Valerie Shane Tambua

Company Overview: Joint Commission International accredited, Governor’s Award for Performance Excellence

• Worked effectively in fast-paced environments.
• Skilled at working independently and collaboratively in a team environment.
• Maintained safe and efficient treatment environment by adhering to infection control protocols and equipment maintenance schedules.
• Proven ability to learn quickly and adapt to new situations.
• Worked well in a team setting, providing support and guidance.
• Demonstrated respect, friendliness and willingness to help wherever needed.
• Assisted with day-to-day operations, working efficiently and productively with all team members.
• Assess patient’s vital signs before, during and after hemodialysis treatment
• Performs hemodialysis using Tablo hemodialysis machine
• Prepares the machines by making sure that function check and disinfection were done properly
• Primes dialyzer and bloodlines
• Cannulates AV fistula and AV graft
• Passionate about learning and committed to continual improvement.
• Obtains clinical data (patient’s past and present medical history including medications.)
• Cleans and dresses temporary and permanent catheter according to hospital’s policy
• Secures blood investigations
• Taught patients and significant others on how to manage their illness, by explaining: post-treatment home care needs, diet/nutrition/exercise programs
• Obtains specimens from hemodialysis machines for microbial investigations
• Plans and organizes patients’ schedule and treatment
• Administers medications and fluid therapies as prescribed by physician

Patient Experience: Renal/Genitourinary: Acute Renal Failure, End Stage Renal Disease

Company Overview: 120-bed capacity, Certification International Philippines Inc., Certificates of Registration ISO 9001:2015, ISO 14001:2015, and OHSAS 18001:2007

• Strengthened unit care standards and policies with focus on patient safety and dignity.
• Served as a liaison between the nursing department and hospital administration to address staffing concerns, policy changes, and budgetary issues effectively.
• Led multidisciplinary team meetings to review patient progress, adjust care plans as needed, and ensure optimal collaboration among healthcare providers.
• Evaluated staff performance regularly, identifying areas for growth and providing constructive feedback when necessary.
• Ensures that all physicians’ orders are properly carried out and implemented in the nursing care plans
• Establishes and maintains effective relationships with patients, medical and unit staff
• Ables to react calmly and effectively in emergency situations

Patient Experience:

• Infectious: Probable/Suspected/Positive with CoVid-19
• Renal/Genitourinary: Acute Renal Failure, End Stage Renal Disease

Company Overview: 120-bed capacity, Certification International Philippines Inc., Certificates of Registration ISO 9001:2015, ISO 14001:2015, and OHSAS 18001:2007

• Renders hemoperfusion and hemodialysis treatment to COVID-19 confirmed patients
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
• Assessed physical, psychological, physiologic, and cognitive status of patients.
• Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
• Assesses patient’s condition and weight before and after hemodialysis session
• Cannulates AV fistula and AV graft
• Obtains clinical data (patient’s past and present medical history including medications.)
• Cleans and dresses temporary and permanent catheter according to hospital’s policy
• Secures blood investigations

Patient Experience:

• Infectious: Probable/Suspected/Positive with CoVid-19
• Renal/Genitourinary: Acute Renal Failure, End Stage Renal Disease

Company Overview: Global ISO 9001 Certified by SQS, ISO/IEC 27001:2013 Certified for Information Security Management, Bureau Veritas certified as Technical Standard related to Personal Data Protection

• Liaised between employees with health concerns and supervisors, maintaining medical confidentiality to communicate work status and coordinate return to work accommodations.
• Reduced workplace injuries by conducting thorough risk assessments and recommending appropriate safety measures.
• Maintained detailed records of employee health data, ensuring compliance with privacy regulations and facilitating data-driven decision making on workplace wellness initiatives.
• Enhanced employee productivity by providing prompt and effective medical care for work-related illnesses and injuries.
• Evaluate, assess, and develop care plans for work-related health events
• Provide patient care and health assessment for monitoring and emergency situations
• Promote healthy eating and wellness program

Patient Experience: Gastrointestinal: Abdominal pain, diarrhea, Infectious: Probable/Suspected/Positive with CoVid-19

• Coordinated incident response efforts among various departments, minimizing potential hazards and reducing recovery time after an event occurred.
• Successfully maintained a low employee injury rate by consistently prioritizing safety in all aspects of operations and decision making.
• Provided support for workers' compensation claims processing, resulting in faster resolution times and improved employee satisfaction.
• Enhanced workplace safety by conducting thorough risk assessments and implementing necessary control measures.
• Performs patients’ assessment
• Performs emergency treatment as needed
• Provide education to patients and families when necessary
• Responds to patient’s questions and requests for medical advise
• Provides patient education, care and/or counseling with a telephone call, assessing symptoms, discussing medication changes, providing helpful tips for management of chronic conditions while patients are on self-quarantine

Patient Experience: Infectious: Probable/Suspected/Positive with CoVid-19

Company Overview: 100-bed capacity

• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
• Assessed physical, psychological, physiologic, and cognitive status of patients.
• Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
• Implemented medication and IV administration, catheter insertion, and airway management.
• Thorough assessment of patient’s condition from head to toe
• Identify patients' age-specific needs and alter care plans as necessary to meet those needs
• Administer blood and blood products, monitoring patients for signs and symptoms related to transfusion reactions
• Set up and monitor medical equipment and devices such as cardiac monitors, mechanical ventilators and alarms, oxygen delivery devices, transducers, and pressure line.

