Tyler Wilson

4N – Medical-Surgical/Oncology, Progressive Care & Telemetry Monitoring

Unit Scope: 30-bed high-acuity inpatient unit (1:4 ratio due to acuity)

• Active chemotherapy and high-acuity oncology patients
• Sickle cell crisis management
• Telemetry-monitored patients requiring cardiac rhythm interpretation
• Medically complex and progressive-care level patients

5N – Medical-Surgical

Unit Scope: 30-bed inpatient unit (1:5/6 ratio)

• Medical-surgical patients with psychiatric comorbidities requiring safety monitoring and behavioral management
• Palliative and end-of-life hospice care

EDIN Unit – Emergency Department Inpatient Overflow (Admitted Patients Awaiting Placement)

• Managed inpatient-level admitted patients housed in ED overflow setting
• Supported safe care delivery in high-turnover, capacity-management environment

Clinical Practice

• Provide comprehensive care for high-acuity oncology patients, including those receiving active chemotherapy and complex supportive therapies
• Direct administration and monitoring of blood product transfusions, electrolyte replacement, IVIG, and heparin infusions, with accountability for patient safety, protocol adherence, and escalation of care when indicated
• Oversee high-risk IV medication administration and infusion therapies in accordance with institutional standards
• Deliver advanced pain and symptom management for oncology and sickle cell populations
• Provide compassionate end-of-life and comfort care, including patient and family education and post-mortem care
• Perform rapid clinical assessments in a high-frequency rapid response environment
• Stabilize critically ill chemotherapy patients prior to higher-level transfer
• Oversee sterile central line care, dressing changes, and mediport access/maintenance while reinforcing best practices and infection prevention standards
• Maintain strong patient satisfaction through professional and empathetic communication

Relief Charge Nurse – 5N Medical-Surgical Unit & EDIN Unit (ED Inpatient Overflow)

• Directed staffing, patient assignments, and throughput for 30-bed inpatient unit and EDIN inpatient overflow operations
• Coordinated admissions from the Emergency Department to inpatient units to maintain hospital capacity
• Assigned high-acuity patients based on nurse competency and clinical complexity
• Conducted audits, medication counts, and regulatory rounding
• Ensured adherence to state inpatient standards and hospital quality measures
• Provided real-time clinical decision support and operational leadership
• Simultaneously functioned as both Bedside RN and Relief Charge Nurse during limited staffing, managing a full patient assignment beyond standard ratios while overseeing unit operations

Unit Startup & Staff Development

• Key contributor to startup of 4N Oncology, 5N Medical-Surgical, and EDIN Unit (ED inpatient overflow)
• Supported safe unit openings during limited staffing conditions
• Onboarded and mentored 20+ newly hired and graduate RNs
• Conducted inpatient chart audits and reinforced policy compliance
• Supported clinical competency development across expanding units

CLABSI Champion – 4N (Cross-Unit Impact)

• Completed advanced CLABSI prevention education
• Conducted 20 central line documentation audits monthly for one year
• Ensured proper sterile technique for mediport and central line care across 4N, 5N, and EDIN Unit
• Provided staff education and procedural guidance to reinforce infection prevention standards
• Served as Super User for implementation of new central line change kits