Vilma Rosario Rubio

Performed accurately and timely assessment of every patient scheduled for a same day procedure

• Prepare patient for scheduled surgery; start by getting medical history, critical information that will insure post-surgical recuperation and outcome, start intravenous fluid infusion, blood sugar checks, ongoing vitals sign monitoring
• Monitor post-surgical procedures; vital signs, oxygen saturation, and involve family in teaching post procedure instructions
• Conduct an assessment and prioritized plan of care based on a comprehensive assessment, desired outcomes, and current knowledge of disease process for every patient assigned for the day
• Safely implements the plan of care for patients, both directly or by delegation license Vocational Nurse, Nursing assistance and nursing students
• Monitor post of patients after a procedure and evaluates their response before discharged
• Effectively communicates in writing and orally with patients/families and other health team members
• Demonstrates and promotes professional practice of all members of the nursing care team

Pediatric Same Day Clinic and subspecialty clinics. (RN1-RN11)

Provide patient care by carrying out policies and procedures within scope of practice in the pediatric population.

Conducts a comprehensive assessment of pediatric patients from newborn to twenty years old.

Provide care to patients and families as individuals in their role as a new parent(s) and provide teaching and referrals as needed.

Collect health history, including present illness, medications, allergies, vaccination status, as well as past medical, psychological, spiritual, and family history.

Conduct initial assessment; triage pediatric and prioritize infants that comes in respiratory distress. Obtain vital signs and health information that can help provider in treatment plan.

Organized and managed care of patients in subspecialty clinics that are going for various therapy and procedures.

· Prioritize pediatric patients that present to Same Day Clinic in respiratory distress or other health conditions that require immediate attention and involve pediatrician on duty to evaluate patients for sooner treatments.

· Include: Prepare and conduct daily Briefs to providers and staffs to ensure teamwork and shared mental model.

· Delegate task to other healthcare team members according to their scope of practice and follow up within the completion of tasks.

· Monitor Patients in respiratory distress that require immediate assessment, treatment and intervention in transferring to the emergency room or higher level of care.

· Collaborated with physicians to immediately assess patients and deliver appropriate treatment while monitoring any changing conditions.

· Provide treatments such as respiratory treatment, allergy reaction, IV insertion for hydration, IV antibiotic treatment, blood drawn, and ED transfers for further care or admission to pediatric floor.

· Monitor Same Day Clinic Flow; follow up newborn checkups, weight check return appointments and two weeks checks.

· Collaborate with interdisciplinary teams on different specialty clinics, organize and monitor specialty referrals.

· Monitor Genetic clinic referrals; organized and arrange clinic follow ups for test results.

· Collect blood sample via heel stick for bilirubin checks, blood cultures, urine sample via foley catheter in and out and ear irrigations.

· Educate families and caregivers on diagnosis and prognosis, treatment and disease process and management.

• Home health duties include but no limit to admission, home health services recertification and discharge
• Complete an initial assessment of the patient and family at their home to determine healthcare interdisciplinary referrals
• Initial assessment includes comprehensive assessment of health history, including present illness, medications, allergies, vaccination status, home environment of patient safety as well as past medical, psychological, spiritual, and family history
• In addition, Initial assessment identified the needs of individual patients in order to incorporate them in the plan of care
• Plan and collaborate with the patient/family and the interdisciplinary team in planning, implementing an individualized plan of care
• Provide follow up and conduct reassessment, treatments such as antibiotics administration via peripheral vein, intermittent catheterization for urine specimen, blood drawn, and intravenous fluids therapy hydration
• Conduct ongoing environment assessment and provide the appropriate home referrals, report any change in condition to the patient's primary doctor
• Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient
• Acts as a Case Manager when assigned by a Clinical Supervisor and assumes responsibility to coordinate care for assigned caseload

• Assist Registered Nursing staff in providing dedicated follow-up care to adult Medical/Surgical patients in the outpatient setting
• Recognized the need for emergency care; initiated life-saving actions in emergencies and alerted the nurse in charge or physician
• Review patient records and gather patient information including diagnostic studies, laboratory results, immunization status, etc
• In accordance with the physician’s orders administered medication and immunizations orally and by intramuscular and subcutaneous injections, and monitored responses
• Interview patients to obtain medical history, observe patient's condition and take appropriate nursing action as needed
• Documented patient vitals, behaviors and change in conditions to communicate concerns to supervising RN
• Prepared patients for surgery, educating patients and family members on surgical procedures
• Organize exam room, equipment, instruments and supplies, and prepare patient for examination by physician
• Worked with a multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions
• Served as a Monitor Tech on a Telemetry Ward

• Provided one-on-one patient care for pediatric patients in the home setting, caring for infant girls and 8-year-old, respectively
• Administered medications by G-tube, monitored vital signs, documented developmental progress of children, and reported any change in medical status to supervisor
• Provided direct patient care, stabilized patients and determined the next course of action
• Complete all documentation in accordance with policy and procedure
• Must work closely with team members to provide the optimal care and services