Fernando O. Gatchalian, Jr., RN
Fairfield, ME 04937
ad3qt9@r.postjobfree.com
WORK EXPERIENCE
HCA Florida - Oak Hill Hospital 10/09/2022 to Present
Brooksville, Fl 33604
Cardiovascular-Thoracic OR Nurse – Travel Nurse
UF Health Shands Hospital 05/23/2022 to 08/20/2022
Gainesville, Fl 32608
Cardiovascular-Thoracic OR Nurse – Travel Nurse
HCA Florida - Oak Hill Hospital 09/24/2021 to 04/23/2022
Brooksville, Fl 33604
Cardiovascular-Thoracic OR Nurse – Travel Nurse
Participate in patient care, clinical problem solving, monitoring and CVOR coordination with other units.
Ensure that sterile procedures are followed, necessary equipment, instruments and medications are available
Collaborate with other members of the team including the anesthesiologist, surgeon, surgical technologist, surgical assistant, and other personnel.
Provide training, education, and competency to newly hired CVOR nurses.
Maine Medical Center 08/24/2020 to 09/12/2021
Portland, ME 04102
Clinical Nurse II – Cardiovascular-Thoracic OR Nurse
Duties and Responsibilities:
Specialize in the care of cardiovascular patients before, during and following surgical procedures.
Assist with the preparation of the operating room for surgical procedures and effectively and efficiently assist the surgical team during the procedure.
Ensure that sterile procedures are followed throughout the course of surgery, necessary equipment, medications and blood products are available for the operating room team.
Provide quality control and ensure patient safety at all times.
Memorial Satilla Health 03/04/2019 to 08/12/2020
Waycross, GA 31502
Medical-Surgical Nurse
Duties and Responsibilities:
Provide quality patient care, in keeping with the philosophy and objectives of the hospital and department.
Maintain and support the standards of nursing care and practice in order to meet the health care needs of patients, their families and the community.
Prescribe, delegate and coordinate all nursing care provided to assigned patients and is responsible for meeting all standards associated with performance, nursing practice and nursing care.
Commonwealth Healthcare Corporation 08/13/2018 to 01/29/2019
Saipan, Northern Mariana Islands, MP 96950
Staff Nurse III – Operating Room Nurse
Duties and Responsibilities:
A. Circulating Nurse:
Assess all pre-op orders are carried out-completed, surgical consent has been signed, correct and in the chart, assure I.V. lines are patent and administer pre-op medications as ordered.
Initiate “Time Out” to the rest of the surgical team and documents.
Anticipate all necessary equipment, do sponge, instruments and needle count before, during and completion of the procedure.
Maintain a complete and correct documentation in Intra-Operative notes and all other documents.
Assist in transporting patient to recovery room or ICU at completion of procedure.
Record time of all procedures done in OR including medications, time in and out of OR including procedure starting and completion time.
B. Scrub Nurse:
Preparation for surgery: prepare the room, open sterile packs and supplies needed for the case. Arrange drapes, supplies, and instruments on mayo stand and back table. Count sponges with circulating nurse. Prepare suture(s) according to surgeon’s preference. Gown and glove surgical team. Assist surgeon in draping.
Duties during surgery: Watch operative fields and anticipate surgeon’s needs. Maintain supplies and utilize strict sterile technique and watch for and correct any breaks in sterile technique amongst self and other members of the team. Specific surgeon competencies including handling of instruments.
At the conclusion of operation: Provide dressing materials appropriately to the incision or per surgeon’s preferences. Prepare instruments for reprocessing; remove all sharps, including blades, needles, pins, wires. Help in transferring the patient to the gurney and cleaning up all instruments.
C. PACU Nurse:
Before the surgery: Prepare patients for surgery.
After the surgery: Monitor vital signs and level of consciousness, assess patient’s comfort level, ask patients about their level of pain, administer pain medications as ordered, educate patients and their families about home care instructions.
Marianas Health Services, Inc. 11/16/2015 to 08/04/2018
Saipan, Northern Mariana Islands, MP 96950
04/23/2018 to 08/04/2018:
Home Health Clinical Supervisor
Duties and Responsibilities:
Manage, supervise, coordinate, evaluate and develop client care teams to ensure quality care delivery and appropriate case management within the agency scope of services and policies; state, federal, and local laws; and Nurse Practice Act.
Supervise and direct a team of Nurse Case Managers to ensure the delivery of safe, effective, and appropriate home care services.
Collaborate with Director and other clinical management staff to ensure proper staffing of qualified, competent staff.
11/16/2015 to 04/23/2018:
Home Health Case Manager
Duties and Responsibilities:
Develop a plan of care (POC) that corresponds with the physician’s orders through assessment of patient’s needs, condition, consultation with other health care team members, at time of initial home visit and updates plan of care regularly as necessary and document.
Manage/supervise a team of RNs, LPNs, Home Health Aides, and Personal Care Aides to provide effective and quality home care services.
Collaborate with Clinical Supervisor to identify staffing needs and to resolve home care issues or problems. Utilizes agency and community resources appropriately.
Commonwealth Healthcare Corporation 06/2016 to 11/2016
Saipan, MP 96950
ICU Nurse (Part-time)
Duties and Responsibilities:
Provide care to patients with serious, complex and acute illnesses or injuries that require very close monitoring and extensive medications protocols and therapies.
