Abigail Picache

Highly motivated and dedicated with critical thinking skills being an emergency nurse. Seeking career advancement and a challenging work environment that will contribute to the growth of the organization.

Experienced Emergency Registered

Nurse specializing in pediatric and adult emergency care, with demonstrated leadership as a preceptor and acting unit incharge. Skilled in rapid assessment and management of highacuity cases, medication administration, infection control, and multidisciplinary coordination.

Transfer Center RN - Dignity Health Rancho Cordova - Rancho Cordova

(2025-08)

• Managed incoming transfer requests and coordinated patient placements across facilities
• Communicated with referring providers, nurses, and hospital teams to gather clinical information
• Verifed bed availability and matched patients to appropriate units based on acuity and capacity
• Prioritized urgent and critical transfers to support timely patient care
• Documented transfer details accurately in EMR and tracking systems
• Coordinated transport logistics with ambulance, air, and ground transport teams
• Followed hospital policies, transfer protocols, and regulatory requirements
• Provided real-time status updates to stakeholders throughout the transfer process
• Resolved issues related to delays, missing information, or placement barriers
• Maintained professionalism and calm communication in high-pressure situations

ER registered nurse - HCA – Medical City Dallas - Dallas

(2024-02 - 2025-07)

• Triage patients and assess the severity of conditions quickly
• Provide urgent nursing care for trauma, medical, and cardiac emergencies
• Monitor vital signs and identify changes in patient status
• Administer medications, IV therapy, and emergency treatments as ordered
• Assist with procedures, wound care, splinting, and stabilization
• Coordinate care with physicians, specialists, and interdisciplinary teams
• Document assessments, interventions, and patient responses accurately
• Prioritize multiple patients in a fast-paced, high-acuity environment
• Educate patients and families on treatment plans and discharge instructions
• Maintain infection control, safety, and compliance with ER protocols

Staff Nurse - USRENAL CARE – Premier Charlton - Dallas

(2023-08 - 2024-01)

• Assess patients before, during, and after hemodialysis treatment
• Prepare and operate dialysis machines and related equipment
• Cannulate access sites and monitor fstulas, grafts, or catheters
• Monitor vital signs and respond to treatment complications
• Administer prescribed medications and treatments during dialysis
• Educate patients on dialysis care, diet, fuid restrictions, and medication compliance
• Document treatment details, patient responses, and clinical observations accurately
• Maintain infection control and follow dialysis safety protocols
• Collaborate with nephrologists and the care team on patient plans
• Recognize and respond to emergencies such as hypotension, cramping, or access issues

Pediatric Emergency Staff Nurse - Hamad Medical Corporation - Al Wakrah

(2011-06 - 2019-06)

• Guiding new staffs in our routines in the area (preceptor)
• Act as a team leader/ Senior staff in our department
• Focal Point of QCHP license in our department
• Arranging Staff fles of staff nurses working in pediatric emergency (Updating and arranging files of each staff nurses)
• Identifes patient care requirements by establishing personal rapport with potential and actual patients and other persons in a position to understand care requirements
• Resolves patient problems and needs by utilizing multidisciplinary team strategies
• Maintains safe and clean working environment by complying with procedures, rules, and regulations; calling for assistance from health care support personnel
• Protects patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures
• Documents patient care services by charting in patient and department records
• Maintains patient confdence and protects operations by keeping information confdential
• Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods
• Coordinating with physicians and other healthcare professionals for creating and evaluating customized care plans
• Providing instant care especially in emergency cases for pediatrics (eg. Anaphylactic shock, Seizure disorder, drowning... etc.)
• Prioritize multiple patients in a fast-paced, high-acuity environment
• Educate patients and families on treatment plans and discharge instructions
• Maintain infection control, safety, and compliance with ER protocols

Telemetry Nurse/ Emergency Staff Nurse - Asian Hospital and Medical Center - Muntinlupa

(2010-02 - 2011-04)

• Triage and assess patients in fast-paced, high-acuity settings
• Monitor telemetry rhythms and recognize cardiac changes or abnormalities
• Provide urgent care for medical, cardiac, and trauma patients
• Administer medications, IV therapy, and emergency treatments
• Monitor vital signs, labs, and patient responses to interventions
• Perform and assist with procedures, wound care, and patient stabilization
• Collaborate with physicians and interdisciplinary teams on care plans
• Document assessments, interventions, rhythm changes, and outcomes accurately
• Educate patients and families on conditions, medications, and discharge instructions
• Maintain infection control, safety, and compliance with hospital protocols

Emergency Staff Nurse - St. John the Baptist Hospital and Medical Center - Calamba

(2007-08 - 2008-09)

• Triage and assess patients in fast-paced, high-acuity settings
• Monitor telemetry rhythms and recognize cardiac changes or abnormalities
• Provide urgent care for medical, cardiac, and trauma patients
• Administer medications, IV therapy, and emergency treatments
• Monitor vital signs, labs, and patient responses to interventions
• Perform and assist with procedures, wound care, and patient stabilization
• Collaborate with physicians and interdisciplinary teams on care plans
• Document assessments, interventions, rhythm changes, and outcomes accurately
• Educate patients and families on conditions, medications, and discharge instructions
• Maintain infection control, safety, and compliance with hospital protocols

Staff Nurse - Southern Luzon Hospital and Medical Center - Santa Rosa

(2007-03 - 2007-06)

• Triage and assess patients in fast-paced, high-acuity settings
• Monitor telemetry rhythms and recognize cardiac changes or abnormalities
• Provide urgent care for medical, cardiac, and trauma patients
• Administer medications, IV therapy, and emergency treatments
• Monitor vital signs, labs, and patient responses to interventions
• Perform and assist with procedures, wound care, and patient stabilization
• Collaborate with physicians and interdisciplinary teams on care plans
• Document assessments, interventions, rhythm changes, and outcomes accurately
• Educate patients and families on conditions, medications, and discharge instructions
• Maintain infection control, safety, and compliance with hospital protocols

Bachelor of Science - Nursing - University of Perpetual Help Rizal – Calamba Campus (2002-06 - 2006-03)

High School - Canossa Academy (1998-06 - 2002-03)