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Nurse Practitioner Registered

Location:
Las Vegas, NV
Posted:
May 13, 2020

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Resume:

VICKIE R. MCPHERSON – ACNPC, RN, BSN, CCRN-CSC

**** *. **** **** ****. #2071

Las Vegas, NV 89108

818-***-****

adc7cj@r.postjobfree.com

OBJECTIVE:

Dedicated to Excellence in Advanced Care Nursing Practice – Certified ACNPC-AG. Currently practicing as an Acute Care Nurse Practitioner in Skilled and Long-Term Care Facility in Las Vegas, Nevada. In addition, has prior numerous years of Registered Nursing in Critical Care setting healthcare knowledge and experience.

EDUCATION:

Post-Masters (PMHNP Regis College, Expected Graduation May 2020) Weston, MA

MSN (Acute Care NP-AG), May 2018, Grand Canyon University, Phoenix, AZ

BSN, December 2008 Oakland University, Rochester Hills, MI

ADN, August 2003 Wayne County Community College, Detroit, MI

CURRENT LICENSES:

oNevada Registered Nurse License #814533

oNevada Nurse Practitioner License # 814533 (with Prescribing Privileges)

oNevada Board of Pharmacy License # CS28271

oCalifornia Nurse Practitioner # 95010032

oCalifornia Nurse Practitioner Furnishing License # 95010032

oCalifornia Registered Nurse License # 740425

oMichigan Registered Nurse License # 470-***-****

oDrug Enforcement Agency (DEA) Licensure Granted Exp. 01/2022

(License Number Provided Upon Request)

DEA-X Suboxone Certification

CURRENT CERTIFICATIONS:

ACNPC-AG (Adult-Gerontology), CCRN, ENLS, TNCC, ACLS, PALS & BLS.

PROFESSSIONAL EXPERIENCE

Nevada Care Connect (Las Vegas, Nevada)

Acute Care Nurse Practitioner

[November 2019 to Present]

Functions Independently to complete History and Physical data on patients

Perform complete physical exams

Perform Admission and Discharge Assessments/Paperwork

Interprets and integrates data to determine appropriate diagnosis and treatment plan specific to each and every patient.

Functions independently to perform patient medication and pain medication assessment(s) specific to each and every patient.

Orders and interprets diagnostic and therapeutic tests relative to patient needs.

Works directly with care coordinator to ensure ancillary services are in place prior to discharge.

Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.

Collaborates with physician managing acute and long-term medical needs of patients.

Maintains and reviews patient records, charts, and other pertinent information accurately and efficiently.

Assign appropriate ICD 10 codes based on presenting symptoms, past medical history, and family history. Also, document CPT codes applicable to patient visit.

Initiates and Performs Warfarin dosing based on INR. Perform Warfarin education.

Current HER Utilized: GeriMed and PointClickCare.

Southwest Center for HIV/AIDS [via Barton Associates (Phoenix, Arizona)]

Acute Care Nurse Practitioner

[September 2019 to December 2019]

Educated and Prescribed PrEP consisting of Truvada and Descovy

Educated and Prescribed PEP (medication combination varied from male or female)

Interpreted/Read Rapid HIV results with patient during each PrEP visit

Ordered appropriate lab testing during PrEP/PEP visits

Ordered STI/STD testing and reviewed results with patient

Prescribed antibiotics or referred to County Health Department (if unable to appropriately treat, e.g. syphilis)

Follow-Up on lab work results (i.e., CMP, STI/STD) by counseling patient

Transgender Population:

New patient consultations (Trans male/Trans female)

Initiated hormone replacement therapy (HRT)

Follow-up Transgender patient’s HRT

Ordered appropriate lab work (i.e., Testosterone, Estradiol, TSH, etc.) if WNL’s

Regis College (Weston, Massachusetts)

Post-Masters Psychiatric Nurse Practitioner Program

[January 2019 to Present]

Summer Class and Clinical (Las Vegas, NV) [June 2019]

Elite Patient Care (Reno, Nevada)

Acute Care Nurse Practitioner

[January 2019 to June 2019]

Functions Independently to complete History and Physical data on patients

Perform complete physical exams

Perform Admission and Discharge Assessments/Paperwork

Interprets and integrates data to determine appropriate diagnosis and treatment plan specific to each and every patient.

