With more than 15 years of managerial/supervisory experience and 24 years in critical care, my attributes honed in leadership, communication, health promotion and comprehensive knowledge will be of benefit to your organization. I thoroughly enjoy collaborative teamwork having spent numerous hours working towards goal attainment, evidence-based practice and a culture of success.At the University of Colorado Hospital (UCHealth.org), Anschutz campus, I developed a reputation as a leader who delivers excellent comprehensive clinical care, educates a multitude of new and experienced staff and improves outcomes for patients who require Intensive Care. Clinically, I am proficient in managing diverse surgical and medical populations that require timely physiological assessments, comprehensive knowledge of life-sustaining equipment (e.g. ventilators, BiPAP/CPAP, pulmonary artery catheters, CCO, CRRT, IABPs, Centrimag, Heartmate, Heartware, Impella, along with VV and VA ECMO) and concurrent, efficient communication for timely clinical intervention.Most my career has been in leadership working to improve patient care. I've led a multitude of educational classes on in-hospital crisis response, ACLS, cardiac telemetry and post-operative care of cardiothoracic and vascular surgeries. I demonstrate a track record for improving patient outcomes. Two notable achievements are the reduction of HAPI in the CT ICU patient population by 55% and a reduction of CLABSI by 77% in CT ICU and COVID ECMO patients. These were culture changing initiatives that saved lives.
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Intensive Care NurseAya Healthcare Oct 2022 - Aug 2023Minneapolis, Minnesota, United StatesContracted and per diem ICU RN working at Mercy Hospital's general ICU then United Hospital's CVICU caring for ICU (including fresh post-op hearts), PCU & M/S patients. -
Intensive Care NurseFavorite Healthcare Staffing Apr 2022 - Sep 2022Minneapolis, Minnesota, United StatesContracted Travel RN working at Methodist Hospital's general ICU (including fresh post-op hearts), PCU & M/S. -
Associate Nurse Manager, Cv IcuUchealth May 2016 - Jan 2022Aurora, Colorado, United StatesCo-led total operation of 17 bed CT ICU with ADC 15.6 and 5 1:1s pre-COVID. CMI grew from 6.43 in FY16 to 7.218 in FY21. Together with Unit Manager and Unit Educator, we provided complete personnel assessment, evaluation, education, hiring/onboarding, performance/operational improvement and unit development. -
Interim Nurse Manager, PcuUchealth May 2021 - Nov 2021Aurora, Colorado, United StatesResponsible for complete operation of 36 bed PCU at 678 bed quaternary, academic facility while assisting in the search for a Permanent PCU Manager. Co-Led 58.8 FTEs in collaboration with Unit ANM and Unit Educator. Primary clinical populations included Cardiothoracic, Medical, Surgical, Trauma and Neurologic but delivered care to 31 distinct service lines. In FY21 we had an average Case Mix Index (CMI) of 2.89. -
Clinical Resource NurseUchealth Apr 2014 - May 2016Aurora, Colorado, United States• Responsible for MET/RRT response throughout hospital ensuring appropriate, coordinated, efficient and effective critical care delivered outside ICUs.• Built relationships to provide critical care nursing consultation throughout the hospital by ensuring appropriate plans of care, patient placement and service excellence.• Identified need and provided ultrasound guided peripheral IV placement. -
Permanent Charge Nurse, Cv IcuUchealth Oct 2010 - May 2016Aurora, Colorado, United States• Provided holistic, evidence-based care to our population performing as a clinical resource, role model and leader for complex clinical situations both patient and system oriented.• Collaborated with leadership team to identify actual and potential problems in our healthcare environment. Planed, implemented and evaluated solutions to meet the care goals set forth by UCH management, health care providers and our nursing profession.• Personally mentored, counseled and annually evaluated an average of twelve CT personnel helping them identify achievable goals for personal and professional growth.• Proactively offered coaching, advisement and resources to staff and physicians to enhance safety, outcomes and the satisfaction of our patient population. • Managed content and taught UCH’s Post-Operative Heart Management, Temporary Pacemaker and CT ICU Relief Charge classes.• Coordinated and implemented staffing for 80+ employees.• Kaizen committee member 2010-2021, Co-Chair 2014-2016. Kaizen is a combined Nursing and Pharmacy quality improvement team at UCHealth. -
Critical Care Registered NurseUchealth Feb 2007 - Nov 2010Aurora, Colorado, United States• Delivered comprehensive, holistic, bio-psycho-social and spiritual care to surgical, vascular and cardiothoracic patients and families within a collaborative, evidence-based, multidisciplinary framework.• Managed and operated technical patient care equipment such as VADs, ECMO, IABPs, CRRT, EKOS, ventilators, and pulmonary-artery catheters in coordination with collaborative, outcome-directed, patient care.• Level III projects that decreased incremental overtime and improved staff knowledge/policies on IABPs and ECMO. -
