Critical Care Unit – * years of experience

Total RN years of experience: 13 years

Professional Experience

May 2022 to Present

Registered Nurse – Cardiovascular Medical PCU/Step down unit

** - *8 hours per week

Mayo Clinic – St. Mary Hospital

Rochester, Minnesota

Mayo Clinic is top-ranked for quality more often than any other health care organization in the US. Magnet recognized facility ensuring to deliver high-quality patient care. With a primary value that patient’s needs comes first.

The Cardiovascular Medical PCU specifically the unit caters to Heart Failure, Vascular and Structural surgery critically ill patients. Also, it serves the patients that need valve replacement and also interventions with heart rhythm abnormalities. Moreover, the unit has a patient/nurse ratio of 4:1.

Dec 2020 to April 2022

Bedside/Staff Nurse/ Flex Nurse/ 2nd CRN Lead -- Progressive Care Unit

36 - 48 hours per week

Monument Health Rapid City Hospital

Rapid City, South Dakota

Headquartered in Rapid City, South Dakota, it is a 397 staffed bed capacity, community-based health care system, teaching hospital with a mission to make a difference, every day. Monument Health is also a member of Mayo Clinic Care Network. It is committed to the future of medicine, with medical training partnerships, a medical residency program delivering excellence in health care.

The Monument Health’s progressive/step down/Intermediate care unit is a 64-bed capacity unit catering to mostly critically ill patients in intermediate acuity. PCU nurses also covers short stay observation patients that may stay overnight for procedural immediate intervention e.i. stress test, telemetry monitoring for possible next day ablation, pacemaker placement, cardiac catheterization and post-operative laparoscopic surgeries, Lithotripsy to urethral stent placement to stay overnight for pain control. It has a patient/nurse ratio of 4:1. Other cases handled in this unit are DKA, PE/DVT, GI bleed, alcohol withdrawal, drug overdose, sepsis/SIRS, CKD, ACS, respiratory cases and more.

Feb 2015 to Mar 2020

Staff Nurse/Charge ICU RN -- Intensive Care Unit

40-48 hours per week

Mactan Doctors’ Hospital

Cebu, Philippines

Mactan Doctors’ Hospital is a 160-bed tertiary, private hospital situated in Basak, Lapu-Lapu City, Cebu, Philippines. It is a member of Cebu Doctors Group of Hospitals with the same standards and goal in aiming to render high quality health care services to foreign and local patients. It is fully equipped with the newest cutting-edge technology for the finest diagnostic and therapeutic treatment.

The Intensive Care Unit has a 6-bed capacity with cardiac monitors in each room with a central monitor at the ICU nurse’s station, a complete emergency cart, and 2 standby portable cardiac monitors for defibrillation/cardioversion. Each room has its own built-in oxygen pipelines. It caters 4-6 patients per day. The ICU department has a 1-2:1 patient to nurse ratio. It is mostly a general ICU that it does not only cater adult patients but it includes pediatric and neonates.

Feb 2014 to Feb 2015

Company Nurse/ HR Staff/ Safety Officer (Basic Occupational Safety and Health)

40 hours per week

Ouroku Corporation

Cebu, Philippines

A Japanese-owned private corporation located at Mactan Economic Zone 2, Lapu-Lapu City, Cebu manufacturing of blocks and metal ducters for export to Japan with a total of 110 direct employees and contractors that visualize producing prime and high quality products towards its clients and upholds growth personally and professionally to its workers.

Feb 2012 to Apr 2013

Staff Nurse - Rotated to different units

40-48 hours per week

Visayas Community Medical Center

Cebu, Philippines

A 200 bed-capacity tertiary hospital and church-owned institution of the United Church of Christ in the Philippines that envisions to provide a holistic quality patient care in the hospital and in the community settings through competent, compassionate, and dedicated staff using the state-of-the-art technology.

Areas worked in Visayas Community Medical Center:

Nov 2012 - Apr 2013 - Intraoperative/ Scrub/ Circulating Nurse

Jun 2012 - Nov 2012 - Intensive Care Unit

Apr 2012 - Jun 2012 - Pediatric Nurse

Feb 2012 - Jun 2012 - Medical - Surgical Staff Nurse

Feb 2011 to Aug 2011

School Nurse

Cordova Catholic Cooperative School

Cebu, Philippines

Cordova Catholic Cooperative School, a Catholic educational institution, which had received its Certificate of Registration from the Cooperative Development Authority being the first educational cooperative in the Philippines catering high school students with a 1000 total population of students.

Clinical Skills Summary – Progressive Care Unit/ Intensive Care Unit

Performs a brief and focused assessment based on admitting complaints upon admission of patient in the unit also including a review of a brief patient’s history and determining risk factors of the condition.

Takes and records patient’s initial vital signs such as blood pressure, pulse rate, respiratory rate, temperature, and oxygen saturation upon admission in the ICU for baseline vital signs in comparison to ER arrival.

Reassesses full comprehensive head to toe assessment including lung sounds, heart sounds, bowel sounds, and reflexes.

Use and interpret Glasgow Coma Scale as a tool for neurological assessment and management and refer for any new unusualities.

Uses the Richmond Agitation-Sedation Scale (RASS) in assessing and managing patient in need of sedation with physician’s orders.

Monitor vital signs using continuous non-invasive vital signs monitor machine, apply cardiac monitor leads, recognize and initiate care for life threatening arrhythmia noted during cardiac monitoring.

