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Title Registered Nurse Emergency Department
Target Location US-FL-Palmetto
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Registered NurseCandidate's Name
 NCLEX  CRNE  ECG  ACLS  BCLS  PALS NIHSSCurrent practicing registration as a Registered Nurse with Florida BON RNCurrent practicing registration as a Registered Nurse with British Columbia College of Nurses & Midwives (BCCNM)Completion of post graduate Candidate's Name .Current NIHSS certifiedCurrent BCLS, ACLS, PALS certifiedPROFESSIONAL ExperienceER Registered Nurse  Emergency DepartmentTampa General Hospital -Trauma Level I, Tampa, FLCurrent certification BCLS, ACLS, PALS an NIHSS CertificationER Registered Nurse  Emergency DepartmentCleveland Clinic Indian River Hospital Vero Beach, FLER Registered Nurse  Emergency DepartmentRoyal Columbian Hospital- Trauma Level I, New Westminster, BC, CanadaJuly 2023  July 2024May 2022  May 2023April 2019  Sep 2021Serving as member of interdisciplinary healthcare team in providing critical care and performing life-saving interventions in a fast-paced Emergency Department Trauma Level 1Assess patients conditions immediately upon arrival, reviewing EMT /triage reports, patient interview determining initial prioritization according to patient emergent needs /CTAS levelCollect baseline and pertinent data from patient, head to toe assessment, monitor, evaluate, anticipate, and recognize changes or decline in patient conditionsAble to employ a systematic assessment approach and rapidly implement urgent initial and ongoing interventions to stabilize or minimize patient health deteriorationCollaborate and closely communicate and report to physician, charge nurse and health care team about findings and changes in patient conditionAble to anticipate patient needs and make clinical decisions supported with appropriate knowledge and following physicians ordersEfficiently and knowledgeably provided RN care for all ER patients, urgent and non-urgent care patients by administering and monitoring high alert medications infusion, IV insertion, PICC line care/removal and IVAD insertion/removal, obtaining blood samples from CVC using needles system, conscious sedation, splinting, hypothermia protocol, recognition of dysrhythmia and lethal rhythms, handled intubations, defibrillations, cardioversion, blood & blood product transfusions, CAPD exchange, CBI insertion and trouble-shooting, Foley insertion, suprapubic catheter care, nasogastric insertion and care, enteral and parenteral feeding, nephrostomy tube care, draining, and removal, teaching use of crutches, packing and complex wound care including negative pressure wound therapy, tracheostomy care.Ensure an organized, efficient, and active flow of patients. Able to provide care for 15-25 CTAS 2 and CTAS 3 patients per shiftManage multiple discharges and hospital admissions as part of daily routineDocument all assessments, interventions, and patient responses-using appropriate Emergency recordsLeverage interpersonal communication strengths to establish rapport and build trust with patients and familiesAbility to promote person-centered care that demonstrate empathy for patients and families, sensitivity to diverse cultures and preferences, and patient advocacySupervised CNA's and managed workflow to maintain efficient and effective patient careAbility to teach and instruct patients and families about topics essential to their health and well beingRegistered Nurse Transition position -SSDTU (Short Stay Diagnostic Treatment Unit) -Emergency DepartmentRoyal Columbian Hospital - New Westminster, BC, CanadaMay 2017- March 2019Providing care for SSDTU appropriate patients (asthma, COPD, CHF, GI bleed, chest pain, hyperglycemia, hypoglycemia, pneumonia, seizures, allergic reactions, abdominal pain, skin infection, urosepsis, renal failure, CAPD exchanges, ETOH withdrawal, palliative care, mental health and substance use, vomiting and dehydration)Ensuring that admitted patients meet the inclusion criteria and report any changes/decline and the need of escalation of careAbility to conduct comprehensive initial and ongoing focused assessment, psycho-social and pain assessment, including assessment of patient education needsPrioritize tasks, vital signs, medication, or treatment administration and adjust care priorities as per CTAS guidelinesEvaluate patients overall conditions and response to treatment through personal observation and assessment in addition to analysis of dataMaintain an orderly, efficient, and timely flow of patientsIdentify barriers to discharge in timely manner and report and consult with PCC/CNL/MDCollaborate and communicate with PCC/CNL/MD on patient care plan to coordinate and facilitate patients needs and discharge to home or appropriate departments within 24 hoursComplete admission and discharge time trackerIncorporate consistent use of hand-off communication and SBAR communication methodProvide teaching and clear aftercare instructions for discharged patientsRegistered Nurse  H1N Medicine/Hot Stroke UnitRoyal