Nurse Practitioner Registered

SANDY ESPERANCE RN BSN WOCN

** ********* **** * Willingboro NJ 08046 * 609-***-**** * adt6ly@r.postjobfree.com

EDUCATION

Wound, Ostomy and Continence, CWOCN Completion Date 05/2010, GPA 3.5

(School of Nursing and LaSalle University, Philadelphia PA)

Bachelors in Science Degree, B.S.N, Graduation Date 05/2008, GPA 3.42

(The College of New Jersey, Ewing NJ)

Diploma, Graduation Date 5/2003

(Willingboro High School)

LICENSES/CERTIFICATIONS

Pennsylvania Registered Nurse License

NJ Registered Nurse License

Certified Wound Ostomy & Continence Nurse

Travel RN

Completion of ONS Fundamentals Course

BCLS-Infant, Child, Adult

ACLS

WORK EXPERIENCE

Atlantic HealthCare- MONOCLONAL ANTIBODY INFUSION CENTER- September 2021- Present

-Administering Monoclonal Antibodies to Covid positive patients

-Inserting multiple IVs and accessing Power ports/Ports for medication administration

- Provide teaching of monoclonal antibody and review of quarantine guidelines per CDC and facility policy

- Aid in coordination of scheduling when short staffed to maintain infusion site opening

- Assist in directing priority patients to infusion center as well as triaging patients to hospital as needed

Mainline Health-Monoclonal Antibody Infusion/ Urgent Care July 2021- September 2021

- Administer monoclonal antibody infusion for high risk Covid positive patients

- Administer iron infusions to pregnant women and women with bleeding complications expressing extreme anemia

- Manually mix and prepare Covid vaccines for administration to patients

- Administer Covid vaccinations as well as provid risk, benefits and side effects of vaccine to multiple patients

- Aid doctors and nurse practitioners with providing rapid testing to urgent care patients.

Shore Medical Memorial- Oncology Infusion 4/2021- July 2021

- Administered Chemo regimens according to facility protocol

- Interacted with MD to collaborate on patient complications and modifying regimens

- Performed therapeutic phlebotomy on patients with elevated hemoglobin levels

- Inserted multiple IVs with care and monitored for infiltration

- Monitored for patient complications for new and established regimens.

- Responded per facility protocol to any adverse reactions

Virtua Health Care – Infusion Unit- February 2021-March 2021

- Administer Emergency Use Administration med such as casirivimab/imdevimab (Regeneron Antibody Cocktail)

-Evaluate and coordinate with care team if Regeneron is appropriate for patient who tested positive for covid

- Insert multiple peripheral IVs throughout shift for Regeneron administration

- Monitor patient throughout infusion as well as 1 hour post for any adverse reactions

- Educations provided to patient and family regarding side effects, adverse event and when to seek emergent care

Hackensack University -Covid Medical Surgical Telemetry Unit- December 2020- February 2021

- Monitored patients positive for Covid 19 during pandemic

- Assessed for changes in respiratory status and 02 saturation

- Coordinated with respiratory therapy and MD for high flow and non-rebreather implementation

- Inserted IV and administered convalescent plasma and Remdesevir as ordered

- Updated family members daily on patient status and provided education on POC

Summit Medical Group Infusion -Inpatient Infusion and Oncology- January 2020-November 2020

- Administer non-complex /complex chemotherapy such as Vidaza, Kyprolis, Gemzar/Abraxane combo

- Administer biologics such as Rituxan, Truxima, Ocrevus, IVIG

- Provide supportive therapy such as hydration and Iron infusion supplementation

- Insert peripheral IVs and access ports for IV infusion

- Provide patient education and instruction to patient receiving new and ongoing therapies

- Precepted staff and oriented to complex/noncomplex treatments

Rutgers CINJ /Robert Wood Johnson Infusion- Ambulatory Infusion September 2019 -December 2019

- Perform venipuncture, access implanted ports and sustain patency of central venous access devices and alternate delivering systems

- Administer blood products, hydration, chemo supportive medications and electrolyte replacement

- Discuss all pertinent information and any interventions to the physician or advanced practice provider

- Monitor and record the patient’s progress on a constant basis

Atlantic Health System Morristown- Ambulatory Infusion July 2019-August 2019

- Catered to patients with rheumatoid arthritis and osteoporosis

- Initiated multiple peripheral IVs and drew blood per physician orders.

- Infused multiple supportive medications such as IVIG, Remicade and Rituxan

- Monitored patient closely for reactions and reacted according per policy to maintain patient safety

Prompt Care- Home Infusion -April 2019 -June 2019

- Infused medications such as IVIG in patients’ homes

- Maintained excellent IV skills by inserting IV in patient homes

- Assess patient in home environments, including clinical assessment, safety of environment and pain assessment

- Monitor effectiveness of medication treatment, develop plan of care and provide education for patients and family members

- Observe signs, symptoms, reactions to treatments, and physical conditions and report to the physician

- Consult with nursing coordinator for possible adjustments of plan of treatment

- Maintain ongoing knowledge of current drug therapy

Brightstar- Home health – July 2018 – September 2020

- Provide direct one on one care in home to physically compromised and end stage patients

- Provide care to tracheostomy and perform trach care such as suction, changing inner cannula and drain sponge.

