CINOJ ABRAHAM
WADALBA,NSW
Summary
Knowledgeable Clinical Nurse Specialist with 13 years of experience in the Coronary Care Unit. Implementing best practices and using clinical data to improve the delivery of care.
Skilled cardiac care nurse, Committed to compliance reporting, Computerised charting specialist, Strong medical ethic, Advanced Life Support (ALS) certification, Enthusiastic caregiver, Team leadership skills, Clinical teaching skills, Relevant medical knowledge and practice, Effective communication and interpersonal skills.
Proficient in chest pain assessment and management, with advanced skills in ECG interpretation.
Overview
16
16
years of professional experience
Work History
Registered Nurse/Clinical Nurse Specialist
Gosford Hospital
Gosford, NSW
03.2012 - Current
- Appropriate and timely management of Coronary ischemia.
- Utilize strong assessment skills and ability to obtain a subjective and objective assessment of cardiac patients using a systematic approach.
- Communicate history and physical examination findings effectively in oral and written form.
- Assessment of patient chest pain /ischemic symptoms and displays critical thinking and follow-through actions.
- Respond rapidly and efficiently to patients who are experiencing ST-Elevation Acute Coronary Syndrome (STE-ACS).
- Interpretation of rhythms and ECG include reporting of telemetry.
- Pre- and post-procedure management of patients undergoing Angiogram, Percutaneous Coronary Intervention (PCI).
- Prepare patient for CABG and transfer to higher centres.
- Transport of patients who required Advanced Life Support to higher centres for CABG and high-risk PCI'S .
- Understanding and management of patients with cardiac arrhythmias include Atrial fibrillation, SVT and Heart Blocks (First degree/2nd degree/CHB)
- Management of life-threatening arrhythmias such as ventricular tachycardia (VT), Ventricular fibrillation (VF), and Pulseless electrical activity (PEA) as per Advance Life support (ALS) guidelines.
- Administration of appropriate antiarrhythmic agents oral or IV (Amiodarone, Adenosine, Lignocaine).
- Understanding and Management of a patient with Temporary venous pacing wire (TVPW) and how to troubleshoot.
- Provide accurate information to the patient regarding Permanent Pacemaker, Temporary venous pacing wire and AICD insertion including wound care, restrictions, and lifestyle modifications.
- Recognises and initiates emergency transcutaneous pacing.
- Pre and post cardioversion care (DCCV)
- Competent airway management and administration of conscious sedation and pain control.
- Infection control measures and aseptic technique in accordance with hospital guidelines and policies.
- Appropriate and timely management of decompensated heart failure.
- Administration of Dobutamine infusion in the acute treatment of congestive heart failure.
- Expert in administering cardiac inotropic agents in various cardiac conditions such as hypotension, Pulmonary hypertension, acute cardiorenal syndrome, heart failure, and sepsis.
- Management of Acute Pulmonary Oedema (APO) by using diuretics, GTN and Non-Invasive Ventilator (NIV).
- Competent in managing patients with non-Invasive Ventilation (BiPAP /CPAP) and Hi-Flow Nasal Prong (HFNP).
- Initiate patient and family heart failure education when appropriate.
- Management of patients with PICC, CVC, IVC and ART line.
- Able to collect ABG samples from ART line, interpret results, changes in the plan of care with consultation with a cardiologist and improve patient outcomes.
- Completed sedation package which aims to develop the management of the person undergoing a procedure either in a ward, speciality unit or department utilising sedation .(Procedural sedation or conscious sedation during Trans Oesophageal Echocardiogram).
- Competent in assisting Dobutamine Stress Echocardiogram and managing patient post-procedure.
- Undertake chest drain management, including chest tube removal and assisting with insertion of the chest tube.
- Management of a patient with Pericardial Tamponade and competent in assisting emergency pericardiocentesis.
- Perform the role of an Incharge in CCU .
- Train and teach junior staff and university students in clinical placement about classes and subclasses of cardiac medications and their indications.
- Able to troubleshoot management of NIV and invasive haemodynamic monitoring.
