- Managed many patients transferred from outer-lying facilities that were sent to our facility due to the extensive number of specialties covered at DHMC
- Performed all expected functions as staff nurse including managing personal assignments of 3-6 patients, starting IV lines, collecting blood specimens, giving an assortment of medications, all while monitoring vital signs, treatment outcomes, and updated symptom management
Staff Nurse, Emergency Department
Banner Baywood Medical Center
07.2004 - 07.2011
- Administered medications via oral, IV, and intramuscular injections and monitored responses
- Provide emergency medical care to critically ill patients within high-volume 80+ bed emergency department, adjacent to Banner Heart Hospital which receives large volumes of ED cardiac patients that are transferred for heart services
- Accustomed to handling loads of up to 5 patients at times during high volume seasons (large influx of geriatrics during winter months)
- Assess, and treat patients experiencing heart attack or ischemic stroke quickly and accurately due to hospital training and certifications
- Thus accustomed to frequent Cardiac Alerts, Stroke Alerts, and Code situations
- Experienced in providing quality care to range of different patients, ranging from pediatrics to geriatrics
- Perform all duties assigned of staff RN's including triage assessments, IV access, blood draws, and administer all appropriate medications
- Provide patient education and prep for admitting and discharge, when applicable
- Updated patient charts with data such as medications to keep records current and support accurate treatments
- Evaluated patients presented to emergency room upon arrival
Education
Bachelor of Science - Nursing
Arizona State University
Tempe, AZ05.2004
Skills
- Medical Histories and Vital Statistics
- Operational Standards
- Patient Assessments
- Withdrawal Symptoms
- Foley Catheter Insertion and Removal
- Emergency care
- IV insertion
- Ultrasound IV insertion
- Universal Precautions
- Emotional Support
- Sedation Management
- Pain Management Techniques
Certification
- Licensed RN, 07/01/04, Present, Florida License #RN9555441
- BLS certified, 06/01/24, 06/30/26
- ACLS certified, 06/01/24, 06/30/26
- PALS certified, 09/01/23, 09/30/25
- Previous ENPC/TNCC certification, 2011, 2012
- Registered to take TNCC, 07/01/25
Additional Information
Volunteer Summer Camp Nurse multiple summers with church (2005-2007, 2015, 2018-2019, 2021-2022), Camp Nurse for 200 teenagers June 2024 at Wekiwa Springs for the day, Taught a variety of Safety/First Aid classes to youth at church 2005-2022
Timeline
Part Time Emergency Room Staff Nurse
Orlando Health South Lake Hospital
07.2023 - Current
Staff Nurse/Per Diem, Intensive Care Unit
Maine Medical Center
09.2016 - 10.2020
Staff Nurse/Charge Nurse, Emergency Department
Metrowest Hospital
01.2014 - 06.2016
Travel Nurse, Emergency Department
Millennium Staffing Solutions
10.2013 - 01.2014
Staff Nurse, Emergency Department
Dartmouth-Hitchcock Medical Center
07.2011 - 07.2013
Staff Nurse, Emergency Department
Banner Baywood Medical Center
07.2004 - 07.2011
Bachelor of Science - Nursing
Arizona State University
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