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Work Background
U.S. Department of Veterans AffairsTele-Critical Care RN Tele-ICU
Aug. 2019Greater Minneapolis-St. Paul AreaConsult with remotely located clinicians and providers regarding care and treatment of patients, patient placement, and continuation of telemonitoring. Serve as leader in critical care nursing to drive accountability for assessment, planning, implementation, and evaluation of outcome-oriented care. Develop and implement plan of care delivery with primary goal of patient safety.
Key Achievements:
• Utilized most intellectual aspects of nursing to successfully diagnose clinical problems and define interventions in challenging tele-critical care environments with the most difficult patient cases.
• Identified risk areas and analyzed resources available in patient care equipment and body mechanics, evaluated options, and selected appropriate courses of action, resulting in favorable patient and organizational outcomes.
• Solved clinical patient problems and creatively met patient needs, reducing patient length of stay through careful discharge planning.
University of MinnesotaNurse Clinician Post Lung Transplant
Nov. 2017 - May. 2019Performed pre- and post-operative care to lung-transplant patients in coordination with nursing staff. Monitored and evaluated post-transplant patient status for physical and emotional complications, including internal monitoring system analysis. Provided additional resources, instructions, and education to patients and caregivers, including psychiatric care, clinics, and therapists.
Key Achievements:
• Served as department subject matter expert in organ transportation, immunology, immunosuppression, rejection, drug toxicity, graft failure, and other potential complications from transplant surgery.
• Collaborated with and supported patients, families, social workers, care coordinators, and healthcare service providers with comprehensive patient care and education.
• Create focused patient-centric discharge plans with providers to address barriers to patient discharge for patients, reducing length of stay.
Landstuhl Regional Medical CenterPerformance Improvement Nurse Consultant
Jan. 2015 - Oct. 2017Directly supported NATO, United Nations, and State Department. Planned and coordinated PI programs while working closely with quality assurance teams, chief officers, standing committees, and clinical staff on The Joint Commission (TJC) standards to implement continuous improvements. Steered progressive clinical excellence through staff development.
Key Achievements:
• Systematically evaluated patient safety, care, and satisfaction to identify areas needing growth and promote overall healthcare goals, producing analytical reports and studies to translate clinical, administrative, and operational data into meaningful decision-making information.
• Fostered productive partnerships across the healthcare spectrum to support US and coalition forces during OEF, OIF, and OND while contributing to a 99% survivability rate for critically wounded patients.
• Assisted multiple clinical departments with performance improvement initiatives to enhance data collection, monitoring, and documentation techniques in the largest Outside CONUS Level III tertiary care facility. Initiated the hospital wide shared governance was the UBC coach for the emergency department.
• Single Civilian trained to help ground portion of Joint Force Extracorporeal Membrane Oxygenation (ECMO) for Acute Lung Rescue Team at Landstuhl Regional Medical Center.
• Saved organization estimated $105K by developing in-house Trauma Nurse courses (worth 15 CEUs) and trained 200+ nurses across Europe in principles of critical care nursing to maximize overall patient outcomes.
• Coordinated and conducted monthly meetings, created reports and made recommendations to senior leadership to reduce patient incidents, injuries, and unnecessary risks.
• As a member of the leadership team completed ORO with The Joint Commission Center for Transforming Healthcare Director of HRO , I was a organizational level resource for the areas of high reliability and patient safety coordination of onsite high reliability self-assessment.
Landstuhl Regional Medical CenterPatient Safety Manager
Aug. 2014 - Feb. 2015Germany✥ Acted as patient advocate and champion of safety protocols and procedures for nurses and staff
✥ Oversaw patient safety initiatives for the American Military Hospital with varying bed sizes
✥ Ensured compliance, risk management, root cause analysis, and analyzed military hospital safety reports to identify risks and vulnerabilities to improve surgical and post-op procedures
✥ Coordinated and conducted monthly meetings, created reports, and made recommendations to senior leadership reduce patient incidents, injuries, and unnecessary risks
✥ Reviewed and revised policies and procedures to standard operating procedures, training programs and manuals, and daily practices
Landstuhl Regional Medical CenterInterim Head Nurse
Jan. 2013 - Dec. 2014GermanyCoordinated departmental operations and set short- and long-term goals for ICU staff. Delegated duties to team members while managing various Evidence-Based Practice and Process Improvement projects. Assessed metrics, organized yearly Trauma Nurse courses, and identify training requirements with CNS and OIC. Reviewed and updated SOPs, care plans, emergency responses, and MD orders. Evaluated treatment protocols, assigned patient care duties, and delegated responsibilities to charge nurses.
