Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

GABRIEL RAMOS

CAYEY

Summary

Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.


Caring Nurse with 11 years of experience in diverse healthcare organization working with ER, OR and Care Management Nurse patients. Adept at introducing detailed care plans and coordinating patient care through interdisciplinary collaboration. Demonstrated expertise in physical, psychosocial, developmental and educational aspects of nursing care for any patients and families.



Overview

12
12
years of professional experience

Work History

Care Management Nurse

Guidewell (Triple S)
San Juan, Puerto Rico
06.2018 - Current
  • Educated and evaluated clinical and support staff regarding care quality management regulations and standards of care.
  • Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing and other enabling services for patients.
  • Arranged transportation and documented details of discharge transition plans.
  • Coordinated and analyzed sustainable person-centered care plans involving internal and external providers.
  • Interpreted regulations to identify patient care requirement criteria to be monitored and establish systems to achieve compliance.
  • Collected and aggregated data to identify problems or trends, such as turnaround time and issues with physician offices.
  • Identified opportunities to optimize communication within inpatient and cross-continuum teams to drive effective patient flow and sustainable care transitions from hospital and home, within community care settings and implement supplemental care and services for high-risk patients.
  • Drove inpatient staff and physician groups to determine goals for level of care to promote length-of-stay management and coordinate post-acute transitions.
  • Offered leadership, support and clinical expertise within care management teams to achieve outcomes.
  • Assessed healthcare needs and monitored effectiveness and progress plans to achieve desired outcomes.
  • Facilitated assessment of individual physiological, psychological, financial, cultural and family situation and coordinated social services to address individual and family needs.
  • Communicated with patients, ensuring that medical information was kept private.
  • Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
  • Created customized care plans, working with hospital staff and families to assess and meet individual needs.
  • Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
  • Discussed medical histories with patients in effort to provide most effective medical advice.
  • Reviewed and evaluated test results to suggest care and treatment options.
  • Implemented best practice standards for billing resulting in substantial reduction of accounts receivable delays.
  • Scheduled surgeries, managed pre-certifications and verified insurance coverage.
  • Collaborated with national and international organizations to leverage industry connections.
  • Worked with providers to define quality metrics and outcome reporting process.

Operating Room RN

Mennonite General Hospital
Cayey Puerto Rico
06.2014 - 05.2018
  • Collected, labeled and transported specimens and delivered to lab for testing.
  • Observed surgeon's body language, movements and demeanor during operations to anticipate needs.
  • Prepped operating rooms by [Action] and [Action] to comply with environmental asepsis standards.
  • Provided direct support to the surgical team during general surgery procedures (recovery room).
  • Collaborated with members of patients' healthcare team to deliver appropriate level of care.
  • Administered medications via oral, IV and intramuscular injections and monitored responses.
  • Coordinated nursing care to be carried out according to facility guidelines and regulations.
  • Provided effective bedside care to patients before and after procedures to deliver comfort.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Educated family members and caregivers on patient care instructions.
  • Kept optimal supply levels in treatment rooms, triage and other areas to meet typical patient loads.
  • Evaluated patient histories, complaints and current symptoms.
  • Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies.
  • Administered different therapies and medications in line with physician orders and treatment plan.
  • Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
  • Managed patients recovering from medical or surgical procedures.
  • Monitored patient reactions after administering medications and IV therapies.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
  • Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
  • Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
  • Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
  • Adhered to strict safety measures by carefully determining proper dosages before administering medications.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
  • Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
  • Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
  • Performed triage on incoming patients and determined severity of injuries and illnesses.
  • Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
  • Implemented care plans for patient treatment after assessing physician medical regimens.
  • Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
  • Equipped patients with tools and knowledge needed for speedy and sustained recovery.
  • Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
  • Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.

RN, ER

Mennonite General Hospital
Cayey, Puerto Rico
02.2012 - 05.2014
  • Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
  • Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments, and supervising team comprised of nurses, LPNs, technicians and unit clerks.
  • Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit.
  • Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds and thoracic trauma.
  • Minimized hospital stays with recovery-centered approaches, reducing average in-patient stay length.
  • Implemented medication and IV administration, catheter insertion and airway management.
  • Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
  • Organized and managed care of patients undergoing various therapies and procedures.
  • Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
  • Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use and disease management.
  • Maintained quality care and comfort for patients with heart failure, pulmonary hypertension and other conditions.
  • Delivered proper care to victims of domestic violence at urgent care clinic.
  • Administered medications via oral, IV and intramuscular injections and monitored responses.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
  • Collected blood, tissue and other laboratory specimens and prepared for lab testing.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
  • Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
  • Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
  • Audited charts and reviewed clinical documents to verify accuracy.
  • Kept optimal supply levels in treatment rooms, triage and other areas to meet typical patient loads.
  • Managed care from admission to discharge.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Monitored patient reactions to drugs and carefully documented findings.
  • Secured controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities.
  • Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.

Education

Bachelor of Science - RN, BSN

Columbia Central University
Caguas Puerto Rico
05.2011

Skills

  • Clinical Documentation
  • Policy and Procedure Compliance
  • Critical Care Nursing
  • Diabetes Management
  • Patient and Family Education
  • Tracheostomy Care
  • Gastrostomy Tube Care
  • Seizure Management
  • Diagnostic Test Ordering
  • Catheter Maintenance
  • Patient Management
  • Direct Nursing Care
  • Wound Management
  • Charting Medication Administration
  • Medication Administration
  • Healthcare Ethics
  • Diet and Nutrition
  • RN Case Management
  • Treatment Recommendations
  • Patient Assessments
  • NG Tube Insertion
  • Referral Generation
  • Electronic Health Records Management
  • Microsoft Office
  • Telemetry and Advanced Cardiac Care
  • Nursing Plan Development
  • HIPAA Protocol Adherence
  • Manage Cases
  • Clear Patient Communication
  • Blood Draw and Sample Collection
  • Immunizations and Vaccinations
  • Gynecological Surgery
  • Blood Pressure Measurement
  • Community Healthcare Programming
  • Healthcare Regulations
  • Immune Conditions
  • Patient Admission
  • Monitoring Vital Signs
  • Routine Examinations
  • Disaster Site Triaging
  • Healthcare Program Planning
  • Update Electronic Charts
  • Alternative Treatments
  • Suture Removal
  • Medication Side Effect Knowledge
  • Operational Standards
  • Treatment Plan Modification
  • Medical Procedure Preparation
  • Emergency Diagnostics
  • Community Program Referrals
  • Medical and Nursing Coordination
  • Nursing Assignments
  • Intramuscular Injections

Languages

Spanish
Native language
English
Upper intermediate
B2

Timeline

Care Management Nurse

Guidewell (Triple S)
06.2018 - Current

Operating Room RN

Mennonite General Hospital
06.2014 - 05.2018

RN, ER

Mennonite General Hospital
02.2012 - 05.2014

Bachelor of Science - RN, BSN

Columbia Central University

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GABRIEL RAMOS