Patient Experience: Cardiac: Acute MI, Angina, Pre-Cardiac Cath, Neurologic: Stroke, Intracranial Hemorrhage, Seizure Disorder, Gastrointestinal: G.I bleed, Pulmonary: Pneumonia, COPD, Renal/Genitourinary: Acute Renal Failure, End Stage Renal Disease, Endocrine: Diabetes

Company Overview: 20-bed/machines capacity, Certified for ISO 14001:2015 (International Standard for Environmental System), ISO 9001:2015 (International Standard for Quality Management System)

• Provided emotional support to patients and families coping with the challenges of chronic kidney disease, fostering a positive treatment experience.
• Promoted a culture of teamwork and collaboration within the unit, fostering open communication channels among staff members.
• Reduced infection rates by adhering to strict aseptic techniques and maintaining a clean, sterile environment for dialysis procedures.
• Implemented quality improvement initiatives aimed at enhancing overall patient satisfaction within the hemodialysis unit.
• Readied the Gambro Artis machine by making sure that function check and disinfection were done properly
• Primed dialyzer and bloodlines
• Assessed patient’s vital signs before, during and after hemodialysis treatment
• Cannulated AV fistula and AV graft
• Secured blood investigations
• Monitored patients for signs and symptoms of hemodialysis complication and instituted immediate nursing actions, and documented them on chart

Patient Experience: Renal/Genitourinary: Acute Renal Failure, End Stage Renal Disease

Company Overview: 200-bed capacity, Joint Commission International accredited

• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
• Assessed physical, psychological, physiologic, and cognitive status of patients.
• Developed strong rapport with patients and families, fostering trust and open communication during challenging times.
• Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
• Demonstrated excellent time management skills while juggling multiple priorities in a fast-paced environment.
• Observed signs and symptoms, instituted immediate nursing actions, and documented them on chart
• Carried out and transcribed doctor’s orders
• Monitored patients on mechanical ventilation and on ECMO (Extracorpoeal membrane oxygenation) machine
• Rendered CRRT (Continuous Renal Replacement Therapy) using Gambro Prismaflex machine to patients with acute kidney injury
• Activated a code and performed cardiopulmonary resuscitation

Patient Experience: Cardiac: Acute MI, Angina, Pre-Cardiac Cath, Neurologic: Stroke, Intracranial Hemorrhage, Seizure Disorder, Gastrointestinal: G.I bleed, Pulmonary: Pneumonia, COPD, Renal/Genitourinary: Acute Renal Failure, End Stage Renal Disease, Endocrine: Diabetes

Company Overview: 18 beds/machines capacity, Metroeast Branch, Philippines

• Assessed patient’s condition and weight before and after hemodialysis session
• Readied the B. Braun Dialog+ machine by making sure that function check and disinfection were done properly
• Primed dialyzer and bloodlines
• Assessed patient’s vital signs before, during and after hemodialysis treatment
• Cannulated AV fistula and AV graft
• Cleaned and dressed temporary and permanent catheter according to company's policy
• Secured blood investigations
• Acted as a patient advocate, ensuring their needs were met and their rights protected throughout their healthcare journey.
• Taught patients and significant others on how to manage their illness, by explaining: post-treatment home care needs, diet/nutrition/exercise programs

Patient Experience: Renal/Genitourinary: Acute Renal Failure, End Stage Renal Disease

Company Overview: 250-bed capacity, Joint Commission International accredited

• Assessed physical, psychological, physiologic, and cognitive status of patients.
• Performed hemodialysis using Gambro AK200, AK94, and AK96 machines
• Readied the machines by making sure that function check and disinfection were done properly
• Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
• Primed dialyzer and bloodlines
• Cannulated AV fistula and AV graft
• Obtained clinical data (patient’s past and present medical history including medications.)
• Cleaned and dressed temporary and permanent catheter according to hospital’s policy
• Secured blood investigations
• Taught patients and significant others on how to manage their illness, by explaining: post-treatment home care needs, diet/nutrition/exercise programs
• Obtained specimens from hemodialysis machines and water R.O machines for microbial investigations
• Planned and organized patients’ schedule and treatment
• Administered medications and fluid therapies as prescribed by physician

Patient Experience: Renal/Genitourinary: Acute Renal Failure, End Stage Renal Disease

• Delivered advanced cardiac life support (ACLS) and basic life support (BLS) under pressure.
• Delivered compassionate care to patients with a variety of medical emergencies, including cardiac arrests, traumas, strokes, and respiratory distress.
• Improved patient outcomes by providing timely and accurate assessments, treatments, and interventions.
• Worked en-route to hospital to prepare patients for arrival or surgery and control wounds.
• Dressed wounds and injuries
• Provided authorized hospital staff with patient information including condition and treatment provided
• Communicated effectively with patients and their relatives regarding status and treatment given
• Transferred patients safely and securely to medical facilities for continued care.
• Taught and trained members of the public to use first aid techniques correctly

Patient Experience: Physical Trauma/Skeletal: Fracture, laceration, concussion, Cardiac: Acute MI, Angina