First Name: Bijaya Last Name: Aryal

Email: ad3w47@r.postjobfree.com Phone #: +1-301-***-****

Country of Birth: Nepal

Summary:

Skilled professional Registered Nurse with Fifteen years of experience. In CVICU/ICU (Ten Years) and in ED, IMCU and Floor Prior CVICU (Five Years).

03/01/2021 to Present:

Hospital: AHC-White Oak Medical Center, Calverton, MD

Position: Registered Nurse (RN II)

Unit: ICU/CVICU

Nurse: Patient ratio: 1:2

Total beds in unit: 32

Duties

Use of nursing process: assessment, planning, interventions, and evaluation.

Taking care of patient with open heart surgery (CABG, valve repair, TAVR, Bentalls Procedures, AAA repair, Abdominal Aortic Aneurysm, Repair and other general cases: - (Patient with stroke, TNK therapy, ETOH abuse, compartment syndrome, DVT cardiac catheterization. Provide direct bedside care to stroke, intracranial hemorrhage, sub-acute stroke, subdural hemorrhage and neurological surgeries.

Assist and Removal of invasive hemodynamic monitoring, e.g., Arterial, CVP, PA catheter and A- line and intra osseous.

Therapeutic modalities including chest tube maintenance, temporary external pacing, permanent invasive pacing, ventilator support, CRRT, peritoneal dialysis, emergency resuscitation including defibrillation/cardio-version, management of IABP.

Medication delivery and pharmacological interventions including intravenous inotropes and pressors, anti-arrhythmic, anti-hypertensive and anticoagulant drugs (epinephrine, phenyl epinephrine, norepinephrine, milrinone, dopamine, dbutamine,,amiodarone, nicardipine, heparin and argatoban). Other medications- adenosine, digoxin, antibiotics, potassium, calcium and sodium bicarbonate.

Continuous cardiac monitoring with dysrhythmia and interpretation. Taking 12 leads EKG.

1.Blood and blood products administration.

2.Setting up ventilator and CRRT machine. Management of artificial airways and mechanically ventilated patient.

3.Provide direct bedside care to stroke, intracranial hemorrhage, sub-acute stroke, subdural hemorrhage and neurological surgeries.

4.Performed frequent in-depth physical assessment and neurological checks on assigned patients.

5.Oxygen therapy and pulse oximetry.

6.Maintenance of skin integrity.

7.Nutritional support (enteral feedings, TPN and patient weights).

8.Psychosocial and emotional support for patient and family.

9.Infection control and safety management.

09/2008 to 12/2020

Hospital: Shahid Gangalal National Heart Centre; Bansbari,Nepal

Position: Staff Nurse

Unit: CVICU

Nurse:Patient ratio: 1:2

Total beds in unit: 13

Duties:

Use of nursing process: assessment, planning, interventions, and evaluation.

Taking care of Patient with open heart surgery (CABG, valve repair, Congenital Heart Disease(ASD,VSD), TAVR, Bentalls Procedures, AAA repair, Thoracic Aortic Aneurysm Repair and other cases :- (Patient with stroke, myocardial infarction, pulmonary edema, pulmonary embolism, embolization, anginal pectoris, pericarditis, Streptokines therapy, cardiac catheterization, Cardiac temponade, Permanent pacemaker, Cardiomegaly, Rheumatic heart disease, rheumatic arthritis, infective endocarditis and handling temporary pacemaker.

Assisting and removal of invasive hemodynamic monitoring, e.g., Arterial, CVP, PA catheter and A- line and intra osseous. Assisting ET tube and tracheostomy insertion and suctioning.

Continuous cardiac monitoring with dysrhythmia and interpretation, taking 12 leads EKG.

10.Therapeutic modalities including chest tube maintenance, temporary external pacing, permanent invasive pacing, ventilator support, CRRT, peritoneal dialysis, emergency resuscitation including defibrillation/cardioversion, management of IABP and ECMO.

11.Performing ABG, Mix Venous and ACT and Interpretation.

12.Medication delivery and pharmacological interventions including intravenous inotropes and pressures anti-arrhythmic, anti-hypertensive and anticoagulant drugs (phenyl epinephrine, norepinephrine, milrionone, dopamine, dobutamine, amiodarone, nicardipine, heparin and argatroban). Other medications- adenosine, digoxin, antibiotics,potassium,calcium,and sodium bicarbonate.

