Douglas Isotalo, RN

acfazp@r.postjobfree.com

**** ******** **, #***

Sacramento, Ca 95825

253-***-****

Summary of Qualifications: Registered Nurse

• Highly skilled career professional with 10 years practical experience in Acute, and Outpatient care

environments – foundations in Med/Surgical, ICU, Corrections, Nephrology, and Hospice.

• Inpatient and Outpatient clinical setting patient support: including assessment, counseling,

education regarding medications and treatments, IV infusions, wound care, lab work, Medtronic

Pump mgt for pain and s pasticity, ECG, documentation with care plan for diagnosis, and

administration of treatment procedures in regards to various patient populations.

• Computer skills, electronic nursing documentation, managing daily patient volume including

telephone triage, appointment scheduling, patient referral and inventory. Proficient in all

documentation/record maintenance/paperwork to ensure accuracy and patient’s confidentiality.

• Experienced in teaching patients and mentoring Nurses Aids, Practical Nurses, Patient Care Techs

in: Patient Care, medications, treatments, vascular access, IV infusions, IV access, PICC Lines,

Ports and Central Lines

• Able to take charge, enjoy staff development for positive changes to improved outcomes, and

educating patients/families in a holistic manor

• Maintained accurate physical assessments/response to interventions, report and document

symptoms and changes in patients’ conditions to multidisciplinary healthcare team, that may include

– facility administration, MD, Specialists, PCP, ARNP/PA,RN, Pharmacist, Social Work, PT/OT and

Spiritual Counselor

• Assess/Monitored all aspects of patient care, physical, mental status, diet and activity of daily life

• Solid in lab interpretation, advising physicians, implementing interventions, and facilitate with

medical professionals short and long term goals per care plan.

• Consulted and coordinated with health care team members to assess, plan, implement, and

evaluate patient care plans

• Directed and supervise and collaborate with: Nursing aids, Licensed Practical Nurse, Dialysis

Technicians, Mental Health Aids, troubleshoot patient care, establish goals and interventions for

patient health maintenance and improved outcomes in patient care

• Directed and coordinated infection control programs, advising and consulting with specified

personnel about necessary precautions

• Prepare patients for dialysis treatment, care for a variety of vascular accesses and troubleshoot

difficulties and order medical intervention as needed

• Pain and acute symptom management in Acute/Outpatient, long term and Hospice environment

including family support.

• Experienced in ESRD patient care management – both in Chronic outpatient and Acute inpatient

Setting

• Managed and operated dialysis machines and CRRT – B. Braun, Gambro and Fresenius

• Patient and Staff advocate – Passion for providing a safe and effective treatment for our patients.

• Accountable and Reliable – Love what I do

Work History:

Present – Travel

Modesto, California Memorial Hospital/ Sutter Health /AMN

Two 13 week contracts

San Jose Ca, Acute HD RN

Role: Acute Travel RN

Per physician’s orders provided treatment to patients needing Acute Hemodialysis and CRRT Dialysis. Worked

autonomously, and with on call responsibilities. Took time to educate patients and their families in what they could do to

avoid coming back to the hospital.

12/05/2012 – 7/28/2013 Fresenius

Lacey, Washington

Role: Acute Dialysis RN – Multi Care Hospitals Tacoma General – Good Samaritan

Per physician’s orders provided treatment to patients needing Acute Hemodialysis and CRRT Dialysis. Worked

autonomously, and with on call responsibilities. Took time to educate patients and their families in what they could do to

avoid coming back to the hospital.

03/2012 11/13/2012 Oregon State Hospital

Portland, Oregon

Role: Acute Mental Health RN, Charge

Responsible for observing and assessing Client’s physical and psychological condition, as well as behavioral changes.

Assess medication or food allergies and monitor client response tolerance to medications. Assess resident’s nutritional,

grooming and hygiene condition and assure that needs are met through appropriate assignments.

Assess treatment needs and develop Nursing Care Plans, make changes to treatment when indicated. Maintain timely

and accurate written records, including Nursing Care Plans, treatment plans, progress notes, medications and case

records of unusual incident reports involving clients.

Participate as a member of the Interdisciplinary Team to develop and plan scope of treatment for the clients.

Communicate pertinent observation of client activities, behavior, attitudes, response to treatment objectives, psychiatric

and physical condition, effect of routine and PRN mediations to the Team.

