Kerenza Beltran

• Coordinated with onshore Case Manager once all medical criteria have been met.
• Performed outbound calls to Medical Providers in securing appointments for injured workers, verified attendance, requested medical records, return to work status forms, and referral / s, if any.
• Accurately documented patient management and updated records.
• Reviewed patients' progress as needed.
• Worked multi-system with an evolving scope of responsibilities over time.
• Provided support t assigned Case Manager as needed.
• Attended trainings / educational classes as appropriate.
• Strived to achieve departmental standards and objectives.
• Performed other duties and responsibilities as deemed necessary and assigned.

Hospital Description:

Prince Mohammed bin Abdulaziz Hospital is a 500-bed hospital in Riyadh City, capital of Saudi Arabia that provides tertiary healthcare services. The range of service of hospital is one of the largest referential hospitals in the country for diagnosis and treatment of acute and chronic medical or surgical problems, trauma, cardiac as well as communicable diseases,
to maintain or restore optimum level of wellness.

Detailed Job Descriptions

Job Summary:

1. Provided nursing care to critical medical, surgical and adult patients.
2. Performed admission assessment and subsequent assessment. Completes required
documentation.
3. Developed plan of care.
4. Participated in daily operation in the ICU. Attends required in-service, yearly education
day and mandatory departmental meetings.
5. Participated in the collection of data for quality improvement.
6. Adhered to hospital and departmental policies.
7. Practiced good communication between departments, with physicians, other allied health workers and department manager.
8. Demonstrated knowledge and skills necessary to provide care appropriately depending on the age and sex.
9. Demonstrated knowledge of principles of growth and development over the life span and possess ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirements relative to their specific needs, and to provide care needed as described in department’s policies and procedures.

Basic Function:

ICU nurse utilizes advanced skills to provide professional nursing care to patients who are critically ill and at high risk for life threatening health problems.

Essential Responsibilities:
1. Completed a head to toe physical assessment. Assess patients’ condition, plans and implements individualized patient care.
2. Initiated cardiac monitoring, oxygen therapy, invasive and non-invasive blood pressure monitoring, and oximetry.
3. Started/ evaluated intravenous site. Evaluated existing drainage systems in place.
4. Monitored patient’s hemodynamic status.
5. Ensured ventilators, monitors and other types of medical equipment function properly.
6. Recognized cardiac arrhythmias, intervene using physician’s orders, ACLS algorithm, or ICU standing orders and protocols
7. Re-assessed patients to identify progress and trends that require intervention or reporting to the physician.
8. Administered medications, calculate doses and maintain current knowledge of medications.
9. Assisted physicians with procedures and treatments. Administered treatments including sterile procedures.
10. Assisted in Central Venous Pressure (CVP) catheter insertion and maintenance of CVP catheter.
11. Performed CVP monitoring.
12. Assisted in arterial line insertion, monitors and maintain arterial line.
13. Prepared standardized drips (narcotics, vasoactive, and thrombolytic drugs).
14. Responded to life saving situations using standards and protocols for treatment.
15. Participated in or initiates CPR and codes when necessary.
16. Assisted in direct current defibrillation and cardioversion.
17. Assisted in intercostal drainage (ICD) tube insertion and care for patients with ICD tube.
18. Maintained accurate and continued nursing documentation.

Secondary Responsibilities:

1. Followed standard for infection control; hand washing, protective eye wear, mask, gown, gloves, head cover, and shoe cover, as appropriate.
2. Properly disposed contaminated items and use of isolation.
3. Participated in monthly updating of medications and supplies, checking of crash cart, hemodynamic cart, chest tube cart, and trache box.
4. Checked order and stock supplies according to par level.
5. Participated in chart review.
6. Maintained certifications, including BLS and ACLS. Encouraged to attend specialty certification
for critical care nursing.
7. Behaved in a professional manner and maintain good interpersonal relationships with other staff, departments, manager, and physicians.
8. Participated in orientation of new ICU staff and provide with opportunities to observe and learn.
9. Acted as patient advocate.
10. Provided education and support to patient families.
11. Assisted in evaluating intensive care patients, administering care, recognizing complications and coordinating with other members of critical care team.
12. Excelled at interpersonal communication, leadership, strategic planning, critical thinking and decision-making.
13. Attended and supported in-service education programs.
14. Maintained patient’s clinical records; assist with execution of physician’s orders; kept accurate problem oriented nurses notes according to audit committee standards.
15. Accepted responsibilities delegated by Head Nurse or team leader and evaluates nursing care provided in area assigned.