Nurse Manager, Emergency DepartmentPresbyterian/St. Luke'S Medical Center Jan 2006 - Oct 2006Denver, Colorado, United States• Oversaw day to day operations, education, and quality improvements for a pediatric and adult emergency department in a tertiary and quaternary facility while continuing to teach new grad courses on emergency management as well as co-chair the Professional Practice Council.• Identified need for increased pediatric and adult critical care knowledge and experience. Collaborated with respective Nurse Managers to provide specific critical care orientations to existing employees and new hires.• Collaborated, educated, and implemented an ED Rapid Response Team that resulted in improved availability of appropriate clinical resources to provide age-specific, life-saving treatment.• Developed comprehensive clinical orientation plans for both RN’s and ED-Technicians that modeled the ENA recommended guidelines.• Identified and collaborated to develop process improvements in areas such as: EMS relationships, emergency preparedness, avian influenza/ disaster management, security, auditing and billing compliance, continuing education, improved LIP coverage, decreasing ED diversion and ICU/ Psychiatric advisory hours, pediatric emergency supplies, and volunteer guidelines.• Project Manager for T-Systems: A comprehensive, computer-based nursing and physician clinical charting system. -
Administrative Nursing SupervisorPresbyterian/St. Luke'S Medical Center Dec 2002 - Dec 2005Denver, Colorado, United States• Engineered and facilitated crisis management objectives and initiatives relating to the care, safety and professionalism of patients, families, employees and physicians.• Utilized collaborative decision making in conjunction with personal assessment capabilities to direct patient placement throughout 685 bed tertiary and quaternary facility.• Supervised and formulated safe nurse to patient ratios as relating to patient acuity and individual employee capabilities on every patient unit.• Helped to develop the “Vision and Values” in the Professional Practice Committee’s structure and practice and served on the Professional Practice Council.• Team leader for crisis management situations and clinical resource for staff. • Developed and implemented curriculum to introduce roles and responsibilities of the nursing supervisor and expectations of charge nurses along with crisis management objectives for new charge nurses.• ACLS Instructor, PALS and NRP Provider. -
Intensive Care NurseHealth Care Staffing Of Colorado May 2002 - Dec 2002Denver, Colorado, United States• Provided excellent patient care in variety of hospital settings including medical, cardiac, BMT, surgical and telemetry while increasing professional autonomy and diversifying personal knowledge base.• Maintained consistent patient advocacy secondary to in-depth communication and a reliable, multidisciplinary approach.• Served as critical care resource and Charge Nurse to numerous staff.
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Intensive Care NurseCross Country Travel Corps Jan 2002 - May 2002Detroit, Michigan, United States• Performed intensive patient care for a multitude of cardiac ailments including CHF, CM, AMI, ACS and pre-transplant life-saving support.• Displayed flexibility and adaptability to different patient care environments including medical, surgical, neurological, and cardiac intensive care and progressive care units.
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Intensive Care NurseUchealth Aug 1999 - Dec 2001Denver, Colorado, United States• Delivered comprehensive, holistic, bio-psycho-social and spiritual nursing care to patients and families within a collaborative, evidence-based, and multidisciplinary practice.• Managed and operated highly technical patient care equipment that included IABP, CRRT, ventilators, and pulmonary-artery catheters in coordination with collaborative, outcome-directed care.• Taught and mentored nursing students, traveling nurses, new staff, and a critical care nursing resident during her five-month residency program.• Helped research, institute, and implement a psychological assessment form for the MICU/CCU, SICU/NICU, BMT, and BTU.
John Karels Education Details
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Registered Nursing/Registered Nurse -
Registered Nursing/Registered Nurse -
Registered Nursing/Registered Nurse
Frequently Asked Questions about John Karels
What is John Karels's role at the current company?
John Karels's current role is Manager & Critical Care RN- Cardiothoracic, Surgical, Medical, PCU, Med/Surg, Staff Development & Quality Improvement.
What schools did John Karels attend?
John Karels attended University Of Minnesota, University Of Minnesota, University Of Minnesota.
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John Karels
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