- Involved in quality improvement projects in the department that include Peripheral IV cannula management, EMR ,IV fluids enhancements and deteriorating patient initiatives.
- Assisted one of the major projects which involved researching practice, scripting, acting, and reviewing the final video. Also assisted with pre /post-implementation survey.
- Completed the competency of assessing nursing staff and assisting to improve the quality of care provided by them.
- Made learning packages for university nursing students, new graduate nurses and cardiac speciality nurses.
- Updated hospital policy in alignment with the latest guidelines and evidence-based research, enhancing compliance and operational efficiency.
Registered Nurse, Medical ICU
Mahatma Gandhi Mission's Medical College & Hospital
Navi Mumbai, Maharashtra,India
02.2008 - 06.2009
- Nurse-patient ratio -1:1 up to 1:3 depending on emergency .
- Independent in looking after patients requiring invasive ventilation, NIV, internal and external pacing and cardioversion.
- ALS accredited
- Certified for venepuncture and cannulation
- Independent in assisting doctors with vascath insertion, CVC insertion, Arterial line insertion and ICC/UWSD insertion.
- Competent in Patient-controlled Analgesia (PCA).
- Managed various medical and surgical emergencies.
- Arrange the ventilator and set the values before the patient is shifted from ED/Theatres as advised by the anesthetist.
- ABG sample collection, analysis and Interpretation.
- Ventilator care of patients with or without tracheostomy.
- Tracheostomy care.
- Chest physiotherapy and breathing exercises.
- Monitor and document pleural drain and pericardial drain.
- Ensure holistic care based on patient needs respecting their individuality ,culture and beliefs.
- Careful monitor of patients vital parameters ,bowel and bladder function and management .
- Teach post operative exercise.
- Initiation of IV access and administration of emergency medications .
- Post operative assessment of the surgical site and drains as well as mobilizing the patient effectively.
- Assist the doctor in minor diagnostic and therapeutic procedures like chest tube insertion,arterial line insertion ,CVC ,PICC line ,TPI ,endotracheal intubation and tracheostomy
Education
Graduate Diploma of Nursing (Cardiovascular Nursing) -
University of Tasmania
08.2019
Registration Bridging Course for Overseas Qualified Nurses -
Institute of Health & Nursing
Australia11.2011
Post Basic Bachelor of Science(Nursing) -
Shri V.J.C.T's Samarth Nursing College
India07.2011
Diploma in Revised General Nursing And Midwifery -
MGM's Florence Nightingale Institute of Nursing Ed
Navi Mumbai02.2008
Masters of Nurse Practitioner -
University of Sydney
Skills
- Direct Patient Care
- Specialized Care
- Clinical Procedures Consultation
- Patient Assessments
- Critical Thinking
- Problem Solving
- Nursing Policy Development
- Decision Making
- In-Service Training
- Interpersonal Communication
- Compliance Monitoring
- Oral and Written Communication
- Patient Education
- Discharge Planning
- Patient Discharge Consultation
- Care Plan Development
Reference 1
Kylie Ingram
Nurse Unit Manager
Gosford Hospital Cardiology
Email: Kylie.Ingram@health.nsw.gov.au
Mob:0412125811
Reference 2
Jacqueline Colgan
Cardiac CNC
CCLHD
Email: Jacqueline.Colgan@health.nsw.gov.au
Mob :0404484762
Timeline
Registered Nurse/Clinical Nurse Specialist
Gosford Hospital
03.2012 - Current
Registered Nurse, Medical ICU
Mahatma Gandhi Mission's Medical College & Hospital
02.2008 - 06.2009
Graduate Diploma of Nursing (Cardiovascular Nursing) -
University of Tasmania
Registration Bridging Course for Overseas Qualified Nurses -
Institute of Health & Nursing
Post Basic Bachelor of Science(Nursing) -
Shri V.J.C.T's Samarth Nursing College
Diploma in Revised General Nursing And Midwifery -
MGM's Florence Nightingale Institute of Nursing Ed
Masters of Nurse Practitioner -
University of Sydney
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