Emergency Nursing Leader and Educator

Melane' Marsh MSN, BSN, CEN

Nation Emergency Nursing Association Leadership Development Education Committee 3015 Old Walton Rd

Cookeville, TN 38506, NV 89441

775-***-**** ************@*****.***

Active nurse with over 25 years of clinical experience managing staff members and services in a clinical setting. Passionate about the proper care a patient should receive and will receive from me. Compassionate and industrious with excellent interpersonal and organizational skills. Dedicated to adhering to quality standards for patients and staff. Talented at supervising, managing, mentoring, preparing staff evaluations and administrative reports. Attentive to monitoring wait times and ensuring efficient patient flow. Energetic professional proven to handle difficult situations with poise and composure. I am motivated and committed to building integrated nursing teams and improving patient outcomes at the hospital level. Adept at maintaining high training, hospital, and regulatory standards. Skilled in closing training and competency gaps among nursing teams. Passion for ENA and is grateful for what it has given her in her career and her passion for emergency medicine.

SKILLS

Staff supervision Patient flow

Appointment scheduling Clinical safety

Clinical instruction Emergency situational awareness Patient Education Onboarding and coaching

Quality control Employee issue resolution

Regulatory compliance HIPAA

Staff scheduling Inventory management

Clinical Quality Improvement Direct patient care

Team leadership Patient relationship management

Training program implementation Compliance oversight Nurse education program development Budgeting

Team building

Work History

Cumberland Medical Center 06/27/2024-current

Manager of ED

Northern Nevada Medical Center

Freestanding Manger 01/01/2024- 06/2024

Developed and opened Spanish Springs Freestanding Emergency Room Northern Nevada Medical Center 9/2020 to 6/2024

• Returned to bedside ER nursing.

• Charge Nurse

• Helped open the second freestanding ER in Northern Nevada Freestanding Manger 01/01/2024

• Developed and opened Spanish Springs Freestanding Emergency Room

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Clinical Manager, 08/2014 to 9/2021

Reno Diagnostic Center – Reno, NV

• Opened a new Imaging center in Carson City that Had room for growth

• Developed a central supply center which saved RDC over $10,000 the first quarter it was open.

• Developed, implemented, revised, and evaluated policies and procedures.

• Maintained clinic records and files, utilizing proper techniques to keep patient data confidential.

• Reviewed financial resources and prepared reports showing resource allocations.

• Adherence to quality model and utilization of services needed to achieve optimal outcomes.

• Identified nurses' and staff training needs and devised training programs to close gaps.

• Selected, promoted, and terminated staff members.

• Communicated effectively with staff members, physicians, and patients.

• Oversaw overall operation of patient care, including quality assurance, safety protocols, risk management, and facility maintenance.

• Regularly evaluated employee performance and provided feedback.

• Delivered effective onboarding and training to new and existing employees

• Cross-trained staff members to other modalities to maximize coverage.

• Patient care standards and enhance operational procedures.

• Reviewed operational policies and recommended solutions and changes to the medical director.

• Implement new policies and educated staff on changes.

• Delegated tasks to staff members, monitored the completion of all duties, and provided support to enhance performance.

• Managed daily operations supporting approximately 200-250 studies per day.

• Created work schedules for 30+ employees.

ER Charge Nurse, 08/2008 to 06/2014

Saint Mary's Regional Medical Center – Reno, NV

• Cared for patients in a 25-bed unit, supporting fellow nurses in delivering outstanding treatment to patients.

• Adhered to strict safety measures by carefully determining proper dosages before administering medications.

• Leveraged feedback and process improvement opportunities to create safer and healthier environments and increase patient satisfaction.

• Managed nurse teams and nursing activities in a 25-bed ER by providing comprehensive nursing guidance and maintaining outstanding patient satisfaction and care standards.

• Oversaw and managed clinical and support staff in patient care activities while maintaining a high level of staff morale and professionalism.

• Trained new nursing graduates.

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

• Quickly responded to situations impacting safety and security to the unit, actualizing crisis prevention interventions to control and de-escalate situations.

• Participated in education activities, including evidence-based practice project implementation, nursing competency development, and nursing simulation activities.

• Directed nursing activities for the ER department at a 25-bed unit with 25+ employees, guiding nurses to deliver outstanding care and optimal patient satisfaction.