Provides safety measures like using physical restraints and chemical restraints with physician’s orders for combative patients and may be at risk for accidental extubation or pulls out any contraptions (FBC, IJ catheter, drainage devices, IV tubing).

Assesses pain using the Numerical Rating Pain Scale for conscious adult patients and Wong-Baker scale for pediatric patients.

Assesses and prepares patient for CAT Scan (plain/ contrast) and MRI or for surgical procedure

Initiate basic life support measure/CPR and ACLS; Assist in intubation; Anticipates and initiates immediate defibrillation of life threatening shockable arrhythmia and pharmacological management of non-shockable arrhythmia.

Function as member of the unit cardiac arrest team/ recognize need for assistance of the hospital Code Blue Team.

Assist with diagnostic and therapeutic procedure e.g., incision and drainage, bedside debridement, bedside intrajugular catheter insertion and Lumbar puncture for CSF studies.

Performs peripheral IV cannulation pediatric and adult patients and administer IV fluids and manage blood and blood products based on the doctor’s order using infusion control devices

Monitor patient’s blood glucose level using a glucometer and initially interprets values to be referred accordingly

Initiates continuous assessment, evaluation of intervention, documentation in nurses’ notes assessment, intervention and management; inform the doctors on the new symptoms, changes in trend of monitoring and development of the condition of patients.

Recognize need for/ assist in endotracheal tube insertion; do suctioning per orem/nares, endotracheal and tracheostomy tube

Performs gastric lavage for nursing management of poisoning/ toxic substance abused patients

Administer nebulizer/inhaler treatments as ordered via ventilator assisted nebulization or through portable nebulizers

Draws ABG sample, and initially interpret its values then refer accordingly for further management for possible intubation, mechanical ventilator adjustments of settings and weaning or possible for extubation.

Inserts NGT and give tube medications/ feedings per Physician’s order

Performs male and female indwelling or straight catheterization.

Administer oxygen inhalation via nasal cannula, face mask, tracheostomy and endotracheal tube and also non-invasive ventilation with doctor’s orders.

Administer blood and blood products; monitor patient’s condition at the initiation, during and post blood transfusion and institute remedial action for any untoward blood transfusion reaction and its process.

Assist patients with emergency referral to other hospital; Prepare documents and ambulance transport for further management.

Cases cared for:

Cerebrovascular Diseases Hemorrhage/Infarct

Acute Coronary Syndrome – (Stemi/NSTEMI Pathway)

Cardiac Arrhythmia

Post cardiac catheterization

Post ablation

Coronary Arterial Disease

Different Types of Heart Failure

Hypertensive Cardiovascular Disease

Chronic Bronchial Asthma in Acute Exacerbation

Severe Sepsis

Obstructive Vascular Disease

Dengue Hemorrhagic fever

Post-operative Craniotomy/Craniectomy

Hepatic Encephalopathy

Bacterial/Viral Meningitis

Bleeding peptic Ulcer Disease

Liver cirrhosis

Acute Pancreatitis

Acute/Chronic Kidney Disease

Electronic Record/Equipment used:

EPIC health record

Alaris pump interoperability

PCA pumps

Infusion pump, syringe pump devices

NIBP/Manual blood pressure monitoring

Suction machine apparatus

Cardiac monitor

Portable Pulse oximeter

ECG Machine

Defibrillator

Glucometer

Mechanical Ventilators – Invasive and Non-invasive

ABG analysis machine

Educational Background

April 2011 – Not Finished

Masters of Science in Nursing – Medical-Surgical Nursing

With 30 subjects units - General Weighted Average: 1.53 (A)

Cebu Normal University

June 2006 to April 2010

Bachelor of Science in Nursing

University of Cebu – Banilad Campus

Cebu, Philippines

Training/Courses

Heparin Specialist/Superuser Class

[Completed in Monument Health Rapid City Hospital] 2022

ICU Emergency Response RN Training 2021

[Completed in Monument Health Rapid City Hospital] 2021

Certificate of Completion – “Preceptor Class for Nurses 2021”

[Completed in Monument Health Rapid City Hospital] 2021

Certificate of Completion – “Basic Occupational Safety and Health”

[Trained by Occupational Safety and Health Network- Central Visayas in Coordination with Department of Labor and Employment Region Office 7 Cebu City, Philippines] 2014

Certificate of Completion – “Intravenous Therapy Nurse”

[Trained by Association of Nursing Service Administrator of the Philippines Inc. in Coordination with Vicente Gullas Memorial Hospital Banilad, Mandaue City, Philippines] 2013

Certificate of Participation – “3 Day Basic Intravenous Therapy Training”

[Conducted at Vicente Gullas Memorial Hospital Banilad, Mandaue City, Philippines] 2013

Licenses & Certificates

RN Licenses:

REGISTERED NURSE (Philippines)

Date earned: November 12, 2010

Valid until: March 6, 2024

License #: 0659705

REGISTERED NURSE (United States of America – State of South Dakota)

Date earned: February 5, 2021

Valid until: March 6, 2024

License #: R054239

REGISTERED NURSE (United States of America – State of Minnesota)

Date earned: May 31, 2022

Valid until: March 31, 2025

License #: 2499075

Certificates:

PCCN – Association of American Critical Nurses Expiry August 2025

BLS - American Heart Association - Expiry 03/2024

ACLS - American Heart Association - Expiry 11/2024

CARLA AMATOS, RN, PCCN

605-***-****/ adwpaw@r.postjobfree.com

Rochester, Minnesota

CA

Contact this candidate