Pramila Shrestha

• Managed and care for critically ill patient with variety of diagnosis including: First degree to complete hear block patient, myocardial infarction, pulmonary hypertension, heart failure, coronary artery bypass grafting
• Delivery of quality care pre and postoperative patient necessitating supporting measures for patient with permanent pacemaker, angiogram, stenting, temporary pacing, left ventricular device, heart transplant
• Prioritizing and organizing the various test patients requires pre operatively
• Collaborating with allied health including heart transplant coordinator and pulmonary hypertension nurse and the family to determine appropriate plan of care to provide the best possible outcome for the patients
• Provided emotional support for families during difficult times, helping them navigate challenging medical situations.
• Assessed patients'' needs and developed individualized care plans to address physical, emotional, and psychosocial issues.
• Increased patient satisfaction scores by consistently providing compassionate care and effective communication.
• Served as a preceptor for new nursing staff, contributing to their successful integration into the unit.
• Participated in quality improvement initiatives to enhance clinical procedures and streamline workflows within the unit.
• Initiated appropriate interventions during life-threatening arrhythmias, preserving patient stability and preventing further complications.
• Advocated for patients'' rights and preferences while collaborating with healthcare providers on medical decision-making processes.
• Prioritized tasks efficiently under high-pressure circumstances ensuring timely completion of all responsibilities.
• Delivered high-quality patient care, maintaining accurate documentation of assessments, interventions, and evaluations.
• Utilized advanced cardiovascular life support techniques during emergency situations to save lives and minimize complications.
• Managed complex cardiac cases with skillful assessment, critical thinking, and prompt intervention when necessary.
• Collaborated with interdisciplinary team members for optimal patient care and treatment plans.
• Monitored and adjusted mechanical ventilation settings for critically ill patients, optimizing oxygenation levels.
• Educated family members and caregivers on patient care instructions.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.

• Monitored post op vitals, set up PCA, fluids, reviewed post op orders and orient patients to ward
• Documented patient performance and evaluated ability to thrive after the surgical intervention
• Performed assessments; provided intravenous therapy; complex wound care; monitored various drainage devices, Continuous Bladder Irrigation, application of skin traction and monitoring patient on traction
• Monitored wounds for signs and symptoms of infection and maintained hygiene of wounds
• Monitored and controlled patient pain levels for adherence to prescribed therapies
• Provided neurovascular status updates as requested by physicians
• Collaborated daily with physicians and health care team to achieve optimum patient care
• Demonstrated and assisted patient with use of prescribed therapies including continuous passive motion devices

• Effectively assessed the needs of the terminally ill patient and family in regards to physical, spiritual and psychological dimensions of care
• Documented the patient's plan of care using identified nursing diagnoses, expected patient outcomes, and selected nursing interventions
• Through effective patient communication skills I was able to develop the special patient rapport required to care for chronic and critically ill patients
• Monitored and documented significant changes in the condition of the patient
• Participated in multidisciplinary team meetings and family conferences to cater for development of individualized care plan and advocate for the patient
• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.

• Interviewing Patients for obtaining medical, social and family history
• Keeping patients medical record up to date
• Documenting care plans for patient with chronic disease in consultation with the doctor
• Maintaining and setting up treatment room
• Ensuring stock levels of all vaccinations and / clinical equipment are maintained
• Keeping accurate record of administration of vaccination and immunisation performed under supervision of the doctor

• Maintained comfort and quality of life, and alerted physicians about changes in patients' condition
• Provided continuous and precise assessment of patients pain and comfort levels
• Communicated all pertinent information and evaluations through clear and concise documentation
• Assessed client needs, planned care, implemented interventions, and evaluated client outcomes
• Performed all routes of medication administration, administered treatments, performed dressing changes, tube and catheter insertion, and provided enteral tube feedings
• Delegated duties effectively, and completed staff performance evaluations
• Developed, implemented, and evaluated nursing care plan for geriatric patients
• Built and maintained positive relationships with medical personnel, patients and their families
• Observed and recorded patients’ responses to their individual plan of care
• Handled and responded to treatment and nursing care related queries of patients and their families

Providing assistance to resident with their activities of daily life.

Develop a care plan for each resident as per their physical , functional and emotional requirement.

Documenting the care plan and escalating matter to the nurse as required.

Increased resident satisfaction scores by consistently providing compassionate care and effective communication.