Jezminne Sarabia

• Improve patient outcomes by providing high-quality nursing care and implementing evidence-based practices.
• Enhance patient and family satisfaction through effective communication, empathy, and timely response to their needs.
• Collaborate with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
• Educate patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
• Assess patient conditions promptly upon admission to determine appropriate interventions and prioritize care needs.
• Align nursing goals with department objectives to enhance overall performance metrics within the healthcare facility.
• Coordinate discharge planning efforts with social workers, case managers, and other multidisciplinary team members for smooth transitions post-hospitalization.
• Ensure safe endoscopy procedures by strictly adhering to infection control guidelines and protocols.
• Enhance patient comfort by providing thorough pre-procedure education and addressing concerns.
• Reduce procedure wait times by efficiently managing patient scheduling and coordinating with the interdisciplinary team.
• Optimize patient recovery time by monitoring vital signs during post-procedure care and providing appropriate interventions as needed.
• Conducted pre-op calls to review specific instructions prior to surgery and post-op calls to improve patient satisfaction, answer questions and address new or worsening symptoms.
• Prepared rooms according to specific endoscopic procedures.

• Manage caseload of 5 patients simultaneously by providing bedside care, treatments, IV therapy, monitor various wound drainage devices and wound care.
• Start IV, administer intravenous fluids, medications and documented patient charts by recording food and fluid output and intake, perform EKG testing.
• Educate patients and families on medical-surgical procedures, therapeutic regimens and pain management techniques.
• Manage patients' pain by implementing pharmacological and non-pharmacological pain management interventions.
• Collaborate daily with physicians and interdisciplinary teams to analyze patient data, evaluate diagnosis, and implement treatment plans based on symptoms, age, and mental health needs.
• Ensure compliance with infection prevention procedures and hospital safety guidelines
• Provide preoperative, inter-operative and post-operative care instructions to patients and family.

• Preop patients for surgical procedure. Verifying that preadmit testing has been completed and results reported to Anesthesiologist, Physician and cleared for surgery. Obtain surgical and anesthesia consents on day of surgery. Draw labs, start IV, administer IV fluids and preop medications, and report abnormalities to physician and anesthesiologist before procedure.
• PACU Nurse handled care to patients in Phase 1, 2 and 3. PHASE 1: assesses the patient’s level of consciousness, breath sounds, respiratory effort, oxygen saturation, blood pressure, cardiac rhythm, and muscle strength. PHASE 2: monitor patients consciousness returns to baseline and the patient has stable respiratory, cardiac, and renal functioning. PHASE 3: care of patients needing extended observation
• Scales used- Aldrete Score, Sedation Score, Pain assessment scale (FLACC, Wong-Baker, NRS), RASS, AVPU, GCS, Morse Fall, Bromage
• Type of patient population handled- pediatrics to geriatrics from different specialty surgeries in a patient ratio of 1:3: Specialties Vascular, Orthopedic, Urology, General Surgery, OBYGYN and ENT
• Care of Surgical wounds :

Class I - Hernia repair, total knee or hip arthroplasty, Laparoscopic, lysis of adhesions, Arthroscopy, exploratory laparotomy, C-section, closed drainage chest tube.

Class II - Cholecystectomy, hysterectomy, small bowel resection, TURP, tonsillectomy, adenoidectomy, myringotomy, bladder resection, cystoscopy, hemorrhoidectomy.

Class III- Appendectomy, cholecystectomy with acute inflammation, necrotic wound resection, gangrene knee amputation.

Class IV - pus infection, peritonitis, perforated bowel, I&D of abscess, foreign bodies

• Transport and care of critically-ill patients on vent and ACLS drips requiring titration
• Administered IV, IM, Subcutaneous and oral medications and monitored responses.
• Care of post operative wound care and drains (Hemovac, Chest tube, wound VAC, JP, Penrose).
• Point of care testing- glucometer, iStat, blood gas and electrolytes analysis, drugs of abuse screening, urine strips testing, pregnancy testing
• Participated in medication management to optimize patient safety.
• Super user EHR- Athena and CERNER systems
• Omnicell Medication Dispense and Pyxis Medication Station.
• Patient ratio 1:5 for floats to Medical-Surgical Units

• Team leader- coordinates daily running and PACU management, support during codes
• PACU Nurse handled care to patients in Phase 1, 2 and 3.

PHASE 1: assesses the patient’s level of consciousness, breath sounds, respiratory effort, oxygen saturation, blood pressure, cardiac rhythm, and muscle strength. PHASE 2: monitor patients consciousness returns to baseline and the patient has stable respiratory, cardiac, and renal functioning.

