Anna Marika Fonacier "Maikko"
Batemans Bay,Australia
Summary
Registered Nurse with 14 years of experience in Emergency Nursing including rural emergency care, advanced triage, and patient management expertise gained in the challenging environments of the outback. Adept in working in rural emergency departments and competent in utilising telehealth services to consult with other healthcare team members. Holds a Graduate Certificate in Critical Care Nursing (Emergency Nursing) and credentialled as an Emergency Care Assessment and Treatment (ECAT) RN.
Practice Nurse experience with a strong background in chronic disease management, comprehensive health assessments, and national immunisation program. Experienced in using electronic medical records systems such as FirstNet, PowerChart, Best Practice, and Sunrise in facilitating accurate documentation and informed clinical decisions.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Agency Nurse- Emergency Department
Sustain Health Nursing Recruitment
07.2024 - Current
- Assessed patients and delivered care as sole RN in rural NSW emergency departments lacking on-site medical supervision, ensuring critical support during emergencies.
- Coordinated higher care management as nurse-in-charge, utilising telehealth systems (CCAS, RFDS, PTS) to facilitate patient transfers needing advanced care beyond hospital capabilities.
- Travel contracts:
- Oberon MPS, Western NSW LHD, NSW: Accident and Emergency; RN in charge (ED, Acute Ward and RAC) from 29/07/2024 to 22/09/2024.
- Narrandera District Hospital -MLHD, NSW: Accident and Emergency; RN in charge (ED and Acute ward) from 23/09/2024 to 03/11/2024.
- Bairnsdale Regional Health Service, VIC: Accident and Emergency from 16/12/2024 to 26/01/2025.
- Gladstone Hospital: Accident and Emergency from 13/10/2025 to 26/10/2025.
- Temora District Hospital: Accident and Emergency; RN in charge (ED and ward) from 29/11/2025 to 25/01/2026.
RN/ RN-in-charge
Southern NSW Health Local Health District
12.2020 - Current
- Led interdisciplinary teams of doctors, nurses, and allied health professionals to deliver high-quality emergency critical care for patients.
Practice Nurse
Surf Beach Surgery
08.2022 - 06.2024
- Worked as a practice nurse focusing on chronic disease management (CDM), health assessments, and immunisation.
- Monitored and supported patients with long-term conditions, enhancing chronic disease management and patient outcomes.
- Conducted regular health assessments for patients over 75 to identify early signs of chronic disease and geriatric syndromes, collaborating with GPs to deliver person-centred care that supports ageing in place.
- Care Coordination: Works closely with GPs and other healthcare professionals to create GP Management plan for patients with chronic conditions.
- Prepared care plans with GPs outlining diagnoses, treatment goals, and service providers, ensuring comprehensive coordination of care for veterans.
- Comprehensive Medical Assessment for Aged Care Residents: Prepares CMA reports together with GP for health assessments of residents in aged care facilities
- Administered vaccinations as a credentialed nurse immuniser, following health regulations.
Registered Nurse
Bourke Multi-Purpose Health Service
08.2018 - 11.2020
- Nurse-in-charge: Liaising with medical officers for higher care management from initial presentation to discharge including referrals to community or allied health.
- Led team of RNs, ENs, AINs, and student nurses to deliver high-quality patient care and maintain continuity throughout treatment.
- Provided nursing care for diverse emergency presentations in outback facility, utilizing telehealth consultations and escalations in absence of on-site doctor.
- Liaising with other teams such as escalation through the Critical Care Advisory System (CCAS), Royal Flying Doctors (RFDS), and Patient Transport System (PTS) for patients requiring further management beyond scope of Bourke MPS.
- Managed nursing administrative tasks after hours and weekends, ensuring operational continuity in absence of site management.
AHA Instructor - BLS, ALS, PALS
American Heart Association -University of Santo Tomas Faculty of Medicine and Surgery
Manila, Philippines
03.2014 - 08.2018
- American Heart Association Instructor for Advanced Cardiovascular Life Support (ACLS) and Paediatric Advanced Life Support (PALS).
- Taught ACLS, BLS, and PALS to healthcare providers and laypersons, aligning instruction with latest AHA Guidelines for CPR and emergency cardiovascular care.
