Tim Grisham
Foley,AL
Summary
Conscientious, integrity driven, nursing professional with 28 years of strong clinical background in the critical care setting, providing attentive care to patients with a variety of systemic health challenges in the critical care and emergency care settings. Through understanding of pathophysiology and pharmacology of critically ill patients. Highly proficient in contributing to and reaching team solutions, generating and maintaining positive relations with internal and external clients, maintaining all compliance standards, working well under pressure, and producing error-free work of high quality. Educational experience providing clinical guidance and instruction to nursing students in the emergency department and critical care setting.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Registered Nurse
HCA Florida Ft. Walton Beach / Destin Hospital
01.2019 - Current
- CVICU/ ICU Health Trust Workforce Solution
- Travel Nurse
- Responsible for the nursing management, assessment, diagnosis, planning, treatment, and evaluation of preoperative and postoperative cardiovascular surgery patients invading, CABG, Valve replacement, and AAA repair which includes but not limited to rhythm interpretation, hemodynamic monitoring, airway management such as mechanical ventilation, medication management, pain management, patient/ family education pre and post op, and the invitation of Cardiac Rehab process
- Proficient in working with cardiovascular postoperative issues such but not limited to atrial fibrillation, supra ventricular tachycardia and other life threatening arrhythmias, electrolyte imbalances, pleural, effusion and surgical wounds
- Providing for incisional care, care of chest uses, operations of external / internal pacemaker, and hemodynamic monitoring assisted by Atrial line, Swan-Ganz catheter, CVL and IntraAortic Balloon Pump and CRRT
- Assisted and overseen bed side cardioversion and chest tube.
Registered Nurse
Mobile Infirmary
01.2018 - 01.2019
- 25 bed acuity Surgical/ Open Heart ICU in a 669 bed long term acute care hospital
- Responsible for acute post-surgical of abdominal, general, ENT, Orthopedic, vascular surgery patients and overflow Cardiac ICU and Medical ICU patients
- Management of patients requiring advanced airway and ventilator management
- Frequent assessment, monitoring and titration of vasoactive, cardiac and sedation drips
- Care and maintenance of invasive hemodynamic lines and monitors including primary central venues and arterial and occasional pulmonary artery catheter
- Care, monitoring and assessment of patients receiving advanced life supporting treatments including CRRT and IABP
- Assist with all medical emergencies utilizing current CLS guidelines of practice
- Proficient in arterial punctures as well as peripheral IV insertions.
Registered Nurse
Grandview Medical Center
01.2014 - 01.2018
- Assessment of patients clinical complaints collect a detailed patient history and consult with the interdisciplinary team regarding the implementation of a treatment plan
- Perform triage, while considering both the patients physical and psychosocial elements
- Manage basic life support needs and stabilize the patient until the provider is available based upon nursing standards and protocols
- Initiate corrective action whenever information is received through physical assessment or hemodynamic monitoring shows adverse symptomatology
- Responsible for preparing, administering oral, IM, subcutaneous or IV medications as ordered per provider
- Reports adverse reactions related to medications or prescribed treatment plan in accordance to the nursing process and hospital policy
- Work directly with the physician assisting during exams, diagnostic testing and prescribed treatments
- Initiate patient/family education needs prior to discharge or admission to hospital by educating on post treatment needs prior to discharge and medication teaching
- Proficient in IV's, multitasking and completing urgent tasks in a timely manner.
School of Nursing Instructor
Bevel State Community College
01.2009 - 01.2018
- Served as a professional clinical instructor for the Associate Nursing Program demonstrating and teaching patient care in a hospital setting
- Observe and assist senior registered nursing students in the nursing process in a variety of clinical setting, med-surg, ICU and ED.
