Experienced Critical Care and Geriatric RN Professional

Monica Margaret Limberis, BSN, RN

*** ****** **

Lorida, FL 33857

Cell 772-***-****

*************@*****.***

Profile/Personal Nursing Philosophy

I offer over 27+ years of experience in Adult Critical Cardiac,ICU Care, Geriatric Skilled/Long term/Rehabilitative, Detox, and Psychiatric Professional Nursing. Unencumbered, RN license since, passing the Boards, in 1996.Bachelor's Degree in Nursing 1998.

I believe truly caring nurses, just know instinctively, that nursing is truly a calling; requiring a lifetime of dedication, research, Ethical behaviors, on and off “the clock”. Dr Anne Boykin, PhD., RN *My personal “Theoretically Grounded Philosopher” in Caring-Nursing. Florida Atlantic University (Lynn College of Nsg). Boca Raton, FL.

*Proficient in most all aspects, of Adult-Geriatric, Nursing; specifically,(all Critical Care Units/ICU/CVICU/CVSDU/ER) Cardio-pulmonary, Hemodialysis, Respiratory, GI/GU, Endocrine, with extensive experience with care of brittle Diabetics, post CVA’s, pre-post Hip/limb fractures (all common surgeries), Sepsis, Memory Care, and early onset of impending emergencies. I have extensive experience with totally dependent individuals; I am highly qualified to recognize immediate signs and symptoms of an impending event, and I act very quickly!

I transferred out of hospital nursing, after my first 16+ years, and into sub-acute, dual diagnosis, Medical Detox nursing as a charge RN, for a few years and then, as a Director of Nursing.

My goal is to complete my nursing career as a private/telephonic duty, Advocacy driven, RN.

2022-2024: purposefully unemployed, due to minor cardiac issues, coupled with eldest son enduring emergent, 9 hour Craniotomy/TBI/home Memory, daily care exercises. Numerous MD appointments.

Sold home of 30+ years, 04/2023, to relocate to Central FL. Searching for the best “fit” for myself, and hopeful, Utilization review/via an Insurance Company Network, within the State of FL.

Sept 2021-late Dec 2021, I worked around the clock-in home (hired an LPN/CNA to attend while I rested); with a dear patient suffering from the long term effects of ETOH-ism. Several PCP/Specialist appts., and 2 emergent hospitalizations. I worked daily with patients daughter via cell/FT from Atlanta, GA; ongoing updates with reassurances. Ultimately, the patient, passed peacefully from ESLD, at his condo, with a Hospice Team, I worked closely with Hospice MD/RN. Family arrived in time to be at bedside. Priest called to home per only son’s wishes, for “last rights”.

Reference upon request.

From November 11, 2020, until the end of June 2021, I cared for a precious lady, post CVA. I met her with her daughter, and assisted nty patient out of the car, in an electric wheelchair; very weak and fragile. Seven months later, I am happy to report she is walking with a cane,cooking dinner, attending to her plants, etc., and is totally independent with all activities of daily living! We worked fervently together, daily with a great routine, incorporating ROM exercises, medication education, memory exercises, etc. Happy to discuss if invited for an interview .However, I am very strict about privacy and of course HIPAA laws!

*Reference upon request

Prior, I worked in a Skilled/long-term, and Rehabilitative nursing facility for 10 months, to

“better understand the disabled/and or Elderly population(s). Charge RN-floated to different units daily! Case load 20-28 patients 12/2019-08/20/2020 COVID RN Day shift All FBI, Level 2 background/drug tests completed and 100% clear. (Documentation available as needed); Last background conducted July 2021. After 8 months, I resigned

(per above) immediately, due to unsafe COVID-19 practices, I observed and reported to the DON and administrator. Later, “unfairly dismissed”. Did Not persue legal action. Thankfully, Negative for COVID-19, approximately 12 times, from the time of the outbreak, to my resignation.

