Upama Karmacharya

• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
• Assessed physical, psychological, physiologic, and cognitive status of patients.
• Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.

Patient Assessment and Monitoring

• Assess and monitor patients with acute and chronic cardiac conditions.
• Perform and interpret electrocardiograms (ECGs/EKGs), blood pressure readings, and oxygen saturation levels.
• Conduct thorough patient assessments to identify changes in condition or recognise early signs of deterioration, promptly notifying physicians and initiating appropriate interventions when necessary.
• Provide care pre and post cardiac interventions isuch as angioplasty, Electrophysiological studies, pacemaker/defibrillator insertion, and LAA/PFO closure.

2. Emergency and Critical Care Response

• Respond to cardiac emergencies, including myocardial infarctions, arrhythmias, and cardiac arrests.
• Perform Advanced Cardiac Life Support (ACLS), including defibrillation and cardiopulmonary resuscitation (CPR).

3. Medication Administration and Management

• Administer cardiac medications, including anticoagulants, thrombolytics, antiarrhythmics, and vasodilators.
• Manage IV drips, infusions, and oxygen therapy.
• Monitor patients for adverse drug reactions and medication effectiveness.

4. Patient and Family Education

• Educate patients and families about heart disease, recovery, and lifestyle modifications.
• Provide guidance on diet, exercise, medication adherence, and smoking cessation.

5. Collaboration and Teamwork

• Work closely with cardiologists, cardiac surgeons, respiratory therapists, and rehabilitation specialists.
• Coordinating with rehabilitation specialists for post-hospital recovery. tests and interventional procedures.
• Communicate patient updates and progress to the healthcare team and family members.

6. Documentation and Compliance

• Maintain accurate and up-to-date patient records.
• Ensure adherence to hospital protocols, infection control measures, and safety regulations.
• Participate in quality improvement initiatives

• Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
• Assisted patients with daily living activities for enhanced comfort and wellbeing.
• Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
• Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
• Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
• Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
• Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
• Reduced fall incidents by implementing safety measures like bed alarms and proper positioning techniques.
• Prevented pressure ulcers development through frequent turning, repositioning of patients, and diligent skin assessments.
• Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
• Enhanced team efficiency by promptly responding to call lights and reporting changes in patient condition to nurses.
• Conducted regular rounds to monitor patients'' physical and mental status throughout shifts.
• Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
• Performed accurate documentation of patient information according to established protocols for record-keeping purposes.
• Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs.
• Built rapport with patients and families, providing emotional support during difficult times.
• Assisted nurses with wound care procedures ensuring proper healing processes took place.
• Streamlined communication between nursing staff, patients, and families to ensure comprehensive understanding of care plans.
• Served as an advocate for each patient's needs during shift handoffs or interdisciplinary conferences with other healthcare professionals.
• Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
• Contributed positively towards patient satisfaction scores by consistently providing exceptional care and addressing their concerns.
• Supported ambulation and physical therapy needs by conducting planned exercise routines.