Registered Nurse
Grandview Medical Center
04.2013 - 01.2015
- Nursing management, assessment, diagnosis, planning, treatment, and evaluation of preoperative and postoperative cardiovascular surgery patients invading, CABG, Valve replacement, and AAA repair which includes but not limited to rhythm interpretation, hemodynamic monitoring, airway management such as mechanical ventilation, medication management, pain management, patient/ family education pre and post op, and the invitation of Cardiac Rehab process
- Proficient in working with cardiovascular postoperative issues such but not limited to atrial fibrillation, supra ventricular tachycardia and other life threatening arrhythmias, electrolyte imbalances, pleural, effusion and surgical wounds
- Providing for incisional care, care of chest uses, operations of external / internal pacemaker, and hemodynamic monitoring assisted by Atrial line, Swan-Ganz catheter, CVLand IntraAortic Balloon Pump and CRRT
- Assisted and overseen bed side cardioversion and chest tube.
Registered Nurse
Trinity Medical Center
04.2003 - 04.2013
- Exhibited leadership skills within the role of CPCU Charge Nurse managing staff floor assignments based on staffing needs and acuity, provided as a resource to other nurses under my supervision along with patients and their family members
- Maintained a close relationship with the house supervisor as a continuous assessment of the floors needs
- Monitored post heart catherization patients including post assessment, sheath pull, vital signs, medication administration, and procedure site management often times including sheath pull
- Monitored postoperative pace maker / AICD insertion patients including assessment, vital signs, medication administration, incision site management and patient / family postoperative education.
Education
Master in Science in Nursing - Acute Adult/ Gerontology
Walden University
01.2016
Bachelor in Science in Nursing -
Walden University
01.2011
Associate Degree in Nursing -
Troy University
01.1995
Skills
- Appointment Scheduling
- Medical Recordkeeping
- Patient Management
- Data Collection
- Supervision and leadership
- Flexible and Adaptable
- Problem-Solving
- PPE use
- Troubleshooting
- Team leader
Certification
- Registered Nurse in Alabama 1-076332
- Basic Cardiac Life Support (BCLS)
- Advanced Cardiac Life Support (ACLS)
- Crisis Prevention Intervention (CPI)
Leadership Experience
Preceptor Nurse- (Surgical ICU) orients both new graduates and experienced nurses to the Surgical ICU. Reviews policies and procedures, maintain safety of patients while allowing independence by the orient. Educate on drips, ventilators, postoperative care and general critical care nursing within the unit.
Areas Of Experience
- Experience with Pyxis medication distribution machine and computer charting
- Proficient at documentation of Strict Intake and Output including Special diet restrictions
- Management of PA catheters, central line and arterial lines
- Cardiac output measurement and calculation
- Care of ventilated patients including blood gas draw and interoperation
- Management and care of patient under contact, droplet, and airborne isolation precautions
- Leadership and preceptor experience: training and developing new / student nurses and auxiliary staff
- Skilled in the management of CRRT
- Highly proficient clinical skills, IV starts, pushes, drips, 12-Lead EKG, Cardiac Monitoring, Blood Monitoring Transfusions, Central Line Care, Drawing Blood Gases (arterial and venus), defibrillation, Codes, Computer Charting, Ventilators, Intra-Aortic Balloon Pump, Ventriculostomy and Stroke Assessment using NIHSS
Timeline
Registered Nurse
HCA Florida Ft. Walton Beach / Destin Hospital
01.2019 - Current
Registered Nurse
Mobile Infirmary
01.2018 - 01.2019
Registered Nurse
Grandview Medical Center
01.2014 - 01.2018
Registered Nurse
Grandview Medical Center
04.2013 - 01.2015
School of Nursing Instructor
Bevel State Community College
01.2009 - 01.2018
Registered Nurse
Trinity Medical Center
04.2003 - 04.2013
Master in Science in Nursing - Acute Adult/ Gerontology
Walden University
Bachelor in Science in Nursing -
Walden University
Associate Degree in Nursing -
Troy University
- Registered Nurse in Alabama 1-076332
- Basic Cardiac Life Support (BCLS)
- Advanced Cardiac Life Support (ACLS)
- Crisis Prevention Intervention (CPI)
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