16. Utilized Morse Fall Scale Score and Braden Scale Score and RASS sedation score as part of routine assessment in ICU.

Cases Handled:

• Trauma Cases(Road-traffic accidents, falls, complicated fractures)
• Infectious diseases such as Middle East Respiratory Syndrome (MERS-CoV), AH1N1,nocardiosis, meningitis, tuberculosis, necrotizing fascitis
• Neurological cases including CVA
• Cardiac cases including ACS, Cardiac tamponade
• Respiratory disorders such as ARDS, Pulmonary embolism, COPD in exacerbation,complicated pneumonia
• Gastrointestinal disorders such as abdominal sepsis, post-abdominal surgeries
• Renal disorders such as ESRD, AKI
• Endocrine Disorders (DKA, thyroid disorders etc)
• Shock (septic, cardiogenic, neurogenic, anaphylactic)

Equipment Handled:

· Continuous Replacement machines: Prismaflex and Fresenius

· B. Braun syringe and infusion pumps

· EV1000 Vigileo

· ABG machine

· Lifter

· AbViser (for intra-abdominal pressure monitoring)

· CVP manometer

· Cardiac monitor with invasive Pressure monitoring device

· Defibrillator (biphasic)

· Bair Hugger temperature monitoring system

· ICU beds with positioning and aeration system

· Pleur-Evac

· Flotrac sensor

· Intermittent Pneumatic Compression

Hospital Description:

Riyadh Alkhabra Hospital is a 65 bed capacity situated in the small town of Al-Qassim, Saudi Arabia. the hospital mostly caters stable patients around the town. Emergency cases are being stabilized in the hospital and transferred to a referential hospital nearby.

Essential Responsibilities:

• 1. Directly reported to Charge nurse/ Head nurse in the unit regarding nursing issues, procedures and nursing quality/ assurance protocol.
• 2. Worked closely with the multidisciplinary team approach and fully compliant of all nursing and hospital policies and procedures.
• 3. Provided optimal nursing care through a planned multidisciplinary and trans-cultural approach aimed at the mission and vision of the hospital maintaining the cultural practices and values of the Kingdom of Saudi Arabia.
• 4. Openly communicated to healthcare team aimed at the patients’ treatment progress to be more effective.
• 5. Followed established safety management protocol in compliance to the patient’s safety goal
• 6. Actively participated in monthly departmental meetings for the improvement of the unit.
• 7. Evaluated goals and objectives of plan of care.
• 8. Developed communication and therapeutic skills.
• 9. Ensured confidentiality and privacy of the patient.
• 10.Participated in the orientation of new staff in the unit.
• 11.Adhered to the hospital policies on infection control practices such as hand washing and use of protective equipment as necessary.
• 12.Acknowledged limitations of skills and refuse if necessary, to prevent malpractice and harm to patient.
• 13.Participated in in-service trainings and in continuous education program of the hospital.
• 14.Actively participated in the quality improvement of the hospital.
• 15.Kept trainings and certifications up to date.

Cases Handled:

• Hypertensive Crisis

• Diabetic Ketoacidosis

• Stroke

• Cerebral palsy

• Sickle cell Anemia

• Eclampsia

• Alzheimer’s disease advanced stage

• Gastrointestinal bleeding

• Septic shock secondary to pressure ulcer

• Liver Cirrhosis

• End Stage Renal Failure

Hospital Description:

King Khalid Hospital and Prince Sultan Center for Health Services is a 350 bed capacity hospital that serves as a referential hospital to its neighboring small towns and villages near the industrial city of Alkharj.

Essential Responsibilities:

1. Provided optimal nursing care through a planned multidisciplinary and transcultural approach aimed at the mission and vision of the hospital in maintaining the culture, values and practices in the Kingdom of Saudi Arabia.
2. Strictly adhered and carried out practice in accordance to policies and procedures of the hospital.
3. Ensured that patient’s records are maintained, accurately reflect patient’s response to treatment, physical progress and documented mental status of patient.
4. Ensured continuity of care, identifies patients’ needs, plan and implement care accordingly to achieve optimum goal.
5. Evaluated goals and objectives of care plans.
6. Ensured comfort and safety of patient at all times.
7. Protected patients’ privacy and confidentiality of patients’ files at all times.
8. Maintained maximum observation and accurately wrote reports on all under special observation.
9.Ensured proper use of all hospital equipment and reported any malfunctions.
11.Ensured proper care and safety of patients for referral to a higher center.
12.Updated patients record on time.
13.Ensured proper channeling between the health care team to provide an optimum care to the patient.
14. Adhered to international patient safety goal.
15.Attended a monthly meeting in the department for the improvement of the unit and patient care.

Cases Handled:

· Status Epilepticus

· Pierre Robin Syndrome

· Systemic Lupus Erythematosus with vasculitis

· Upper Respiratory Infection

· Leukemia

· Traumatic brain injury

· Gastroenteritis

· Cerebral palsy

· Type 1 Diabetes Mellitus

· Post tonsillectomy

· Post appendectomy

· DKA in pediatrics

· Tufting enteropathy