Staff Nurse Landstuhl, Germany CCRN
• CCRN• Clinical Nurse in an 12 bed CICU at a Level I Trauma Center, caring for OEF,OIF, EUCOM, AFRICOM, DOD dependants and local retiree adult patients with diagnoses such as: Gun Shot/Blast Wound, Burn, Amputation, Craniotomies, Multiple Fracture, ARDS, Sepsis, Myocardial Infarction. • Work as Charge Nurse of CICU, supervising 10-12 RNs, 2-3 LPNs and 2-3 Technicians.• Served as member of hospital-wide Rapid Response Team. • Assess patients' clinical conditions utilizing invasive and non-invasive complex monitoring equipment including ICP, CVP, EKG, SPO2, SVO2, A-line, Swan-Ganz catheter, PICCO, Vigeleo, ventilator and defibrillator. • Clinical resource, expert in the care of sepsis, severe head injury, trauma or complex multisystem failure. Cared for patients experiencing multiple trauma, trauma surgery, general surgery, as well as Neurosurgery. The duties include managing the care of the adult patient experiencing life-threatening problems requiring complex assessment, high intensity therapies/ interventions, coordinating and providing quality care to patient and family. • Perform moderate/conscious sedation, aided in medication and pain management, assisted in placement of epidural lines, nerve blocks, ETT, Dobhoff, chest tubes and PEG placement. • Execute complex wound care for varied surgical, blast injury and burn sites. • Act as perceptor for incoming and float personnel.• Effectively communicated with physicians and auxiliary staff regarding patient's status in order to provide best care possible. • Provide verbal reports on patients at the close of shift to oncoming nurse or to entire team if acting as Charge Nurse. • Served as the primary writer for a new CICU-wide protocol. • Sound understanding of professional standards of care, enhanced by professional membership in AACN. • Agreements with other facilities require facilitating transfer of patients to German hospitals, and civilian hospitals as well as the mission to the United States. • Intervention resulted in a higher level of care for our wounded warriors and other critically ill patients ensuring a positive outcome and faster evacuation to appropriate levels of care to demonstrate understanding of the LRMC mission. • Familiar with the adherence to evidence based practices, unit specific SOPs, patient safety goals and nationally recognized guidelines/policies established by DOD, DA, LRMC and DON. The care provided resulted in improved patient outcomes. • Developed the guidelines for the pain assessment documentation education and maintain flexibility in care essential to the fast-paced mission• Assisted in the preparation for the Joint Commission Survey and Level One Trauma Certification. • Preceptor to multiple new staff members.• Currently the European Chapter AACN Secretary.• Chairperson of the Unit Practice Council. • Attended the TeamSTEPPS training and been invited to represent the Unit for Nursing Grand Rounds. • Organized and implemented the skills fair, which is the current practice for competency training in the ICU. I have worked in the charge nurse role frequently and was asked by the previous team leader to cover the position of team leader for two weeks.