Usha KC

• Provide high-acuity care on a 26-bed Progressive Care Unit (PCU) managing ICU step-down patients with complex cardiac and neurological conditions.

• Closely monitor cardiac rhythms, neurological status, and hemodynamic stability while recognizing early signs of patient deterioration.

• Manage patients requiring advanced respiratory support including BiPAP and AIRVO high-flow oxygen therapy.

• Safely titrate and monitor Cardene (Nicardipine) drips for blood pressure control in post-stroke, post-neurosurgical, and cardiac patients.

• Deliver comprehensive tracheostomy care including suctioning, emergency airway management, and patient/family education.

• Perform advanced wound care and dressing changes for surgical incisions, pressure injuries, and complex wounds.

• Collaborate with multidisciplinary teams to coordinate timely escalation of care to the ICU when clinically indicated.

• Titrated and monitored Cardene (Nicardipine), amiodarone, cardizem, and insulin drips for blood pressure control in post-stroke, post-neurosurgical, and cardiac patients, ensuring hemodynamic stability.
• Coordinated care for patients with sepsis and septic shock, initiated fluid resuscitation, and administered broad-spectrum antibiotics.

• Delivered comprehensive care for acute trauma cases, including fracture stabilization and post-operative recovery to enhance patient outcomes.
• Assessed neurological conditions using GCS scale, identifying early signs of deteriorating neuro status to facilitate timely interventions.
• Administered medications, including pain management and neuro-specific drugs, prioritizing patient safety and adherence to protocols.
• Managed emergencies and critical situations in high-stress environments, ensuring optimal patient outcomes through swift decision-making.
• Assessed and managed complex wounds, including surgical incisions and pressure ulcers, effectively.
• Educated patients and families on post-operative care and rehabilitation strategies, reinforcing fall prevention to enhance recovery and safety.

• Managed care for unstable post-arrest patients undergoing therapeutic hypothermia to stabilize conditions.
• Provided comprehensive care for patients with STEMI, NSTEMI, and post heart catheterization, ensuring timely interventions for optimal recovery.
• Delivered direct bedside care for patients with acute and complex neurological conditions, ensuring timely interventions for optimal outcomes.
• Performed frequent in-depth neurological assessments, including NIHSS, to monitor patient status and guide treatment decisions.
• Managed intracranial drains, including extraventricular drains (EDV), ensuring patient safety and effective monitoring of neurological status.
• Administered inotrope and pressor medications including epinephrine, norepinephrine, neosynephrine, dopamine, dobutamine, and vasopressin.
• Coordinated with physicians to assess patients swiftly and implement effective treatment plans in response to rapidly changing clinical scenarios.

• Cared for 10-20 geriatric patients by directly supervising CNAs in vital signs, wound care, application of dressings, IV therapy, oxygen therapy, tracheostomy care, and catheter insertion.
• Assessed and transferred patients to the hospital promptly, utilizing critical thinking skills for optimal care outcomes.
• Developed and implemented nursing care plans while supervising patient admission and discharge procedures.
• Facilitated communication among patients, nurses, and physicians to effectively address urgent and ongoing issues.
• Educated CNAs on the prevention of transmitted infectious bacteria.
• Administered controlled narcotics, assuming full responsibility for possession of keys.
• Ensured open lines of communication and assured charting procedures; updated computerized patient data.

• Managed care for 14 patients on step-down unit, implementing high-quality nursing practices to enhance patient safety.
• Developed and delegated nursing assignments, streamlining team workflow and improving patient care during incoming shifts.
• Collaborated with multidisciplinary teams to develop and implement individualized care plans.
• Educated patients and families on health conditions, treatment plans, and post-discharge care to promote better health outcomes.
• Utilized critical thinking and clinical judgment to manage complex patient cases and respond to emergencies.
• Communicated effectively with healthcare providers to facilitate timely transfers of patients requiring higher levels of care.
• Collaborated with nursing managers and house supervisors to enhance operational efficiency and address any emergent issues.
• Completed a year-long residency program with an evidence-based research project.

• Scheduled and directed staff in daily work assignments to enhance operational effectiveness.
• Utilized strong interpersonal skills to foster positive relationships with guests and employees, improving overall service experience.
• Ensured cleanliness and sanitation across all food service, storage, and preparation stations, contributing to a safe dining environment.