Name: MELENDRES M. PALTAO JR. BSN, USRN

Address: **** * *** ****** ******** City

San Diego, California

Zip Code: 91950

Phone No.: +619-*******

Email address: adzb00@r.postjobfree.com

PROFILE

● Registered Nurse with total of 26 years clinical nursing experience in General ICU o Worked as an Intensive Care Unit in Kuwait for almost 23 years. o With 3 years’ & 7 months experience of previous General Intensive Care Unit in Gapan City, Nueva Ecija, Philippines

WORK EXPERIENCE

Previous Facility Name Joining Date

Kuwait - Farwaniya Hospital MOH Kuwait February 6, 2000 – Intensive Care Unit January 16, 2023

REGISTERED NURSE

Previous Facility Name Joining Date

Philippines - Nueva Ecija Good Samaritan April 16, 1996 – General Hospital – Gapan City November 16, 1999

Intensive Care Unit

REGISTERED NURSE

Brief hospital description:

Farwania Hospital is the main public general hospital (MOH) in Al Farwania Governorate, Kuwait. With 920 bed capacity.

Earned Accreditation Canada (AC)

Title: General Intensive Care Unit Staff Nurse

Number of beds in the Unit: 17 beds

Nurse-Patient Ratio: 1: 2

Full time position: 8 hour shifts

Responsibilities:

● Functioned as a Team Leader of ICU.

● Assists in maintaining high standards of patient care in the unit/department.

● Assists with identifying patient care requirements by establishing personal rapport with patients and other persons to assist with a comprehensive and accurate nursing assessment using suitable assessment tools.

● Assists with formulating a goal-directed plan of care that is prioritized and based on determined nursing diagnosis and patient outcomes.

● Accepts professional responsibility for the safe custody, administration and recording of medication in accordance with organization policy and procedures.

● Takes appropriate nursing actions in emergency situations and other situations that compromise client.

● Maintains patient records with agreed standards.

● Accepts responsibilities for clinical and non-clinical tasks delegated by senior nursing staff and evaluates the nursing care provided in the area assigned.

● Adheres to the organization’s infection prevention and control policies and procedures and makes every effort to maintain high standards of infection control at all times.

● Demonstrates competency in the use of specific equipment related to their units

● Supports an environment that enables client safety, independence, quality of life and well-being.

● Maintains own personal and professional growth by participating in the organization mandatory and in-service education programs as identified in the personal development plan.

● Keeps up to date with research and changing techniques or clinical development relevant to the care of clients in the clinical area.

● Participates in continual quality improvement activities to monitor and improve standards of nursing care.

● Assists and maintains the unit to encourage quality patient care and staff satisfaction by treating client, their families, friends, watchers and staff with professionalism, dignity and respect at all times.

● Maintains their own personal safety and that of others by taking reasonable care, carrying out the requirements of the law whilst following recognized codes of practice and organization policy on health and safety.

● Maintains confidentiality of information and must not, without prior permission, disclose any information regarding patients or staff.

● Interacts effectively with patients, family and other health care team members to maintain standards of professional care to patients, families and visitors.

● Demonstrates sensitivity to cultural and religious beliefs through caring, respectful attitude, presentation and delivery.

● Promotes positive working relationships within the health care team.

● Notifies/ reports incidents related to patients, staff, visitors and any untoward occurrences to senior nursing staff.

● Complies with hospital policy and dress code appropriate to practice setting.

● Utilizes proper communication, verbally or in writing according to the organization’s policy.

● Performs other job-related duties as assigned

Cases Handled:

● Neurology cases as cerebrovascular accident (CVA), seizure disorders, epilepsy, Guillain Barre Syndrome (GBS), Myasthenia Gravis (MG), Amyotrophic Lateral Sclerosis (ALS), vasculitis which needs plasmapheresis or immunoglobulin infusions.

● Psychiatric cases as depression, bipolar disorder, schizophrenia, drug abused.

● EENT cases as conjunctivitis, keratitis, otitis media, vertigo.

● Cardiology cases such as myocardial infarction, hypertension, acute coronary syndrome, patients with pacemaker, post coronary artery bypass graft, deep vein thrombosis, stenosis, atrial fibrillation on heparin infusion; titrating inotropic infusion (milrinone, dobutamine) and vasopressors (adrenaline, noradrenaline and vasopressin).

