Jeremiah Jerry Igbinoba
Grande Prairie,Alberta
Summary
I have a strong - 28 year history of providing excellent clinical care to the diverse cohort of patient who admitted in the intensive care unit. I also provide an exemplary leadership within the intensive care environment. I have worked some of the reknown and excellent intensive care units such as the Manzakowski Heart Institute, Edmonton Alberta, Guys and St Thomas' Hospital, UK, Royal Brompton Hospital, UK. I have a strong passion and compassion in looking after critically ill patients who present with diverse clinical syndrome such as multiorgan failure. These patient population often require hemodynamic support through a careful titration of vasoactive drugs such as Norepinephrine, Epinephrine, Dobutamine, Isopre, Phenylaphrine. Others may require more advanced monitoring using the IABP, PICCO, LIDCO, PA Cathether, and ECMO to support them.
I am a competent hemodialisis and CRRT nurse. I have a strong passion in providing Advanced Cardiac Life Support (ACLS certified) for coded patients. I am also a member of the Rapid Response Team that ensures patients who at risk of deteroriation are adequately supported through early detection and facilitation to ICU or intervene in an effective manner to prevent further deteroriation.
I championed a group that successfully reduced our ICU CLABSI rate significantly through the implementation of a new central line devices guideline.
I have a strong passion for decreasing the number of central line or invasive device related infections within the intensive care unit
Overview
35
35
years of professional experience
Work History
RN, Charge Nurse
Grande Prairie Reg Hospital
Grande Prairie, Alberta, Canada
10.2023 - Current
- Providing both excellent and clinical responsibilities. GRPH is a combined ICU and CCU patient demographic. Caring for a diverse patient population that include those respiratory, cardiac failures. Stabilizing NSTEMI, anginal patient transferring to a cardiac interventional centre.
- I am a competent hemodialysis Nurse, performing hemodialysis therapy using a CVC access and fistula cannulation.
Senior Charge Nurse/Nurse Clinician
Croydon Health Service
11.2021 - 10.2023
- Providing direct line management and leadership for the 15 members of my team. This includes their performance appraisals, training compliance, sickness management, conflict resolution, disciplines when indicated, pay progression meetings and guidance, and individual personal development structure.
- Providing excellent leadership and steering of the unit in line with the Trust’s values of care.
- Providing the required support for staff, patients and family members.
- Engage in the development of high-quality and evidence-based guidelines for the unit.
- Clinical Responsibilities
- Provision of critical care nursing support to a wide range of patients who are severely unwell. Often in multiorgan failure require a range of clinical support for their failed organs.
- - Respiratory support includes HFLOW oxygen therapy, NIV ventilation, and advanced mechanical ventilation through endotracheal or tracheostomy tubes.
- - Cardiac support through cardiac monitoring, haemodynamic monitoring and utilising findings to guide cardiac optimisation with vasoactive drugs, fluid optimisation, hepato-pancreatic supports, Sengstaken tube management, renal support with close intake and output monitoring. In kidney failures with severe fluid and electrolytes derangements - CRRT management as indicated.
- - Safe transfer of patients to CT scan and MRI investigations as appropriately indicated
Deputy Charge Nurse
Royal Brompton & Harefield NHS Trust
03.2020 - 11.2021
- The Royal Brompton ICU is one of the leading Extracorporeal Membrane Oxygenation Nurse (ECMO) centres in the UK. As an ECMO Specialist Nurse, I provide highly skilled cardiopulmonary therapy support to this group of patients who are often severely ill. I will have the necessary clinical skills to manage their gas exchange following the guidance and parameters set by the physician.
- I provided advanced mechanical ventilatory support for patients with airway compromise including those with ARDS, hemodynamic instability and multiorgan failures
- Providing haemodynamic support for patients using a range of advanced haemodynamic augmentation devices such as the Balloon Pump (IABP), Impala, Lidco, PICCO and PA catheter monitoring.
- Leadership and management
- As the shift leader, I deal with the patients' flow of admission and discharges, manage referrals, liaise with the bed management team and other specialists to ensure safe admissions and discharges.
- I ensure there is an adequate staff-to-patient ratio for the incoming shift. I ensure safe allocations and use individual staff strengths and weaknesses to the maximum benefit of the patients.
