VIANEY ELVIR
REGISTERED NURSE
Alexandria,Louisiana
Summary
Dynamic Registered Nurse with eight years of diverse experience treating patients and coordinating care with healthcare team. Proven history of critical thinking, analysis, and medical knowledge to deliver superior care in high pressure environments. Critically prioritizing clinical and operational tasks in fast-paced acute medical settings.
Overview
9
9
years of professional experience
6
6
years of post-secondary education
4
4
Certifications
2
2
Languages
Work History
Registered Nurse
STG International Inc.
2024.03 - Current
- Perform thorough patient health intakes including current and past medical and surgical history.
- Treat medical conditions per established CNG guidelines.
- Create medical encounters and follow ups for appropriate level of care.
- Initiate CPR and emergency response interventions if needed.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Educated patients, treatment options, disease process, and management.
- Prevented spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
Staff RN Intensive Care Unit (ICU)
CHRISTUS St. Frances Cabrini Hospital
1 2024 - 2024.06
- Monitored vital signs, lab results, and other indicators to detect changes in patients'' conditions promptly.
- Managed and delivered care with 2-6 patient ratio based un acuity level.
- Facilitated smooth patient transitions from ICU to other units by providing detailed reports and recommendations for ongoing care.
- Handled ventilator support, feeding tubes and central lines.
- Cared for wounds such as surgical sites and pressure sores to prevent infection and promote healing.
- Demonstrated advanced critical thinking skills while managing complex clinical situations involving multiple organ systems failures in critically ill patients.
- Promote safe environment by enforcing infection control policies and maintaining clean, organized workspaces.
- Fostered caring, compassionate and respectful care environment by treating every patient with professionalism.
Acute Dialysis Registered Nurse
Fresenius Medical Care Holdings Inc.
2023.09 - 2023.12
- Conducted thorough patient assessments before initiating dialysis treatment, ensuring proper preparation and minimizing risks of complications.
- Closely monitored hemodynamic parameters during dialysis sessions, making necessary adjustments based on individual patient needs.
- Communicated with physicians and hospital staff regarding significant information to notify staff of issues and changes.
- Managed complex cases with multiple comorbidities, coordinating care across various medical disciplines.
- Recognized changes in each patient's condition and adjusted dialysis treatments on daily basis.
- Developed strong rapport with patients and their families, addressing concerns regarding acute dialysis process.
- Delivered compassionate care to patients during challenging times, fostering trust and strong patient relationships.
- Served as resource within healthcare team, sharing expertise on acute dialysis treatments and supporting colleagues in their professional growth.
- Advocated for patient needs, communicating effectively with physicians and other medical professionals to enhance overall care quality.
- Educated patients and families on dialysis side effects.
- Trained new nursing staff on acute dialysis procedures and best practices.
- Implemented evidence-based nursing practices, ensuring adherence to established protocols and guidelines for acute dialysis treatments.
- Coordinated discharge planning for patients transitioning from acute dialysis settings to outpatient or home-based care.
- Maintained timely documentation of all treatments provided, supporting accurate billing processes and facilitating effective communication among healthcare providers.
Registered Nurse Emergency Department
Rapides Regional Medical Center
2023.06 - 2023.09
- Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
- Demonstrated strong clinical reasoning skills when assessing patients'' conditions, initiating appropriate interventions, and escalating concerns to physicians as needed.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Acted as resource for colleagues by sharing clinical expertise, participating in educational opportunities.
- Promoted safe and supportive environment by adhering to infection control protocols.
- Enhanced patient satisfaction by delivering compassionate, culturally sensitive care tailored to individual needs and preferences.
- Answered codes quickly and orchestrated efficient, skilled medical care.
Registered Nurse Emergency Department
HCA Houston Northwest
2023.02 - 2023.06
- Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
- Cared for as many as 6 patients simultaneously, quickly identifying concerns, controlling symptoms and providing expert emergency care.
- Demonstrated strong clinical reasoning skills assessing patient conditions, initiating appropriate interventions, and escalating concerns to physicians as needed.
- Promoted safe and supportive environment for both patients and staff members by adhering to infection control protocols.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Educated family members and caregivers on patient care instructions.
- Collaborated with multidisciplinary healthcare teams to develop comprehensive care plans for patients.
- Optimized patient flow within Emergency Department by collaborating with charge nurses in coordinating bed assignments and discharges according to capacity constraints.
- Enhanced patient satisfaction by delivering compassionate, culturally sensitive care tailored to individual needs and preferences.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
Registered Nurse
East Houston Medical Center
2022.10 - 2023.03
- Managed care from admission to discharge.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Mentored new nursing staff in emergency room procedures and techniques, promoting team cohesion and supportive learning atmosphere.