• Addressed disruptions to patient care, including delays in discharge, postponed procedures, and discharge equipment unavailability.

• Strengthened training and nursing knowledge by taking part in continuing education programs and workshops.

• Provided skilled, timely, and level-headed emergency response to critically ill patients.

• Monitored patient reactions after administering medications and IV therapies.

• Led successful teams comprised of RNs, CNA's, EMT's and ancillary staff. Clinical Nurse, 09/2013 to 09/2014

Children’s Specialty Center – Reno, NV

• Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.

• Vaccinated patients to protect individuals from measles, pneumonia, influenza, and other illnesses of concern.

• Performed ongoing assessments to evaluate mental health needs, working with a multidisciplinary team to develop, initiate, manage, and modify individualized care plans.

• Adhered to strict safety measures by carefully determining proper dosages before administering medications.

• Monitored patient reactions after administering medications and IV therapies.

• Implemented care plans for patient treatment after assessing physician medical regimens.

• Conducted ongoing monitoring and evaluations of behaviors and conditions and updated clinical supervisors with current information.

• Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.

• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings, and updating team members on changes in stability or acuity.

• Participated in education activities, including evidence-based practice project implementation, nursing competency development, and nursing simulation activities.

• Provided skilled, timely, and level-headed emergency response to critically ill patients. ER Nurse/Unit Supervisor, 05/2000 to 07/2009

Washoe Medical Center/Renown Regional Medical Center – Reno, NV

• Facilitated the opening of the new Renown Tower that included the new ER. o Selected equipment

o Trained staff on the new process with the new ER

• Taught annual skills day for all staff in the ER

• Provided emergency care for patients.

• Managed nurses and nursing activities by providing comprehensive nursing guidance and maintaining outstanding patient satisfaction and care standards.

• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols to optimize performance and safety.

• Performed ongoing assessments to evaluate mental health needs, working with a multidisciplinary team to develop, initiate, manage, and modify individualized care plans.

• Quickly responded to situations impacting safety and security to the unit, actualizing crisis prevention interventions to control and de-escalate situations.

• Facilitated therapeutic communication, conflict resolution, and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability.

• Participated in education activities, including evidence-based practice project implementation, nursing competency development, and nursing simulation activities.

• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings, and updating team members on changes in stability or acuity.

• Performed triage on all incoming patients and determining the severity of injuries and illnesses.

• Adhered to strict safety measures by carefully determining proper dosages before administering medications.

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

• 1998-2000 Apprentice nurse/EKG tech

Flight Nurse, 05/2005 to 04/2006

Careflight – Reno, NV

• Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.

• Audited charts and reviewed clinical documents to verify accuracy.

• Delivered medications via oral, IV, and intramuscular injections, monitoring responses to catch and address new concerns.

• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings, and updating team members on changes in stability or acuity.

• Adhered to strict safety measures by carefully determining proper dosages before administering medications.

• Implemented interventions, including medication and IV administration, catheter insertion, and airway management.

• Used first-hand knowledge and clinical expertise to advocate for patients under the care and enacted prescribed treatment strategies.

• Quickly responded to situations impacting safety and security to the unit, actualizing crisis prevention interventions to control and de-escalate situations.

• Monitored patient reactions after administering medications and IV therapies.

• Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.

• Performed triage on all incoming patients and determining the severity of injuries and illnesses. Education

Western Governors University Master’s in Management and Leadership before Graduation MSN 12/21 University of Nevada -Reno Orvis School of Nursing - Reno NV – BSN 05/2000 ACLS

PALS

BLS

ENPC

Board Certified Emergency Nursing

Certified Medical Research Nurse

Professional Volunteering and Associations

Emergency Nursing Association National Award Committee Member 2022 Emergency Nursing Association National Foundation Board - Trustee 2020-2021 Emergency Nursing Foundation Fundraising chair 2020-2021 Nevada Emergency Nursing Association President 2022-2024 Nevada Emergency Nursing Association Immediate Past President and President-Elect 2020-2021 Nevada Emergency Nursing Association President 2010-2020 Nevada Emergency Nursing Association President-Elect 2008-2009 Nevada Emergency Nursing Association Education North 2007-2008 Emergency Nursing Association Leadership Education Conference Planning Team 2007-2012

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