- Raise any concerns on duty and escalate to the unit senior manager as indicated
- Provide mentorship to junior staff in order to aid their critical development
- Acting as a role model for others and representing the unit and hospital in an effective manner
Band 6 Agency Staff Nurse
Atlantis Medical Agency
11.2015 - 02.2020
- Main work areas include paediatric Cardiothoracic Intensive Care, Paediatric High Dependency Unit and Paediatric wards at the Royal Brompton Hospital.
- The Royal Brompton paediatric ICU is one of the leading European centres for the management of neonates and babies with congenital heart disease such as ASD, VSD, AVSD, Translocation of the greater arteries of vessels, single chamber heart, hypoplastic aorta, hypoplastic heart, tetralogy of Fallot etc.
- As a critical care nurse, my duties include the provision of evidence-based critical nursing care for babies. Such care includes effective administration and titration of suitable medicines, mechanical ventilation, invasive and non-invasive, inotropic support, and cardiac monitoring. Supporting their nutritional needs through oral, enteral and parenteral nutrition as indicated.
- Quite importantly is the provision of psychosocial support for their parents and carers.
Intensive care specialist nurse
South Health Campus Hospital
Calgary, Alberta, Canada
06.2014 - 11.2015
- Planning, undertaken and providing complex critical care services to a wide range of patients requiring intensive care and coronary care management.
- I was a member of the hospital-wide Cardiac Arrest Team (Code Blue Member), and also a member of the Outreach Team which responded to patients whose clinical conditions are deteriorating or patients requiring advanced nursing management.
Full-time band 6 agency nurse
Capital Agency, Your World, A24 Group
London, United Kingdom
09.2012 - 06.2014
- My role involved providing nursing care to babies, children and adults requiring mechanical ventilation, Non-Invasive Ventilation, sampling and analysing arterial, capillary and venous blood gases. I am able to titrate inotropes, sedation and other intravenous medications as required. I can also insert Nasogastric tubes, check for tube placement/positioning and feed accordingly. I can competently manage fluid requirements set by the doctor, and alert the doctors to the need to review.
Bank Staff Nurse Intensive Care Unit
Guy’s and St Thomas’ NHS Hospital
London, UK
08.2008 - 06.2014
- Provision of highly skilled nursing care to a range of patients that are critically ill and require a range of clinical support, such as renal, cardiovascular, neurological, gastric and respiratory support.
- I am able to competently operate a range of ventilator models such as the Evita XL, Evea, GE, Puritan Bennett and Servo.
- The ability to manage varieties of ventilators helps to broaden the scope of patients I can competently care for.
- I can also provide the required nursing care for patients with spinal drains.
Registered Nurse
Manzakowski Heart Institute, University of Alberta Hospital
Edmonton, Alberta, Canada
08.2008 - 11.2010
- Extensive and intensive nursing care for pre and post-operative patients - including those that have undergone heart and lung transplantation, CABG, aortic, pulmonary, mitral and tricuspid valve repairs and replacement.
- Some of these patients are often sick that they required advised mechanical life support or augmentation such as IABP, CRRT, LVAD, ECO2 removal devices an well as ECMO
Band 6 senior (Deputy Charge Nurse) Intensive Care Unit
Guy’s & St Thomas’ Foundation trust
06.2004 - 08.2008
- Duties include: Shift manager – As a shift manager on my unit, I am responsible (along with other members of staff) for ensuring that all patients on the unit receive a high level of care that is evidence-based—ensuring that the level of care meets the ethos and philosophy of the unit.
- Effectively managing patients’ admission and discharge processes.
- Dealing with unforeseen circumstances that may arise during the shift.
- Providing effective and evidence-based care for critically ill patients who often present with multi-organ failure.
- Able to provide advanced nursing and complex care package to critically ill patients who require highly invasive haemodynamic monitoring, haemofiltration, plasma exchange and high-frequency oscillatory ventilation support.
- Provision of psychosocial and spiritual care for patients.
- Provision of psychosocial support to patients’ relatives.
- Supporting both junior and senior staff members who require both clinical and administrative support.
- Acting as a mentor and preceptor to students and junior nurses.
- Contributing to the professional development of staff.
- Regularly and happily acting as patient care coordinator (PCC).
- Actively participating in both nurses' and doctor’s ward round by providing clear updates on patients’ conditions and making relevant and robust contributions.
- Participating in the implementation of the appropriate infection control policies – monitoring staff compliance with infection control policies.