13.Blood and blood products administration.

14.Setting up ventilator and CRRT machine. Management of artificial airways and mechanically ventilated patient.

14.Provide direct bedside care to stroke, intracranial hemorrhage, sub-acute stroke, subdural hemorrhage and neurological surgeries.

15.Performed frequent in-depth physical assessment and neurological checks on assigned patients.

16.Oxygen therapy and pulse oximetry.

17.Maintenance of skin integrity.

18.Nutritional support (enteral feedings, TPN and patient weights).

19.Psychosocial and emotional support for patient and family.

20.Infection control and safety management.

Educational Qualifications:

Degree/Diploma

School

Address

Passed Year

School Leaving Certificate

Blue Wren Boarding High School

Kalanki- 14 Kathmandu

2003

Proficiency Certificate Level in Nursing. (3 years course)

Phulchoki Nursing High School

(Affiliated to Council for Technical Education and Vocational Training, Nepal)

Banepa, Nepal

2006

Bachelor's in nursing

JF Institute of Health Sciences

(Affiliated to Tribhuvan University)

Balaju, Kathmandu, Nepal

2012

Nursing License: Nepalese RN

Issued On: 29th June 2007

Continuing Education Courses:

Basic Life Support (BLS) and Advanced Cardiac Life Support Training (ACLS).

Inservice education organized by Adventist White Oak Medical Center.

Pediatric Nursing Conference, Kathmandu, Nepal October 28-29, 2015.

Second Nepal Emergency Medicine Conference, 27 March to 6 April 2013, Kathmandu Nepal,Disaster Preparedness, Pre-Hospital Emergency Care and Emergency.

Equipments Used

1.Standard precautions (gloves, masks, aprons)

2.Stethoscope/ Sphygmomanometer

3.Thermometers

4.Urinals, bed pan

5.Suction apparatus

6.Syringe pump (Terumo, B braun)

7.Infusion pump (JMS, Terumo)

8.Ventilators (Macquet, Drager, Siemens, NewPort)

9.ABG machines (ABL, Nova)

10.Bair hugger

11.Defibrillator

12.Intra-aortic Balloon Pump

13.ECG machine

14.Temporary Pacemaker

15.Negative Suction Machine

16.ECMO machine

17.Warmer for blood products

18.Pulse Oximetry

19.Intracranial pressure monitor

20.Cautery Machine

21.PMO Kit/Lines

22.Doppler Machine

23.Vibrator for Physiotherapy

24.Advanced Haemodynamic Monitoring including Flo trac Sensor, Volume view set

25.Continuous renal replacement therapy

26.Monitor disposable ICU equipments include urinary (Foley) catheters, catheters used for arterial and central venous lines, Swan-Ganz catheters, chest and endotracheal tubes, gastrointestinal and nasogastric feeding tubes, and monitoring electrodes.

Shahid Gangalal National Heart Centre

200 bed capacities, tertiary hospital, is full fledged hospital which deals with the wide variety of cardiac cases and one of the busiest cardiac centre in Republic of Nepal and is the nation’s leader in cardiac care. SGNHC has established as national referral centre of cardiology and cardiac surgery. It provides accreditation to National academy of health sciences for MD (Anesthesia) and DM in Cardiology, B.P Koirala institute of health sciences for MD (Anesthesia), College of Physicians and Surgeons, Pakistan for fellowship.

Services provided are Cardiac Surgery which includes Coronary revascularization, Valve surgery, Congenital heart repair, Aortic aneurysm repair and under cardiology its non-invasive cardiology (Electrocardiography, Echocardiography, Fetal Echocardiography, Holter monitoring, Treadmill testing, Carotid Doppler, Ambulatory blood pressure monitoring) and Interventional Cardiology (Cardiac Catheterization, Coronary angioplasty, Peripheral Angioplasty, Transesophageal echocardiograph, Electrical Cardio version, Electrophysiological study, Reablation, Pacemaker implantation, Pacemaker Programming,Stress echocardiography (Dobutamine), Percutaneous mitral valve commissurotomy, Balloon Pulmonary Valvotomy, device closure, Cardiac re- Synchronization Therapy, Coil embolization, 3D echo etc.

Email: ad3w47@r.postjobfree.com

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