Key Achievements:
• Collaborated with stakeholders to design and implement studies and analyses to support new quality and performance improvement initiatives, supplying oversight and support for unit-level projects, including cost-saving measures and process improvements.
• Streamlined infection control procedures, reclaimed class 8 supplies, and reduced incidence of hospital-acquired pressure ulcers.
• Oversaw design of stand-up on-the-spot Sim program for training ICU staff in deployed environment, including ACLS scenarios and using ECMO. The ALRT trained in Sim environment.
Landstuhl Regional Medical CenterActing CNOIC/Assistant Head Nurse CICU
Jan. 2012 - Sep. 2014Germany✥ Led a team of 60 staff members to perform daily operations including short-term and long-term care for U.S. military hospital patients wounded in Iraq and Afghanistan
✥ Supported U.S. and coalition forces and contributed to a 99% survivability rate for critical patients
✥ Treated wounded patients, coordinated patient transportation (inbound and outbound) to administer and arrange the best care possible
✥ Saved $105K by developing in-house Trauma Nurse course worth 15CEU; taught over 70 nurses Implemented Healthy Work Environment from AACN and a strategic plan based on the needs assessment.
✥ Managed and directed a small team of nurses to administer care, monitor patients progress, and provide counseling and instructions for civilian patients and military personnel
✥ Created the work schedules and assigned duties and tasks to the nursing team; supported doctors with emergency surgeries and patient care
✥ Worked with Acute Lung Rescue Team (ALRT) mission for ECMO transportation from Afghanistan providing ground support and coordinating care for ICU patients
✥ Identified additional training, annual trauma courses, and developmental needs for CNS and OIC
Landstuhl Regional Medical CenterStaff Nurse CICU
Apr. 2010 - Jan. 2012Germany
Hennepin County Medical CenterStaff Nurse Surgical Trauma ICU
Jun. 2007 - Mar. 2010✥ Performed all nursing duties including triaging patients, assessing the severity of symptoms, provide excellent care, and refer patients to the appropriate units and departments
✥ Minimized suffering and pain via expertise, interventions, treatments, and care procedures
✥ Educated patients, families, and caregivers throughout the treatment process up to discharge
✥ Provided care for patients with acute illnesses specifically multiple trauma and its comorbidities, including shock, sepsis respiratory failure, multisystem organ failure
✥ Treated patients with multiple traumas, neurosurgery, general surgery, trauma surgery, cardiovascular surgery, transplant surgery
✥ Managed the care of adult patients experiencing life-threatening problems requiring complex assessment, high-intensity therapies and interventions that included continuous nursing vigilance.
✥ Acted as Unit Charge Nurse and Preceptor
✥ Extensive experience with traumatic and non-traumatic head injuries including hemorrhages, strokes, and aneurysms.
✥ Worked closely with Lifesource organ donation supporting families suffering a loss and care of patients after the declaration of brain death
✥ Skilled in monitoring arterial lines, central venous pressure lines, Svo2 levels intracranial pressure as well as brain oxygen and temperature, ventriculostomies, ventilator care, chest tubes, and abdominal drains, experienced in Philips monitoring
✥ Participated in nationally funded research TBI program for several years studied brain oxygen consumption and temperature related to metabolism
✥ Through measuring, lactate levels in microdialysis and brain oxygen and temperature monitoring
✥ Participated in Hyperbaric Oxygen therapy for Traumatic Brain Injury and Necrotizing Fasciitis ✥ Assisted in nationally funded research of traumatic brain injury and effects of hyperbaric oxygen ✥ Primary member of the core certification team of the hospital's Primary Stroke Center and National Certification for Stroke Center.
Wilcox Memorial HospitalClinical Nurse Supervisor ICU
Oct. 2005 - May. 2007✥ Ensured all regulatory requirements were met
✥ Created and implemented a schedule for safe staffing
✥ Passed a successful TJC Survey
✥ Steering Progressive clinical excellence through staff development ✥ Shared responsibility for employee engagement, recruitment and retention, and clinical cost control ✥ Provided nursing care to patients with critical and complex medical and surgical conditions.
✥ Implemented company standards of care, policies, and procedures
Wilcox Memorial Hospital Staff Nurse II
Jan. 2004 - Oct. 2005Kauai HawaiiWorked as a staff nurse in the only ICU on the island, transferred to a higher level of care after patient stabilized in an austere environment
The Queen's Medical CenterStaff Registered Nurse Neuro ICU
Nov. 2003 - Jan. 2004
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