Staff Nurse E Grade
University Teaching Hospital
Lewisham, UK
06.2003 - 08.2004
Staff Nurse D Grade
University Teaching Hospital
Lewisham, UK
09.2001 - 06.2003
Senior Staff Nurse
Cameron Nursing Home
Bury, UK
12.2000 - 09.2001
- Provision of adequate care including the safety of forty-five permanent residents in the home.
- Coordinating and managing all nurses on the night shift.
- Contributing to the development of auxiliary and health care assistants through teaching.
- Supervision of auxiliary nurses and health care assistants.
Unemployed
01.2000 - 11.2000
Adaptation programme
University Teaching Hospital
Lewisham, UK
02.1999 - 12.1999
Senior Staff Nurse Surgical ward
Life Care Clinic and Medical Centre
Nigeria
01.1994 - 01.1999
- Taking charge of the shift.
- Adequate pre and post-operative care for surgical patients.
- Planning of staff rota.
Staff Nurse Medical ward
Government Hospital
Igbanke, Nigeria
03.1991 - 01.1994
- Mixed ward - caring for adults and children with medical conditions.
Education
MSc - Health Research
University of Essex
Colchester, UK12-2012
BSc - Critical Care Nursing
King’s College, University of London
UK07-2007
HNDip - Critical Care Nursing
King’s College University of London
UK07-2005
RN Adaption Program - undefined
University Teaching Hospital
Lewisham, UK12-1999
RN - undefined
College of Nursing Sciences, UBTH
Benin, Nigeria11-1990
Skills
A strong clinical and leadership experience within the critical care set up spanning over 28 years Providing evidence based care to the different patient demographic who present with a range of critical conditions such as those multiorgan failure These cohort of patuents often require cardiac, respiratory, renal, gastrointestinal support This starts with a comprehensive clinical assessmen, planning, intevention and evaluation I effectively support those requiring cardiac management through the administration of inotropes, chronotrope and a range vasoactives medication I am competent in the administration all manners of intravenous medication I am also competent in providing advance hemodynamic support such the IABP, ECMO, Lidco, PICCO and other invasive diagnostic and monitoring equipment
Competently looking after mechanically ventilated patients invasively and non-invasive support such as AirVo, HFlow, CPAP and BIPAP machines
I am a hemodialyis trained nurse; providing renal replacement support through CRRT or a full fledge hemodialysis
Languages
English
Elementary
Accomplishments
- Worked with a team that ensured a downward trajectory of hospital-acquired infection HAI.
Clinical Group
Member of the clinical guidelines development group, Qualified Key Manual Handling Trainer, Providing training and education to nursing colleagues., Carrying out manual handling risk assessments.
Personal Information
- Date of Birth: 01 January 1968
- Gender: Male
- Nationality: British
- Marital Status: Married
Timeline
RN, Charge Nurse
Grande Prairie Reg Hospital
10.2023 - Current
Senior Charge Nurse/Nurse Clinician
Croydon Health Service
11.2021 - 10.2023
Deputy Charge Nurse
Royal Brompton & Harefield NHS Trust
03.2020 - 11.2021
Band 6 Agency Staff Nurse
Atlantis Medical Agency
11.2015 - 02.2020
Intensive care specialist nurse
South Health Campus Hospital
06.2014 - 11.2015
Full-time band 6 agency nurse
Capital Agency, Your World, A24 Group
09.2012 - 06.2014
Bank Staff Nurse Intensive Care Unit
Guy’s and St Thomas’ NHS Hospital
08.2008 - 06.2014
Registered Nurse
Manzakowski Heart Institute, University of Alberta Hospital
08.2008 - 11.2010
Band 6 senior (Deputy Charge Nurse) Intensive Care Unit
Guy’s & St Thomas’ Foundation trust
06.2004 - 08.2008
Staff Nurse E Grade
University Teaching Hospital
06.2003 - 08.2004
Staff Nurse D Grade
University Teaching Hospital
09.2001 - 06.2003
Senior Staff Nurse
Cameron Nursing Home
12.2000 - 09.2001
Unemployed
01.2000 - 11.2000
Adaptation programme
University Teaching Hospital
02.1999 - 12.1999
Senior Staff Nurse Surgical ward
Life Care Clinic and Medical Centre
01.1994 - 01.1999
Staff Nurse Medical ward
Government Hospital
03.1991 - 01.1994
MSc - Health Research
University of Essex
BSc - Critical Care Nursing
King’s College, University of London
HNDip - Critical Care Nursing
King’s College University of London
RN Adaption Program - undefined
University Teaching Hospital
RN - undefined
College of Nursing Sciences, UBTH