Tos Rabiu-Akewusola, RN, PhD

• Preop patients for surgical procedures; Verifying completion of preadmit testing and results reported to anesthesiologist and surgeon for clearance prior to surgery
• Obtain surgical and anesthesia consent on the day of surgery
• Draw labs, start IV, and administer intravenous fluids and medications per physician order or anesthesia protocol
• Ensure vitals are within normal limits and report abnormalities to the surgeon and anesthesiologist before the procedure
• Receive postoperative patients from anesthesia and nurse and obtain reports
• Monitor and assess patients' condition as they recover from anesthesia and surgical procedures
• Administer and manage medications, including pain management, as prescribed by physicians
• Applied independent judgment to deliver sound clinical decisions while meeting patient needs and adhering to facility policies and procedures
• Maintain airway, monitor vitals, surgical site, pain level, and administer medications per protocols and anesthesiologist orders
• Ensure patient safety until stable and ready for discharge; educate patients and families on discharge instructions and follow-ups, verifying understanding
• Discharge patient home or to the floor when stable per physician order.

PRE-OP

• Assess, instruct, and prepare patients prior to surgery
• Ensure that informed consents are signed correctly
• Initiate IV therapy and ensure that patients are informed of procedures
• Obtain and record vital patient statistics to ensure readiness for surgical procedures
• Inform the healthcare team of any changes in the patient's condition
• Review post-operative instruction with patient/family
• Provide information and emotional support to the patients and families
• Make pre-op calls to patients before surgery to reduce the day of surgery cancellation or reduce psychological distress and post-discharge follow-up calls to assess patient progress during recovery

PACU:

• Review post-operative orders with patients and or families
• Continuously monitor patients' vital signs, airways, and levels of consciousness during recovery from anesthesia
• Assess and treat pain, nausea, and other post-operative symptoms of anesthesia
• Update patients' charts, patient files, and medical records
• Collaborate with the medical team on post-operative patient care and facilitate timely specialized interventions
• Identify the learning needs of patients and families and teach by adapting standard information to provide individualized and comprehensive learning
• Monitor surgery inventory and notify an appropriate individual when supplies are needed.

• Assess postoperative patients' vital signs, airway, respiratory, and circulatory status
• Monitoring postoperative patients' levels of consciousness during recovery from anesthesia
• Document all assessments, interventions, and observations per hospital policy/procedure in the medical record
• Updating charts, patient files, and medical records
• Communicate with physicians regarding changes to a patient's status or anticipated length of stay
• Collaborate with the medical team on postoperative patient care and facilitate timely specialized interventions
• Educate patients and families about their procedures and care plans, including post-discharge instructions, and verify understanding
• Monitor and maintain surgery inventory and supply level; prepare and notify supply replenishment orders to maintain par levels
• Create an environment of inclusion and trust for diverse groups to enable effective communication with colleagues and appropriate patient/ family education.
• Took vitals and assessed patients in recovery room following surgical procedures.

Nurse Administrator, RN July 2021 - July 2022

• Provided direction for developing, supervising, and evaluating nursing service personnel
• Created important medical staff policies and procedures and developed nurses' skills through effective training programs
• Planned and conducted monthly providers' meetings, quarterly governing body meetings and staff meetings, and actively contributed to developing and implementing healthcare policies and procedures and ensuring team alignment
• Oversaw efficient running of multiple surgery centers and led nursing team in AAAHC accreditations
• Increased patients' satisfaction by 20% by promoting good customer service and maintaining patients' scores in the 95th percentile for three quarters
• Created quarterly budgets and financial reports and reported to the Executives and the CEO with department updates
• Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.

Nurse Manager, RN March 2021-July 2021

• Responsible for staffing and patient scheduling, quality improvement, infection prevention, and short-term goals planning
• Led staff meetings to keep team informed of departmental changes and provide opportunities for nurses to share ideas and concerns.
• Led benchmarking projects/QI/PI/QAPI
• Coached and supported nursing team in accomplishing the unit and facility mission
• Delegated and coordinated patient care for adolescent, adult, and geriatric patients' through the nursing processes
• Responsible for unit resource management, utilization, and risk management.

Charge Nurse, RN (PRN) December 2020 - March 2021

• Implemented preoperative assessment, orientation to the unit, history, medication reconciliation, starting IVs, preoperative teaching, documentation of consent before surgery, and safety management
• Provided postoperative care for general surgery, urology, plastic surgery, OB/GYN, colonoscopies, and bariatric surgery
• Took complete patient assignments by recovering patients in PACU, admitting patients for surgery, and educating families/patients on their procedures and post-op instructions as needed
• Hemodynamic monitoring of postoperative patients and care plan from admission to Phase I recovery through discharge.