● Respiratory cases as Acute Respiratory Disease Syndrome (ARDS) requiring high PEEP, proning position and mechanical ventilation, prolonged ventilation requiring tracheostomy, Chronic Obstructive Pulmonary Disease (COPD), Obstructive Sleep Apnea (OSA) requiring BIPAP management, Pulmonary Embolism (PE), pneumothorax, hemothorax on chest tube management, and pleural effusion on pleural fluid drain, influenza, pulmonary tuberculosis that needs mechanical ventilation, negative pressure room and anti-TB drugs.

● Gastroenterology cases as Upper and Lower GI bleed that needs massive blood transfusion due to severe blood loss, colonoscopy or endoscopy or embolization, stomach ulcers, bowel perforation or ischemia, Chron’s disease.

● Genitourinary cases as Kidney Diseases requiring Continuous Renal Replacement Therapy (CRRT) or Peritoneal Dialysis (PD), metabolic acidosis and hyperkalemia requiring dialysis. CRRT machine is under the scope of ICU staff nurses’ practice; certification was obtained first prior to CRRT priming and management.

● Endocrine cases as hyperparathyroidism, hypothyroidism, diabetic ketoacidosis, diabetes mellitus, Addison’s disease.

● Musculoskeletal cases as kyphoscoliosis, contractured extremities from home, spinal cord injury, patient on skeletal traction due to fracture.

● Skin problems as bullous pemphigoid, burn cases, bedsores from home that needs treatment and debridement.

● Oncology cases such as breast cancer who undergone mastectomy, acute lymphoblastic leukemia which needs positive pressure room and regular administration of neupogen due to febrile neutropenia and those patients who needs chemotherapy.

● Different kind of shock cases as septic shock that needs fluid resuscitation, urgent central and arterial line insertion, with elevated lactic acid that needs urgent inotropic support and fluid resuscitation, sodium bicarbonate infusion because of severe acidosis. This kind of patient are kept fully sedated initially with fentanyl and midazolam infusion most of the time to give full mechanical ventilator support.

● Hematology cases.

Special Equipment/Materials

● MECHANICAL VENTILATORS: Drager Oxylog Portable, Carescape, Avea, Servo, Aeomed VG70, Bellavista, Evita, Eve Portable

● GABG MACHINE: GEM 4000, i-STAT Alinity & i-STAT 1

● INFUSION PUMPS: B braun Orchestra, Gemini Alaris IV & syringe pump, Agilia syringe

& IV pumps

● DEFIBRILLATORS:Mindray Beneheart D6, Rseries plus, ZOLL E series

● Glidescope GVL Video Laryngoscope, Ambu scope

Previous Facility Name Joining Date

Philippines - Nueva Ecija Good Samaritan April 16, 1996 – General Hospital – Gapan City November 16, 1999

Intensive Care Unit

REGISTERED NURSE

Brief hospital description: Private, Tertiary institution with 99-hospital bed capacity. With its 40 years in operation, catering medical, surgical, OB gyn & pediatric cases, and intensive care that requires regular clinical, diagnostic procedures such as 2D ECHO, endoscopy, laparoscopic machine, CT scan & other medical services.

Philippine Health Insurance Corporation (PhilHealth) Accredited. Tie- up with PAG-IBIG (Home Development Mutual Fund) Title: General Intensive Care Unit Nurse

Number of Beds in the Unit: 12 beds

Nurse-Patient Ratio: 1: 3

Full time position: 12 hours duty per shift/an average of 60 hours per week Responsibilities:

● First task is to receive endorsement of emergency cart (emergency medications and emergency equipment). Check it properly. Ensure that emergency drugs, equipment or devices are properly replaced and stored after use.

● Endorse patient/s to morning or evening shift co-staff nurses for continuous intensive care.

● Give skilled intensive nursing care in patients according to their individual needs; utilizing the nursing processor scientific problem-solving approach.

● Close monitoring of ICU patients, taking of vital signs (blood pressure, cardiac rate, temperature, respiratory rate) every hour manually and with the use of cardiac monitor with probe (or pulse oximeter); direct observation-keen observant on the neurological status of the patient every 1 hour (using Glasgow Coma Scale and assessment of pupil size and reaction to light) and report immediately to resident physician on duty any abnormal findings for necessary immediate actions.

● Performs physical examination – identifies relevant signs and symptoms that will contribute in establishing diagnosis.

● Alertness in rendering cardio-pulmonary resuscitation especially in emergency situation.

