MA. LOURDES FUENTES, BSBS, BSN, RN CCRN

Cared for complex high acuity medical and surgical patients recovering from procedures such as coronary artery bypass grafting (CABG), valve surgeries and other cardiovascular interventions.

Provides post operative care for cardiac surgery patients, including management of chest tubes, pacing wires, surgical incisions, pain control and early recovery interventions

Continuously uses advanced assessment skills, management of hemodynamic instability, titration of critical medications (vasopressors, inotropes, anticoagulants, insulin infusions, sedation medications), interprets invasive monitoring, ventilator management and rapid recognition of changes in patient deterioration.

Manages advanced cardiac devices and therapies including arterial lines, central venous catheters, ventilators, intra aortic balloon pumps (IABP), Impella, continuous renal replacement therapy (CRRT) and vasoactive medication infusions as applicable.

Collaborate with Cardiothoracic Surgeons, Cardiologists, Intensivists, Respiratory Therapists, Pharmacists and Interdisciplinary teams in developing and implementing individualized plan of care.

ICU Stepdown (Per Diem)

Care of ICU Stepdown patients with varied medical condition (sepsis. cardiac, pulmonary, renal metabolic, gastrointestinal etc) with STEMI, Administers drips (insulin, diltiazem, amiodarone, nitroglycerin, Argatroban, heparin etc).

Care of patients with Tracheostomy tubes, CPAP, BIPAP and High flow Nasal Cannula.

Formulates individualized care plan based on patient's needs. Coordinates care to other members of the healthcare team

Care of Tele/CPCU/and Stepdown Cardiac patients. Ratio from 3:1 to 4:1 depending on acuity. Care of patients with STEMI, Non-STEMI, CHF, CKD, COPD, pre and post stenting, pre and post pacemaker placement, CVA, ETOH withdrawal, GI bleed, Sepsis and various patients with extensive Medical histories who require Telemetry Monitoring. Administers common drips used in cardiac floors (diltiazem, amiodarone, nitroglycerin, Argatroban and heparin). Care of patients with Tracheostomy tubes, CPAP, BIPAP and High flow Nasal Cannula.. Formulates individualized care plan based on patient's needs. Coordinates care to other members of the healthcare team

Care of patients with STEMI, Non-STEMI, CHF, CKD, COPD, pre and post stenting, pre and post pacemaker placement, CVA, ETOH withdrawal, GI bleed, Sepsis and various Cardiac and Neurologic conditions as well as post op open heart patients. Care of pt's on CPAP and BIPAP. Administers common drips used in cardiac floors (diltiazem, amiodarone, nitroglycerin and heparin). Uses telemetry equipment to monitor rhythm changes and provide necessary nursing interventions and referrals to provider. Formulates individualized care plan based on patient's needs. Coordinates care to other members of the healthcare team

Care of clients requiring respite, rest home and hospital level of care, palliative care and stage 3 level of care (Dementia). Makes independent nursing judgement and interventions especially in acute medical events before the arrival of the physician or paramedics. Supervises and delegates task to caregivers. Syringe driver medications administration via subcutaneous line. Wound care and assessment, PEG care, peritoneal dialysis. Relief Coordinator for Rest Home and Dementia Wing. Precepts student nurses and trains new hired Registered nurses

• Take care of high acuity and dependency medical and surgical patients with complex needs.
• Prepare and set up mechanical ventilators as ordered.
• Assist physicians with procedures including but not limited to patient intubation, nasogastric tube insertion and abdominal ultrasound.
• Handle medical equipment including but not limited to mechanical ventilator, pulse oximeter, electrocardiogram.

• Take care of newly recovered clients from acute hospital setting with a wide range of acute medical and surgical conditions who needed rehabilitation.
• Formulating care plan with a goal to assist the clients to reach their optimal functioning.
• In charge and utilise decision making skills in the absence of the physician if a client needed to be brought to an acute care facility.
• Supervise and delegate tasks to licensed practical nurses (LPN's) and certified nursing assistants (CNA).
• Wound assessment and care.
• Perform procedures including but not limited to peripherally inserted central catheter (PICC) care and medication administration, percutaneous endoscopic gastrostomy (PEG) tube care and feeding and catheterisation.
• Intravenous cannulation.
• Blood extraction in the absence of phlebotomist.
• Oct 2008 - Aug 009 Registered Nurse Long term care Eagle Ridge of Grand Valley Nursing Home.

• Rostered on rotation in Emergency Room, Delivery Room, Medical-Surgical and OB-Gyne Ward) for a 10 bed capacity hospital in a rural community.
• Provide initial nursing intervention to clients admitted to the emergency room.
• Perform labour observations.
• Assist physician during delivery and perform newborn cord care.
• Care of pre and post-delivery clients.
• Provide immunisation to children.
• Care of clients with varied medical-surgical condition.

• Rostered on rotation in Medical-Surgical Ward, Pediatric Ward, OB-Gyne Ward and Adult Intensive Care Unit.
• Take care of acute adult and paediatric clients with wide range of medical and surgical conditions as well as high dependency medical and surgical clients.
• Care of pre and post-delivery clients.