Prerana Karki, R.N.

** ******** ****** *** # *, Malden MA 02148

Contact Ph: 857-***-**** ac7l56@r.postjobfree.com

Profile

Highly energetic, enthusiastic, and dedicated newly certified and licensed Adult- Gerontology Primary Care Nurse Practitioner (AGPCNP) in Massachusetts with over six years of clinical experience in nursing (including nursing home, medical telemetry, and inpatient Geriatric psych floor.

Objective: To obtain a position as Adult – Geriatric Primary Care Nurse practitioner in nursing homes or doctor’s office. Also available to work in the outpatient specialized field such as infectious disease, cardiologist, pulmonologist, gastrologist, orthopedics, geriatric psychology, urologist or others. Willing to work Days or evening or 12 hours shift.

Work experiences

Mount Auburn Hospital (September 2013 – Present)

Position: Staff Nurse

•Assign to the 4 to 6 patients, work in an acute care setting in a fast-paced environment.

•Nursing Assessment, planning, implementation, and evaluation; discharge teaching for patients and their families.

•Coordinate and prioritize care requiring multi-disciplinary services.

•Monitor, record, and interpret data about a patient's vital signs and cardiac rhythms.

•Duty to provide full patient care, educate and administer right medicines to the patient.

•Assumes responsibility for maintaining professional nursing practice by Updating and documenting core competencies.

•Collaborates with physicians, physical therapist, occupational therapist, speech therapist, etc. regarding patients care and family needs

•Delegate the assignment to PCA or nursing assistance regarding Patient care and needs.

•Give compassionate care to the acutely ill patients suffering from injuries or debilitating conditions

•Assumed a duty as a charge nurse on the floor.

•Recognized for serving as a patient advocate while communicating effectively with patients, families and caregivers to facilitate outstanding levels of care and service.

•Ensure HIPPA compliance of entire nursing staff through reviews and procedural updates.

•Observe behavior and symptoms and report changes to on-call physicians.

•Managed care for post-operative patients through discharge.

Staff Nurse (Wyman - Geriatric Psych unit) - Occasionally floated to the unit

•Performed a full range of professional psychiatric nursing services including assessing planning administering and evaluating patient care primarily geared to mentally ill patients.

•Communicated with patients based on an understanding of the needs of senior patients

•Administered medical treatment as prescribed by physician and responsible for teaching and providing psychosocial support to patients and their families

•Provided day-to-day clinical direction to assigned mental health workers and other paraprofessional staff.

•Documented and reported patient progress to treatment team

Pine Knoll Nursing Center, Lexington, MA (September 2012 to August 2013)

Position: Charge Nurse

•Responsible for coordinating all direct resident care activities performed on a nursing unit of 40 or 41 residents and full delegate duties completely, accurately and timely.

•Monitor unit, keeping increased awareness by all staff members assigned to the unit to ensure an improved quality of life for all residents on the unit.

•Floated to variable duties such as treatment nurse, medication nurse, and charge nurse.

•Experience with residents with Alzheimer’s disease and other types of dementia.

•Compassion and patience essential; level-headed and calm in emergencies.

•Observe residents: chart and report change in residents' conditions, such as response to medication or treatment

•Completes referrals and takes physician’s verbal orders as necessary in a timely manner.

•Channels referrals appropriately to Director of Nursing for assignment.

•Coordinates the multidisciplinary care team and plans for patient care and documents appropriately.

•Initiate appropriate preventive, rehabilitative, comfort, pain management nursing procedures and provides instructions to patients/caregivers, and staff in a timely manner.

•Completes nutritional assessments and provides patient/caregiver instructions on diet/nutrition and seeks consultation as necessary.

•Wound care documentation and revised weekly evaluation.

Mount Auburn Hospital, Cambridge MA: Medical-surgical/ telemetry unit (August 2009 to September 2012)

Position: Patient Care Associate (PCA)

Telemetry / medical, a surgical unit with responsibilities for the patient care of 24 beds unit.

Performed direct patient care and assist with call light and help the patient with activities of daily living.

Nursing Skills

Patient assessment both physically and mentally, through a variety of objective and subjective resources; which includes monitoring vital signs, head to toe physical examination, neurological and therapeutic communication.

Performed sterile dressing changes such as wet to dry dressing, packing the wound, dry dressing, etc.

Tracheostomy care: such as suctioning, changing a trach tie, and monitor a ventilator.

Medication administration including intravenous, oral, subcutaneous, intramuscular, G-tube feeding and nasogastric tube feedings.

Patient teaching related to medication, post-surgical adaptation, disease process, diet, relaxation therapy, infant care.

Performed infant assessment, bathing, care, and immunization.

Demonstrate respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment.

Patient hygiene education, urinary catheterization, and head to toe assessment of body systems; performing and documenting vital signs; patient education; observation of EKG and interpret the EKG rhythm.

Followed the Five Rights of Medication Administration. Performed intravenous medication infusion and blood transfusion. Also provided intravenous, central line, and mid line care.

Clinical Experiences as a Nurse Practitioner Student

Hallmark Health Dr. Watrous Internal Medicine: Doctor’s Office (September 5th- April 11)

Shadowed the primary care doctor and Nurse Practitioner to achieve the assessment, diagnosis, and treatment plan across the lifespan.

Demonstrated the competency to demonstrate advanced psychological and physical assessment skills across the lifespan and documented the findings.

Able to manage a client record and develop history and physical documentation skills.

Analyzed relevantly and process the laboratory result with the clinical findings and able to develop a differential diagnosis and a treatment plan.

Utilized previously acquired skills to manage adult and gerontological health problem by using the best theory of the practice.

Increased in independence in managing to assign patient cases.

Able to apply a primary care concept in managing health problems.

Education

Bunker Hill Community College, Charlestown, Boston 02129 (GPA- 3.3/4)

Associate Degree in Nursing Science, degree conferred on June 2012

Notre Dame College, Ohio (GPA- 3.7/4)

RN to BSN online program, degree conferred on December 2014

Salem State University (GPA- 3.9/4)

Adult and Gerontological Advanced Practitioner Nurse, degree conferred on May 2018

Others

BLS certified

RN license

ACLS certified

References: Available upon request

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