Damaris Marinoiu
Tavistock,ON
Summary
A compassionate and dedicated Registered Nurse (BScN) with three years of professional experience in diverse healthcare environments, specializing in medical/surgical care, hemodialysis care, patient education and treatment plan development. A strong background of collaborating with interdisciplinary healthcare teams to deliver patient-centered care within high volume acute and chronic environments. I believe that I would be an active and valuable addition to your team due to my ability offer compassionate care to diverse populations while demonstrating remarkable ability to work effectively within a collaborative team while upholding the highest safety standards.
Overview
5
5
years of professional experience
Work History
Inpatient Surgery
GRAND RIVER HOSPITAL
09.2023 - Current
- Collect and record patient's current symptoms, detailed past medical history, medications and vital signs; Performing thorough history and physical assessment of the patient pre- and post-operatively; Receiving and delivering thorough patient reports at shift change as well as during multidisciplinary rounds; Proficient in PCA pumps and Epidural Infusions as well as the assessment of patients under Spinal and Regional Blocks; Initiation, maintenance and discontinuation of kangaroo pumps, TPN, NG tubes, Foley catheters, PICC lines, intravenous medications; Performing wound care using sterile technique (VAC dressings and PICO pumps as well as ostomies); Performing EKG testing; Consulting and coordinating with healthcare team to assess, plan, implement, and evaluate care plans; Working directly under physicians, and nurse practitioners, assisting during exams, diagnostic testing, and treatments as well as carrying out orders efficiently; Demonstrate knowledge regarding surgical procedures including orthopedic, urology, breast/plastic, ENT, and general surgery; Supporting comprehensive patient education throughout the perioperative continuum of care; Managing post-operative complications such as hypotension, hypoglycemia, etc.; Liaise with multi-disciplinary team (PT, OT, dietician, SW) to optimal patient outcomes; Initiating patient and family education concerning home care needs, medications, and follow-up appointments and treatments.
Hemodialysis
GRAND RIVER HOSPITAL & ST. MARY'S GENERAL HOSPITAL
11.2021 - 09.2023
- Monitor patients pre, intra and post dialysis treatment; Collect, record and interpret patient vital signs and lab results taking appropriate action; Using Medical Directives (eg
- Lab work collection, medication administration) appropriately; Efficiently and accurately input and interpret HD machine information such as BVM/RBV, UF, recirculation, Bicarbonate and Sodium values, UF and Na Profiles, Dialysate temperature, etc
- Record information via Renal Insight and Cerner; Carry out hemodialysis of outpatient-CKD as well as inpatient-AKD; Assess, cannulate and monitor fistula access and grafts; Trained in care of patient with Acute Kidney Disease at Grand River Hospital and St
- Mary's Hospital and commenced On Call assignments July 2022; Set up and tear down of Fresenius Hemodialysis machine; Assess, maintain, monitor and troubleshoot issues with CVC (temporary and permanent tunneled); Remove sutures, swab collection, change dressings to CVC as necessary; Maintain strict aseptic techniques throughout CVC and fistula care; Monitor monthly lab values of clients; Administer blood products eg
- PRBC, Albumin- manage, commence administration and monitor; Manage dialysis complications (hypotension, headaches, cramps, nausea/vomiting, etc.); Administer PO and IV medication such as Erythropoietin, Antibiotics, Sodium thiosulfate, etc.; Collaborate with Nephrologist and other clinical staff (RNs, Dialysis Assistants, SW, Transplant Coordinator) to prepare for treatment, carry out interventions and enhance continuum of care to deliver services to patient with Acute and Chronic Kidney Failure; Answer patient questions and provide take-home materials for information; Collaborate with family to enhance care of loved ones; Assist Nurse Educator on improving standards of care for kidney failure patients; Educate patients on life with kidney disease, disease process, renal diet, fluid restriction goals, comorbidity implications, care of CVCs, infection prevention, etc.; Connect patients with appropriate resources (ex
- Home hemodialysis, PD) to enhance life with CKD.
Medicine A- Medicine/Cardiology/Covid Unit
CAMBRIDGE MEMORIAL HOSPITAL
05.2021 - 07.2021
- Conducted physical assessment of acutely and chronically ill patients (with a focus on cardiovascular and respiratory assessments); Demonstrated an excellent ability to monitor the condition of acutely and chronically ill patients and take appropriate action when required; Provided thorough health education to patients as required; Assumed the care of tracheostomies; Maintained appropriate oxygenation saturation levels using various oxygen delivery devices; Telemetry monitoring under preceptor's supervision; Admission/discharge planning and appropriate use of community resources into patient's care plan; Demonstrated ability to work in a patient-centered, multi-disciplinary team environment; Medication administration (PO, IV, IM, Subcutaneous, CVAD, NG tube, PRN); Demonstrated proficient use and knowledge of Alaris IV pumps; Demonstrated familiarity with blood products, protocols, administration, and monitoring; Demonstrated knowledge and competence in managing complex pain and symptoms related to disease processes; Demonstrated knowledge in pathophysiology of diverse diseases and pharmacology of related medication and treatments; Demonstrated psychosocial skills with offering supportive emotional care to patients and their significant others from all cultural backgrounds; Documented using Meditech system with precision and modified care plans as appropriate; Demonstrated excellent time management skills and attendance record; Assumed care of preceptor's full patient load with minimal to no coaching.
