Ria R. Smith
Hyattsville
Summary
RN offering expertise in emergency, perioperative, and outpatient settings who compassionately establishes and manages care for patients and their families while maintaining professional relationships with her interdisciplinary colleagues through communication, respectful attitude, leadership and teamwork.
Overview
10
10
years of professional experience
Work History
Infusionist Nurse
IV Drip Docx
07.2021 - Current
- Assists in establishing start-up business with guidance from physician assistant and supervising medical doctor
- Educates patients on various intravenous and intramuscular medications
- Collaborates with physician assistant on which treatment plans match best with patients’ needs
- Increases clientele by promoting and marketing services on social media platforms
- Obtains and documents focused patient medical history; vitals before and after infusion
- Performs infusion and/ or injection in sterile fashion that is both calming and relaxing for patients
- Monitors IV and/ or injection site
- Communicates, treats, documents any patient complications/ adverse reactions based on severity
- Maintains organizational objectives, policies, procedures, quality improvement, safety, environmental, and infection control standards
- Assists in management of inventory and availability of supplies, drugs, and equipment
Nurse Contractor
Medely
04.2021 - Current
- Travels to fast paced, multi-specialty usually short staffed outpatient surgery clinics to perform reliable PACU care
- Adjusts quickly to documenting under various EMRs or paper charting
- Provides phase 1 post operative care to patients by monitoring airway, vitals, and incisions; treating pain nausea and other anesthesia side effects
- Provides phase 2 post operative care to patients by assisting with dressing, ambulation, and toileting
- Notifies surgeon and/or anesthesiologist of any patient complications during phase 1 or phase 2
- Educates patients and their responsible parties on discharge instructions
- Facilitates communication between surgeon, patient and patient’s responsible parties for update on surgical findings and follow up plan
- Maintains facilities' objectives, policies, procedures, quality improvement, safety, environmental, and infection control standards within short timeframe
Preop/RN, PACU
AMN Healthcare
07.2022 - 06.2023
- Travels to fast paced, multi-specialty outpatient surgery clinics including gynecologic, plastic, orthopedic, ophthalmic, gastrointestinal and pain management to provide reliable PACU phase 1 and phase 2 coverage
- Receives intra-operative patients to monitor, maintain, and record patients’ airways, level of consciousness, vitals, surgical incisions and dressings, intravenous fluids, and pain scores
- Closely oversees patients for signs of side affects of anesthesia medication Treats pain, nausea, and other postoperative symptoms of anesthesia
- Collaborates with several intra operative team members including surgeons, nurse practitioners, physician assistants, preop and OR nurses, and anesthesiologists to provide safe and satisfactory continuity of patient care
- Recognizes, communicates, and assists in treating any patient changes, complications, or anomalies throughout postoperative care
- Provides comfort and reassurance to distressed post operative patients and concerned family members
- Updates patients responsible party with recovery process to ensure smooth and prompt departure time
- Educates patients and their families on post surgery care and answers any questions regarding that care
- Adjusts quickly to charting under various electronic medical record systems or paper charting within short time frame to meet facility and accrediting organization standards
OR/RN, PACU
Innovations Surgery Center
04.2021 - 06.2022
- Cares for patients during and after gynecological surgeries and procedures
- Performs preoperative and postoperative calls
- Circulates in operating room to ensure equipment is functioning properly; maintain patient safety; monitor, record, and communicate patient's condition, provide support to fellow OR staff
- Performed phase 1 post operative care to patients by monitoring airway, vitals, and incisions; treating pain, nausea and other anesthesia side effects
- Performed phase 2 post operative care to patients by assisting with dressing, ambulation, and toileting; managing pain, nausea and other anesthesia side effects
- Notifies surgeon and/or anesthesiologist of any patient complications during phase 1 or phase 2
- Manages and Documents required fields of preop/postop calls and perioperative nursing on EMR
- Educates patients and their responsible parties on discharge instructions
- Facilitates communication between surgeon, patient and patient’s responsible parties for an update on surgical findings and follow up plan
- Maintains organizational objectives, policies, procedures, quality improvement, safety, environmental, and infection control standards
- Manages inventory and availability of supplies, drugs, and equipment
Nurse Reservist
Krucial Staffing
01.2021 - 03.2021
- Deploys on short notice to care areas nationally
- Performed nursing care to patients during national and state emergencies
- Combats and provides relief during nursing staff shortages
- Facilitates communication between surgeon, patient and patient’s responsible parties for update on surgical findings and follow up plan
- Maintains facilities' objectives, policies, procedures, quality improvement, safety, environmental, and infection control standards within short timeframe