Functions independently to perform patient medication and pain medication assessment(s) specific to each and every patient.

Orders and interprets diagnostic and therapeutic tests relative to patient needs.

Works directly with care coordinator to ensure ancillary services are in place prior to discharge.

Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.

Collaborates with physician managing acute and long-term medical needs of patients.

Maintains and reviews patient records, charts, and other pertinent information accurately and efficiently.

Current number of patient’s assessment/diagnosis/treatment (Fifteen) with an additional to one to two patients for Dobutamine Stress Echo testing preparation and monitoring.

Assign appropriate ICD 10 codes based on presenting symptoms, past medical history, and family history. Also, document CPT codes applicable to patient visit.

Initiates and Performs Warfarin dosing based on INR. Perform Warfarin education.

Daily Intra-day travel between three to four Skilled & Long-Term Care facilities in Reno and Sparks, Nevada.

EHR Utilized: ChartPath and Matrix Care.

Dr. Aggarwal Cardiology Clinic (Bakersfield, California)

Cardiology Nurse Practitioner – Private Practice Cardiology Clinic

[November 2018 to January 2019]

Always with the Continued Guidance and Direction of Dr. Aggarwal:

Perform New Patient Comprehensive Cardiology and Health Physical Assessments/Diagnosis/and Treatment Plans.

Perform follow-up Cardiology assessments to determine if any changes since last visit, hospitalizations, etc. and, if necessary, diagnose and treat accordingly.

Management of patients with Hypertension, Coronary Artery Disease, Congestive Heart Failure, Atrial Fibrillation, Hyperlipidemia, etc.

Perform comprehensive assessments on post-catheterization patients, assessment of radial and/or groin catheter insertion sites; determining adherence to coagulopathy medications (i.e., Clopidogrel, Eliquis, Xarelto) and Aspirin.

Order calcium (CAC score or CCTA), based on scoring > 0, determine if Aspirin and Statin therapy appropriate for patient to begin.

Based on subjective and objective assessments order: Stress test, stress echo, pharmacological stress echo (i.e., Dobutamine, Lexiscan); cardiac monitoring (i.e., 24-hour Holter, Ziopatch, etc.), echocardiogram, 24-hour blood pressure monitoring.

Perform counseling on the importance of monitoring and maintaining at-home blood pressure log; cessation of smoking, other non-tobacco and drug use.

Perform new patient referral, from weight loss clinics, examinations on weight loss candidates prior to beginning medication regimen on medications such as Phentermine, due to primarily an abnormal ECG.

Counsel patient on their body mass index (BMI); the importance of DASH diet choices, weight loss counseling, and developing and adhering structured exercise program.

Perform daily Dobutamine stress echo testing (perform IV insertion, calculate Dobutamine drip rate to be administered (weight-based), determine optimal target heart rate, and address any irregularities which may occur during Dobutamine stress echo testing such as chest pain, shortness of breath, increasing in blood pressure) which may develop, and recover patient after THR is reached.

Patient office visit finger-stick INR testing; review current and/or adjusted Warfarin dosing with patient based on INR results, and counseling of food choices to avoid possibly contributing to elevation, if applicable.

Discuss Pacer and ICD interrogation results performed in-house by representatives (i.e., Medtronic, St. Jude Medical, Boston Scientific) on a bi-monthly basis

Current number of patient’s assessment/diagnosis/treatment (Fifteen) with an additional to one to two patients for Dobutamine Stress Echo testing preparation and monitoring.

Assign appropriate ICD 10 Cardiology based on presenting symptoms, presence of stents, patient past-history health diagnosis, and family history. Also, document ICD 10 contraindication coding if patient is unable to tolerate, for example anticoagulation, statin therapy, etc.

HER Utilized: EClinicalWorks version 10; EPIC and Cerner.

Kaiser Permanente Medical Center (Redwood City, California)

Neurosciences/Medical/Surgical Intensive Care Unit

[October 2015 to November 2018]

Provide critical direct care to 1 to 2 patients immediately following various surgical procedures including but not limited to Cardiogenic, Septic and Multiple Organ Dysfunction Syndrome (MODS), Acute Respiratory Distress (ARDS); Acute Renal Failure.