- Monitor medication administration records for changes and possible adverse effects to patients

- Collaborate with interdisciplinary team to optimize and increase comfort to patient

- Monitor for any changes in baseline and intervene as appropriate utilizing critical thinking skills within the home

Nurses 247 Travel-Cooper University Healthcare & Saint Barnabas Medical Center Float RN, July 2018-Mar 2019

- Provided thorough education regarding diagnosis and medication regimen followed by detailed documentation

-Floated to multiple units such as step down, MS tele oncology, post-op orthopedic telemetry and MS telemetry

- Managed patients s/p cardiac cath, pacer placement and post thoracic surgery

- Drew AM labs peripherally and via central lines such as PICC lines and ports

- Provided care to post-op orthopedic patients and mobilized them in AM per POC to facilitate work with PT

- Informed and collaborated with medical team when change in cardiac rhythm and patient expressed symptoms

- Educate on POC and current medications asked questions regarding understanding and side effects of medications

AMN Healthcare Travel- Thomas Jefferson Hospital Step Down Telemetry, May 2018 -June 2018

- Managed and provided care to cardiac patients with rapid atrial fibrillation, myocardial infarctions, and angina

- Provided care to post-op patients with the following procedures: thoracic, s/p pacer placement and cardiac cath

- Managed chest tubes, monitored A-lines and pacer wires as well as wound VACs.

- Collaborated with surgical residents and physicians to make adjustments in patient plan of care as needed

Cross Country Trav Corps- Virtua Marlton Hospital, Geisinger Medical Center/ Banner University of Phoenix/ Chambersburg Medical Center/ Full Time, Medical Surgical, Medical Surgical Tele, Ortho April 2016- May 2018

- Assess patients and provide necessary treatments to medically stable and unstable patients

- Manage peripheral and central IVs which include drawing blood, dressing changes and monitor for infiltration – -

- Inserted multiple IVs, monitored fluid therapy and antibiotic treatments,

- Serve as a resource to RN’s on unit for IV placements for challenging placements

- Monitor for urinary retention in post-op patients and inserted Foley catheters as needed

- Insert nasogastric tubes as needed and monitor for stability of patients with small bowel obstruction

- Monitor and interpret unstable telemetry rhythms on symptomatic and asymptomatic patients

- Interact with multidisciplinary team and discuss and implement changes as needed

- Advocate for patients who are found to have inadequate treatment or not responding to current treatment

- Readjust quickly to different settings, changing environments and different computer systems within short periods

Staff Nurse CN III- University of Pennsylvania Healthcare (PPMC) Full Time, Cardiothoracic/ Acute Care of Elderly (ACE) Units Sept 2013-April2016

- Observe chest tube sites and cardiac catheterization sites status post procedures and monitor for surgical site

infections as well hemodynamic complications

- Monitored for stability of post-op thoracic patients, provided percussion therapy and monitored chest tube sites

- Monitored and interpreted telemetry strips and reported new rhythm changes and made adjustments as ordered

- Implement unit based education centered on staffing concerns and adherence to hospital policies.

- Adhere to policies and procedures of central lines such as maintaining a patent line, infection prevention,

dressing changes and teaching family and nursing staff.

- Collaborate with managers, RNs and doctors to make appropriate adjustments in plan of care

- Teach and mentor new to practice nurses and students in significance of evidence practice

- Instruct nursing staff & students in evidence based practice related to skin integrity and wound dressings.

CWOCN- Virtua Home Health Care- October 2012-October 2013

- Assessed patients’ wounds within their home, assessed environment and made recommendations as appropriate.

- Instructed family and caretakers in dressing changes via visual and hands on demonstration

- Reassessed plan of care for patients weekly to ensure effectiveness as well as cost efficiency

- Worked in collaboration with physical therapist, RNs as well as management consistently to ensure quality care

- Collaborated with primary CWOCN for education and continual learning

CWOCN- Lady of Lourdes Specialty LTACH Hospital/Columbus LTACH, May 2012-November 2012

- Worked directly with multidisciplinary team, rounding and aiding with changing plan of care as appropriate

- Instructed RNs as well as CNAs on appropriate care of wounds via visual and hands on demonstration

- Implemented changes in protocol suitable to evidenced based practice for wound, ostomy and continence care

- Instructed patients in wound care and ostomy care and educated in preventative measures

- Assessed all patients on admission, weekly and upon discharge. Initiated plan of care based on initial

findings

- Educated nursing staff on new products, ostomy care, and wound management of complicated wounds.

- Perform daily wound rounds with surgeon and nurse practitioner to evaluate and modify plan of care

- Evaluate effectiveness of wound care products on unit and perform product cost analysis with materials

CWOCN, University of Pennsylvania Healthcare (PPMC), PRN Philadelphia, PA June 2009-2012

- Consulted and collaborated with physicians throughout Penn Presbyterian Medical Center regarding skin integrity

and ostomy care.

- Educate patients regarding care of ostomies as well as pressure ulcer prevention and treatment.

- Provide education to nursing staff on assessment, staging, management of wounds and cost-effective

use of wound care products

- Collaborate with residents and physicians to evaluate, revise and implement patients’ plan of care

- Advocate for patients by ensuring staff adheres to evidence based wound care protocols

Staff Nurse CN III- University of Pennsylvania Healthcare (PPMC) Full Time Acute Care of Elderly (ACE) Unit June 2008- April 2012 (Day Shift)

- Managed care for patients with multiple co-morbidities made appropriate interventions by reading and

interpreting labs and monitoring for changes in mental status.

- Aided in multiple rapid responses and codes during deterioration of patients medical status

- Worked with a multi-disciplinary team of managers, RNs, doctors and nutritionist on daily rounds to

make appropriate adjustments in plan of care

- Instructed patients and family members on proper discharge care.

- Pre-cepted new staff and provided orientation on prioritizing patient assignments and high risk patients

ACTIVITIES AND ORGANIZATIONS

- WOCN Society

- DVWOCN-Delaware Valley Affiliate

COMPUTER SYSTEMS

- Epic

-Cerner

-Medi-tech

- Soarian

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