Hospitalist APRN - Greenwich Hospital / Yale New Have Health / NEMG - Greenwich, CT
(2021-09)
Provide inpatient level of care in the form of cross coverage, admissions, and consultant Hospitalist APRN.
- Admit and manage patients from emergency department with various diagnoses such as COPD exacerbation, asthma exacerbation, CHF exacerbation, chest pain, various arrythmias, stroke, altered mental status, sepsis due to various infectious diseases, fractures, GI bleed, etc.
- Conduct initial assessments, review charts, order and review clinical and diagnostic tests, formulate and implement treatment plans as appropriate.
- Serve as cross coverage nocturnist APRN - address acute issues overnight including evaluate patients with chest pain, stroke-like symptoms, new infection symptoms, new or uncontrolled pain, change in mental status, falls.
- Respond to emergent situations and upgrade patients to stepdown or ICU level as required.
- Provide consultation service for patients admitted by other specialties such as orthopedics, surgery, urology, etc.
- Maintain collaborative culture by communicating with patients, families, SNF facilities, nursing personnel, primary physicians, and specialty consultants to ensure team approach and open communication.
- Accurately document all patient encounters in patient EMR consistent with guidelines.
Hospitalist APRN - St Francis Hospital & Medical Center/ Trinity Health of New England - Hartford, CT
(2020-05 - 2021-05)
Same role and responsibilities as above
Cardiac & Neuro ICU Registered Nurse - St. Francis Hospital & Medical Center - Hartford, CT
(2018-04 - 2020-05)
- Provide care for patients with a range of critical conditions including ACS, HF, open heart surgery, neurologic events including CVA, intracranial hemorrhage, neurosurgery, TBI, etc.
- Manage life sustaining ICU interventions including mechanical ventilators, vasoactive IV drips, CRRT, TTM, etc.
- Manage ICU equipment including Swans, chest tubes, EVD, arterial & central lines, temporary pacemakers etc.
- Monitor continuous telemetry, note changes and intervene. Initiation and participation in code blue.
- Collaborate with the multi-disciplinary team to advocate for optimal care for patients.
- Assist providers with bedside procedures including intubation, tracheostomy, peg tube insertion, endoscopy, bronchoscopy, EVD insertion, chest tube, central line, arterial lines placement.
- Follow brain death protocols while working with organ procurement specialist.
- Manage patients on end of life care and provide emotional support for families.
- Educate patients on health management. Provide ongoing education and updates to family members.
Pre-Op & PACU Registered Nurse - Henry Ford Health Systems Hospital - West Bloomfield, Michigan
(2017-02 - 2018-02)
- Function as a staff, charge, and preceptor RN.
- Work with outpatient and inpatient population across the age lifespan from infants to elderly.
- Conduct pre-op surgical prep before surgery. Recover patients post-op. Follow up with patients post discharge.
- Provide diligent patient care to post-op, post anesthesia patients following neurosurgical, gastrointestinal, gynecological, urological, orthopedic, and plastic and reconstructive surgeries.
- Evaluate for post-op and post anesthesia complications by monitoring mental status, vital signs, bleeding risk, and wound assessment. Collaborate with multi-disciplinary team to manage complications.
- Utilize the nursing process for assessment, pain management, fall risk evaluation, discharge readiness and patient/family teaching.
Cardiothoracic Stepdown Unit Registered Nurse - New York Presbyterian Weill Cornell - New York, NY
(2016-01 - 2016-09)
- Care for patient requiring close monitoring post cardiothoracic surgery including open-heart surgery, (CABG, valve replacement/repair, aneurysm repair, septal defect repair) esophageal surgery, lung surgery.
- Diligently monitor patients' cardiovascular, respiratory, and neurological status for signs of post-op complications
- Monitor continuous EKG for post-op arrhythmias.
- Manage a range of equipment including pacemakers, epicardial wires, chest tubes, JP drains, wound vacs, central lines, arterial lines, PCA & EPCA pumps, tube feeds, bladder scanner, ostomy appliance, etc
- Delegate tasks to members of the interdisciplinary health care team; follow up to evaluate outcomes.
Registered Nurse, Medical Surgical & Stepdown Float Pool - St. Francis Hospital, Roslyn, NY and Good Samaritan Hospital, West Islip, NY - Roslyn, NY and West Islip, NY
(2014-01 - 2016-01)
- Float to IMCU, PACU, SICU, MICU, CTICU, and ACU in St. Francis Hospital and Good Samaritan Hospital.
- Assumed care of various patient populations with a concentration in cardiac, oncology, and hospice patients.
- Prepared patients for endoscopic procedures, chemotherapy, general surgery, cardiac procedures including cardiac cath, echocardiogram, cardioversion, stress testing, and TEE.
- Performed sterile dressing changes, catheter insertions, tracheostomy, ostomy, urostomy, PEG, NGT care
- Keep patients up to date and address patients' gaps in literacy
- Assisted in rapid response events and code situations by utilizing BLS and ACLS protocols
