Acute Care Nurse Practitioner - Medstar Union Memorial Hospital - Baltimore
(2025-01)
- Collaborated with attendings, nursing, pharmacy, and respiratory therapy to develop system-based patient care plans and treatments during daily rounds.
- Managed post-operative patients undergoing Aortic/Mitral Valve Replacements/Repairs, Coronary Artery Bypass Grafts, Aortic Dissection Repairs, Transcatheter Aortic Valve Replacements, Tendyne Procedures, and EVOQUE Procedures, including medication management, EKG interpretation, pacing, airway/ventilator management, and intervention based on lab results.
- Removed and managed Intra-Aortic Balloon Pumps and Transvenous Pacing Wires.
- Oversaw patients requiring Continuous Renal Replacement Therapy.
- Coordinated with physical/occupational therapists, rehabilitation physicians, social workers, cardiac rehabilitation specialists, and nursing staff for anticipated patient needs upon transfer from the ICU.
- Educated patients and families on acute and/or chronic illnesses, providing daily updates on patient progress.
- Intervened in emergencies arising during the post-operative course, including bleeding complications, hemodynamic instability, and medication and airway management.
- Inserted central lines, arterial lines, hemodialysis catheters, Swan Ganz catheters, chest tubes, and performed thoracentesis utilizing bedside ultrasound guidance.
- Employed bedside ultrasound to assess for pleural effusions, pericardial effusions, and overall heart function in Cardiac Surgery patients.
Acute Care Nurse Practitioner - LifeBridge Health Sinai Hospital - Baltimore
(2018-01 - 2025-01)
- Partnered with cardiac surgeons, nursing, and pharmacy to devise system-based patient care plans and treatments during daily rounds.
- Managed post-operative patients undergoing Aortic/Mitral Valve Replacements/Repairs, Coronary Artery Bypass Grafts, Aortic Dissection Repairs, and Transcatheter Aortic Valve Replacements, encompassing medication management, EKG interpretation, pacing, airway/ventilator management, and intervention based on lab results.
- Administered care for patients with Intra-Aortic Balloon Pumps, Impella placement, and ECMO.
- Executed removal of Intra-Aortic Balloon Pumps, Transvenous Pacing Wires, and Impellas.
- Supervised patients requiring Continuous Renal Replacement Therapy.
- Liaised with physical/occupational therapists, rehabilitation physicians, social workers, cardiac rehabilitation specialists, and nursing staff to address anticipated patient needs upon ICU transfer.
- Instructed patients and families regarding acute and/or chronic illnesses, furnishing daily progress updates.
- Addressed emergent situations in the post-operative course, including bleeding complications, hemodynamic instability, and medication and airway management.
- Performed insertions of central lines, arterial lines, hemodialysis catheters, Swan Ganz catheters, chest tubes, and conducted thoracentesis with bedside ultrasound guidance.
- Utilized bedside ultrasound to evaluate pleural effusions, pericardial effusions, and heart function in CCU and Cardiac Surgery patients.
- Collaborated with cardiologists, nursing, and pharmacy to establish system-based patient care plans and treatments during daily rounds.
- Inserted central lines, arterial lines, hemodialysis catheters, Swan Ganz catheters, and performed thoracentesis under bedside ultrasound guidance.
- Managed patients requiring Continuous Renal Replacement Therapy.
- Oversaw the CCU patient population, including STEMI/NSTEMI, cardiomyopathies, acute and chronic heart failure, Intra-Aortic Balloon Pumps and Impellas, and TVP insertions and removals.
- Directed comprehensive patient treatment plans, including medical management, EKG interpretation, pacing, intervening in emergencies requiring stabilization or ICU upgrade, and discharge planning, alongside lab value interpretation and necessary interventions.
- Conferred with surgeons to update them on daily patient treatment plans.
- Executed ultrasound-guided thoracentesis and peripheral line placement.
- Coordinated with Interventional Radiology, Electrophysiology, MRI, CT, X-Ray, and Echocardiogram departments for necessary diagnostics.
- Collaborated with physical/occupational therapists, rehabilitation physicians, social workers, cardiac rehabilitation specialists, and nursing staff to address anticipated patient needs post-discharge.
- Evaluated patients in P.A.S.S. to ensure all pre-operative tests and diagnostic procedures were completed prior to surgery.
- Assessed patients alongside cardiac surgeons post-cardiac catheterization to determine surgical candidacy.
- Educated patients and families on acute/chronic illnesses, post-operative care, daily progress, and arranged post-discharge follow-up appointments.
Registered Nurse, Nurse Clinician II M / Clinical Recourse Nurse - The Johns Hopkins Hospital - Baltimore
(2015-01 - 2018-01)
- Functioned in a clinical leadership capacity, mentoring peers and precepting new nurses, paramedics (in-house and ground), and EMT-Bs.
- Executed inter-facility and intra-facility patient transports.