Vaccinated in mid April 2020; per protocol. Documentation available. Additionally, I am extremely strict and mindful of continual SAFE practices, as mandated by the CDC, and my own ethics and responsibilities to the people I come into contact with! I pride myself in altruistic, and highly ethical care of all patients, as mandated by the Nurse Practice Act, DCF, JC, SAMHSA, and of course my own highly ethical and caring framework!

In summary, I would like to realize my ongoing (#1 Goal) and aspirations,of caring for one special critical needs-person, and the family, and hopefully, ease any angst, felt by my patient, and their loved ones!

Extremely open, and goal driven, to become a part of advocacy, via Triage and or, Utilization review/Insurance, as per above. Ready to work by 9/01/2024. Personally. I have experienced caring for my spouse after a horrific, cervical accident, in 2003, and our hoe became a “Rehab mini-care home” for my beloved spouse, of 46 years. My #2 goal for your loved one is to continually improve their quality of daily living, ongoing nursing education, implementation of any MD orders, and have a “Nursing plan of care” tailored to address chronic or acute disease processes. I respect all persons' rights, to their own individualities, “right to refuse”, and believe in a

“team/family approach” as appropriate. Proper nutrition, sleep, fresh air/exercise (as tolerated) is extremely important, along with companionship and activities the patient enjoys! Of course I realize there are patients that require extra rest, during the day! Balance is key with a plan of care always, tailored for each unique individual! There is nothing I love more than to listen to my patient’s, stories/reminiscing, and sharing, as appropriate.

I treat every patient with the utmost respect, and render tender care! I greatly respect one’s individuality and dignity! I am very patient, extremely empathetic, honest, and dependable.

Nursing Experience

Private duty 1:1 in home- RN, full time, concierge, nursing services. 3 LT assignments; successfully completed.

References Available>Will discuss further, during the interview. Currently searching for the right “fit”.

Palm City Nursing and Rehabilitation- Staff RN/Charge RN. Responsible for 25-32 residents; Happy to discuss if invited to an interview. 12/4/2019-8/20/2020.

● VIP Private Duty Services, LLC - 1:1 Nursing services to a VIP, chronically ill patient in home, 7 days per week. 9/30/2018-7/11/2019. I lived in my own area of the home, and had days off to return to our home, every 2 weeks, for 2-4 days. My spouse was permitted to accompany me, on one out of town assignment. My Patient asked to meet my spouse, as he voiced major depression, coupled with severe ETOH-ism. Self made multi-millionaire, extremely lonely. Unfortunately, passed away, 3 years after contract ended,

May verify employment (fair wages) with the office manager: DeeDee Brasier, at Frasier Contracting (4100 Recker Hwy., Winter Haven, FL 33880). **Please discuss with me prior to contacting Ms Brasier, due to HIPAA; last name is not Frasier** Thank you!

● Director of Nursing and hands on staff RN -Challenged to staff, stock, and open the doors of Beachside Detox, LLC.

SAVED Company 30%,

*Hired highly competent and caring staff

*15 bed private Detox/RES/ LOC Medical detox; (sister company of Beachside Rehab), in Fort Pierce, FL.

Referred by a colleague, to meet with the CEO, COO, and CD on 12-28-17 for consideration to open a medical detox facility.

Accepted challenge and worked 18 hours/day.

Started my position on 1-5-2018, to prepare for the opening of the Detox facility, 2-22-2018. At the time of resignation, we welcomed over 200 DTX/RES/OBS LOC clients. Highly fiscally successful, VIP-holistic, approach to Psychiatric-Dual DX., Medical-APN-Nursing-BHT staff.

Welcomed 4 clients at one time, on opening day. (Resigned to assist above client, after 4 week notice) last day 8/20/2019.. CEO (Ms. Wellington), informed me that our small detox center became “so successful” that they have relocated, and (increased bed capacity) to West Palm Beach!