Provide critical direct care to Neurosurgical, Cerebral Vascular Accident, tPA Administration and Post tPA Monitoring, Subarachnoid Hemorrhage, Subdural Hematoma, Intracerebral Hemorrhage (ICH), Craniotomy/Craniectomy, and other neurovascular insults.

Assist with Subdural Evacuation Port System (SEPS) and External Ventricular Drain (EVD) insertions as either Procedure or Sedation RN.

Initiate/Monitor and Titrate/Wean and Discontinue Levophed, 3% Sodium Chloride, Mannitol, Propofol, Dobutamine, Amiodarone, Nitroprusside, Cardene, Cardizem, Dopamine, Fentanyl, Neosynephrine, Esmolol, Precedex, Heparin, Insulin, Lasix and Bumex drip(s) deemed necessary by the Physician in improving the patient’s cardiac output and contractility, monitoring and controlling lethal heart dysrythmias, blood pressure, congestive heart failure, cardiomyopathies, critical glucose levels such as Hypoglycemic/DKA episode(s).

Continuous monitoring of patient monitoring systems (i.e., ICP, Neuro drainage systems, telemetry monitor(s), etc.), for potentially lethal pressures and arrhythmias and notifying the Neurosurgeon/Neuro Intensivist or Medical Intensivist/Surgeon and/or Cardiologist to obtain intervention orders.

Critical intervention and management of hourly neurological status via neurological checks (or less depending on acute change), Strokes, Brain hemorrhages, perform NIHSS & mNIHSS scores, Hypovolemic, Septic, Cardiogenic, and Anaphylactic shock and DKA states in patients.

Continuous monitoring of Ventilated Assisted Patient’s Tidal Volumes, Assist Control, FiO2 Saturation(s), PEEP, CPAP and Pressure support settings for therapeutic patient exchanges and provide emergency intervention if necessary.

Intense monitoring of Electrolyte values and replacement/supplementation according to Intensive Care Unit Electrolyte Replacement Protocols.

Perform bedside RN swallow evaluations and/or recommend for official speech evaluation.

Administer prescribed oral and intravenous medications.

Insert Oral and Nasal Gastric Tubes and monitor for patency and dislodgement.

Administer blood products (i.e., Packed Red Blood Cells, Platelets, FFP’s etc.) and monitor patients for any adverse reactions to treatment.

Documentation of Endotracheal Tube (ET) positioning, lip line (baseline is noted in case ET tubing is accidentally repositioned).

Administer TPN and/or Gastric/Jejunum Tube Feedings and monitor for excessive gastric content residuals.

Closely monitor patency and possible air leaks of chest-tubes and perform dressing changes to the insertion site (s).

Perform continuous pain assessments and Glascow Coma Scale neurological and vascular assessments.

HER Utilized: EPIC.

Sutter Health Summit Hospital (Oakland, California)

Intensive Care Unit

[November 2015 to July 2016]

Provide critical direct care to 1 to 2 patients immediately following various surgical procedures including but not limited to pancreas, liver, gall bladder, colon/rectal, gynecological, etc., resulting in Cardiogenic, Septic and Multiple Organ Dysfunction Syndrome (MODS), Acute Respiratory Failure; Acute Renal Failure.

Initiate/Monitor and Titrate/Wean and Discontinue Levophed, Propofol, Dobutamine, Amiodarone, Nitroprusside, Cardene, Cardizem, Dopamine, Fentanyl, Neosynephrine, Esmolol, Heparin, Insulin, Lasix and Bumex drip(s) deemed necessary by the Physician in improving the patient’s cardiac output and contractility, monitoring and controlling lethal heart dysrhythmias, blood pressure, congestive heart failure, cardiomyopathies, critical glucose levels such as Hypoglycemic/DKA/HHNS episode(s).

Continuous monitoring of patient telemetry monitor(s) for potentially lethal arrhythmias and notifying the Intensivist and/or Cardiologist to obtain cardiac intervention orders.

Critical intervention and management of Hypovolemic, Septic, Cardiogenic, and Anaphylactic shock and DKA states in patients.

