TOBIAS KOGLIN
Mayo Clinic Health System
Sioux Falls,SD
10
years of professional experience
Critical Care Registered Nurse specializing in Level 1 Trauma and CVICU with expertise in hemodynamic monitoring, vasoactive titration, and ventilator management. Delivers evidence-based care through effective interprofessional collaboration and keen physiological assessment in high-pressure environments.
Work History
Enterprise Staffing Pool ICU RN
4 Months- 26-bed, Level 1 Trauma facility, Magnet status hospital
- Managed critical 1:1 and 1:2 post-operative care for unstable patients, including assessment, monitoring, and recovery support following CABG, valve replacements, heart/lung transplants, and LVAD implantations.
- Troubleshot temporary epicardial and transvenous pacemakers by adjusting sensitivity and output and tracking thresholds to support effective pacing.
- Calibrated pulmonary artery catheters through precise leveling and zeroing, then titrated therapies; computed cardiac output, central venous pressure, systemic vascular resistance, and pulmonary vascular resistance to inform treatment planning for fluids and medications.
- Managed hyper-acute stabilization workflow for ischemic and hemorrhagic stroke patients, adjusting nicardipine and clevidipine infusions to maintain strict customizable blood pressure thresholds to reduce risk to penumbral brain tissue.
- Executed rapid serial neurological assessments with NIH Stroke Scale (NIHSS) to monitor for micro-changes in status and recognize early signs of hemorrhagic conversion, cerebral edema, or acute herniation syndromes.
ICU TRAVEL RN
4 Months- 80-bed, Level 1 Trauma facility
- Provided 1:1 and 1:2 critical care coverage for high-acuity patients across CVICU, MICU, and SICU to support ongoing intensive care operations within high-volume Level 1 trauma center.
- Stabilized neurotrauma with neurogenic shock by titrating vasopressor and inotrope infusions for unstable cervical and thoracic spine injuries to sustain MAP 85–90 mmHg for spinal cord perfusion.
- Managed thoracic trauma and airway crises by sustaining chest tube drainage performance for flail chest and massive hemothoraces, monitoring acute air leaks to prevent tension pneumothoraces.
- Directed titration of norepinephrine, vasopressin, and phenylephrine alongside targeted insulin protocols to address refractory septic shock physiology and limit progression to multi-organ dysfunction.
- Optimized fluid resuscitation through goal-directed management of stroke volume variation and serial lactate trends to support microcirculation and avoid volume overload.
- Oversaw advanced wound therapy support by identifying and resolving negative pressure wound therapy (wound vac) circuit seal leaks and delivering complex wound care for abdominal, thoracic, and orthopedic wound cases.
ICU TRAVEL RN
3 Months- 10-bed, Level 3 Trauma facility
- Delivered 1:2 critical care within a high-acuity 10-bed cardiovascular intensive care unit, managing highly unstable post-surgical cardiac patients and severe cardiogenic or septic shock states.
- Served as vital clinical resource across hospital system, leveraging advanced critical thinking to assist and stabilize high-acuity patients in Med/Surg and Progressive Care Units (PCU) during peak volume and surge periods.
- Managed post-operative recovery workflow for patients following complex coronary artery bypass grafts (CABG) and valve repairs/replacements, while maintaining strict blood pressure and systemic perfusion parameters to protect surgical grafts.
REGISTERED NURSE, INTENSIVE CARE UNIT
1 Year 10 Months- 39-bed, Level 1 Trauma facility, Magnet status hospital
- Managed specialized post-operative care for critically ill medical trauma neuro and cardiothoracic patients at Level 1 trauma center to support ongoing care plans for septic shock, DKA, EVD, CABG, valve replacements, cardiogenic shock, acute MI, polytrauma, massive blood transfusion, AAA repairs, ARDS, septic shock, AKI, dialysis, TBI, and ischemic versus hemorrhagic stroke patients.
- Managed invasive hemodynamic profiling to support accurate, real-time guidance for fluid resuscitation and pharmacotherapy through continuous interpretation of arterial line and central venous line data.
- Performed autonomous titration of multi-drip vasoactive, inotropic, and antiarrhythmic infusion therapy (including norepinephrine, epinephrine, vasopressin, milrinone, amiodarone) to maintain strict perfusion parameters.
- Adjusted mechanical ventilation settings and managed artificial airways to maintain effective ventilation; interpreted respiratory mechanics to troubleshoot high-pressure alarms and support complex weaning protocols.
- Performed comprehensive multi-system neurological monitoring, managing continuous sedation and intracranial pressure to support cerebral perfusion.
- Responded to acute post-operative emergencies by executing bedside emergency chest reopenings, managing surgical tamponade, and administering rapid code pharmacology to stabilize patient status.
- Recognized early sepsis and shock indicators—including cardiogenic and hypovolemic presentations—and executed immediate treatment actions to reduce risk of multi-organ failure.