● Florida Center for Recovery - Fort Pierce, FL – Staff RN/Documentation Specialist-full time-charge RN, worked closely with the clients, Director of Nursing, and multi-disciplinary team, at all times during my tenure. Participated in aspects of addiction nursing and conducted therapeutic groups/medication education/infection control practices. Worked very closely with the Medical Director/Psychiatrist, APN’s (2 available for references, PRN) 9/2/14 - 10/11/2017 (Laid off due to low census after Hurricane IRMA)

*Facility has been unfortunately linked to ‘Medicare Fraud’, and was closed; last news was FCR is now reopened.

● Jupiter Medical Center - Jupiter, FL 7/2004 - 9/2012 RN - ICU/Float PCU/Relief Charge/Preceptor to over 15 RN’s entering critical care. Extensive duties; managing ventilated patients on multiple, powerful IV drips, cardiac monitoring with fast response to ANY changes in rate,rhythm, and/or respiratory, BP changes, SPO2/FIO2/Vent changes, etc. Multi-tasking continuously, running to ALL in house “code blue/rapid responses” with the house Supervisor. Emergent external pacemakers, defibrillation/emergent intubation, for life threatening rhythm changes, ie., V-Fib, Asytole, rapid atrial fibrillation, 3rd degree heart blocks, etc. Bedside emergent procedures; central line placement for patients w/o IV access availability, emergent continuous hemodialysis monitoring, transesophageal echo-cardiograms, endoscopic procedures, etc etc. **Too many duties to list; however, I am happy to discuss in detail, as requested!

● Lawnwood Regional Medical & Heart Center - Fort Pierce, FL 7/1995 -12/2003 Cardiac Catheterization Lab RN; (Scrub, circulator, and hemodynamic monitoring). Cath Recovery charge/preceptor; CVSDU charge/preceptor. Cross trained in all cardiac departments (Stress lab, cardiac rehab, EEG’s for children requiring conscious sedation, nuclear medicine assistant pre-post stress testing). I was honored, to work closely with an expert RN in the CVICU Unit, to care for all patients, pre and post CABG/Open heart surgery, PTCA (percutaneous transluminal coronary angiography /stent placement(s), care of a patient experiencing a myocardial infarction, with chest pain, pre-post care of a patient undergoing a carotid endarterectomy, TEE’s, etc.

I worked fast, Safely, and diligently, over the years, to help save many lives.I am still so Very grateful for the amazing senior RN’s, ARNP’s. PA’s, and Cardiothoracic Surgeons, that trained me!

I also became an expert “sheath removal” RN; which requires extreme strength, and proper protocols in place, to pull an arterial, 5-8 French,--femoral, brachial, or radial sheath! One literally has the patient’s life in their hands!. Depending on the size of the sheath, *Many days, I removed 3-5 successful sheaths, without causing a hematoma (very painful for the patient thus requiring an extended hospital stay)! After 100 “successful sheath removals'', I became certified to train close to 40 RN’s, as Lawnwood’s “Heart Center” grew rapidly!

*After 8 years, I had to resign to care for my spouse due to a life threatening accident, requiring ATC nursing care. After 7 months of (in-home) rehabilitation, I was blessed to receive a call from a former colleague, to come and interview at Jupiter Medical Center, in the ICU.

SKILLS

● Proficient at time management, multi-tasking,IV starts, sheath removals, HD, training and educating all staff. Very Intuitive, with a strong belief in a multidisciplinary, holistic, team approach to client care. Expert (>20+ years in Critical Care Nursing). Critical “thinker” at all times; on and off “the clock”.Proficient with the care of central lines, ileostomy/colostomy JP tubes,foley catheters, supra-pubic catheters, signs and symptoms of infection, and or, any changes in my patients status.

* Always utilize a Sphygmomanometer/excellent stethoscope, to obtain the most accurate blood pressure; obtain “baseline vitals (HR, Rhythm, Resp rate, SPO2, and temps. Head to toe initial assessment, with appropriate interventions, as needed, Subjective data is very important, as well as intense listening! Ongoing medication and nursing education is rendered as appropriate.

