Registered Nurse Patient Care

US STATE OF LICENSE AND NUMBER

Work History

Ishwori

Gautam

Adhikari

Contact

Address

Euless, Texas 76039

Phone

346-***-****

E-mail

gautamishwori0042@gmail.c

om

Skills

• Basic life support

• Clinical judgment

Compassion and

empathy

•

• Discharge planning

• Quality improvement

Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.

MULTISTATE LICENSE, RN, 219129

RN

Shahid Gangalal National Heart Centre, Kathmandu,

NEPAL

August 2021 – March 2024 Registered Nurse ( Post

Operative Ward)

Shahid Gangalal National Heart Centre,

Bansbari, Kathmandu, Nepal.

Bed Size: 268 beds

Responsibilities:

1

· Received patients from Intensive Care Unit after cardiac surgery.

· Took complete vitals, assess drain and incision site, attach monitor if necessary.

· Oriented the patient about ward.

· Admitted, assessed, developed nursing care plans.

· Performed Electrocardiogram and blood glucose

testing.

· Performed (or assisted with) nasogastric tube insertion.

· Performed Tracheostomy care/suctioning.

· Performed Electrocardiogram and blood glucose

testing.

· Performed enteral feedings.

· Assisted doctor in many surgical procedures like drain 2011-07 -

2024-03

out, pacing wire out, dressing of

surgical site etc.

· Carefully monitored patient for signs of infection.

· Maintained sterility while doing aseptic procedure.

· Educated client regarding proper technique of

infection prevention.

· Followed all hospital protocol for discharge

procedure.

· Provided appropriate discharge teaching according to disease condition.

· Provided holistic nursing care according to ward protocol.

Patient Experience :

Cardiac: ASD closure, VSD closure, PDA ligation, repair of tetralogy fallot, MVR, AVR, DVR, TV and Mitral ring Repair, repair of other complex congenital cases,

CABG and so on.

Endocrine – Diabetes

November 2016 – August 2021

Registered Nurse(SICU)

Shahid Gangalal National Heart Centre,

Bansbari, Kathmandu, Nepal

Bed size: 268

Responsibilities:

2

· Received patient from operating room.

· Checked vital signs on monitor; BP, HR, ECG, CVP, Spo2.

· Assisted with insertion of arterial and central line.

· Assisted with endotracheal intubation.

· Provided NG feeding.

· Administered Blood product and TPN.

· Provided Tracheostomy care.

· Provided Foley's care.

· Extubated patient if all criteria were met.

· ABG analysis as per ICU protocol and corrections were done accordingly.

· Adjusted inotropes as ordered.

· Provided care to patient with hemodialysis.

· If any complications arise: bleeding from chest tube, hypotension, hypertension, rhythm issues, cardiac

tamponade, acidosis or alkalosis, increased lactate, decreased urine output, informed to Doctor and

managed it on time.

· Maintained fluid and electrolytes balance, PO2 level.

· Managed pain (oral and I/V analgesic).

· Performed as a team player - Maintained

collegial/working relationships with nursing

· staff and physicians to

· Ensured quality patient care.

· Transferred patient to post- operative ward.

Patient Experience :

· Cardiovascular ASD closure, VSD closure, PDA

ligation, repair of tetralogy fallot, MVR, AVR, TV and Mitral ring Repair, and repair of other complex

congenital cases.

· Pulmonary – Pneumonia, Tracheostomy

· Neurology – Coma

· Renal – acute renal failure, Peritoneal Dialysis

· Immunology – Sepsis

September 2012- November2016

Registered Nurse (Pre-Operative Ward)

Shahid Gangalal National Heart Centre,

Bansbari, Kathmandu, Nepal

Bed Size: 268 beds

Responsibilities:

3

· Filled in the pre-op checklist and ensured that

standard safety measures have been

followed before the patient is transferred to the

operating theatre.

· Assisted to Complete all needed investigations such as ECG, Echo, CXR and a blood test, including

coagulation.

· General hygiene: advised the patient to have a good shower the day before surgery to

minimize post-op infection.

· Checked payment status and gave directions to

patient party to collect necessary

equipment, medicines and blood product as ordered.

· Acted as a witness during consent taking process.

· Explained to patient and patient party if any

questions and concerns were raised.

· If necessary, called doctors/surgeons for further explanation.

· Checked all the items before transferring patient to operation theatre.

· Kept Identity bands and hand over to the receiving nurse, who then checks the patient's

identity and signs the pre-op checklist.

July 2011- August 2012

Registered nurse (Operation Theatre)

Name of Hospital: Shahid Gangalal National Heart

Centre,

Bansbari, Kathmandu, Nepal

Bed size: 268 beds

Responsibilities:

4

As Circulating Nurse:

· Assisted in positioning patient for surgery

· Provided accurate handling of specimens

· Observed and enforced strict standards of asepsis

· Observed, checked and monitored all equipment

used during surgery

· Performed accurate Instrument counts

As Scrub Nurse:

Before an operation

· Ensured that the circulating nurse has checked the equipment.

· Ensured that the theater has been cleaned before the trolley is set.

· Prepared the instruments and equipment needed in the operation.

· Used sterile technique for scrubbing, gowning and gloving.

· Received sterile equipment via circulating nurse using sterile technique.

· Performed initial sponges, instruments and needle count, checks with circulating nurse.

During an operation

Education

· Maintained sterility throughout the procedure.

· Had awareness of the patient's safety.

· Adhered to the policy regarding sponge/ instruments count/ surgical needles.

· Arrange the instrument on the mayo table and on the back table.

· Watched the field/ procedure and anticipate the

surgeon's needs.

· Passed the instrument in a decisive and positive manner.

· Kept instrument as clean as possible by wiping

instrument with moist sponge.

· Notified circulating nurse if you need additional instruments as clear as possible.

End of Operation

· Counted of sponges and instruments with circulating nurse and informed the surgeon of

o count result

· Cleared away instrument and equipment and

De-gown.

· Prepared the patient for recovery room.

· Complete documentation and Hand patient over to

recover room.

Patient Experience:

ASD closure, VSD closure, PDA ligation, repair of

tetralogy fallot, MVR, AVR, TV and Mitral ring

Repair, CABG, and repair of other complex congenital cases.

Bachelor of Science: Nursing

MAHARAJGUNJ NURSING CAMPUS - KATHMANDU,

NEPAL

2011-06

Contact this candidate