Intensive Care Community Health

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Denize Brasileiro (RN license #******)

**** *** ****** **, ****** Land, SC, USA

Cell: +1-980-***-**** Email: *********@*******.*** Highlights of Qualifications

• North Carolina Board of Nursing – USA - License # 312292 – USA Nurse License

• College of Registered Nurses of BC – Canada - License # 0964404 – Canadian Nurse License

• Bachelor’s Degree in Nursing since 2003 (Brazil);

• More than 19 years of nursing experience which include 6 years working in Community Health, 5 years in Neonatal Intensive Care Unit, 6 years in Mental Health (drug addiction);

• Strong background in Management, Public Health, Community Health, Neonatal Intensive Care, Breastfeeding, Pediatrics, Immunization;

• Outstanding leadership ability and professional communication skills;

• Fluency in English with strong interpersonal and cross cultural communication skills and ability to build rapport with patients and their families;

• Computer skills include: MS Office, internet and email, Power Point, Excel, etc.

• Valid NC Driver's License and access to personal vehicle for local area travel. Education and Certifications

CPR/AED Level C /BLS – American Heart Association (AHA) JAN/2023

OASIS system /Home Health Assessment MAR/2019

BCCDC Immunization Competency Course for RN OCT/2017

BCCDC Foundations of Influenza: Disease and Vaccines OCT/2017

RAI-MDS 2.0 Coding Training Course (16hr) - Vancouver Coastal Health AUG/2017

Nursing Continuing and Professional Studies (RN Transitional coursework) MAR/2016 - APR/2016 Kwantlen Polytechnic University (KPU) – Langley, BC – Canada

• Nursing in Canada on-line course

• Psychomotor Skills Review

• Health and Physical Assessment

• Professional Communication

• Consolidated Clinical Course OCT/2016 – JAN/2017

(250 hrs of clinical experience/ Preceptorship at Peace Arch Hospital in Whit Rock, BC - Acute Medicine)

Advanced Nursing Program (18months) NOV/2013 – MAY/2015 Omni College – Richmond, BC – Canada

•Canadian Nursing Review Program

(medical-surgical nursing, pediatrics, obstetrics, pharmacology, and nursing fundamentals)

•Workplace Preparation

•35 hours of clinical experience (feeding, assisting, transferring, and bathing residents)

Bachelor’s Degree in Nursing AUG/2003

Federal University of Fortaleza (UFC) – Brazil

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USA Professional Experience

Piedmont Medical Center MAR/2024 to Present

Fort Mill, South Carolina - USA

Full time

As a Med Surg nurse responsible for an assigned group of patients to provide direct care and supervision, administer meds, monitor vital signs, monitor lines, drains and tubes, clean and dress wounds, review labs, assist with admissions and discharges, chart procedures and routine checks, assist with patient ambulation, consult with nurse managers, physicians, and other members of the care team. Community Nursing – Home Care Nurse RN/Case Manager MAR/2019 to DEC/2023 Atrium Health at Home – Charlotte, North Carolina - USA Full time

Serves a case management role, responsible for an assigned group of patients, typically geographically related and accountable for the oversight and overall management of the post-acute services in the home setting. Provides direct patient care and supervision of LPNs and HHAs in accordance with an established plan of care to address the patient needs, individual goals and physician ordered services. Responsible for care coordination with the assigned multi-disciplinary team and acts as the assigned patient's liaison with other related healthcare providers in the continuum of care. Ensures appropriate, qualified and timely patient care and documentation in order to meet patient needs and agency financial, operational, and quality goals. Essential Functions

• Responsible for the daily management of an assigned patient caseload, ensuring timely care and documentation to meet the patent needs/services as prescribed in the established plan of care and per MD orders

• Collects data pertinent to the healthcare consumer's health or the situation from patient assessments in the home setting, telephonic contacts and/or related EMR information available.

• Analyzes the data to determine the issues and available resources to seek effective resolution. Identifies patients at high risk for re-hospitalization, falls and/or high utilization of resources that require additional intervention and case conferencing to ensure appropriate care and frequency of services mitigates risk and ensure high quality outcomes

• Prioritizes multi-issue, situations appropriate to the criticality of patient health and welfare, patient/staff safety and impact to effective, timely services

• Identifies barriers to situation/complaint resolution (i.e. language, literacy, psychological, etc) and follows-up with the appropriate resources or leadership to address timely and effectively

• Develops and provides oversight of a plan of care that is effectively communicated with the parties involved and supports quality patient outcomes and patient satisfaction.

• Implements the identified plan, and directs the care coordination of a multidisciplinary clinical team approach, supervision of LPNs and/or HHAs involved in the care of the assigned patient caseload to promote health and safe outcomes.

• Performs ordered treatments, therapies, and/or procedures in accordance with State Nurse Practice Act and Home Health Conditions of Participation, JCAHO and agency policy and procedures. 3

• Evaluates progress towards attainment of patient centered goals.