PHASE 3: care of patients needing extended observation

• Scales used- Aldrete Score, Sedation Score, Pain assessment scale (FLACC, Wong-Baker, NRS), RASS, AVPU, GCS, Morse Fall, Bromage
• Patient population- pediatrics to geriatrics from different specialty surgeries in a patient ratio of 1:2 : Specialties Neurosurgery, Vascular, Orthopedic, Urology, OBGYN, EENT, General Surgery, Bariatric and Plastic or Dermatologic,
• Administered IV, IM, Subcutaneous medications and monitored responses.
• Management of central lines and A-lines
• Care of post operative wound care and drains (Hemovac, Chest tube, wound VAC, JP, Penrose).
• Point of care testing- glucometer, iStat, blood gas and electrolytes analysis, drugs of abuse screening, urine strips testing, pregnancy testing
• Care of Surgical wounds :

Class I - Vascular, Neurological, Penile prosthesis, Mastectomy, lumpectomy, lipoma, cosmetic, Hernia repair, total knee or hip arthroplasty, Laparoscopic, lysis of adhesions, Arthroscopy, exploratory laparotomy, C-section, closed drainage chest tube.

Class II - Thyroidectomy, Cholecystectomy, hysterectomy, small bowel resection, Colonoscopy, gastroscopy, TURP, tonsillectomy, adenoidectomy, myringotomy, bladder resection, cystoscopy, hemorrhoidectomy, myomectomy and other GYN procedures except inflamed and infected.

Class III- Appendectomy, cholecystectomy with acute inflammation, necrotic wound resection, gangrene knee amputation.

Class IV - pus infection, peritonitis, perforated bowel, I&D of abscess, foreign bodies

• Participated in proper medication management to optimize patient safety.
• Super user EHR VIDA system
• Pyxis Medication Station.
• Patient ratio 1:5 for floats to Medical-Surgical and Pediatric Units

• Covid19 Pandemic direct patient care to Pediatrics Unit (30 beds), Adults/Geriatrics in Medical Unit (30 beds), Surgical Units (20 beds)
• Stabilization of patients with respiratory distress using oxygen therapy (low-flow oxygen, noninvasive respiratory support like HFNC, CPAP, and BPAP] early pulmonary rehabilitation exercise, chest physiotherapy, nutritional support, whole body vibration
• Liaised between patients, families, and care staff in all aspects of care delivery during limited contact care and no visitation policies.
• Patient ratio 1:6 - direct care to pediatrics from age 3 to geriatrics to address respiratory, orthopedics, medical surgical, pulmonary and other various disorders.
• Interdisciplinary care collaborating with medical team, respiratory, physiotherapists, occupational therapists, dieticians, nursing staff, pharmacists, psychologists, physicians, neurologists and social workers.
• EHR VIDA system documentation.

• Uses current knowledge achieved through research, evidence based practice or educational activities to enhance or improve clinical practice or patient care
• Point of care testing- glucometer, iStat, blood gas and electrolytes analysis, drugs of abuse screening, urine strips testing, pregnancy testing
• Knowledgeable and sensitive to patient’s rights in the delivery of care
• Communicates and interacts with patients, families and others in a caring, empathetic, courteous, and respectful manner
• Applies scientific principles in performing procedures; carries them out safely, timely and efficiently
• Collaborates with other care team members in planning and carrying out treatment regimen
• Applies simple dressings, maintaining principles of aseptic technique consistent with Facility procedure
• OR Nurse - first assist and circulator to cases - General Surgery, Urology, OBGYN, Orthopedics and ENT
• PACU Nurse handled care to patients in Phase 1 an Phase 2 : PHASE 1: assesses the patient’s level of consciousness, breath sounds, respiratory effort, oxygen saturation, blood pressure, cardiac rhythm, and muscle strength. PHASE 2: monitor patients consciousness returns to baseline and the patient has stable respiratory, cardiac, and renal functioning.
• Scales used- Aldrete Score, Sedation Score, Pain assessment scale (FLACC, Wong-Baker, NRS), Morse Fall, Bromage
• Type of patient population handled- pediatrics to geriatrics from different specialty surgeries in a patient ratio of 1:2 - General Surgery, Urology, OBGYN, Orthopedics and ENT
• Care of Surgical wounds :

Class I - Hernia repair, total knee arthroscopy, exploratory laparotomy, C-section, closed drainage chest tube.

Class II - Cholecystectomy, hysterectomy, small bowel resection, tonsillectomy, adenoidectomy, hemorrhoidectomy.

Class III- Appendectomy, cholecystectomy with acute inflammation, necrotic wound resection, gangrene knee amputation.

Class IV - pus infection, I&D of abscess, foreign bodies

• Administered IV, IM and Subcutaneous medications and monitored responses.
• Care of post operative wound care and drains (Chest tube, JP, Penrose)