- Educated patients and families on post-discharge care instructions, promoting adherence to prescribed regimens for improved health outcomes at home.
- Streamlined emergency room operations by efficiently triaging patients according to severity of their condition.
- Improved patient safety by adhering to infection control protocols and maintaining clean work environment.
- Facilitated clear communication with patients, families, and colleagues, fostering a positive environment in fast-paced setting.
- Enhanced patient care by conducting thorough assessments and promptly addressing critical needs.
- Deescalated tense situations involving agitated patients or family members through active listening skills and empathetic responses.
Travel Nurse
Fresenius Kidney Care – Innovent Global
2022.08 - 2022.10
- Managed patient care for 48 chair outpatient dialysis clinic.
- Performed comprehensive patient assessments, accurately identifying changes in patients'' conditions and adjusting care plans accordingly.
- Reduced complications by thoroughly assessing patients prior to initiating dialysis treatments.
- Streamlined workflow processes within 8 patient unit through effective coordination of resources, teamwork, and communication among staff members.
- Provided emergency care during critical situations by promptly identifying symptoms of complications or deterioration in patients'' conditions and initiating appropriate interventions.
- Educated patients on their treatment plan, medications, dietary restrictions, and self-care techniques to improve overall health outcomes.
- Improved patient outcomes by providing expert acute dialysis nursing care and closely monitoring vital signs.
- Promoted patient safety by adhering to infection control protocols and consistently performing equipment checks.
- Sustained high level of proficiency in all aspects of hemodialysis procedures through continuous education and training opportunities.
- Evaluated patients' needs for vascular access placement or maintenance; coordinated scheduling for necessary surgeries or interventions accordingly.
- Mentored new nurses to enhance their clinical skills and understanding of acute dialysis procedures.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
Travel Nurse
Eastern Connecticut DaVita Acutes – Innovent Global
2022.02 - 2022.07
- Charge Nurse managing dialysis unit for 4 patient suite.
- Reduced complications by thoroughly assessing patients prior to initiating dialysis treatments.
- Streamlined workflow processes within unit through effective coordination of resources, teamwork, and communication among staff members.
- Administered prescribed medications accurately while continuously monitoring for adverse effects or reactions during dialysis treatments.
- Provided emergency care during critical situations by promptly identifying symptoms of complications or deterioration in patients'' conditions and initiating appropriate interventions.
- Educated patients on their treatment plan, medications, dietary restrictions, and self-care techniques to improve overall health outcomes.
- Increased patient satisfaction by creating comfortable environment during dialysis treatments through compassionate bedside manner and clear communication.
- Supported interdisciplinary collaboration for optimal patient care by participating in daily rounds and communicating effectively with physicians, dietitians, and social workers.
- Improved patient outcomes by providing expert acute dialysis nursing care and closely monitoring vital signs.
- Promoted patient safety by adhering to infection control protocols and consistently performing equipment checks.
- Evaluated patients' needs for vascular access placement or maintenance; coordinated scheduling for necessary surgeries or interventions accordingly.
- Mentored new nurses to enhance their clinical skills and understanding of acute dialysis procedures.
Vascular Access Registered Nurse
HCA Kingwood
2021.05 - 2021.12
- PICC Nurse for 256 bed hospital
- Minimized risks associated with central line insertions by employing ultrasound guidance whenever possible.
- Assisted physicians in identifying optimal venous access sites based on individual patient factors, promoting successful cannulation rates with minimal complications.
- Streamlined process for vascular access device insertion by implementing evidence-based practice guidelines.
- Reduced complications through meticulous assessment of patients'' needs and appropriate catheter selection.
- Collaborated with interdisciplinary teams to optimize patient care, contributing to decrease in hospital readmissions.
- Conducted regular reviews of supply inventory and equipment functionality, ensuring prompt replacement or repair as needed to maintain efficient work environment.
- Increased staff competency by providing comprehensive training on proper vascular access techniques and equipment usage.
- Supported quality improvement initiatives, conducting audits and analyzing data to identify areas for enhancement in vascular access program.
- Maintained high standards of infection control, adhering to strict aseptic technique during all procedures.
- Improved patient satisfaction with thorough explanations of procedures and reassurance during treatments.
- Served as mentor to new hires, providing guidance on clinical skills, organizational policies, and best practices for optimal patient care in vascular access setting.
- Ensured accurate and timely documentation of all vascular access-related interventions, supporting accurate patient records and facilitating effective interdisciplinary communication.
