Vanessa Fegale
Dallas Regional Medical Center
Mesquite,TX
1
Certification
10
years of professional experience
I am a dedicated and driven registered nurse with almost ten years of experience managing complex patient cases in fast-paced, high-stress environments. Through my passion to learn and my commitment to evolving my career in healthcare, I am now pursuing a career as an ECMO registered nurse.
Work History
Post Anesthesia Care Unit Registered Nurse
4 Months- Provided comprehensive Phase I and Phase II post-anesthesia care for adult surgical patients.
- Performed thorough postoperative assessments, including airway, respiratory, cardiovascular, neurologic, and pain evaluations.
- Monitored and interpreted vital signs, ECG rhythms, pulse oximetry, capnography (ETCO₂), and hemodynamic status to identify early postoperative complications.
- Assessed and maintained airway patency; managed oral and nasal airways and collaborated with anesthesia providers during airway emergencies.
- Administered and titrated analgesics, sedatives, antiemetics, IV fluids, and other medications according to provider orders and clinical assessment.
- Collaborated with anesthesiologists, CRNAs, surgeons, and multidisciplinary teams to optimize postoperative patient outcomes.
- Managed postoperative pain using multimodal pain management strategies while monitoring for adverse medication effects.
- Determined patient readiness for discharge from the PACU using established recovery criteria and clinical judgment.
- Educated patients and families regarding postoperative care, pain management, medication instructions, activity restrictions, and discharge planning.
Intensive Care Unit Registered Nurse, PRN
1 Year 11 Months- Provide comprehensive nursing care to critically ill adult patients in a high-acuity Intensive Care Unit (ICU) setting.
- Manage patients requiring mechanical ventilation, oxygen therapy, invasive monitoring, and complex critical-care interventions.
- Titrate and manage vasoactive, sedative, analgesic, and other high-alert continuous infusions according to patient condition and provider orders.
- Monitor and interpret arterial blood gases, cardiac rhythms, hemodynamic parameters, laboratory results, and other clinical data to identify changes in patient status.
- Respond to rapid changes in patient condition and participate in emergency interventions, including code and rapid-response situations.
- Advocate for critically ill patients and promote evidence-based, patient-centered nursing care.
Surgical/Trauma Intensive Care Unit Registered Nurse
3 Years 1 Month- Deliver bedside care at a 23-bed ICU for trauma and post-surgical patients at a busy level one trauma center.
- Assist with bedside procedures such as endotracheal intubation, invasive line placements, chest tube placement, and cardioversion.
- Operate and monitor life-sustaining devices such as central venous lines, arterial lines, CRRT, and invasive as well as non-invasive ventilation support.
- Titration of continuous IV drips including vasopressors, sedatives, paralytics, insulin, heparin, and anti-arrhythmic medications
- Collaborate with respiratory therapists and physicians to provide appropriate care for ventilated patients including weaning trials, sedation monitoring, and extubations.
- Manage and assist in emergency situations involving airway management, advanced cardiac life support, and mass blood transfusion.
- Serve as a preceptor/mentor to new nurses hired on the unit.
Seasonal Intensive Care Unit Registered Nurse
7 Months- Deliver bedside care at a 10-bed intensive care unit.
- Managed the care of critically ill patients including but not limited to post cardiac arrest, respiratory failure, septic shock, CHF, and post-catheterization patients.
- Assist with intubations and management of patients on mechanical ventilation.
- Function as a patient advocate and provide support for patients and families.
Travel Intensive Care Unit Registered Nurse
3 Months- Deliver bedside care at a 24-bed intensive care unit.
- Thoroughly assess critically ill patients and prioritize care based on assessment findings.
- Confers with all members of the health care team in collaborative fashion, sharing information and observations of patients in a manner that contributes to optimal patient care.
Travel Intensive Care Unit Registered Nurse
6 Months- Deliver bedside care at a 12-bed intensive care unit.
- On occasion, I served as a charge nurse on the unit.
- Provided crisis medical care during covid surge.
Intensive Care Unit Registered Nurse
3 Years 4 Months- Deliver bedside care at a 32-bed mixed (primarily medical as well as cardiac and surgical) intensive care unit.
- In-depth ongoing assessment and care of critically ill patients
- Collection and interpretation of diverse clinical data including physical assessment, vital signs, and labs.
- Assist with intubations and bedside procedures.
- Care and maintenance of medical devices such as CRRT, EKOS, arctic sun, and invasive as well as non-invasive ventilation support.
- Titration of continuous IV drips including vasopressors, sedatives, paralytics, insulin, heparin, and anti-arrhythmic.
- Collaborate with Respiratory Therapists and physicians to provide appropriate care for ventilated patients.
- Demonstrated effective communication skills to collaborate with interdisciplinary team members to ensure optimal patient outcomes.
Operating Room Registered Nurse
3 Years- Adheres to appropriate hospital policies, procedures, and standards of nursing practice while delivering intraoperative nursing care as a circulator/scrub nurse.
- Performed scrub duties for various surgical specialties such as robotics, plastics, gynecology, urology, and general surgery.
- On occasion serve as charge nurse on the unit and would precept new nurse hires.
- Utilizes critical thinking skills in planning and prioritizing intraoperative nursing care.
Education
Bachelor of Science (B.S.) - Nursing
- Awards & Honors
- Graduated Cum Laude
- Sigma Theta Tau (Nursing Honor Society)
Bachelor of Arts (B.A.) - Biology with a Minor in Visual Arts
Skills
Bilingual
English/Spanish
Proficient in navigating EHR software such as EPIC
Cerner
and MedHost
Certification
- Registered Nurse State of Texas February 2017-Present
- Critical Care Registered Nurse (CCRN) Certification
- Advanced Cardiovascular Life Support (ACLS)
- Basic Life Support (BLS)
- Pediatric Advanced Life Support (PALS)
- Trauma Nursing Core Course (TNCC) Certification
- AORN Perioperative Certified
Timeline
Post Anesthesia Care Unit Registered Nurse
Dallas Methodist Medical Center
04.2026 - CurrentRead More
Intensive Care Unit Registered Nurse, PRN
Dallas Regional Medical Center
09.2024 - CurrentRead More
Surgical/Trauma Intensive Care Unit Registered Nurse
Baylor University Medical Center
05.2023 - 06.2026Read More
Seasonal Intensive Care Unit Registered Nurse
Baylor Scott and White Medical Center- Sunnyvale
07.2022 - 02.2023Read More
Travel Intensive Care Unit Registered Nurse
Longview Regional Medical Center
04.2022 - 07.2022Read More
Travel Intensive Care Unit Registered Nurse
Lake Granbury Medical Center
10.2021 - 04.2022Read More
Intensive Care Unit Registered Nurse
Methodist Charlton Medical Center
02.2020 - 06.2023Read More
Operating Room Registered Nurse
UT Southwestern Medical Center
02.2017 - 02.2020Read More
The University of Texas at Dallas
Bachelor of Arts (B.A.) from Biology with a Minor in Visual Arts
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Texas A&M University-Commerce
Bachelor of Science (B.S.) from Nursing
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