• Remains current and adheres to Home Health Conditions of Participation and Medicare guidelines, OASIS and Home Health Policies and procedures.

• Supports effective communication and collaboration with the physician oversight, and branch supervision to ensure timely feedback regarding patients’ condition and/ or need for changes in the plan of care.

• Will provide clear, timely and complete documentation as required by policy and practice standards.

• Adhere to productivity standards as set by the agency.

• Great experience with wound care/wound VAC, colostomy/urostomy management, blood work draw from peripheral venipuncture/PICC line, PICC care/management, nephrostomy tubes management, GJ-tube management, IV medication admin management/education, etc. Canadian Professional Experience

Community Nursing – Home Care Nurse Consultant OCT/2017 to FEB/2019 Bernard. C. Vinge & Associates (HCS) Ltd (Private Company) - Burnaby, BC - CANADA Full time

- Acted as a primary/secondary nurse using the nursing process to provide direct care to clients. The nursing process includes; assessment, planning (Health Care Plan and Protocols development), implementation, and evaluation

- Demonstrated competence in therapeutic communication skills

-Integrated teaching into all aspects of the nurse-client relationship and the nurse-caregiver relationship

- Demonstrates clinical competence in group dynamics

- Demonstrated clinical competence in fulfilling client's physiological needs

- Demonstrated competence in efficiently organizing workload, the ability to delegate tasks, ability to anticipate and prevent problems and systematically problem solves

- Assumed the role of client advocate

- Promoted a safe environment for clients and staff

- Participated as a professional member of an interdisciplinary team and assumed responsibility for own professional growth and behavior

- Conducted staff training

- Intermittent catheter insertion/removal

- Suprapubic catheter change

- G-Tube change and stoma care

- Trach change and care

- Dressing change (Simple dressing and packing dressing)

- IM/SC med administration

Preceptorship (250 hours) OCT/2016 – JAN/2017

Peace Arch Hospital (146-bed) - 6 North Medicine, Fraser Health Authority – White Rock, BC Full time

-Patient physical assessment and care plan.

-ALC patients care (feeding, assisting, changing, transferring, and bathing patients);

-Managed colostomy/urostomy (emptying, changing, assessing the stoma);

-JP drain management;

-Foley catheter insertion/removal;

-Dressing change;

-CVC management;

-IV/ SC medication administration;

-and more.

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Child Public Health Clinic – Volunteer (975hours) JUN/2015 – DEC/2016 Fraser Health Authority – Port Moody, BC

Full time

- Pre-clinic and waiting area setting up;

- Greeting clients/parents/guardians as they present for their immunization appointment;

- Weighing and measuring babies and documenting in child's passport book and ECHA form;

- Orienting clients/parents/guardians to remain 15 minutes in wait area following immunizations in case of anaphylaxis;

- Ensuring client appointment sheets and any record materials are handed to nurses at end of clinic;

- Tidying up wait room;

- Ensuring all clients/parents/ guardians have left building before checking out with nurses. HCA/Care Aide roles (35hrs) APR 2015

PRACTICUM - Advanced Nursing Program Diploma (Omni College) Fraserview Care Lodge, Richmond, BC

- Under supervision of RN, cared for up to 8 residents per shift with Alzheimer's/Dementia, paralysis, and various geriatric medical conditions;

- Provided assistance with morning care including dressing, grooming, and oral hygiene;

- Assisted with perineal care including toileting and changing briefs/pads, keeping area clean and dry;

- Assisted with bathing: sponge baths, showering and century tub bath using mechanical lifts, including hair washing;

- Transferred residents from bed to wheel chair or shower chair using mechanical lifts including full body lift and stand up lift, following safety procedures consistently;

- Kept bedside area clean and tidy, and changed beds linens, folded clothing and kept drawers organized;

- Accompanied residents to dining room and assisted with feeding at meal and snack times. Brazilian Professional Experience

Chief of Health District - Regional VI Office (SER VI) FEB/2013 – SEPT/2013 City Hall of Fortaleza/CE – Brazil

Full time

- Implemented policies and general guidelines of the Municipal Health Department of Fortaleza in line with the principles and guidelines of the Unified Health System (SUS);

- Complied with the standards and orientations demanded by specific health policies.

- Managed the technical and administrative processes that involve planning, coordinating, commanding and controlling;

- Implemented, monitored and evaluated the Regional Health Plan;

- Managing people and processes;

- Managed financial resources used;

- Updated the situational diagnosis of the 20 health facilities;

- Monitor the renovations of existing health care facilities and the construction of new units, checking and ensuring the standard required for their functioning.

