In my previous role, I regularly monitored cardiac patients using telemetry and interpreted EKG readings to identify arrhythmias or ischemic changes. I am proficient in recognizing common rhythms like atrial fibrillation, ventricular tachycardia, and ST-segment elevation. I also collaborated with the healthcare team to initiate appropriate interventions, such as administering medications or alerting the physician for further evaluation. My experience ensures I can provide timely and accurate care to cardiac step-down patients.

I prioritize care by assessing each patient's condition, acuity, and urgency of needs. I use tools like the ABC (Airway, Breathing, Circulation) framework and Maslow’s hierarchy of needs to guide my decisions. For example, I address critical issues like chest pain or unstable vitals first, while also ensuring routine tasks like medication administration are completed on time. Effective time management and delegation to support staff help me maintain high-quality care for all patients.

In emergencies, I remain calm and follow established protocols, such as initiating a rapid response or code blue if necessary. I immediately assess the patient’s ABCs, provide oxygen, and monitor vitals while notifying the physician and charge nurse. I document all interventions and communicate clearly with the team to ensure continuity of care. My training in ACLS and experience in high-stress situations enable me to respond effectively to sudden deteriorations.

I use clear, simple language and visual aids to explain discharge instructions, medications, and lifestyle modifications. I assess their understanding by asking them to repeat key points and provide written materials for reference. I also connect them with resources like cardiac rehab programs or support groups. By fostering open communication and addressing concerns, I empower patients and families to manage their care effectively at home.

I follow the 'five rights' of medication administration and double-check dosages, especially for high-risk drugs. I monitor lab values, such as INR for anticoagulants, and assess for side effects like bleeding or arrhythmias. I educate patients about potential risks and signs to report. Additionally, I use barcode scanning and collaborate with pharmacists to minimize errors, ensuring safe and effective medication management.