Community Nursing
CCAC Kitchener Nursing Clinic
09.2020 - 12.2020
- Worked collaboratively within a multidisciplinary team; Evaluated health outcomes, provided patient education, and advocated for individuals to meet health goals; Developed care plans with patients and their families; Proficiency in accessing, flushing, medication administration via Port-a-cath, PICC line, Midline; Demonstrated ability in CADD pump programming and maintenance; Demonstrated remarkable ability in wound care, wound assessment and monitoring, treatment of venous and arterial ulcers, pressure ulcers, surgical wounds, amputation wounds; VAC dressings; Inserted/removed Foley Catheters; Performed Ostomy care, maintained drain systems; Removed sutured and drains as ordered; Documented nursing processes clearly and accurately, providing rationale for increase and decrease in visit requests; Conducted thorough admission assessments and provided patient with appropriate discharge instruction and appropriate resources; Incorporated BPGs and current research findings into practice; Communicated significant assessment findings to physicians and worked collaboratively as part of a team; Followed physician orders closely; Assumed the care of diverse populations (paediatric- older adults).
B4-Nephrology/Medicine
PETERBOROUGH REGIONAL HEALTH CENTER
01.2020 - 04.2020
- Nursing Student Placement (160 Hours)
Community Health Promotion Placement
TRENT UNIVERSITY
09.2019 - 12.2019
- Developed an Alzheimer's Disease Social Media Awareness Campaign for Trent University and assisted Professor in Alzheimer's Disease Research
Mental Health
PETERBOROUGH REGIONAL HEALTH CENTER
05.2019 - 07.2019
- Nursing Student Placement (120 Hours)
Long Term Care
EXTENDICARE PETERBOROUGH
01.2019 - 04.2019
- Nursing Student Placement (72 Hours)
Skills
- Remarkable resiliency, ability to adapt and learn quickly with utmost precision;
- Excellent critical thinking, problem-solving and decision-making and time management skills;
- Strong assessment, monitoring and time management skills;
- Proficient in accessing/maintaining CVC, Port-a-cath, PICC lines, fistula, IV start;
- Proficient in administration of medications Below the Drip Chamber;
- Ability to work effectively within a collaborative care environment;
- Excellent ability to communicate professionally and effectively;
- Striving to improve patient experience while taking into consideration the unique needs of each patient and individual care plan;
- Committed to treating every person with compassion, respect, dignity;
- Striving to be a lifelong learner and willing to advance education (ACLS, PALS, Cardiac course);
- Committed to contributing to a highly efficient team for optimal patient outcomes;
- Demonstrated remarkable ability to work independently as well as collaboratively within a team in a fast paced and ever-changing environment
- BCLS - updated July 2023
- Proficient in Cerner, Renal Insight, Meditech Software, Omnicell, Accudose
- Nonviolent Crisis Intervention training program (16 hours)
- WHSA, WHMIS & AODA trained, N-95 Mark Fit
- English - experienced / Romanian - experienced / French- in progress
Certifications And Awards
- 2012/2016 University of Waterloo President's Scholarship
- 2020/2021 Trent University in-Course Scholarship and Dean's List
- Addiction and Treatment Online Course- Substance Use and Addiction Nursing Certificate
- Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans Course on Research Ethics (TCPS2: CORE)
- Gentle Persuasive Approaches in Dementia Care Certificate
- CNO and RNAO Memberships
- Up to date on immunizations, TB skin test
Education And Professional Development
- TRENT UNIVERSITY, Peterborough, ON, Bachelor of Science in Nursing, 09/2018 - 07/2021
- UNIVERSITY OF WATERLOO, Waterloo, ON, Bachelor of Science, 2012-2016
References
REFERENCES AVAILABLE UPON REQUEST.
Timeline
Inpatient Surgery
GRAND RIVER HOSPITAL
09.2023 - Current
Hemodialysis
GRAND RIVER HOSPITAL & ST. MARY'S GENERAL HOSPITAL
11.2021 - 09.2023
Medicine A- Medicine/Cardiology/Covid Unit
CAMBRIDGE MEMORIAL HOSPITAL
05.2021 - 07.2021
Community Nursing
CCAC Kitchener Nursing Clinic
09.2020 - 12.2020
B4-Nephrology/Medicine
PETERBOROUGH REGIONAL HEALTH CENTER
01.2020 - 04.2020
Community Health Promotion Placement
TRENT UNIVERSITY
09.2019 - 12.2019
Mental Health
PETERBOROUGH REGIONAL HEALTH CENTER
05.2019 - 07.2019
Long Term Care
EXTENDICARE PETERBOROUGH
01.2019 - 04.2019
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