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• Created an initial health evaluation and individualized care plan for clients
• Performed supervisory visits for nurses in clients' homes per regulation to ensure safe and appropriate care
• Educated caregivers and families on proper home health care procedures and strategies
• Accurately documented and administered medications via oral, IV, CVL, and gastric tubes, and monitored responses
• Advocated for clients' health, safety, and rights
• Worked independently to deliver and coordinate quality client care based on plan of care and family needs
• Provided continuous observation and assessment of client's conditions and reported significant changes to the physician
• Coordinated with Physicians, Speech Therapists, School Teachers, and other individuals in the client's care plan.

• Administered care and medications to diverse patient populations, including Covid patients, and monitored responses
• Monitored and recorded patients' vital signs, symptoms, telemetry readings, and EKG for abnormal heart rhythm or changes and notified physician of any changes
• Updated patient charts to keep records current and support accurate treatments
• Performed patients' assessments, including cardiovascular, urinary catheter, respiratory, neurologic, and trauma assessments.

• Assessed clients' (adolescents and adults) needs and developed appropriate nursing care upon initial intake, provided psychoeducation regarding mental illness, and provided education about medications, effects, risks, and interactions
• Performed on-site supervisory visits to assess clients, family, and environment
• Acted as a nursing consultant to other clinicians and collaborated with psychiatrists in assessment, treatment planning, medication, and other medical issues
• Provided nursing services in the community for individuals with severe and persistent mental illness as part of a multidisciplinary treatment team.

• Maintained nursing standards by recruiting, selecting, orienting, and training nurses individualized to the different learning needs of each learner
• Directed the activities of clinical staff to ensure active unit flow and facilitated quality improvement procedures on all units
• Assisted in setting work schedules, in-services, and implementing nursing standards and provided therapeutic interactions/ patient care with adolescent, adult, and geriatric units
• Assumed a leadership role in patient/family education and discharge planning
• Fostered and maintained effective relationships with the physicians, clinicians, unit charge nurses, MHTs, and PCTs.
• Assisted the Director of Nursing to investigate and resolve complaints from staff, physicians, and patients by leveraging clinical judgment and unit management expertise.

Director of Nursing, March 2014 - December 2014

• Led facility to outstanding state surveys with a decline in citations
• Team with department heads to identify project improvement initiatives and collaborate with the administrator to ensure smooth day-to-day operations
• Assumed responsibility for administration, daily activities, planning, risk prevention/management strategies, and delivery of nursing services for 121- bed facility
• Provided effective staff management (hiring, development, training, performance feedback, and so on) and direct supervision of Assistant Director (1), 2 Clinical Coordinators, Admin Assist., Staffing Coord., Infection Control Manager, Education Resource Coord,, 25 + LPN, 10 + RN, 70 + CNAs
• Strategically implemented processes to ensure compliance with local, state, and federal regulations, and nursing practice standards; Collaborated with the Administrator to allocate department resources that each resident to maintain the highest practicable physical, mental, and psychosocial well-being.
• Participated in management team meetings to discuss patients, census changes, and patients concerns.

• Critical Decision Unit /Float ER
• Applied all phases of the nursing process to various patients and family members; Utilized effective social interaction skills while communicating with patients and staff; Performed different procedures according to registered nursing scope of practice
• Identified learning needs of patients and families and responded with advocacy and health education
• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.

Nursing Supervisor, RN December 2011 - Feb 2014

• Assisted the Director of Nursing with managing patient care and other nursing issues that may arise; Utilized resources efficiently and economically to ensure each resident achieves the highest practicable physical, mental, and social well-being
• Managed nursing staff while maintaining standards of professional nursing; Liaised with other disciplines to implement comprehensive initial nursing and supplement care plans.

Charge Nurse, LPN October 2007 - December 2011

• Conducted daily patient assessments of 15+ patients, documenting vital signs, and health status of patients; reported any significant changes to the nurse supervisor and physician
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Adhered to medication schedules, ensuring timely medication administration and providing primary nursing care to patients, including dressing, bathing, and medication management via mouth, G Tubes, PICC line, and IV therapy
• Contributed to a 20% decrease in rehab readmissions by ensuring patients received appropriate follow-up care and support after discharge.

• Acute/Trach Unit
• Managed a caseload of 10+ tracheostomy and ventilation patients, ensuring their individualized care plans were followed promptly and addressed any changes in medical conditions
• Medication management via IM, G Tubes, PICC, etc
• Blood glucose monitoring/Oxygen therapy/Palliative care
• Educated patients and their families on disease prevention and post-hospital treatment.