- Acted as resource for colleagues seeking guidance on complex cases or procedural questions, fostering collaborative work environment.
Travel Nurse- Dialysis
Fresenius Kidney Care – Innovent Global
2020.08 - 2021.05
- Charge Nurse for 48 chair outpatient dialysis center.
- Reduced complications by thoroughly assessing patients prior to initiating dialysis treatments.
- Administered prescribed medications accurately while continuously monitoring for adverse effects or reactions during dialysis treatments.
- Performed comprehensive patient assessments, accurately identifying changes in patients'' conditions and adjusting care plans accordingly.
- Streamlined workflow processes within unit through effective coordination of resources, teamwork, and communication among staff members.
- Provided emergency care during critical situations by promptly identifying symptoms of complications or deterioration in patients'' conditions and initiating appropriate interventions.
- Improved patient outcomes by providing expert acute dialysis nursing care and closely monitoring vital signs.
- Evaluated patients' needs for vascular access placement or maintenance; coordinated scheduling for necessary surgeries or interventions accordingly.
- Mentored new nurses to enhance their clinical skills and understanding of dialysis procedures.
Staff RN- Emergency Department
HCA Clearlake
2020.08 - 2020.12
- Administered life-saving interventions including CPR, defibrillation shocks, or advanced airway management techniques during cardiac emergencies.
- Improved patient outcomes by providing high-quality emergency nursing care in fast-paced medical environment.
- Collaborated with case managers and social workers to connect patients with resources such as substance abuse treatment programs or mental health services.
- Maintained accurate documentation of all patient interactions, assessments, treatments, and interventions in accordance with hospital policies and regulations.
- Provided critical support during emergency procedures such as intubations, central line placements, and rapid sequence inductions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Delivered important IV and venous medications to control symptoms and provide effective treatments.
- Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
- Educated family members and caregivers on patient care instructions.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Staff RN
HCA Southeast
2019.08 - 2020.08
- PICC RN
- Minimized risks associated with central line insertions by employing ultrasound guidance whenever possible.
- Reduced complications through meticulous assessment of patients'' needs and appropriate catheter selection.
- Collaborated with interdisciplinary teams to optimize patient care, contributing to a decrease in hospital readmissions.
- Conducted regular reviews of supply inventory and equipment functionality, ensuring prompt replacement or repair as needed to maintain an efficient work environment.
- Increased staff competency by providing comprehensive training on proper vascular access techniques and equipment usage.
- Supported quality improvement initiatives, conducting audits and analyzing data to identify areas for enhancement in the vascular access program.
- Maintained high standards of infection control, adhering to strict aseptic technique during all procedures.
- Improved patient satisfaction with thorough explanations of procedures and reassurance during treatments.
- Demonstrated commitment to professional growth through active participation in continuing education opportunities and relevant conferencesworkshops.
- Promoted a culture of safety within the department by regularly reviewing policies and updating protocols as necessary.
- Served as a mentor to new hires, providing guidance on clinical skills, organizational policies, and best practices for optimal patient care in the vascular access setting.
- Enhanced patient outcomes by performing timely and accurate vascular access procedures.
- Expedited patient discharge through prompt removal of unnecessary lines, reducing overall length of stay in the hospital setting.
- Ensured accurate and timely documentation of all vascular access-related interventions, supporting accurate patient records and facilitating effective interdisciplinary communication.
- Acted as a resource for colleagues seeking guidance on complex cases or procedural questions, fostering a collaborative work environment.
- Developed strong rapport with patients, families, and caregivers to facilitate trust and open communication about care plans and expectations throughout the course of treatment.
- Facilitated smooth transitions between units for patients requiring ongoing vascular access care, ensuring seamless continuity of treatment.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Dialysis Registered Nurse
HCA Southeast
2016.08 - 2019.08
- Coordinated care with other healthcare providers, such as dietitians and social workers, to ensure comprehensive support for patients during their dialysis journey.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Improved patient outcomes through diligent monitoring of vital signs and timely intervention when necessary.
- Assisted in training new staff members on dialysis procedures, policies, and equipment usage ensuring consistent high standards of patient care across unit.
- Reduced complications by accurately assessing patients'' needs and adjusting treatment plans accordingly.
- Established strong rapport with patients through active listening skills, empathy, and genuine concern for their wellbeing during treatment sessions.
- Educated patients and their families on kidney disease management, empowering them to make informed decisions about their health care.
- Enhanced patient comfort by providing attentive and compassionate care during dialysis treatments.
- Provided emotional support to patients coping with chronic kidney disease, helping them navigate complex medical information while maintaining hope for improved health outcomes.
