Trevor Rayley
Henrico,VA
Summary
Experienced healthcare professional skilled in patient care, critical thinking, and communication. Strong focus on team collaboration and achieving optimal patient outcomes. Reliable and adaptable, ensuring efficient and compassionate care in dynamic environments. Equipped with expertise in medical procedures, patient assessments, and care coordination.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Registered Nurse
Virginia Commonwealth University Health System
06.2023 - Current
- Company Overview: Medical Respiratory Intensive Care Unit
- In this role as a Registered Nurse, I am responsible for the safe and effective care of patients with complex metabolic disease processes
- Common disease processes seen in this ICU include, but not limited to: diabetic ketoacidosis, acute and chronic respiratory failure, cancers of various organs or blood, pulmonary hypertension, hypertensive crisis, liver cirrhosis, renal failure, congestive heart failure, status asthmaticus, status epilepticus, multi-organ system failure, sepsis, shock, cardiac related events, neuromuscular diseases, and Idiopathic pulmonary diseases
- As a Medical Respiratory Nurse, I am responsible for patient safety above all else as the nurse is the last line of defense before medical mistakes are made
- We verify orders from providers are appropriate for the patient and their disease, safe to be carried out, and will improve outcomes in the patient’s course of hospitalization as well as anticipating provider interventions for patients
- I am responsible for management of patients undergoing Continuous Renal Replacement Therapy, Peritoneal Dialysis, Continuous Electroencephalography, passive and active rewarming/cooling, post-cardiac arrest care, ICU specific medications such as vasopressors and sedatives, Intracranial Pressure Monitoring, Rapid Sequence Intubation and ventilator management, Invasive Lines and Drains management, early mobilization, ICU delirium, and delivery of quality care for the patient as well as the family
- Completion of 12-month Nurse Residency Program through VCU Health System
- This residency programs serves to offer help and support during a New Graduate’s first year of nursing care and includes classes and seminars to learn more about the health system and benefits as well as unit-specific fundamentals for quality nursing care
- This program was completed by presentation of a research project. As a group, we studied the compliance of nursing staff to dedicated sleep protocols for ICU patients to prevent ICU Delirium. Metrics were taken before initiation of a common practice and after practice changes were implemented and we saw there was a significant upward trend of a standard sleep protocol use by nursing staff
- As well as completion of ECCO case study modules that cover a various medical disease, invasive monitoring devices, and nursing plans of care based on differing patient populations and illnesses as they relate to Intensive Care
- During my time on the Medical Respiratory ICU, I have joined the CSI Skin Committee.This committee meets every month to audit the skin of our patients to ensure adequate measures are taken to prevent pressure injuries to various parts of the body. Every skin committee audit is followed by a hospital-wide committee meeting in which we discuss our findings and have a seminar on various topics to share with out unit regarding new and improved Evidence Based Practices
- Opportunity to work in additional Intensive Care units for a more comprehensive experience in critical care; including Coronary Intensive Care, Cardiac Surgery Intensive Care, and Medical Intermediate Intensive Care. I have also had the opportunity to work on various other units including Bone Marrow Transplant and Immunologies, Progressive Medicine, and Acute Care Surgery
- Observation, without formal training, of VV ECMO, VA ECMO, transvenous cardiac pacing, transcutaneous cardiac pacing, Impella Device, Intra-Aortic Balloon Pump, Pulmonary Catheter, and post-heart transplant patient care
Nurse Extern
Johnston Willis Medical ICU
01.2022 - 06.2023
- Company Overview: Atrium ICU
- Employed as a Nurse Extern
- In this role, I am responsible for patient and unit safety, mobility, unit cleanliness and nursing support
- Experience gained with transferring patients via mobility devices or stand-by assistance while safely and effectively considering airway support from machine ventilation, peripheral intravenous lines, central lines, chest tubes, urinary catheters, and other lines/drains
- Patient safety ensured by monitoring trends in vital signs, alerting nursing staff to abnormal laboratory results, prevention of pressure injuries by offloading weight of patient and protecting areas prone to high pressure, and informing nursing regarding acute changes in patient condition. Any and all changes reported to assigned RN immediately
- Experience gained with medical procedure protocols and nursing considerations of such procedures including, but not limited to: Central Line placement and management, Arterial Line placement and management, Rapid Sequence Intubation and mechanical ventilator management, Tracheostomy placement and maintenance, Lumbar puncture, Chest Tube management, Abdominal Pressure monitor placement and management, Arterial Blood Gas procurement via needle/syringe and arterial line methods, ECHO, Hemodialysis, Peritoneal Dialysis, NG/OG/Post-Pyloric tube placement and management, PEG tube management, Total Parenteral Nutrition, Blood Transfusions and Rapid Infusion protocols, and patient transport to MRI, CT, Ultrasound, and Interventional Radiology procedures
- Responsible for obtaining and documenting CHG cleansing for infection control, patient intake & output, obtaining patient labs (blood, sputum, feces, and urine) ensuring correct labeling of the specimen and timeliness of delivery to laboratory, cleanliness of the unit, infection prevention regarding patients on contact precautions, timely completion of patient requests if appropriate to their condition/diagnosis, close monitoring of patients undergoing cooling or warming procedures, obtaining finger stick glucoses per physician order, and notifying nursing staff of pump alarms regarding critical IV medications
- Experience with critical IV medications and their precautions such as Insulin, Heparin, Amiodarone, Norepinephrine, Phenylephrine, Vasopressin, Epinephrine, Dopamine, and Dobutamine
- Experience with Adenosine administration and Cardioversion procedures
Kennel Tech, Doctor's Assistant, Student Tech
Village Veterinary Service
01.2013 - 01.2022
- Advanced experience with Animal Care including but not limited to knowing normal parameters and recognizing abnormal values of basic exams, recognizing changes in patient status when hospitalized, and advocating for patient needs when appropriate
- Animal Restraint with minimal stress to animal
- Medical Terminology including anatomy/physiology and instruments
- Medicinal uses, side effects, and contraindications
- Hematology, Urology, Parasitology, Cytology, and basic Oncology interpretation
- Common diseases of companion animals including breed and species-specific diagnosis
- Surgical experience including sedation, anesthesia, intubation, and monitoring of patient undergoing surgical procedures and recovery
- Emergency care procedures including CPR, shock, and hemorrhage
- 2 years Kennel Assistant
- 8 years Doctor and Surgeon assistant
Education
RN-BSN Program -
Radford University
Radford, VA10-2025
Associates Degree - Nursing
Brightpoint Community College School of Nursing
05.2023
Bachelor of Science - Biology
Lee University
01.2020
High School -
Amelia County High School
01.2015
Skills
- Time Management and Prompt Response to Interventions
- Meticulous Detail Oriented Care
- Medication Therapy Monitoring
- Interdisciplinary Coordination for Enhanced Care
- Fostering Professional Family Engagement
- Evaluative Thinking for Disease Management
Certification
- Basic Life Support, Every 3 months
- Advanced Cardiac Life Support
Affiliations
American Association of Critical Care Nurses, Active
Timeline
Registered Nurse
Virginia Commonwealth University Health System
06.2023 - Current
Nurse Extern
Johnston Willis Medical ICU
01.2022 - 06.2023
Kennel Tech, Doctor's Assistant, Student Tech
Village Veterinary Service
01.2013 - 01.2022
- Basic Life Support, Every 3 months
- Advanced Cardiac Life Support
RN-BSN Program -
Radford University
Associates Degree - Nursing
Brightpoint Community College School of Nursing
Bachelor of Science - Biology
Lee University
High School -
Amelia County High School
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