Continuous monitoring of Ventilated Assisted Patient’s Tidal Volumes, Assist Control, FiO2 Saturation(s), PEEP, CPAP and PMV settings for therapeutic patient exchanges and provide emergency intervention if necessary.

Intense monitoring of Electrolyte values and replacement/supplementation according to Intensive Care Unit Electrolyte Replacement Protocols.

Administer prescribed oral and intravenous medications.

Insert Oral and Nasal Gastric Tubes and monitor for patency and dislodgement.

Administer blood products (i.e., Packed Red Blood Cells, Platelets, FFP’s etc.) and monitor patients for any adverse reactions to treatment.

Documentation of Endotracheal Tube (ET) positioning, lip line (baseline is noted in case ET tubing is accidentally repositioned).

Administer TPN and Gastric/Jejunum Tube Feedings and monitor for excessive gastric content residuals.

Closely monitor patency and possible air leaks of chest-tubes and perform dressing changes to the insertion site (s).

Perform continuous pain assessments and Glascow Coma Scale neurological and vascular assessments.

Consult with patient’s families and/or significant others concerning their condition.

HER Utilized: EPIC

Cedar Sinai Medical Center (CSMC) (Los Angeles, California)

Intensive Care Unit(s) Career Float Pool

[February 2014 to October 2015]

Transition on a Daily and/or Intra-Daily basis, as needed, to the Cardio-Thoracic, CICU, MICU, SICU and Neuro ICU’s within the CSMC Medical Center.

Provide critical direct care to 1 to 2 patients following post CABG, Heart Valve Transplant, Liver, Kidney Transplants, AAA and Aneurysm repair.

Initiate/Monitor and Titrate/Wean and Discontinue Levophed, Propofol, Dobutamine, Amiodarone, Nitroprusside, Cardene, Cardizem, Dopamine, Fentanyl, Neosynephrine, Esmolol, Precedex, Heparin, Insulin, Lasix and Bumex drip(s) deemed necessary by the Physician in improving the patient’s cardiac output and contractility, monitoring and controlling lethal heart dysrythmias, blood pressure, congestive heart failure, cardiomyopathies, critical glucose levels such as Hypoglycemic/DKA/HHNS episode(s).

Continuous monitoring of patient telemetry monitor(s) for potentially lethal arrhythmias and notifying the Intensivist and/or Cardiologist to obtain cardiac intervention orders.

Critical intervention and management of Hypovolemic, Septic, Cardiogenic, and Anaphylactic shock and DKA states in patients.

Continuous monitoring of Ventilated Assisted Patient’s Tidal Volumes, Assist Control, FiO2 Saturation(s), PEEP, CPAP and PMV settings for therapeutic patient exchanges and provide emergency intervention if necessary.

Intense monitoring of Electrolyte values and replacement/supplementation according to Intensive Care Unit Electrolyte Replacement Protocols.

Administer prescribed oral and intravenous medications.

Insert Oral and Nasal Gastric Tubes and monitor for patency and dislodgement.

Administer blood products (i.e., Packed Red Blood Cells, Platelets, FFP’s etc.) and monitor patients for any adverse reactions to treatment.

Documentation of Endotracheal Tube (ET) positioning, lip line (baseline is noted in case ET tubing is accidentally repositioned).

Administer TPN and Gastric/Jejunum Tube Feedings and monitor for excessive gastric content residuals.

Closely monitor patency and possible air leaks of chest-tubes and perform dressing changes to the insertion site (s).

Perform continuous pain assessments and Glascow Coma Scale neurological and vascular assessments.

HER Utilized: EPIC.

Corona Regional Medical Center (Corona, California)

Intensive Care Unit

[November 2013 to July 2014]

Provide critical direct care to 1 to 2 patients immediately following various surgical procedures including but not limited to pancreas, liver, gall bladder, colon/rectal, gynecological, etc., resulting in Cardiogenic, Septic and Multiple Organ Dysfunction Syndrome (MODS), Acute Respiratory Failure; Acute Renal Failure.