Registered Nurse – MENTAL HEALTH AUG/2008 – JUL/2012 CAPS – AD: Psycho and Social Support Center – Alcohol and others Drugs – Fortaleza/CE – Brazil 5

Full time

- Assisted pts with withdrawal symptoms;

- Facilitated support group;

- Provided family intervention;

- Developed a relapse prevention plan;

- Developed strategies for helping clients to be as independent as possible;

- Planned, implemented and documented physical and mental health nursing care plans;

- Evaluated and updated nursing care plans;

- Administered and assessed the effects of prescribed medications and treatments;

- Observed and reported behavioral changes;

- Provided health education, conducted disease screening and delivered immunization programs;

- Provided guidance regarding sexually transmitted diseases and AIDS, Harm Reduction Strategy;

- Provided nursing care through home visits, supportive counseling and life skills program to patients in psychiatric hospitals and mental health clinics.

Registered Nurse - NICU (Level II – 16 beds and level III – 8 beds) JUN/2008 – DEC/2008 General Hospital Dr. Waldemar Alcântara (HGWA) - Fortaleza/CE – Brazil – 253 beds Full time

- Planned, provided, and evaluated critical nursing care for neonates;

- Monitored of infants' vital signs;

- Infusion of TPN, drugs, blood and different kinds of blood products;

- Administered infants' medication and fluids and monitoring fluid-electrolyte balance;

- Assisted with lumber punctures and chest tube;

- Assisted with inserting peripheral lines;

- Collecting blood samples and blood gasses;

- Changed PICC line dressings;

- Care of infants on ventilators, setting the ventilator parameters according to the physician’s prescription as well as constant monitoring of the patients;

- Maintained infants' airways-providing tracheal, oral, nasal, suctioning as required;

- Helped to facilitate a positive atmosphere of team work to create an environment of unity and cooperation among co-workers;

- Assisted and taught mother’s with breastfeeding;

- Educated infant's families on well baby care and follow-up procedures prior to discharge;

- Administered vaccine as part of immunization programs. Registered Nurse - NICU (Level II and III) 01 JUN/2008 a 15 JUL/2008 Sociedade Beneficente São Camilo – Hospital Cura D’Ars - Fortaleza/CE – Brazil – 210 beds Full time

As a registered Nurse in NICU, my responsibilities involved the same as the General Hospital Dr. Waldemar Alcântara. TRIP: Visiting Utah AUG 01/2007 – MAR 27/2008

A season in the USA improving my English, expanding my knowledge in nursing, knowing the high-tech medical treatment in hospital.

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Registered Nurse - NICU (Level II – 16 beds) MAY/2006 – JUN/2007 General Hospital Dr. Waldemar Alcântara (HGWA) - Fortaleza/CE – Brazil – 253 beds Full time

As a registered Nurse in NICU, my responsibilities involved the same as the General Hospital Dr. Waldemar Alcântara. Registered Nurse – MENTAL HEALTH NOV/2005 – JUL/2007 CAPS – AD: Psycho and Social Support Center – Alcohol and others Drugs - Fortaleza/CE – Brazil Full time

Registered Nurse – PEDIATRICS WARD – 66 beds DEC/2005 – MAY/2006 General Hospital Dr. Waldemar Alcântara (HGWA) - Fortaleza/CE – Brazil – 253 beds Full time

- Assessed patients to identify appropriate nursing interventions;

- Collaborated with members of an interdisciplinary health team to plan, implement, co-ordinate and evaluate patient care in consultation with patients and their families;

- Taught and counseled patients and their families on health related issues in collaboration with other health care providers;

- Administered medications, oxygen and treatments as prescribed by a physician or according to established policies and protocols;

- Monitored vital signs;

- Administered vaccine as part of immunization programs;

- Changed dressings;

- Identified emergency situations and take immediate actions;

- Monitored, assessed, addressed, documented and reported symptoms and changes in patients conditions;

- Run the unit, ordered stock, pharmacy;

- Supervised licensed practical nurses and other nursing staff;

- Used Nursing Process to meet the healthcare needs of the client;

- Developed and implemented discharge planning process on admission of patients; Registered Nurse – NICU (Level II and III) and OBSTETRICS WARD FEV/2004 – MAR/2005 General Hospital and Maternity Angeline (HGMA) - Fortaleza/CE – Brazil – 100 beds Full time

I worked full time at the Neonatal Intensive Care Unit (NICU), which has a capacity of 8 beds Level III, and 4 beds Level II. As a registered Nurse in NICU, my responsibilities involved the same as the General Hospital Dr. Waldemar Alcântara. And at the same time I was responsible to the Obstetrics ward, which has a capacity of 20 beds, taking care of post-partum mothers.

Registered Nurse – NICU (Level II – 13 beds andLevel III – 12 beds) OCT/2003 – MAR/2005 General Hospital and Maternity of Fortaleza (HGF) - Fortaleza/CE – Brazil – 525 beds Full time

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I worked full time at the Neonatal Intensive Care Unit (NICU), which has a capacity of 12 beds (Level III) and 13 beds (Level II) and covered all areas of neonates. As a registered Nurse in NICU, my responsibilities involved the same as the General Hospital Dr. Waldemar Alcântara.

References Available Upon Request

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