Pamela DeToro
LAKE BALBOA
Summary
Highly skilled and compassionate Registered Nurse with 20+ years of dedicated experience specializing in hemodialysis care, proficient in patient assessment, treatment administration, and education related to End Stage Renal Disease (ESRD), committed to providing quality care in a fast-paced environment.
Overview
33
33
years of professional experience
1
1
Certification
Work History
Chronic Dialysis Travel RN
Fresenius Medical Care
05.2023 - Current
- Increased patient safety through diligent monitoring of vital signs, administering medications accurately, and promptly addressing any concerns.
- Adapted quickly to new environments, swiftly becoming familiar with facility-specific workflows and practices while maintaining a high level of performance.
- Maintained high-quality patient care standards by adhering to facility protocols, policies, and procedures.
- Demonstrated flexibility and adaptability in adjusting to varying acuity levels within diverse units while maintaining consistent attention to detail.
- Educated family members and caregivers on patient care instructions.
Chronic Dialysis Travel RN
RN Network
09.2021 - 03.2023
- Increased patient safety through diligent monitoring of vital signs, administering medications accurately, and promptly addressing any concerns.
- Adapted quickly to new environments, swiftly becoming familiar with facility-specific workflows and practices while maintaining a high level of performance.
- Maintained high-quality patient care standards by adhering to facility protocols, policies, and procedures.
- Demonstrated flexibility and adaptability in adjusting to varying acuity levels within diverse units while maintaining consistent attention to detail.
- Educated family members and caregivers on patient care instructions.
Dialysis Travel RN, Acute and Chronic
American Mobile Healthcare
06.2005 - 09.2021
- Adapted quickly to new environments, swiftly becoming familiar with facility-specific workflows and practices while maintaining a high level of performance.
- Maintained high-quality patient care standards by adhering to facility protocols, policies, and procedures.
- Demonstrated flexibility and adaptability in adjusting to varying acuity levels within diverse units while maintaining consistent attention to detail.
- Provided critical support during medical emergencies, implementing appropriate interventions to stabilize patients'' conditions.
- Educated family members and caregivers on patient care instructions.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Increased patient safety through diligent monitoring of vital signs, administering medications accurately, and promptly addressing any concerns.
RN Staff Nurse, LDL Apheresis
Hartford Hospital
03.2003 - 05.2005
- Performed therapeutic LDL apheresis to patients with LDL and Lpa issues, including collecting medical histories, conducting examinations, preparing biological specimens for diagnostic testing.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications accurately and safely, reducing medication errors and adverse reactions.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Clinical Care Coordinator, Dialysis Unit
Hartford Hospital
02.2002 - 03.2003
- Conducted regular audits of clinical processes, identifying areas for improvement and driving continuous quality improvements across the organization.
- Participated in interdisciplinary conferences, sharing clinical insights and collaborating on strategies for complex case management.
- Maintained thorough documentation of all clinical interventions, ensuring accurate records for continuity of care and regulatory compliance.
- Implemented new policies and educated staff on changes.
- Assessed clinical policies and procedures for compliance with changing regulations.
RN Staff Nurse, Acute and Chronic Hemodialysis
Hartford Hospital
10.1999 - 01.2002
- Delivered dialysis services to acute and chronic patients with diverse range of medical and surgical diagnosis.
- Evaluated patient assessments, dialysis orders, and laboratory results to maintain awareness of each patients' condition.
- Educated family members and caregivers on patient care instructions.
- 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.
RN Staff Nurse, ICU
Hartford Hospital
01.1996 - 10.1999
- Proactively identified potential patient safety risks, taking corrective actions to prevent harm or injury.
- Served as a liaison between patients, families, and healthcare providers to facilitate clear communication and coordination of care plans.
- Operate and troubleshoot complex medical devices like ventilators, infusion pumps, and hemodynamic monitoring systems.
- Maintained accurate and detailed records of patient assessments, treatments, and progress notes for seamless continuity of care.
- Assisted physicians during medical procedures, ensuring accurate delivery of care as prescribed by the healthcare provider.
- Reduced medication errors through meticulous administration and documentation of medications.
- Collaborated with interdisciplinary team members to develop comprehensive patient care plans, improving patient outcomes.
RN Staff Nurse/Evening Supervisor, Long Term Care
Greenery Extended Care
02.1993 - 12.1995
- Administered medications accurately and safely, reducing medication errors and adverse reactions.
- Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
- Assessed patient conditions promptly upon admission to determine appropriate interventions and prioritize care needs.
- Utilized advanced clinical skills such as wound care management or IV therapy administration, leading to faster recovery times for patients treated under my supervision.
- Managed complex wound care cases using advanced skills in assessment, dressing application, and infection control measures.
RN Staff Nurse, Medical-Surgical Unit
Jackson Heights Hospital
02.1992 - 02.1993
- Proactively identified potential patient safety risks, taking corrective actions to prevent harm or injury.
- Served as a liaison between patients, families, and healthcare providers to facilitate clear communication and coordination of care plans.
- Maintained accurate and detailed records of patient assessments, treatments, and progress notes for seamless continuity of care.
- Assisted physicians during medical procedures, ensuring accurate delivery of care as prescribed by the healthcare provider.
- Conducted thorough patient assessments upon admission to determine appropriate level of care required based on individual needs.
- Educated family members and caregivers on patient care instructions.
- Implemented medication and IV administration, catheter insertion, and airway management.
Education
Bachelor of Science - Nursing
University of San Agustin
Iloilo City, Philippines03-1989
High School Diploma -
University of The Philippines in The Visayas
Iloilo City, Philippines04-1984
Skills
- Hemodialysis
- Vascular Access management
- Fluid balance monitoring
- Infection control
- Clinical assessment
- Dialyzer set-up
- Nursing documentation
- Time management
- Team collaboration
- Patient education
- Electronic medical records
- Medication administration
Affiliations
- American Nephrology Nurses' Association
Certification
- BLS for Healthcare Providers (AHA), expiration date: July 2026
- Registered Nurse license for AZ, CA, OR, WA
Timeline
Chronic Dialysis Travel RN
Fresenius Medical Care
05.2023 - Current
Chronic Dialysis Travel RN
RN Network
09.2021 - 03.2023
Dialysis Travel RN, Acute and Chronic
American Mobile Healthcare
06.2005 - 09.2021
RN Staff Nurse, LDL Apheresis
Hartford Hospital
03.2003 - 05.2005
Clinical Care Coordinator, Dialysis Unit
Hartford Hospital
02.2002 - 03.2003
RN Staff Nurse, Acute and Chronic Hemodialysis
Hartford Hospital
10.1999 - 01.2002
RN Staff Nurse, ICU
Hartford Hospital
01.1996 - 10.1999
RN Staff Nurse/Evening Supervisor, Long Term Care
Greenery Extended Care
02.1993 - 12.1995
RN Staff Nurse, Medical-Surgical Unit
Jackson Heights Hospital
02.1992 - 02.1993
Bachelor of Science - Nursing
University of San Agustin
High School Diploma -
University of The Philippines in The Visayas
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