- Concludes assignment as national and state emergencies cease and facility returns to normal function
Preop/OR/RN, PACU
Holy Cross Hospital
01.2020 - 01.2021
- Works within 28 bed clinic to guide patients through pre and postoperative period, including but not limited to gynecologic, plastic, orthopedic, ophthalmic, gastrointestinal, bronchoscopic, urinary and renal surgeries
- Pre-operatively obtains patients ‘weight, height, and vitals
- Prepares patient for operating room by removing clothing, valuables, and at risk belongings
- Reviews medications, medical and surgical histories
- Witnesses surgical, anesthesia, and blood consents
- Obtains intravenous access to for surgery/ procedures
- Collects and reviews necessary lab samples
- Ensures patients meet Aldrete I and II scores required for same day discharge to home for transport back to inpatient units
- Maintains patients’ surgical sites/dressings
- Treats pain, nausea, and other side effects of anesthesia
- Challenges patients with oral intake to ensure they are not nauseous prior to discharge
- Monitors urine output, with use of bladder scanner if necessary
- Educates patients and their family on discharge instructions including diet, activity restrictions, care for surgical tubes and when to notify the surgeon versus seek immediate to emergency medical attention
- Communicates with surgical and anesthesia teams if discharge criteria is not met
- Develops new careplans to combat issues with discharge criteria
- Arranges for overnight hospital stays with inpatient coordinator, charge nurse, and floor nurse
- Uses EMR including “Corner” Powerchart”, and “Surginet” software to document patient information, nursing interventions, progress notes; review patient lab and imaging results; add protocol, verbal/phone, written or in person orders
Clinical Nurse I/Clinical Nurse II
University Of Maryland Medical Center
03.2017 - 08.2020
- Completes 12 month nurse residency program at level one trauma center and teaching/ magnet facility designed
- Works in 54 bed unit alongside physicians, residents, medical students, patient care technicians, social workers, case managers, and patient advocates to addressneeds of unique inner city population
- Develops care plans independently and with interdisciplinary team, to patients facing life threatening situations including yet not limited to cardiac arrest, respiratory distress, strokes, seizures, sepsis, d rug overdoses and trauma
- Provides initial assessment and stabilizes intensive care, medical surgical and psychiatric patients before transport to area of appropriate care
- Triages patients using emergent to non urgent score system
- Independently prioritizes care of critical versus stable patients and communicates directly to charge nurse and physicians
- Places cardiac monitoring, pulse oximetry and blood pressure equipment , temperature probes, and appropriate ventilator supplies on patients as needed
- Performs stat/ routine difficult intravenous ( IV ) placement, lab draws, and blood glucose checks
- Administers stat/routine medications orally, intravenously, intramuscularly, and intraosseously
- Obtains stat/routine medications through secured Pyxis storage
- Maintains peripheral, arterial, and central IVs, endotracheal tubes, and catheters
- Facilitates transport of patient to imaging areas, procedure/surgery rooms, and admitting units
- Continues daily care of boarder patients in emergency department per orders
- Provides organized report of patient to next care staff
- Acts as charge nurse to 14 bed ambulatory zone to ensure functionality of urgent care like environment in collaboration with nurse practitioners
- Uses “EPIC” software or paper charting during downtime hours to documents assessments, nursing interventions, and physician assisted procedures
Student Nurse Technician
Veteran Affairs Medical Center
06.2015 - 10.2016
- Practices duties under certified nursing assistance licensure gained in December 2014
- Completes focused physical assessments and vital signs on veteran patients population
- Performs intravenous (IV) lab draws and blood glucose checks
- Assists physicians in minor procedures including not limited to gynecological, plastic, orthopedic, and vascular
- Practices standard and sterile technique in appropriate setting
- Collaborates with healthcare team to create smooth clinic flow and punctual appointment times
Education
Bachelors of Science Nursing -
Notre Dame of Maryland University
Baltimore, MarylandPre - Nursing Studies
University of Maryland Baltimore County
Catonsville, MarylandSkills
Perioperative Care
Critical Care
Emergency Care
Intravenous Therapy
Therapeutic Communication
Flexibility and Adaptability
EMR Systems
Operational Standards
Licensure/ Certifications
Registered Nurse in Compact State Maryland 2017-present
Basic Life Support 2017- present
Advanced Cardiac Life Support 2018-present
Pediatric Advanced Life Support 2022-present
Timeline
Preop/RN, PACU
AMN Healthcare
07.2022 - 06.2023
Infusionist Nurse
IV Drip Docx
07.2021 - Current
Nurse Contractor
Medely
04.2021 - Current
OR/RN, PACU
Innovations Surgery Center
04.2021 - 06.2022
Nurse Reservist
Krucial Staffing
01.2021 - 03.2021
Preop/OR/RN, PACU
Holy Cross Hospital
01.2020 - 01.2021
Clinical Nurse I/Clinical Nurse II
University Of Maryland Medical Center
03.2017 - 08.2020
Student Nurse Technician
Veteran Affairs Medical Center
06.2015 - 10.2016
Bachelors of Science Nursing -
Notre Dame of Maryland University
Pre - Nursing Studies
University of Maryland Baltimore County
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