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Title Registered Nurse Care Unit
Target Location US-TX-Fort Worth
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Profile for Caroline Wanjiru Chege, BSN, Registered NurseSpeciality area: Critical CareTotal years of experience- 13 yearsProfessional ExperienceOctober 2022 till NowRegistered Nurse  Intensive Care UnitMedical City Fort WorthTexasAugust 2022 to September 2022Registered Nurse- Intensive Care Unit Neuro TraumaSupplemental Health care-Texas health Presbyterian DallasTexasJune 2022 to July 2022 Took a short breakMarch 2022 to May 2022Registered Nurse- Intensive Care UnitFavorite Staffing -Carlsbad Medical CenterNew MexicoCarlsbad Medical Center is a community healthcare provider, a 99-bed facility with inpatient, outpatient, diagnostic, medical surgical and emergency services.The ICU has a 12- bed capacity and offers a three to one patient to nurse ratio.August 2021 to January 2022Registered Nurse  Intensive Care UnitKrucial Staffing- Texas Health HuguleyTexasTexas health Huguley has a bed capacity of more than 350 beds, the hospital includes a medical intensive care unit, a cardiovascular critical care unit, a progressive care unit, open heart surgery center and behavioral health. They have accredited programs in Orthopedics, chest pain and inpatient diabetes, plus they have an awarding winning emergency department available 24hours a day, seven days a week. More than 350 primary care and specialty physicians provide a wide range of inpatient and outpatient servicesThe Medical Intensive Care Unit has 10 beds and is staffed with intensivists.June 2021 to July 2021-Took a short breakApril 2021 to May 2021Registered Nurse- VaccinationFavorite Staffing  San Francisco General Hospital -ZuckerbergCaliforniaSan Francisco general hospital and Trauma Center provides inpatient, outpatient, emergency, diagnostic and psychiatric services for adult and children. They offer vaccination with aim of controlling COVI D-19 Surges and protecting the communities around. The vaccination center entails, Registration, vaccination, Vial handling, monitoring and follow-upOctober 2020 to February 2021Registered Nurse- Intensive Care UnitKrucial Staffing-Shannon medical Center San AngeloTexasShannon Medical center is a Medical facility located in San-Angelo, TX . The facility is licensed for more than 600 beds and provides a variety of clinical services to meet each patients needsOctober 2019 to September 2020Registered Nurse- Intensive Care UnitGreat Plains healthNorth Platte NebraskaGreat Plains health in North Platte, Nebraska is a nonprofit, fully accredited, 116 bed regional referral center. It represent 30 medical specialties, the Great plains health system offers advanced medical services, including heart and vascular, cancer, orthopedic services, womens services and a level 3 trauma centerGreat Plains has 16 rooms for intensive care unit and an extension of another 16 rooms when the Census exceeds.August 2019 to September 2019 Was on an induction classJuly 2016 to July 2019Registered Nurse  Intensive Care UnitThe Aga Khan University HospitalWebsite: www.aku.edu/AKUHNNairobi, KenyaEstablished in 1958, Aga Khan University Hospital, Nairobi is a 300-bed private, not-for-profit institution that provides tertiary and secondary level health care services. Aga Khan University Hospital is a premier provider of ambulatory care and inpatient services, including critical care. Some of the services provided by the hospital include; Emergency, Dental, Dietic, Family Medicine, Medicine, Pediatrics, Physiotherapy, Radiology, Surgery, Gynecology, Maternal, family planning and high tech diagnostic services . It is accredited by Joint Commission International (JCI)..Intensive Care Unit has 11 rooms 1 beds in each room.Aga Khan University hospital Intensive care unit has the capacity to attend to all critically ill patients in all ages be it in trauma or medical emergencies with a nurse ratio of 2:1.January 2014 to June 2016Registered Nurse/Flight NurseKenya Red Cross Society-Emergency plus Medical ServicesNairobiKenyaEmergency plus Medical Services is a private company limited by guarantee fully owned by Kenya Red Cross Society. It has 137 ambulances with over 250 Nurse paramedics/EMT. E-plus receives approximately 5 emergency calls per ambulance per day and handles patients of all ages. It provides pre-hospital care in times of emergencies. It also provides care to critically ill and mechanically ventilated patients during transfers from one hospital to another and for special procedures.January 2012 to June 2016Accident and emergency NurseThe Aga Khan University HospitalNairobiKenyaThe Aga Khan University Hospital Nairobi is a private tertiary hospital with a bed capacity of 280.It offers quality general medical services, specialist clinics and high tech diagnostic services.Accident and Emergency Unit has 28 rooms 1beds each of which 3 beds are in the emergency room.Aga Khan University hospital Accident and Emergency has the capacity to attend to all critically ill patients in all ages be it in trauma or medical emergencies with a nurse ratio of 5:1. Accident and emergency unit attends at least 200 patients in a day.March 2010  June 2012School nurseBrook house International SchoolNairobiKenyaBrookhouse International School is an independent: private owned Round square British curriculum co-educational day and boarding school for children aged 2 to 19 years offering early years, preparatory and secondary schooling. It has approximately 130 staffs and 750 students. It offers extensive Programmes of extra curricula