Monitor the critical patients for changes in status and indications of conditions such as sepsis or shock and institute appropriate interventions.
Collaborate with other health care professionals to develop and revise treatment plans based on identified needs and assessment data.
Philippine Heart Center 07/2014 to 11/2015
Quezon City, Philippines
OPERATING ROOM (CARDIOVASCULAR-THORACIC OPERATING ROOM NURSE)
Duties and Responsibilities:
Conduct and document a thorough assessment of a patient's medical status upon admission and throughout the patient's course of treatment.
Responsible for the performance of the activities such as Pre-operative, Intra-operative and Post-operative to all the patients undergoing open and closed heart surgeries.
Ensure that sterile procedures are followed throughout the course of surgery, necessary equipment and medications are available for the operating room team, record progress and outcomes of surgical procedures and ensure proper handling of specimens.
Assist and anticipate surgeon’s need for sponges, equipment, suction tubes, sutures and other necessary supplies and promptly handed it to surgeon.
Evaluate, plan and ensure to assess the nursing care needs of patients during, before, and after the entire surgical procedure.
Cases Handled: Adult and Pediatrics
Coronary Heart Bypass Graft (CABG): On and Off pump surgeries, Congenital Heart Diseases: Tetralogy of Fallot (TOF), Ventricular Septal Defect (VSD), Aortic Septal Defect (ASD) closure;
Vascular surgeries: Abdominal Aortic Aneurysm (AAA), Thoracic Aortic Aneurysm (TAA), Thoracic Endovascular Aneurysm Repair (TEVAR), Embolectomy.
General Surgeries: Laparoscopic Cholecystectomy, Mastectomy, Appendectomy, Exploratory laparotomy, TAHBSO.
Procedures Performed/Assisted:
Pacemaker insertion, Endoscopy or Esophagogastroduodenoscopy (EGD),Colonoscopy examination, Central Venous Catheters, Intra-jugular vein insertion, AV fistula/graft, BKA/AKA, PEG tube insertion and Tracheostomy.
Machines/Equipments Used:
Cardiovascular Surgical Instruments, Suction machines, Cautery machines, Sarn motor, Defibrillator machine, Perfusors/Infusion/IV pump, Cardiac monitor/Transport monitor, Pleur-vac Chest drainage, oxygen, BP machine.
Philippine Heart Center 03/2011 to 07/2014
Quezon City, Philippines
Medical-Surgical Cardiac Nurse
Duties and Responsibilities:
Responsible for the day-to-day medical assessments and check-ups.
Communicate nursing treatment of Kardex, charts, setting goals and collaborates members of health care team, patient and family.
Plan and implement nursing care needs of patient before during and after medical and surgical processes.
Perform as primary or bedside nurse and/or charge nurse assigned in the unit.
Assist the physician during the medical examination, treatment and medical procedures.
Monitor, and record patient’s condition, after the regular checkup by utilizing the computer documentation systems.
Administer prescribed medication, monitoring vital signs and cleaning of surgical wound and also applied dressing aseptically.
Ensure that the Emergency crash cart is properly checked for completeness and expiry dates.
Cases Handled:Adult
Postoperative: CABG, heart valve repair, coronary angiogram, Appendectomy, Herniorrhaphy, Hemorrhoidectomy, TAHBSO (total abdominal hysterectomy with bilateral salpingo-oophorectomy), Thyroidectomy and Laparoscopic Cholecystectomy.
Level II and Level III patients: Congestive Heart Failure, Chronic kidney disease, liver diseases, cardiac arrest, respiratory arrest, cardiac arrhythmias, trauma, Cerebrovascular accident or stroke, burn, vehicular accident, drug overdose, suicide, seizure disorders, heart attack.
Patients that have hyper/hypotension, diabetes, cancer, mental disorders, chronic obstructive pulmonary disease, Pneumonia, respiratory infections, gastrointestinal disease, dengue, hyperventilation, hyper/hypothermia, bleeding disorders, contagious diseases, autoimmune diseases.
Filsystems - Filipinas (Prefab.Bldg.) Systems, Inc. 06/2008 – 12/2010
Quezon City, Philippines
Company Nurse
Duties and Responsibilities:
Provide an initial physical assessment of the newly hired employees.
Monitor overall health of workers population and making suggestions if necessary to the Health services Coordinator.
Ensure healthy environment and workplace through health education, training, inspection and recommendations.
Education
2011 66th Critical Care Course-Philippine Heart Center Post Graduate Course
Quezon City, Philippines
2002-2006 Bachelor of Science in Nursing Delos Santos – STI College of Health Professions, Inc 201 E. Rodriguez Sr. Blvd., Quezon City, Philippines
Professional Licensure and Certifications
Registered Nurse – Georgia License No. RN 286718
Registered Nurse – Florida License No. RN9498393
Registered Nurse – Maine-Compact License No. RN71496
Registered Nurse – New York License No. 643649-1
Specialized Training and Competency
Advance Cardiac Life Support (ACLS) provider
Neonatal Resuscitation Program (NRP) provider
Basic Life Support (BLS) provider
Wound Care Specialist
OASIS Specialist
Software system: Meditech and Epic