Initiate/Monitor and Titrate/Wean and Discontinue Levophed, Propofol, Dobutamine, Amiodarone, Nitroprusside, Cardene, Cardizem, Dopamine, Fentanyl, Neosynephrine, Esmolol, Heparin, Insulin, Lasix and Bumex drip(s) deemed necessary by the Physician in improving the patient’s cardiac output and contractility, monitoring and controlling lethal heart dysrythmias, blood pressure, congestive heart failure, cardiomyopathies, critical glucose levels such as Hypoglycemic/DKA/HHNS episode(s).

Continuous monitoring of patient telemetry monitor(s) for potentially lethal arrhythmias and notifying the Intensivist and/or Cardiologist to obtain cardiac intervention orders.

Critical intervention and management of Hypovolemic, Septic, Cardiogenic, and Anaphylactic shock and DKA states in patients.

Continuous monitoring of Ventilated Assisted Patient’s Tidal Volumes, Assist Control, FiO2 Saturation(s), PEEP, CPAP and PMV settings for therapeutic patient exchanges and provide emergency intervention if necessary.

Intense monitoring of Electrolyte values and replacement/supplementation according to Intensive Care Unit Electrolyte Replacement Protocols.

Administer prescribed oral and intravenous medications.

Insert Oral and Nasal Gastric Tubes and monitor for patency and dislodgement.

Administer blood products (i.e., Packed Red Blood Cells, Platelets, FFP’s etc.) and monitor patients for any adverse reactions to treatment.

Documentation of Endotracheal Tube (ET) positioning, lip line (baseline is noted in case ET tubing is accidentally repositioned).

Administer TPN and Gastric/Jejunum Tube Feedings and monitor for excessive gastric content residuals.

Closely monitor patency and possible air leaks of chest-tubes and perform dressing changes to the insertion site (s).

Perform continuous pain assessments and Glascow Coma Scale neurological and vascular assessments.

Consult with patient’s families and/or significant others concerning their condition.

HER Utilized: CERNER.

USC Keck Hospital (via Cross Country Travel Co.)

Cardiac and Surgical Intensive Care Units (Los Angeles, California)

[October 2013 through November 2013]

Provide critical direct care to 1 to 2 patients immediately following post CABG, Heart Valve Transplant, Liver, Kidney and Abdominal Transplants, AAA and Aneurysm repair.

Initiate/Monitor and Titrate/Wean and Discontinue Levophed, Propofol, Dobutamine, Amiodarone, Nitroprusside, Cardene, Cardizem, Dopamine, Fentanyl, Neosynephrine, Esmolol, Heparin, Insulin, Lasix and Bumex drip(s) deemed necessary by the Physician in improving the patient’s cardiac output and contractility, monitoring and controlling lethal heart dysrythmias, blood pressure, congestive heart failure, cardiomyopathies, critical glucose levels such as Hypoglycemic/DKA/HHNS episode(s).

Continuous monitoring of patient telemetry monitor(s) for potentially lethal arrhythmias and notifying the Intensivist and/or Cardiologist to obtain cardiac intervention orders.

Critical intervention and management of Hypovolemic, Septic, Cardiogenic, and Anaphylactic shock and DKA states in patients.

Continuous monitoring of Ventilated Assisted Patient’s Tidal Volumes, Assist Control, FiO2 Saturation(s), PEEP, CPAP and PMV settings for therapeutic patient exchanges and provide emergency intervention if necessary.

Intense monitoring of Electrolyte values and replacement/supplementation according to Intensive Care Unit Electrolyte Replacement Protocols.

Administer prescribed oral and intravenous medications.

Insert Oral and Nasal Gastric Tubes and monitor for patency and dislodgement.

Administer blood products (i.e., Packed Red Blood Cells, Platelets, FFP’s etc.) and monitor patients for any adverse reactions to treatment.

Documentation of Endotracheal Tube (ET) positioning, lip line (baseline is noted in case ET tubing is accidentally repositioned).

Administer TPN and Gastric/Jejunum Tube Feedings and monitor for excessive gastric content residuals.

Closely monitor patency and possible air leaks of chest-tubes and perform dressing changes to the insertion site (s).

Perform continuous pain assessments and Glascow Coma Scale neurological and vascular assessments.

Consult with patient’s families and/or significant others concerning their condition.

HER Utilized: CERNER.