- Ensured optimal equipment performance through routine maintenance checks and prompt troubleshooting when issues arose.
- Kept current with industry advancements through ongoing professional development, attending conferences, workshops, and seminars relevant to field of nephrology nursing.
- Increased patient safety by adhering to strict infection control protocols throughout dialysis process.
- Served as resource for colleagues seeking guidance on challenging cases or procedural questions related to dialysis nursing practice.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Monitored patient reactions after administering medications and IV therapies.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
Dialysis Registered Nurse
DaVita Kidney Care
2015.06 - 2016.08
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Coordinated care with other healthcare providers, such as dietitians and social workers, to ensure comprehensive support for patients during their dialysis journey.
- Improved patient outcomes through diligent monitoring of vital signs and timely intervention when necessary.
- Maximized staff efficiency by effectively delegating tasks and managing schedules in fast-paced clinical environment.
- Developed customized teaching materials for individual patients based on their unique learning needs, promoting better understanding of treatment plans and self-care responsibilities.
- Reduced complications by accurately assessing patients'' needs and adjusting treatment plans accordingly.
- Established strong rapport with patients through active listening skills, empathy, and genuine concern for their wellbeing during treatment sessions.
- Implemented evidence-based practice guidelines into daily patient care, enhancing overall quality of services provided within dialysis unit.
- Educated patients and their families on kidney disease management, empowering them to make informed decisions about their health care.
- Enhanced patient comfort by providing attentive and compassionate care during dialysis treatments.
- Collaborated with interdisciplinary team members to ensure comprehensive care for all patients undergoing dialysis.
- Increased patient safety by adhering to strict infection control protocols throughout dialysis process.
Education
Bachelor of Science in Nursing - Nursing
UTA Arlington
Arlington, TX 2019.01 - Current
Associate degree in Nursing -
San Jacinto College
2015.05 -
Skills
Precepting
Nursing staff leadership
Bilingual
Meditech
BLS
ACLS
FRESENIUS K /T MACHINES,BRAUNS
Certification
ACLS
Accomplishments
- EMR Technology: Meditech
- Epic
- T System
- On 2019 initiated Nurse driven Ultrasound Guided Vascular Access Team, priding in bedside placement of PICC lines, Midlines and ultrasound guided IV’s, increasing patient satisfaction and phlebitis incidence.
Leadership Experience
Developed and lead an in-house central line education package to reduce Central Line Acquired Bloodstream Infections (CLABSI). As a result, CLABSI’s were reduced by over 80 %, this was achieved by implementing evidence-based practice and hands on skills fair to increase staff confidence on managing different vascular accesses.
References
- Ashley Fleming MSN-FNP, Emergency Department Director | East Houston Medical Center | (832) 347 - 5557
- Melissa Ceron, RN-MBA, Hemodialysis Unit Director, HCA Southeast, (832) 421 - 7327, Melissa.rodriguez2@hcahealthcare.com
- Chatram Mahabal FNP - RN, Dialysis Unit Clinical Manager, DaVita (Eastern Connecticut Acutes), (860) 477 – 7072, Chatram_mahabal@yahoo.com
Timeline
Registered Nurse
STG International Inc.
2024.03 - Current
Acute Dialysis Registered Nurse
Fresenius Medical Care Holdings Inc.
2023.09 - 2023.12
Registered Nurse Emergency Department
Rapides Regional Medical Center
2023.06 - 2023.09
Registered Nurse Emergency Department
HCA Houston Northwest
2023.02 - 2023.06
Registered Nurse
East Houston Medical Center
2022.10 - 2023.03
Travel Nurse
Fresenius Kidney Care – Innovent Global
2022.08 - 2022.10
Travel Nurse
Eastern Connecticut DaVita Acutes – Innovent Global
2022.02 - 2022.07
Vascular Access Registered Nurse
HCA Kingwood
2021.05 - 2021.12
Travel Nurse- Dialysis
Fresenius Kidney Care – Innovent Global
2020.08 - 2021.05
Staff RN- Emergency Department
HCA Clearlake
2020.08 - 2020.12
Staff RN
HCA Southeast
2019.08 - 2020.08
Bachelor of Science in Nursing - Nursing
UTA Arlington
2019.01 - Current
Dialysis Registered Nurse
HCA Southeast
2016.08 - 2019.08
Dialysis Registered Nurse
DaVita Kidney Care
2015.06 - 2016.08
Associate degree in Nursing -
San Jacinto College
2015.05 -
Staff RN Intensive Care Unit (ICU)
CHRISTUS St. Frances Cabrini Hospital
1 2024 - 2024.06
ACLS
BLS
PALS
TNCC
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