Columbian Hospital - New WestminsterCertificate in HIN Hyper-Acute StrokeMay 2016  May 2017Ability to assess/monitor patients post t-PA administration, stroke and after IR proceduresAssessment and knowledge of interventions for TIA and CVAUse of stroke scales including Cincinnati Stroke Scale, National Institutes of Health Stroke Scale for neurological assessmentDysrhythmia interpretation and management; monitoring for intracerebral and subarachnoid hemorrhage, ICP; constant monitoring and management of blood sugar and hypertension post strokeAbility to detect changes/deterioration in patients status and take the appropriate steps regarding escalation of care such as communicating with neurology physician by using SBAR and following FH ED Hot Stroke protocols, consulting the ICU Outreach Team or neurovascular imagingArranging repatriation for hyperacute stroke patient to the initial admitting siteAble to use MediTECH system for accessing patient data and order entryUnderstanding principles of patient and family centered careIn charge nurseIn-charge nurse: communicate with PCC factors hindering ability to provide safe care including workload, patient acuity, equipment, and team issues.Collaborating with ER PCC to ensure/assist with fluidity of patient, decantation of patients to the appropriate units; promote and ensure safe discharge in collaboration with other health care team such as OT, PT, HH, Geri RN, Palliative care teamDirect and supervise care delivered by other healthcare personnel like LPNs and nurse aidesTrained and mentored new employees, new graduates, and studentsRegistered Nurse  MedicineRidge Meadows Hospital - Maple RidgeJuly 2014 March 2019Ability to complete initial and ongoing physical assessment of medical admitted patientsConsistently conduct timely evaluation, anticipate, and recognize changes in patient condition, determine when reassessment is needed and adjust the plan of care accordinglyCommunicate timely and effectively with physicians and other members of the patient care team regarding health status changes, diagnostic results or other pertinent information or concernsAble to independently prioritize, manage workload and make decisions regarding interventionEstablish collaborative partnerships with the nursing team, multi-disciplinary team members, and work to foster collaborative decision making to coordinate and facilitate patients needsAbility to promote person-centered care that demonstrate empathy for patients and families, sensitivity to diverse cultures and preferences, and patient advocacyAbility to communicate effectively with patients, families, and heath care teamAbility to teach and instruct patients and families about topics essential to their health and well beingSupervised CNA's and managed workflow to maintain efficient and effective patient careMake accurate and timely entries into patient medical record addressing all steps of the nursing processSupport, mentor and supervise students and new employees in learning process and understanding floor routineDexterous with a large spectrum of skills: handled blood and blood products transfusions, IV insertions/ infusion therapy, IVAD insertion, PICC line care and removal, TPN infusions, insertion & maintenance of NG, OG and GJ tubes; colostomy/ostomy care, chest tubes; Foley insertion, CBI insertion & troubleshooting, complex wound care including negative pressure wound therapy, swallowing assessmentNursing AssistantSept. 2006  Jan 2015Hawthorne Seniors Care Community - Dementia Care CottagesPort CoquitlamNursing AssistantSunrise Senior Living  Dementia Care UnitNorth VancouverJune 2006 - Jan. 2007Account Payable ClerkBest Buy CanadaVancouverJan. 2005  March 2005Geology and Environmental Science TeacherHigh School of Economics and Administration, Iasi, RomaniaSept. 2002 - March 2003Volunteer work - Volunteer for Adult Day ProgramsHawthorne Seniors Care Community, Port Coquitlam2005  2006EducationNCLEX under Florida Board of Nursing (Multi-state)January 2021Advanced Certificate in Emergency Nurse Specialty BCIT,With DistinctionMarch 2018-2019Bachelor of Science in NursingDouglas CollegeCurrent CPR (HCP) and NVCI Training, CE Mental Health and CRNBC registration/licencePracticum experience: Royal Columbian: neurosurgery (4 North); Surrey Memorial: medical, acute/surgical/neurology/maternity/pediatrics;Peach Arch: medical, Delta: medical; Langley: medical (sub-acute); WISH Drop-In Centre: community; Fraser Health: home health (including ambulatory clinic, adult day program, hospice); Burnaby Centre for Mental Health and Addiction: mental healthAttended Delirium vs. Dementia Workshop at St. Pauls Hospital, VancouverCompletion of NURS 442-Gerontological Nursing (Athabasca University)Sept. 2008-Apr 2013Home Support/Resident Care Attendant CertificateDouglas College2005  2006Accounting Management ProgramDouglas College2004  2005Bachelor of Science in Geography and Environmental ScienceFaculty of Geography and Geology, AL. I. Cuza University of Iasi, Romania1997  2002

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