activities including a wide range of sports.It has 2 health clinics: one in the preparatory side which has one bed and the other in the secondary side which has 6 beds. It takes care of all medical cases arising within the institution and offers first aid and refers if need be. The school had 3 nurses who worked 2day nurses and 1 night nurse.April 2009  February 2010Clinical NurseThe most Precious blood sisters DispensaryNairobiKenyaThe most precious blood sisters dispensary is in primary level. It is an outpatient clinic and it does not offer any admissions. Admission conditions are referred to a higher level facility. It offers special services which include vaccinations, antenatal service and Laboratory investigations. It had 2 staff nurses and would attend to a total of 50 patients per day.Clinical skills summary: Perform head to toe, systemic and problem focused assessment and re-assessment of patients to identify their needs. Develop and write care plans based on patients changing needs, monitor and evaluate effectiveness of interventions. Initiate cardiac monitoring both room and central, be able to interpret monitor trends and communicate critical changes Carry out hemodynamic monitoring to include CVP, ICP, Neurological, fluid status, laboratory, radiological and ABG evaluations. Document all assessment data, investigation results, care given, discussions with the multidisciplinary team, and family /patient interactions in an accurate, comprehensive and timely manner. Recognize a patients in a pre-arrest or arrest states, and to activate Emergency Response Team and actively participate in the resuscitation of the patient by use of current BLS and ACLS techniques. Needle decompression and chest seal Prepare for and assist the physician in emergency procedures necessary for prompt control of patients condition e. g intubation, insertion of invasive lines and drains. Initiate mechanical ventilation (invasive and non-invasive) based on physician orders. Assess patients readiness for weaning and implement the weaning and extubation . Maintain adequate airway management to include oxygen therapy, nebulization and suctioning. Performing tracheostomy care Perform pain assessment and initiate analgesia. Perform hemodialysis as instructed, care for patient undergoing hemodialysis and disconnect patient from the hemodialysis upon completion of the therapy. Administering and monitoring blood and blood products Administering intravenous fluids, medications to include intravenous antibiotics, inotropes on infusion pumps, subcutaneous and PEG or NGT medications and monitoring them. Collection of specimens for laboratory investigation Taking patients for investigation e.g. X- rays, CT scan, MRI Ultrasound, CT angiography, Echo and EEG. Managing trauma patients and applying relevant stabilization appliances e.g. cervical collar, head blocks and splints Performing procedures like insertion female and male urinary catheterization, insertion of NG tube, cannulation, nebulization, suctioning and blood sugar checking Wound care and suturing Administer parenteral feeding both central and peripheral Commence enteral feeds through nasogastric tube and PEG feeding as prescribed, assess absorption and elimination and give feedback as appropriately. Removal of stitches, staples and clips Identify patient and family education needs and implement appropriate teachings. Provide safe environment for patients through adherence to infection control practices and other safety policies, and perform timely safety checks on beds, IV pumps, oxygen sources, ventilators and cardiac monitors.Cases cared for: Covid 19 Trauma Head injuries Spinal injuries Chest injuries Abdominal injuries Musculoskeletal injuries Multiple organ failure Cardiac arrhythmias Myocardial infarction Acute coronary disease, Chronic Heart Failure Meningitis Leukemia Cancers Kidney failures Poisoning Pulmonary edema/embolism Seizures, Diabetes complications Hypertensive emergencies Asthmatic emergencies Anaphylactic reactions Shock Severe Sepsis Acute brain injury Coagulation disorders COPD Pneumothorax Bronchitis Emphysema Severe Pneumonia Severe Malaria Pancreatitis Liver cirrhosis Hepatic failureSpecial equipments used: Syringe and infusion pumps Feeding pumps Piped Oxygen via nasal prongs, non rebreather mask and T-piece Portable Ventilators; Oxylog 3000 plus drager Cardiac monitors  Phillips Mechanical ventilator (Invasive and Non Invasive) Dialysis Machine ABG analysis Machine Istat 12 lead ECG machine Vital signs measuring devices Nebulizers Glucometer Stethoscope Pulse oximeter AED  Phillips Blood sugar machine  one touch, contour TS Weighing machine Autoclaving machine Suction Machine Spine board Cervical collar Scoop Kendrick extrication device Sager splint traction device Head blockEducational BackgroundDegree: From 16th July 2012 to 11th February 2015Degree earned: Bachelor of Science in Nursing (BScN)Name of University: The Aga Khan UniversityCity and Country: Nairobi, KenyaDegree: From 1st March 2005 to January 2009Degree earned: Diploma Kenya Registered Community Health Nursing (KRCHN)Name of University: Consolata Nursing School- Nyeri.City and Country: Nyeri, Kenya.Licensure & CertificatesRN License: State of Nebraska, Multi State License, License no. 89956, Expires 10/31/2024State of Texas, License no: 956257, Expires 12/31/2024Other CredentialsBasic Life Support (BLS) January2024Advanced Cardiac Life Support (ACLS) January 2024Pediatric Advanced life Support (PALS) September 2019Trauma Nursing Core Course (TNCC) September 2019

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