Mrunaliben Patel

Clinical Expertise.

• Developed and showcased a comprehensive set of essential nursing skills, including Advanced Life Support, non-invasive ventilator support (BiPAP, CPAP), invasive pressure monitoring, transcutaneous and transvenous pacing, pericardiocentesis, peripheral intravenous catheter (PIVC) insertion, venipuncture, chemical and electrical cardioversion, administration of critical and lifesaving medications, telemetry monitoring, and ECG interpretation.
• Provided comprehensive care to patients experiencing severe and life-threatening arrhythmias and cardiac conditions, such as ventricular tachycardia (VT), supraventricular tachycardia (SVT), atrial fibrillation (AF), atrial flutter, complete heart block, cardiac arrest, cardiac tamponade, aortic dissection, endocarditis, pericarditis, and unstable angina.
• Managed complex, high-acuity cases, including patients with cardiogenic shock, acute coronary syndrome, and heart failure, utilizing advanced cardiac support technology to ensure stability and recovery.
• Acted as the main liaison among nurses, cardiologists, and multidisciplinary team members, facilitating clear communication and regular patient status updates to promote coordinated and effective care.
• Worked in collaboration with the cardiologist in the Cardiac Investigation Unit of Rockhampton hospital and assisted in TOE and DCCV procedure.
• Gained and implemented knowledge and skills in evidence-based acute care pathways, including the STEMI, NSTEMI, DKA, Stroke, and Heart Failure pathways, to enhance patient outcomes.
• Recognized patient deterioration using the Q-ADDS chart and other thorough assessment methods and escalated strongly to the appropriate personnel in accordance with policy.
• Exhibited advanced clinical knowledge and problem-solving skills in delivering dignified, evidence-based, and client-centred healthcare services.

Quality Improvement Initiatives

• Acted as an active member of the CQHHS pressure injury prevention subcommittee, analysed ward level and hospital level data of pressure injury and contributed by providing evidence-based recommendations to reduce and prevent pressure injury at both hospital and ward level.
• Demonstrated active commitment towards quality improvement activities by leading a team of Pressure Injury Prevention in the Cardiac Services, conducted gap-analysis, formulated goals, implemented plan to promote best-practice of preventing pressure injury and achieved 20% improvement in pressure injury prevention practices, including skin assessment and patient education compliance rate.
• Engaged in the incident management process by thoroughly investigating the reported incident, identifying gaps, and developing a risk mitigation plan in collaboration with the nurse unit manager and other nursing leaders, followed by implementing the plan effectively.

· Assisted in the rollout of a new controlled drug register by developing a clear visual flowchart and delivering training through simulation techniques.

· Collaborated closely with the Bed Manager, ED shift coordinator, Cardiology Registrar, and other allied health professionals to enhance cardiac patient flow, minimize wait times, and deliver standardized care in a specialized, highly skilled environment.

Leadership and Team Building

• Demonstrated strong leadership by acting as a Shift Coordinator of Coronary Care Unit (CCU) and Cardiology Ward and offered support, supervision, coaching and strong direction to a nursing team of Cardiac services.
• Provided effective leadership to create an environment that emphasized collaboration, accountability, and excellence in patient care.
• Actively participated and contributed to team building by offering motivation, coaching and constructive feedback to the cardiac nurses for goal setting and cardiac skill building, including but not limited to cardiac monitoring, EKG interpretation, and emergency response, improving staff competency and patient safety outcomes.
• Championed a mentorship program for junior nurses to promote professional growth and retention by fostering a supportive learning environment to complete cardiac ward specific training and competency.

Patient Education and Skill Development

• Showed a strong commitment to enhancing patient knowledge and engagement by providing education and essential self-care skills, aiming to improve quality of life and well-being for those managing chronic illnesses (e.g., CCF, COPD) or requiring post-discharge care.
• Aligned nursing practices with National Standards to support Partnering with Consumers by conducting motivational interviews with patients and carers. These sessions aimed to enhance understanding of the disease process, risk factors, recognition of early warning signs, and the importance of lifestyle modifications. Encouraged patients to adopt healthier choices, including participation in cardiac rehabilitation programs and attending follow-up cardiac appointments.

• Provided high-quality care to post-surgical cardiac patients, including those recovering from angioplasty, bypass surgery, and pacemaker implantation, ensuring smooth recovery and effective pain management.
• Developed and demonstrated skills in peripheral intravenous catheter (PIVC) insertion, venipuncture for blood collection, arterial puncture, indwelling catheter, and nasogastric tube insertion and management.
• Assisted in the insertion of central venous catheters (CVC), peripherally inserted central catheters (PICC) and arterial lines.
• Conducted invasive hemodynamic monitoring to support critical care planning and management.
• Gained expertise in invasive ventilation monitoring for hemodynamically unstable patients following cardiac events or major cardiac complications.
• Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
• Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
• Acquired a skill of thorough assessment and management of cardiac and non-cardiac chest pain in the setting of cardiac care unit.
• Conducted comprehensive subjective and objective patient assessment including respiratory assessment, cardiovascular assessment, GI assessment, and CNS assessments.
• Identified patient deterioration through vital signs, hemodynamic monitoring, laboratory results and other comprehensive methods, and escalated to relevant person according to policy.
• Administered medications and treatments as prescribed by physician orders.

• Conducting comprehensive assessments, including physical exams, medical history reviews, and identifying patient needs. Administered enteral (oral, sublingual, rectal), parenteral (IV, subcutaneous), transdermal, and otic medications, ensuring adherence to the fundamentals of safe medication administration procedures.
• Developed clinical skills in the observation and management of intercostal catheters (ICC), high-flow oxygen therapy, and skin traction, along with expertise in the insertion and management of indwelling catheters (IDC), and nasogastric tubes (NGT).
• Performed comprehensive wound assessments and managed dressings for complex wounds, surgically closed wounds, VAC (Vacuum-Assisted Closure) dressings, and removal of Bellovac drains.
• Addressed patients' physical, social, cultural, and psychological needs by maintaining individualized care plans, continuously evaluating and updating them as necessary.
• Encouraged and supported patients to actively engage in Activities of Daily Living (ADLs) and participate in their prescribed exercise plans.