Patient Care Health Promotion

Juliet Regis Vista

**** ******** *** *********, ** 95747

Cell #562-***-****

WORK EXPERIENCE:

**/**** ** ******* ** Locums

Providing health promotion, prevention, and treatments to patients

Diagnosing and treating acute and chronic conditions such as diabetes, high blood pressure, infections, and injuries

Prescribing medications when needed to ensure patient health and well-being

Prescribe medication, examine patients, diagnose illnesses and provide treatment

Order, interpret, and evaluate diagnostic tests

Gather health histories, perform physical examinations and diagnostic procedures

Develop and implement treatment plans

Dictate and document all patient interactions

Notify managing physician about unusual or unexpected events or problems

Effectively communicate with diverse populations, including physicians, employees, patients, and families

11/2018- 11/10/2024 SMCS– RN MICU/CICU/NSICU/ED/Heart Cath

Assesses, utilizing age specific data, the patient’s physical, psychosocial, and spiritual status in a comprehensive manner.

Demonstrates accurate assessment skills, appropriate to the age of the patient, based on scientific facts and principles.

Performs initial assessment and completes required documentation within organizational standards.

Performs and documents ongoing assessments including observation, physical examination, laboratory/test results, and patient response to procedural intervention.

Participates in the identification and clarification of patient needs, as evidenced by participation in multidisciplinary care planning, to achieve optimal patient outcomes.

Assists other staff in the delivery of patient care, as appropriate.

Incorporates patient teaching/discharge planning to promote optimal patient outcomes.

Coordinates and documents appropriate discharge planning and referrals to ensure continuity of care after discharge.

Responsible for Hemodynamic monitoring on patients.

Assist in bedside procedure including intubation, bronchoscopy, line placement. Etc.

Responsible for cardiac and other drip titration and weaning off

7/2022- 9/30/2024 Unitek College, Sacramento Program Director (Dean of BSN Program)

Lead strategic and long-range planning efforts; work with others to implement that vision

Support and encourage the professional development of faculty, staff and students

Serve as an advocate for the BSN program comprising the college

Develop and support new undergraduate programs that serve the needs of the region and fulfill the mission of the college

Foster an atmosphere that values diversity, inclusion and equity in all endeavors within the college

Work with department chairs and faculty to recruit and retain faculty and staff who are strongly committed to excellence in their teaching, research and service

Support innovative and effective pedagogy to foster student learning and engagement

Cultivate and sustain strong community and healthcare partnerships

Promote interprofessional collaboration within the BSN program and other departments

Be the academic and administrative leader of the School of Nursing Education procedures within the college

Exhibit the highest standards of personal and professional integrity

Accomplish all duties and responsibilities as assigned by the provost.

Facilitate faculty development and resources for the use of technology in education, practice, and research.

Maintain effective relationships with alumni and relevant internal and external constituents.

Work with internal and external constituents to assure support for the School of Nursing.

10/2016- present KASIER PERMANENTE Morse- ICU CNS, NPDS

CVICU/ICU/Tele Stoke & VAD CNS @ Kaiser SCL 2016-2018

ICU CNS @ Fresno Kaiser 2019-2021

Telecritical Care (TCC) @ Kaiser Oakland 12/ 2021- 5/2023

KP Morse NPDS 0814/23- present

Designs and implements education programs to ensure the quality of staff knowledge and skills. Introduces new techniques/innovation based on advanced practice trends. May serve as a preceptor to graduate healthcare students.

Provides consultation to physicians, nurses and other health care providers in meeting care needs of individual or groups of patients in both outpatient and inpatient settings.

Makes recommendations to change standards of care or standards of practice based on own research or the research of others.

Defines and implements best nursing practices. Assists in interviewing staff and provides input into evaluations regarding clinical competence and provides coaching and counseling.

Participates and consults in setting the direction for QA&I monitoring, establishing standards and evaluating outcomes. Collects and analyzes data regarding patient care outcomes, trends, morbidity and mortality.

Accesses to evaluate the quality of care provided. Monitors quality, appropriateness, and accuracy of epic documentation. Maintains role specific to department competencies.

Develops area of specialty competency criteria for outcome monitoring of the staff.

Assists in interviewing staff and provides input into evaluations regarding clinical competence, participating in the creation, implementation, and follow up of action plans for professional, competency development and recommending terminations when appropriate.

Conducts cost/benefit analysis of new clinical technologies resulting in recommendations for implementation and budgets.

Provides coaching and counseling to the nursing staff and other health care providers.

Participates as a part of management in providing 24- hour clinical leadership by developing standards of practice, policies and procedures for a specialty patient population that are consistent with professional practice standards.

Partners with fellow clinical and operational managers in implementing methods and processes in specialty area to support change in nursing practice, care programs and clinical innovation achieving improved patient/family outcomes.

Evaluates clinical practice in areas of specialty to ensure community/professional standards are met.

Manages high risk patients in the area of specialty in order to achieve safe, high-quality, cost-effective outcomes for the system.

Rounds with the multi-disciplinary team in specialty area (any setting & includes community needs assessments).

Evaluates policies and procedures for clinical nursing practice in specialty area integrating the evidence from systematic reviews.

Facilitates multidisciplinary collaboration based on clinical needs of patient/family related to specialty area.

Participates in outcomes research/evidence-based practice projects.

Identifies clinical quality indicators for specialty populations.

Conducts systematic reviews in a specialty area. Implements methods & processes in area of specialty to sustain change in nursing practice, programs of care, and clinical innovation.