I will always encourage and assist bed bound patients, to move/turn very slowly, with gentle ROM (Range of motion) exercises (as tolerated). Nurses/ PT/OT must always encourage and assist, bed or chair bound patients, to prevent skin breakdown, DVT’s, and muscle atrophy. Proper nutrition and quality hydration is very important, for healing, and prevention of Urinary tract infections! **Happy to discuss further skills if invited for an interview.

● Proficient with Search Engines, EPIC, MediTox, SunWave, KIPU, MSW, Google Drive, Calendars, multiple Lab entry programs, etc..

● Expert communication skills, i.e.telephone etiquette, documentation with fast and accurate typing abilities.

● Highly competent in the care of culturally diverse, patient populations. Extremely patient, compassionate, and patient with all patients! Excellent listener and highly “in-tune” to non verbal communication!

● Proficient in ICD-10 Substance Use Disorder diagnoses, ASAMS, Treatment plans, CIWA and COWS scoring.

● After #9- (every 2 year re-certifications) ACLS (advanced cardiac life support), I relinquished that certification when I decided to work outside of a hospital setting.

● Expert in recognizing impending emergencies, seizure, Hypo or Hyperglycemic DM emergencies,chest pain, recognizing a possible impending CVA/Stroke, impending DT’s, overdose, vasovagal or syncopal episodes, unresponsiveness, anaphylaxis, etc. Vast and varied nursing skills. Compassionate palliative care rendered around the wishes of my precious patient and their loved ones! LICENSURE

● Florida Board of Nursing – #RN2948612 valid thru 7/2026

● Basic Life Support for Healthcare workers-CPR

(Newborns, infants, toddlers, children-adults/elders)

● NIH Stroke Scale Certification 1/2010 - 6/2016 Completion of Tests A through D; Stroke-STEMI-Dallas, TX

● American Heart Association's ACLS (Adv Cardiac Life Support) for Healthcare providers.Last renewal 2014. *N/A for home care or outpatient RN ( unless required-) EDUCATION

● Florida Atlantic University, Boca Raton, FL Spring 2007 Graduate School; 16 MSN credits earned towards Master’s in Nursing Education (emergent anterior lumbar fusion-3 levels/ back surgery, prevented me from continuing) Neurosurgeon

“orders”

*Fully recovered 01/2009

● Barry University School of Nursing, Miami Shores, FL 1996 - 1998 Bachelor of Science in Nursing - GPA 3.9 High honors

● Palm Beach State College, Lake Worth, FL 1993 - 1996 Associate of Science in Nursing - GPA 3.86/Honors

● Pre-Nursing Indian River State College - Ft Pierce, FL 1991 - 1993 = GPA 3.5 CERTIFICATIONS

● Advanced -CPR for Health care providers-

● NIH Stroke Scale Certification 1/2010 - 6/2016 Completion of Tests A through D; Stroke certified by the American Stroke Association to care for TIA, ischemic, hemorrhagic, and cardiovascular accident patients. Assisted the JMC team in becoming Stroke Certified.

● American Heart Association's ACLS for Healthcare providers 1994 - 2014. AWARDS

● Authored Master's level research paper “Living Caring in Nursing” published in the Jupiter Medical Center's Spring magazine, April 2011

● Caring Cart at Jupiter Medical Center - May 2008 2’nd place award (AACN-American Association of Critical care nurses)

● “Employee of the Month” Jupiter Medical Center ICU - June 2007

● Instrumental in implementing Dr. Boykin's, "Theory of Caring," at Jupiter Medical Center

● Selected as one of 50 out of 200+ applicants-- “Nurse Scholars” in Palm Beach County, May 1995 to help open the new Veterans Administration Hospital in Riviera Beach, FL May-July 1995. Emergency Department, Eight week tenure. References to be provided

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