REGISTERED NURSE, MEDICAL-SURGICAL UNIT
3 Years- 42-bed, Level 1 Trauma facility, Magnet status hospital
- Managed 5-to-6 patient assignments with high turnover, delivering comprehensive post-operative care for complex general surgery, orthopedic trauma, and neurological interventions.
- Monitored for early signs of clinical decompensation and recognized acute respiratory failure, septic shock, and internal hemorrhage, promptly initiating rapid response care and preparing patients for ICU transfer.
- Developed rigorous time management and prioritization skills, directing multidisciplinary care plans involving surgery teams, respiratory therapy, and physical therapy in a fast-paced environment.
- Performed routine monitoring and targeted troubleshooting for complex surgical equipment, including patient-controlled analgesia (PCA) pumps, negative pressure wound therapy (wound vacs), chest tubes, Jackson-Pratt/Hemovac drains, and continuous bladder irrigations (CBI).
- Performed independent interpretation of continuous telemetry rhythms, detecting lethal arrhythmias, heart blocks, and acute ST-segment changes and escalating findings to providers without delay.
- Administered medications and IV therapies while maintaining strict compliance with safety and documentation standards.
VOLUNTEER
3 Months- Attended family support group sessions and engaged in discussions to support families.
- Offered compassionate support to help bereaved individuals feel safe and secure during the grieving process.
- Supported grief support sessions by welcoming participants and maintaining compassionate, structured meeting environment.
PATIENT CARE TECHNICIAN IN MED/SURG ONCOLOGY
1 Year 7 Months- 36-bed, Level 1 Trauma facility, Magnet status hospital
- Completed hourly rounds and addressed call lights to promptly assist patients and maintain comfort standards.
- Reported patient status changes to nursing staff promptly to enable timely interventions and updates to care plan.
- Observed vital sign trends, identified abnormalities, and reported findings to nursing staff to enable prompt patient intervention.
- Delivered bathing, dressing, feeding, and mobility assistance to support activities of daily living with dignity and comfort.
VOLUNTEER
1 Year 11 Months- Volunteered at 423-bed acute care facility, supporting elderly patients through Hospital Elder Life Program initiative.
- Facilitated delirium prevention for elderly patients by conducting walking and conversation activities to sustain cognition and mobility.
- Provided compassionate listening during support sessions and community outreach events
Education
Bachelor of Science in Nursing - Nursing
- 3.8 GPA
- Dean's List Spring/Summer/Fall 2020/2021, Spring 2022
- Inductee of Sigma Theta Tau International Honor Society of Nursing
- Inductee of The National Society of Leadership and Success
- Presidential Scholarship Recipient
- Pending completed AP course in graduate-level statistics course (EFR 515) at the University of North Dakota
- Magna Cum Laude graduate
- Ranked in Top 10% of class
Skills
Advanced Hemodynamic Monitoring
Vasoactive & Inotropic Titration
Mechanical Ventilation & Airway Management
Autonomy & Independent Decision-Making
Pharmacokinetics & Pathophysiology
High-Stakes Interdisciplinary Collaboration
Rapid Clinical Pivoting
CERTIFICATIONS & LICENSURE
Registered Nurse (RN), Multistate License #R056760 (Exp: 12/02/2027)
Registered Nurse (RN), Minnesota #2547320 (Exp: 12/31/2028)
Critical Care Registered Nurse (CCRN - Adult), AACN (Exp: 06/30/2029)
Cardiac Medicine Certification (CMC- Adult), AACN (Exp: 08/31/2029)
Sepsis Micro-Credential, AACN
ARDS Micro-Credential, AACN
Advanced Cardiovascular Life Support (ACLS), American Heart Association (Exp: 11/30/2027)
Basic Life Support (BLS), American Heart Association (Exp: 03/2027)
Trauma Nursing Core Course (TNCC), Emergency Nurses Association (Exp: 05/31/2028)
Pediatric Advanced Life Support (PALS), American Heart Association (Exp: 07/2027)
National Institutes of Health Stroke Scale (NIHSS) (Exp: 07/10/2028)
ANESTHESIA SHADOWING EXPERIENCE
Pending
Timeline
Enterprise Staffing Pool ICU RN
Mayo Clinic Health System
06.2026 - CurrentRead More
ICU TRAVEL RN
Chandler Regional Medical Center
12.2025 - 04.2026Read More
ICU TRAVEL RN
Kearney Regional Medical Center
08.2025 - 11.2025Read More
REGISTERED NURSE, INTENSIVE CARE UNIT
Sanford USD Medical Center
09.2023 - 07.2025Read More
REGISTERED NURSE, MEDICAL-SURGICAL UNIT
Sanford USD Medical Center
07.2022 - 07.2025Read More
VOLUNTEER
Grief's Journey
03.2020 - 06.2020Read More
PATIENT CARE TECHNICIAN IN MED/SURG ONCOLOGY
Nebraska Medicine
06.2018 - 01.2020Read More
VOLUNTEER
Methodist Hospital
09.2016 - 08.2018Read More
Clarkson College
Bachelor of Science in Nursing from Nursing
Read More