Select Specialty Hospital LTACH (via Nationwide Nurse Agency)

LTACH with Intensive Care Focus (Pontiac, Taylor, Grosse Pointe, Detroit, Ann Arbor Hospital Locations

[August 2009 through October 2013]

Provide critical direct care to patient’s status post CABG, Heart Valve Transplant, AAA repair, Aneurysm repair, Traumatic Brain Injuries, Cebrovascular Accident, Myocardial Infarctions accompanied with newly developed co morbidities resulting from surgical procedures and/or systemic insults such as acute renal failure, etc. previously managed in an acute care facility but LOS days have expired however same of level critical patient care is still required.

Initiate/Monitor and Titrate/Wean and Discontinue Levophed, Propofol, Dobutamine, Amiodarone, Cardizem, Dopamine, Heparin, Insulin, Lasix and Bumex drip(s) deemed necessary by the Physician in improving the patient’s cardiac output and contractility, monitoring and controlling lethal heart dysrythmias, blood pressure, congestive heart failure, cardiomyopathies, critical glucose levels such as Hypoglycemic/DKA/HHNS episode(s).

Directly provided patient care for approximately 4-6 patients per shift on a 30-bed LTACH Intensive Care Unit.

Continuous monitoring of patient telemetry monitor(s) for potentially lethal arrhythmias and notifying the Intensivist and/or Cardiologist to obtain cardiac intervention orders.

Critical intervention and management of Hypovolemic, Septic, Cardiogenic, and Anaphylactic shock states in patients

Continuous monitoring of Ventilated Assisted Patient’s Tidal Volumes, Assist Control, FiO2 Saturation(s), PEEP, CPAP and PMV settings for therapeutic patient exchanges and provide emergency intervention if necessary.

Intense monitoring of Electrolyte values and replacement/supplementation according to Intensive Care Unit Electrolyte Replacement Protocols.

Administer prescribed oral and intravenous medications.

Insert Oral and Nasal Gastric Tubes and monitor for patency and dislodgement.

Administer blood products (i.e., Packed Red Blood Cells, Platelets, etc.) and monitor patients for any adverse reactions to treatment.

Documentation of Endotracheal Tube (ET) positioning, lip line (baseline is noted in case ET tubing is accidentally repositioned).

Administer TPN and Gastric/Jejunum Tube Feedings and monitor for excessive gastric content residuals.

Closely monitor patency and possible air leaks of chest-tubes and perform dressing changes to the insertion site (s).

Perform continuous pain assessments and Glascow Coma Scale neurological and vascular assessments.

Consistently informing the Patient and their family and/or significant other of planned procedures, treatments and medications and performing patient/family teaching deemed necessary for the overall patient well-being.

Perform patient dressing changes denoting date, time and type of dressing change performed (according to medical orders).

Maintain confidentiality related to patient, facility and staff in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

Foley insertion/removal, colostomy/ileostomy care and bag changes.

Perform thorough skin assessments of all patients (new and prior admitted patients) denoting any exceptions to skin integrity, perform turning of patients every two hours (if necessary), ROM, etc. deemed necessary in maintaining skin integrity and/or promoting healing of same.

Direct and Supervise Certified Nurse Assistants for appropriate patient care.

Oakwood Health Systems – Oakwood Main Hospital & Medical Center (Dearborn, MI)

CCU/MICU Intensive Care Unit Staff Nurse [June 2008 through March 2010]

Initiated/Monitored and Titrated/Wean and Discontinued Levophed, Propofol, Dobutamine, Cardizem, Integrilin, Milrinone, Nitroprusside, Amiodarone, Dopamine, Heparin, Insulin, Nitroglycerin, Lasix and Bumex drip(s) deemed necessary by the Intensivist in improving the patient’s cardiac output and contractility, monitoring and controlling lethal heart dysrythmias, blood pressure, congestive heart failure, cardiomyopathies, critical glucose levels such as Hypoglycemic/DKA/HHNS episode(s).

IABP monitoring and patient assessment.

Directly provided patient care for approximately 2-3 patients per shift on an 18-bed CCU/MICU Unit.

Continuously monitoring of patient telemetry monitor(s) for potentially lethal arrhythmias and notifying the Intensivist and/or Cardiologist to obtain cardiac intervention orders.