- Maintained teaching quality at American Heart Association sites through training the trainers program.
Utilisation Management
Hinduja Global Solution
Philippines
11.2017 - 06.2018
- Worked as an off shore Utilisation Management Nurse (US RN)
- Evaluated clinical documentation against established criteria for medical necessity to manage utilisation, prevent unnecessary costs, and ensure quality patient outcomes, reviewing procedures and hospital stays for alignment with evidence-based guidelines and compliance with state and federal standards.
- Processed authorisation requests from providers and reviewed ongoing inpatient care to determine continued stay authorisation.
- Coordinated care with physicians, hospitals, and insurers, discussing alternative treatment settings that are cost-effective.
- Compliance: Maintain in-depth knowledge of health plan benefits, Medicare/Medicaid regulations, and compliance standards.
Staff Nurse 2
Cardinal Santos Medical Centre
San Juan City, Philippines
11.2011 - 06.2017
- Nurse-in-charge: Leads and supervises bedside nurses in a 23-bed capacity Emergency Department in a tertiary hospital
- Bedside Nurse: Performs triaging through focused assessment that determines the clinical urgency of the patient’s presenting problem.
- Functions as scrub nurse in minor procedural cases such as suturing of wound, ungiectomy, intrajugular catheter insertion, and casting.
- Prepares, administers, and records prescribed medications.
- Acting Nurse Clinician: Facilitated and supervised staff training, education, rostering, and performance evaluations to enhance team competency.
- Initiated patient education plan. Taught patients and caregivers to manage their illness by explaining post-treatment care, home care needs, diet, and medication administration.
- Led the initiative to have the CSMC emergency department recognised as an Animal Bite Centre by the regulatory agency.
- Developed the Animal bite resource card for patients to ensure follow-up care and optimum patient outcome.
- Developed ED policy and flowchart for animal bites, streamlining response protocols and improving patient care.
- Collected, analysed, and reported data on animal bites, maintained accurate patient records, and tracked incident trends to support infection control efforts.
Education
Graduate Certificate - Critical Care Nursing (Emergency Nursing)
Australian College of Nursing
Sydney, NSW03-2024
Bachelor of Science - Nursing
University of Santo Tomas
Manila, Philippines03-2010
Skills
- Advanced Life Support 1 and 2
- Basic Life Support
- Triage
- Emergency Care Assessment and Treatment (ECAT)
- Advanced airway management including non-invasive ventilation
- Defibrillation, transcutaneous pacing, and cardioversion
- Peripheral cannulation, venepuncture, and intra-osseous access
- CVAD management including PICC line removal
- Point-of-care testing: Gemstar, i-STAT and CoaguChek
- Urethral and suprapubic catheter insertion and care certified
- Point-of-care testing: Gemstar, istat and coaguCheck
- Chronic disease management
- Telehealth coordination
- Medical documentation: competent user of eMR FirstNet, PowerChart, Sunrise, Best Practice
- Team collaboration
Certification
• Emergency Care Assessment and Treatment (ECAT), Advanced triage assessment 2024
REGISTRATIONS
- AHPRA - Registration Number NMW0002150724
- Board of Nursing, Texas - USRN Licence number 0642751
- Philippines Regulation Commission- Licence number 822053
Timeline
Agency Nurse- Emergency Department
Sustain Health Nursing Recruitment
07.2024 - Current
Practice Nurse
Surf Beach Surgery
08.2022 - 06.2024
RN/ RN-in-charge
Southern NSW Health Local Health District
12.2020 - Current
Registered Nurse
Bourke Multi-Purpose Health Service
08.2018 - 11.2020
Utilisation Management
Hinduja Global Solution
11.2017 - 06.2018
AHA Instructor - BLS, ALS, PALS
American Heart Association -University of Santo Tomas Faculty of Medicine and Surgery
03.2014 - 08.2018
Staff Nurse 2
Cardinal Santos Medical Centre
11.2011 - 06.2017
Graduate Certificate - Critical Care Nursing (Emergency Nursing)
Australian College of Nursing
Bachelor of Science - Nursing
University of Santo Tomas