In collaboration with attending physician initiates therapeutic and diagnostic procedure, consultations, angiographic procedures, and laboratory examinations. Interprets diagnostic findings and accordingly alters plan of care including but not limited to prescribing and altering medication regimens and blood tests for patients with intracerebral hemorrhages, ischemic strokes, subarachnoid hemorrhages, status epilepticus, brain and spine infections, malignancy, aneurysms, subdural and epidural hematomas, nerve conduction disorders and other neurosurgical and neurological emergencies on a combined Neuro and Medical critical care unit in a Certified Comprehensive Stroke Center. Promptly identities changes in patient’s condition and modify treatment regimen and therapies appropriately to promote optimal health status and outcomes. Clearly and comprehensively documents findings and plan of care in patient’s medical record, including but not limited to daily progress notes, procedural reports, admission H&P’s, and discharge summaries. Participates in academic and professional development through attendance and participation at national conferences.

Manages care for hemodynamically unstable adult and geriatric patients in 32 bed Coronary Observation Unit. Experienced in telemetry monitoring, medication administration, patient education, physical assessments and specialty drips to support hemostasis. Routinely coordinates care with a multi- disciplinary care team for patients with diagnosis that include unstable angina, NSTEMI, symptomatic dysrhythmias, congestive heart failure, as well as patients with comorbidities such as diabetes, renal failure, cancer, COPD, and anemia. Also provides care for pre and post-cardiac catheterization, electrophysiology studies, ICD and pacemaker insertion, and trans catheter aortic valve replacement patients.

Managed nursing care for adult and geriatric patients in a 51 bed Cardiac Telemetry Unit. Routinely provided care for post CABG and cardiac catheterization patients. Duties included assessment medication management, and family education. Also participated in the orientation of new employees, served as a resource for computerized documentation and a wound care/skin care expert for the unit.