- Facilitated teaching during Continuing Education days, Dexter's Airway Cadaver labs, and Simulation labs.
- Participated in a team-building project involving the HAL line, HopComm, and clinical staff.
- Contributed to the peer review process for ground transport documentation.
Registered Nurse, Nurse Clinician III - The Johns Hopkins Hospital - Baltimore
(2011-01 - 2015-01)
- Directed nursing schedule management and the scheduling committee, finalized nursing payroll, and tracked nursing attendance.
- Transported critical care patients both inter-facility and intra-facility.
- Engineered a computer-based Quality Assurance/Quality Improvement program and oversaw its integration into daily operations.
- Led debriefings and resolved clinical issues pertaining to patient care transports for both in-house and LifeStar ground operations.
- Assisted frequently in covering for ALS supervisors, overseeing HopComm, and all in-house and LifeStar ground operations and staff, addressing daily and overnight operational and staffing challenges.
- Managed all nursing-related Human Resource functions, including recruitment and retention.
- Initiated a unit liaison program between Lifeline and ICUs/step-down units, fostering improved communication and stronger relationships with nurse managers.
- Chaired quarterly meetings between Lifeline and nurse managers from serviced ICUs and step-down units.
Registered Nurse, Nurse Clinician II E - The Johns Hopkins Hospital - Baltimore
(2006-01 - 2011-01)
- Collaborated within the Scheduling Committee to maintain schedule integrity.
- Transported critical care patients across inter-facility and intra-facility settings.
- Provided clinical leadership by mentoring peers and precepting new nurses, paramedics (in-house and ground), and EMT-Bs.
- Assisted in delivering continuing education.
Registered Nurse, Nurse Clinician II M - The Johns Hopkins Hospital - Baltimore
(2004-01 - 2011-01)
- Provided nursing care for adult, geriatric, and pediatric patients with acute and chronic illnesses during transport from Intensive Care Units and step-down units to procedure and diagnostic areas.
- Managed patient care involving vasopressor titration, airway management via transport ventilator, and support for patients requiring extracorporeal membrane oxygenation, intra-aortic balloon pump therapy, ventricular assist devices, Veletri, Flolan, and nitric oxide.
- Monitored and assessed patients continuously during transport and within procedure and diagnostic areas, implemented interventions for patient safety, and administered treatments according to unit Epic orders.
- Collaborated effectively with paramedics and EMT-Bs to ensure comprehensive and consistent patient care and safety during all patient interactions.
- Transported and managed adult, geriatric, and pediatric patients with acute and chronic illnesses from external hospitals via ambulance to Johns Hopkins Hospital or Johns Hopkins Bayview, including high-risk obstetrics, oncology, neurological, medical-surgical, and cardiology populations.
- Planned, assessed, monitored, and implemented treatments based on MIEMMS and Lifeline critical care protocols and medical direction.
- Provided care that included vasopressor titration, airway management via transport ventilator, Rapid Sequence Intubation, and support for patients requiring extracorporeal membrane oxygenation, intra-aortic balloon pump, and ventricular assist devices.
Flight Nurse Medevac 10 - The Johns Hopkins Hospital - Baltimore
(2008-09 - 2010-03)
- Transported and managed adult, geriatric, and pediatric patients with acute and chronic illnesses via aircraft from external hospitals to Johns Hopkins Hospital or Johns Hopkins Bayview Medical Center, covering high-risk obstetrics, oncology, neurological, medical-surgical, and cardiology patient populations.
- Planned, assessed, monitored, and implemented treatments according to established protocols and medical direction.
- Managed patient care including vasopressor titration, airway management via transport ventilator, and support for patients requiring intra-aortic balloon pumps and ventricular assist devices.
Registered Nurse, Nurse Clinician IM - The Johns Hopkins Hospital - Baltimore
(2002-03 - 2005-01)
- Delivered nursing care to patients undergoing surgical and endovascular interventions.
- Managed complex and acute conditions related to ischemic and hemorrhagic strokes, seizures, Chiari Malformations, and craniectomies.
- Oversaw ventilators, vasopressor infusions, hemodynamic monitoring, and Intraventricular Catheters and Codmans.
Registered Nurse, Medical-Surgical/Open Heart Surgery - Geisinger Medical Center - Wilkes-Barre
(2001-01 - 2002-01)
- Provided nursing care for post-open-heart surgery patients and those with various medical-surgical conditions.
- Managed ventilators, vasopressor infusions, and hemodynamic monitoring.
- Coordinated discharge planning with social workers, the nurse manager, and physicians.
- Assisted in developing patient admission and education materials, as well as individualized patient care plans.
Registered Nurse, Adult Trauma Intensive Care Unit - Geisinger Medical Center - Danville
(2000-06 - 2001-01)
- Provided nursing care within a designated Level 1 Trauma center for adult patients.
- Managed ventilators, vasopressor infusions, and hemodynamic monitoring.
- Developed patient admission and education information.
- Created individualized patient care plans.
