Registered Nurse Staff
Resume:
Douglas Isotalo, RN
**************@***.***
Sacramento, Ca 95825
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