Bailey Forward

Registered Pediatric Emergency Nurse in the Pediatric Emergency Department

• Worked casually part time and now work a permanent .46 line in the department
• Furthered assessment skills of pediatric population in emergency setting
• Learned how to be lead nurse in traumas and code blues with team of pediatric nurses
• Triage nursing: learning how to prioritize who gets physician and nursing care first
• Charge trained: Have been oriented and trained to fill in as patient care coordinator/charge nurse in the department. This involves making decisions for the department re: patient care, bed placement, transfers to units and out of hospital etc.
• Increased collaborative care being on team of other pediatric nurses and pediatric specific emergency physicians.
• Family care: assessing needs of family, advocating for needs of caregivers as well as patient.
• Assisted in adult emergency nursing during COVID when help was needed. Assessed lower acuity adults and provided care for them.
• Learned time management and quick thinking during acutely busy seasons in ED.
• Provided direct patient care, stabilized patients and determined next course of action.
• Organized and managed care of patients undergoing various therapies and procedures.
• Orchestrated quality-driven, cost-effective care in high-volume trauma center setting.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Provided didactic and clinical instructions to orient new nurses and potential student nurses to achieve training outcomes.
• Implemented medication and IV administration, catheter insertion and airway management.
• Administered medications via oral, IV and intramuscular injections and monitored responses.
• Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Monitored patient reactions to drugs and carefully documented findings.
• Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.

Worked .76 position until 2015 and worked casually after

• Initial assessments of pediatric populations brought into ED
• Prioritizing sickest patients over least sick and balancing care for each.
• Clinical judgment - learned quickness of thinking and assessing skills
• Clinical skills - became comfortable with most procedures and skills needed to care for emergency patient
• Autonomy: being one pediatric nurse on per shift, learned how to become confident in skills and care for multiple patients alone, while also knowing when to reach out for support from other professions.
• Collaborative care with Emergency Physicians: Emergency nursing provides more side by side care with physicians. I learned how to advocate, plan, question, and work well with not just physicians but other health care professionals (Respiratory Therapists etc).
• Escalating care when needed: assessing when patient needed higher level of care and completing necessary steps to acquire that care for patient (advocating for transfer to higher specialty hospital, admission to ward etc).
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
• Provided direct patient care, stabilized patients and determined next course of action.
• Administered medications via oral, IV and intramuscular injections and monitored responses.
• Implemented medication and IV administration, catheter insertion and airway management.
• Managed care from admission to discharge.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Collected blood, tissue and other laboratory specimens and prepared for lab testing.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Monitored patient reactions to drugs and carefully documented findings.
• Organized and managed care of patients undergoing various therapies and procedures.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
• Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.

• Registered Nurse on Pediatric inpatient unit
• Worked almost full time hours in casual position
• Assessment of pediatric population (age 0-16 yrs old)
• Clinical judgment of acuity and sickness in pediatric population
• Time management of caring for 4 patients
• Family care management; educating and supporting parents and other caregivers of patient
• Collaborative care with Pediatricians; advocating for patient health and plan of care during admission
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Managed care from admission to discharge.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
• Provided direct patient care, stabilized patients and determined next course of action.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Organized and managed care of patients undergoing various therapies and procedures.
• Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
• Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.

• Employed Student Nurse on 4 South Medical Inpatient unit
• Worked full time during summers between years of nursing program
• Learned how to assess and provide care for older adult
• Time management of taking care of 4+ patients
• Collaborative care with Registered Nurses and other care providers (physicians, PT, OT etc).
• Acquired knowledge about older adult population: common diseases and how to care for them. Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
• Collaborated with nurse preceptors and other medical staff to achieve quality patient outcome goals.
• Sanitized, restocked and organized exam rooms and medical equipment.
• Completed medical facility experience while under supervision of qualified staff.
• Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
• Obtained client medical history, medication information, symptoms and allergies.
• Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
• Collected and documented patient medical information such as blood pressure and weight.
• Completed clinical procedures and gathered patient data for interpretation by physician.
• Ambulated, turned and positioned patients.
• Tested and recorded blood glucose levels.
• Prepared initial patient charts for admission.
• Assisted patients with personal hygiene requirements and monitored conditions to update nursing staff.
• Helped physicians complete procedures such as lumbar punctures by supporting patients and organizing necessary supplies.
• Monitored each patient to meet appropriate care and document status changes.
• Worked alongside experienced nursing professionals to learn new procedures.
• Documented vital signs and health history for patients in clinic and hospital environments.
• Researched different diagnoses to become familiar with presentation and treatment protocols.
• Prepared patients for X-rays, electrocardiograms, suture removal and dressing changes.
• Performed clerical duties, such as word processing, data entry, answering phones and filing.
• Cared for each patient according to care plan and physicians' instructions.