04/18/2011 01/24/2012 DSI

Portland, Oregon

Role: Nocturnal Charge/Evening Charge Nurse

15 station facility – only RN licensed professional on duty – directing PCT’s and providing assessments, pre intra post

treatments, administering medications per physician’s orders, educate patients and staff, provide timely documentation,

being a patient advocate. Worked effectively with the healthcare team on the safe administration of care to our chronic

patients.

09/12/2009 10/20/2010 Corrections/Cascade Healthcare Services

Seattle, Washington

Role: Staff RN Med Surgical Facility at the Monroe Correctional Complex

Provides professional nursing services including: Screening, assessing, and evaluating offenders and the conditions

where they live and work to ensure that they are well, safe and their health care continues Collaborates and triages with

other members of the interdisciplinary health care team to develop comprehensive plans to provide continuity of care

Delivers services which promote health, foster healing and support coping with adjustment to various health conditions

Monitoring, managing, coordinating, and delivering health care in an acute inpatient as well as outpatient settings.

Assisting patients to improve their skills with the ability to provide care for themselves and their family. Respond to medical

emergencies, physical assessment, deliver First Aid and stabilize for further emergent evaluation and treatment.

Counseling, consulting, teaching, advising, providing health information that improves quality health services and/or

enhances safety and security of the offender. Be a positive role model. Be supportive to the Corrections Officer. Supports

a team effort to keep everyone SAFE.

01/06/2009 – 08/22/2009 Western State Hospital

Lakewood, Washington

Role: Acute Care Mental Health/Forensics/Admissions

Performed assessment and evaluation, focusing on the psychosocial needs of the patient, court’s and family; facilitates

family conferences as appropriate Interpreted social, emotional and family stress to members of the care team as it relates

to patient's problems and plan of care. Planned and coordinated interventions; communicated plan to interdisciplinary

patient care team and evaluates effectiveness of interventions for identified patients and families. Advocated on behalf of

patients and caregivers for service access, and for the protection of the patient's health, safety and legal rights. In

addition, advocated on behalf of the organization to promote safety, quality and appropriate resource utilization.

Completed documentation responsibilities as identified by department policy, regulatory agencies and court orders.

Provided consultation to staff and physicians on patient issues and provided protocol clarification/guidance. Developed

and maintained professional relationships with medical staff, clinical team, community providers and payers to promote

effective coordination of care across the continuum of services. Attends and actively participates in committees as

appropriate for service in regards to quality of care and outcomes.

02/14/2008 12/18/2008 Hospice of Kitsap County Care Center

Bremerton, Washington

Role: Staff RN In Patient Hospice Clinical Setting

Role: Admissions, Physical assessments, plan interventions, care plan and documentation per: physician’s order that

include standing orders and established standards of care and outcomes, that provide safe and compassionate care for

patients – including pain management, control nausea, and other symptom management as required. Psych Social

counseling/support for family of loved one. Provide case management of patient in regard to the multi disciplinary team

that are involved in patient care

06/2007 – 08/2009 Emerald City Medical Staffing

Tacoma Washington

Role: Medical Staffing RN

Responsibilities: Per assignment – provided safe and effective administration of care in a variety of different settings from

Med surgical, telemetry, acute, long term and outpatient surgery settings.

04/22/2007 – 02/28/2008 St. Joseph Hospital, Franciscan

Tacoma, Washington

Role: Evening Charge RN – 32 station facilities – Direct patient care as well as staffing and problem solving

Directing RN’s & PCT’s and providing assessments, pre intra post treatments, administering medications per physician’s

orders, educate patients and staff, provide timely documentation, being a patient advocate. Worked effectively with the

healthcare team on the safe administration of care to our chronic patients. Care Plans

06/04/2006 02/16/2007 Harrison Medical Center

Bremerton, Washington

Role: Acute Dialysis/Med Surgical RN

Per physician’s orders provided treatment to patients needing hemodialysis and peritoneal dialysis. Worked

autonomously, and with on call responsibilities. Took time to educate patients and their families in what they could do to

avoid coming back to the hospital. As well as float Staff Nurse on medical surgical acute care floor hospital floor.

01/05/2005 – 06/07/2006 Olympic Peninsula Kidney Center

Bremerton, Washington

Role: Dialysis RN, Staff/Charge RN

Responsibilities: Same as outlined above

Education:

Olympic College 2000/2004

Bremerton, Washington

Associates in Nursing – Graduated in top 10%, Dean’s list

Licensure:

Oregon State License, 201140944RN

Washington State License, RN001556647

California State License, Registered Nurse 751518

Affiliations:

Washington State Nurses Association, American Nephrology Nurse Association, Hospice and Palliative Nursing

Association

References: Available upon request

Contact this candidate