● Give medications (oral, subcutaneous like insulin, anti-thrombolytic pre-filled syringe and epoetin beta, intravenous, intramuscular and through gastric tubes.)

● Observed proper disposal of syringes, needles, IV catheter, IV bottles, IV tubings or other medical tubings like suction catheter, foley catheter, nasogastric tube, nebulization kit, corrugated tubing’s, t-piece, APN bottle; then separate infectious to non-infectious.

● Maintain good communicating skills with patients and patients’ relatives.

● Provide and secure consent to procedures or operation that has been ordered by attending physician.

● Conduct pulmonary assessments to identify abnormal respiratory patterns or breathing sounds that indicate problems especially patients on mechanical ventilator.

● Collect specimens for laboratory tests like Urinalysis, Fecalysis, Sputum Gram Stain, Culture & Sensitivity, Endotracheal Tube Aspirate, Sputum & Acid-Fast Bacilli Smear, Random Blood Sugar and Arterial Blood Gas Exam.

● Evaluate patients' vital signs and laboratory data to determine emergency intervention needs, then relayed to attending physicians and resident on duty.

● Monitor accurately patients' fluid intake and output to detect emerging problems such as fluid and electrolyte imbalances, then referred to attending physicians immediately for any abnormalities.

● Administer blood and blood products, monitoring patients for signs and symptoms related to transfusion reactions.

● Compile and analyze data obtained from monitoring or diagnostic tests. Knowledgeable of its normal values and report to resident physician abnormalities noted. • Maintain patients’ safety.

● Securing written consent in all invasive procedures.

● Turning of bed ridden patients every two hours to maintain skin integrity and blood circulation and to avoid bedsore especially to cases like CVA patients with weakness.

● Advocate for patients' and families' needs, or provide emotional support for patients and their families.

● Prioritize nursing care for assigned critically ill patients based on assessment data and identified needs.

● Document patients' medical histories and assessment findings. • Provide post-mortem care

● Identify malfunctioning equipment or devices.

● Assess patients' psychosocial status and needs including areas such as sleep patterns, anxiety, grief, anger, and support systems.

● Supervises nurse trainees and new staff nurses undergoing orientation and training in the ICU.

● Participates in the general activities of the Nursing Service.

● Performs other assignments as directed.

Cases Handled:

● Myocardial Infarction that needs oxygen, blood works monitoring, complete bed rest and complete assistance.

● Acute and Chronic Kidney Disease which requires regular hemodialysis.

● Cerebrovascular Accident with body weaknesses, needs complete assistance in positioning, giving medications thru nasogastric tube.

● Post craniotomy and craniectomy cases with ventriculostomy due to vehicular accident or hemorrhagic stroke & brain aneurysm.

● Handled once a pediatric case which are diagnosed with acute glomerulonephritis, seizure and epileptic disorder that needs intensive care & critical monitoring.

● Blood loss from upper and lower GI bleed that needs emergency blood transfusion and management.

Special Equipment

● Arterial Blood Gas machine

● Pulse oximeter

● Glucometer

● Cardiac Monitor

● Mechanical Ventilator

● Suction machine

● Infusion Pump

● Thermometer

EDUCATION

Dates Attended University

June 1991 to April 1995 Wesleyan University Philippines, Cabanatuan City Bachelor of Science in Nursing

Graduated on: April 7, 1995

LICENSES & CERTIFICATIONS

RN License(s):

County of Licensure: Philippines

Philippine Nurse Licensure Exam

Date Passed: July 14, 1995

Date Expires: September 30, 2025

License #: 0281260

BLS Certification (American Red Cross)

Certificate ID: 016R0MH

Date Completed: April 28, 2023

Valid for 2 years

Passed CGFNS Qualifying Exam

ID number: 4034164

Certificate issued on: July 9, 2009

Passed NCLEX – BON Connecticut

License No.: 206630

License issue date: March 29, 2023

License endorsement to California

License No.: 95336096

Issuance date: May 12.2023

CHARACTER REFERENCES:

Mrs. Remedios P. De Ramos

CEO OPHRA International, San Diego California

Contact number :619-***-****

Ms. IMELDA JUNAIDE

Assistant Director of Nursing – Farwania Hospital, Kuwait Contact Number: Mobile/WhatsApp no. +965-********

Mrs. IVY L. LOSARIA

Senior ICU Nurse – Farwania Hospital, Kuwait

Contact number: Mobil/WhatsApp no. +965-********

Melendres Muyot Paltao Jr.

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