Critical intervention and management of Hypovolemic, Septic, Cardiogenic, and Anaphylactic shock states in patients

Continuously monitoring of Ventilated Assisted Patient’s Tidal Volumes, Assist Control, FiO2 Saturation(s), PEEP, CPAP and PMV settings for therapeutic patient exchanges and provide emergency intervention if necessary.

Documentation of Endotracheal Tube (ET) positioning, lip line (baseline is noted in case ET tubing is accidentally repositioned).

Drawing and Interpreting Arterial Blood Gases and Notifying Physician, if warranted, of critical results and performing immediate medical interventions deemed necessary.

Intensely monitoring of Electrolyte values and replacement/supplementation according to Intensive Care Unit Electrolyte Replacement Protocols.

Administered prescribed oral and intravenous medications.

Administered blood products (i.e., Packed Red Blood Cells, Platelets, etc.) and monitor patients for any adverse reactions to treatment.

Inserted Oral and Nasal Gastric Tubes and monitor for patency and dislodgement.

Administered TPN and Gastric/Jejunum Tube Feedings and monitor for excessive gastric content residuals.

Monitored Central Venous Pressures and Zeroing at the Phlebostatic Axis.

Closely monitor patency and possible air leaks of chest-tubes and perform dressing changes to the insertion site (s).

Performed continuous pain assessments and Glascow Coma Scale neurological and vascular assessments.

Consistently informing the Patient and their family and/or significant other of planned procedures, treatments and medications and performing patient/family teaching deemed necessary for the overall patient well-being.

Performed patient dressing changes denoting date, time and type of dressing change performed (according to medical orders).

Utilization of EPIC computerized charting hospital charting system to denote patient assessments, medications, vital signs, admissions, etc.

Maintained confidentiality related to patient, facility and staff in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

Foley insertion/removal, colostomy/ileostomy care and bag changes.

Performed thorough skin assessments of all patients (new and prior admitted patients) denoting any exceptions to skin integrity, perform turning of patients every two hours (if necessary), ROM, etc. deemed necessary in maintaining skin integrity and/or promoting healing of same.

Directed and Supervised Certified Nurse Assistants for appropriate patient care.

Henry Ford Health Systems, Detroit, MI

CICU Staff Nurse [March 2008 through June 2008]

Initiated/Monitored and Titrated/Wean and Discontinued Levophed, Propofol, Dobutamine, Cardizem, Integrilin, Milrinone, Nitroprusside, Amiodarone, Cardizem, Dopamine, Heparin, Insulin, Nitroglycerin, Lasix drip(s) deemed necessary by the Intensivist in improving the patient’s cardiac output and contractility, monitoring and controlling lethal heart dysrythmias, blood pressure, congestive heart failure, cardiomyopathies, critical glucose levels such as Hypoglycemic/DKA/HHNS episode(s).

IABP monitoring and patient assessment.

Continuously monitoring of patient telemetry monitor(s) for potentially lethal arrhythmias and notifying the Intensivist and/or Cardiologist to obtain cardiac intervention orders.

Directly provided patient care for approximately 1-2 patients per shift on a 16-bed Cardiac Intensive Care Unit.

Critical intervention and management of Hypovolemic, Septic, Cardiogenic, and Anaphylactic shock states in patients

Continuously monitoring of Ventilated Assisted Patient’s Tidal Volumes, Assist Control, FiO2 Saturation(s), PEEP, CPAP and PMV settings for therapeutic patient exchanges and provide emergency intervention if necessary.

Documentation of Endotracheal Tube (ET) positioning, lip line (baseline is noted in case ET tubing is accidentally repositioned).

Drawing and Interpreting Arterial Blood Gases and Notifying Physician, if warranted, of critical results and performing immediate medical interventions deemed necessary.

Intensely monitoring of Electrolyte values and replacement/supplementation according to Intensive Care Unit Electrolyte Replacement Protocols.

Administered blood products (i.e., Packed Red Blood Cells, Platelets, etc.) and monitor patients for any adverse reactions to treatment.

Inserted Oral and Nasal Gastric Tubes and monitor for patency and dislodgement.

Administer TPN and Gastro/Jejunum Tube Feedings and monitor for excessive gastric content residuals.

Monitored Central Venous



Contact this candidate