Active involvement with specialty specific professional organizations as evidenced by participation on the professional organization leadership and operational groups (such as Committees) and/or participation at professional conferences.

Develops, implements/coordinates, and evaluates specialty education programs for patient and families.

Develops, implements/coordinates, and evaluates specialty training programs for nursing staff, including nurses in the communities.

Leads multi-disciplinary project teams.

Develops, implements, and evaluates successful projects using scientific operations management principles and methodologies.

Investigates and resolves patient/family/member concerns regarding the delivery of nursing care.

Develops, monitors, and supervises policies that integrate business and organization plans in operations.

Ensures that patient care and quality standards meet and comply with federal, state, and local regulatory requirements and established departmental policy and procedures, utilization, and clinical performance standards and measures.

Specific for Primary Stroke Centers:

Support delivery of evidence-based acute stroke assessment and management

Provide expert nursing consultation and practice oversight.

Develop and deliver acute stroke continuing education programs.

Participate in performance improvement (PI) processes.

2/2016- 10/2016 Long Beach Memorial Medical Center- Acute Care Hyperbaric RN

Responsible for performing assessment, care& treatment for the following illness:

Non-healing diabetic leg and foot wounds and other selected problem wounds

Delayed radiation injury to soft tissues (soft tissue radiation necrosis)

Radiation Cystitis, Radiation Proctitis

Delayed radiation injury to bone (Osteoradionecrosis)

Compromised skin grafts or flaps

Carbon monoxide poisoning and smoke inhalation

Chronic bone infections (Chronic refractory osteomyelitis)

Crush injuries, compartment syndromes, and other acute traumatic injuries

The “Bends” (Decompression sickness)

Necrotizing soft tissue infections

Gas Gangrene (Clostridial myonecrosis)

Serious burn injuries

Intracranial abscesses

Air or gas embolisms

Idiopathic Sudden Sensorineural Hearing Loss

1/2015- 4/2016 Molina Hospital, Long Beach Director of ED & Nursing Office

Manages the operations of 24-hour departments providing patient care.

Ensures staff provide the highest quality of care and are in compliance with the Nursing Practice Act, The Joint Commission, federal, state, and local requirements.

Establishes, implements, and maintains patient care and service standards to meet members and internal clients expectations.

Designs and evaluates processes to improve systems and patient care results across the continuum of care.

Develops and monitors budgets for the appropriate use of human and material resources. Monitors financial performance and identifies and implements strategies to reduce costs and improve quality of care/service.

Determines the appropriate staff mix for department and develops processes to screen, interview, hire, train, and maintain the competency of all department staff. Ensures on going staff development. Manages and resolves human resource, employee and department safety, and risk management issues.

Develops, implements, and monitors departmental policy and procedures which support the organizations goals and business objectives and ensures they are met.

Oversees and develops standards of care and standards of practice, directs fiscal management, and quality improvement activities.

Responsible for compensation reviews of positions on a routine basis. At any time, reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

4/2014-8/2014 Kindred Hospital Westminster- ICU Clinical Nurse Specialist

Responsible for education of all house-wide staff

Assist in organizing nursing orientation & skills day.

Audit all RRT & code blue events and give recommendation on findings.

In charge of updating &implementing ICU drip protocol

Worked closely with infection control RN to address CAUTI, CLABSI

Worked hand in hand with wound care supervisor to address HAPU, wound care protocol.

responsible for re-educating staff RNs on crash cart & defib use,

In charge of mock code

clinical consult on bedside application like handling life vest, PleurX, all complicated patient care

1/2003 –12/2016 Cedars Sinai Medical Center -RN, Float Pool (ED, ICU, COU, LVAD)

• Assignment varies from being staff/charge RN on the ff areas: ED-unit assignment varies in the following departments: Emergency Department overflow, Telemetry, Medical/Surgical Unit, Rehabilitation Unit, Procedure Center/Infusion Center, Outpatient Clinic, Post Anesthesia Care Unit(PACU), Operating Room Audits, Emergency Department Admitting, and step down units (inpatient and outpatient setting work), ICU and DOU/PCU.

• Manage care for post-operative patients through discharge.

• Perform laboratory tests and communicate results with the physician

• Liaison between patient and physician to ensure patient comprehension of treatment plans

• Instruct patients and family members on proper discharge care

• Monitor acute conditions with 3 chest tubs, s/p heart, kidney, lung transplant

• Develop patient care plans, including assessment, nursing diagnosis and evaluation

• Monitor patient reactions to medications and properly documenting progress

• Act as charge nurse-by evaluating staffing requirements, being a good resource and trouble shoot any concern from both staffing and patients

• Ensure safety and well-being of the patients

• Precept nursing students during clinical rotation season

• Train and orient for both newly hired traveler and experienced registered nurses

• Assist patients with daily functions.

• Test patient’s blood glucose levels

• Accurately document on all nursing assessment, treatment, medications, discharge instructions and follow up care.

• Maintain patient privacy and confidentiality on patient information.

• Take and record vital signs: i.e. - temperature, blood pressure and monitored fluid intake & output levels.

• Transport patients to and from different departments

• Assume a charge nurse position when opening and closing units to accommodate Emergency department overflow

• Educate the staff on any new practice and system update in the hospital

• Perform the role of charge nurse in the centralized monitoring center, which monitors all telemetry patients in the hospital and interpret any arrhythmias

• Participated in the role of ED Admission RN during pilot study for Improving admit volume and process while decreasing admit wait time for inpatient bed.

EDUCATION:

CSULB 05/2012 MSN, ACNS

SSU 12/2020 Post MSN, FNP

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