1. L A M O N T K P I P P I N S
1 0 9 6 Y O U N G S T . • A P T . 3 • H O N O L U L U , H A W A I I , 9 6 8 1 4
P H O N E 8 0 8 - 6 7 0 - 0 0 0 3
E - M A I L P H O E N I X 4 8 1 2 @ Y A H O O . C O M
OBJECTIVE
• To challenge myself in my life and career through life long- learning through academia,
evidence-based research and work experience.
EDUCATION
• 2010-present University of Phoenix School of Advance Studies
o Online Doctorate Program Nursing (exp. Date of completion 2013 Fall
(Mid-Semester break until Jan. 2013)
• 2006-2010 University of Phoenix, Honolulu Campus, Honolulu Hawaii.
o MSN-ED University of Phoenix Nursing Education Track, date of
completion 01/2010
o RN to BSN Program, full-time, date of graduation 4/2008
• 1994 – 97 University of the State of New York External Degree Program, Albany,
New York
o Registered Nursing Program Associate in Applied Sciences nursing.
Graduate 5/97
• 1987-89 Board of Cooperative Education Services, Westbury, New York
o Practical Nursing Program Graduate 8/89
CONTINUING EDUCATION
• 2011 National Institutes of Health and the American Heart Association, Honolulu, HI
o National Institutes of Health Stroke Scale part B Certification expires
2016
• 2010 Hawaii Emergency Nurses Association, Honolulu, HI
o Trauma Nurse Core Curriculum
• 2002 American Heart Association- Pacific Chapter, Honolulu, Hawaii
o Advanced Cardiac life Support Instructor Recertification
• 2001 32nd National Symposium “Practice Challenges for the 21st Century”, ANNA, Las
Vegas, Nevada
• 1999 Emergency Cardiac care Conference, American Heart Association, Honolulu,
Hawaii
o Advanced Cardiac life Support Instructor Recertification
• National Kidney Foundation Adequacy of Dialysis /Nutritional Guidelines Update,
ANNA, Honolulu, Hawaii
• 1998 New Horizons in Renal Replacement Therapy, ANNA, Honolulu, Hawaii
• 1997 Advanced Cardiac Life Support Instructors Course, AHA, Honolulu, Hawaii
• 1996 Hemodialysis Training Program, Renal Institute of the Pacific, St. Francis
Health System, Honolulu, Hawaii
• 1995 Chemical Hazard Communication Training, Tripler Army Medical Center,
Honolulu, Hawaii
• 1994 3.0 CEU Intermediate/Advanced Permanent and Temporary Cardiac Pacing,
Medtronic, New York
• 1992 30 CEU Hewlett Packard Computerized Clinical Patient Information System
CareVue9000, Pine Lawn, New York
o User friendly system integrated with the needs of the facility
o Capable in departmental self design for unit specific needs (designing flow
sheets)

2. • Electronic Medical Record Systems
• CHCS EMR
o Tripler Army Medical Center computer charting system
• Clinicomp
o Tripler Army Medical Center
o Critical care deigned EMR integrated critical care paper documentation
• T-System EMR
o Exclusive ER documentation system
o Tripler army medical system
• McKession
o ER/Trauma EMR used at Temple University Hospital Level I trauma Center
• EPIC EMR
o Increasingly the most popular EMR
o Used at several Medical Centers at several travel contract
o Fully integrated system with cardiac monitor, I/O, IV pump and titration,
Hemodialysis machine interface
o Assisted Pali Momi Medical Hospital designed a flow sheet section with
NANDA NIC/ NOC nursing care plan implementation
• Cerner EMR
o Used in emergency department documentation associated with handwritten
flow sheets
o FMCNA Proton hemodialysis documentation imputing data related to each
dialysis session
• 1991 Critical Care Competency-Based Course, North Shore University Network,
Manhasset, New York from 3/1993
• Course work administered by nurse holding an MSN degree, the course itself is
based on the core curriculum for critical care nursing,
• Course didactic portion initially began with clinical practice totaling 6 month prior
to preceptor ship program
• Course included not only ICU staff it nurses assigned to the emergency department
were required to attend this course
• 1990 1.5 CUE Introductory Coronary Care Nursing, South Nassau Communities
Hospital, AHA, Oceanside, New York
CERTIFICATION AND TRAINING
• Certified Nephrology Nurse (CNN) expired
• Basic Life Support Health Care/AED
• Advanced Cardiac Life Support Provider
• Venipuncture for Phlebotomy and IV line Placement
• Trauma Nurse Core Curriculum (TNCC)
• National Institutes of Health Stroke Scale Certification (sponsored through the American
Stroke Association)
o Part A completed in 2012(exp 3/2013
o Part B completed in 2013 (exp 3/2016)
PROFESSIONAL EXPERIENCE
• (2012-present) Advanced Clinical Employment Services (strike team assignments)
• Replacement nursing for work stoppage at Summit Medical Center, Oakland,
Ca
• Assigned to acute inpatient acute hemodialysis unit at a level 1 trauma
facility work stoppage occurred Oct, Nov, and Dec. 2012.
• Application of inpatient dialysis knowledge, time management and
urgent/emergent care of patient during dialysis treatments

3. • Applying experience evaluation of dialysis patients in a focused assessment
related to renal dialysis
• Planning and evaluation of treatment parameters for in conjunction with
physicians orders, monitoring cardiac and oxygenation status during
treatments
• Analyzing patient tolerance during treatment using adjuncts such as, the
Hemetics critline (monitoring fluid shift as related to RBC concentration),
managing emergencies during dialysis. SBAR communication with primary
nurse.
• Use of Fresenius K dialysis machine and Zyzatec portable Reverse osmosis
machine for bedside critical patient
• 2011 to 2012 NurseFinders American Mobile Nursing Hawaii
• Assignments at local hospitals staffing ER, ICU
• (Jan 2012) assignment for the acute specialty clinic at the VHA
• Applying nursing needs for the orthopedic specialty clinic including:
 Case management duties following the VHA’s system
 Utilizing organization skills in addressing consult requests,
scheduling appointments, data collection pertinent for consult
scheduling
 Understanding and applying nursing knowledge in providing
preoperative care and postoperative to veterans in Hawaii and
those residing in the Pacific Basin
 Knowledge of telephone and teleconferencing regarding follow
up care for postoperative patients using the nursing process in
developing plans of care and patient management in collaboration
with orthopedic physicians
 Applying nursing knowledge in triaging consults, postoperative
complication and scheduling travel for veterans abroad back to HI
for care.
 Applying nursing knowledge and organizational skills in the
clinic area including wound care, treatments and documentation
 Case management duties within the VHA system in devising plan
of care, referrals for rehabilitation, medication needs and
renewals as related to orthopedic specialty clinic care
 Utilizing and applying nursing knowledge in the main specialty
clinic
• Supervising and delegation nursing of nursing care to
LPNs, medical assistants and unit clerks
• Applying experience in clinic management to ensure
streamline clinic operation as well as veteran contact
with physicians in a timely manner with post visit
patient teaching
• Understanding, adapting and applying nursing
knowledge in specialty clinic setting as a nursing
leader by assisting during clinic increased patient care
loads
• Applying knowledge of budgetary concerns for clinic
including addressing clinic physician device and
equipment needs, researching and pricing
considerations along with budget proposal
• Utilizing experience in assessment through
observation in a time study with specific criteria for
quality improvement efforts and developing change
and presenting findings in conference with the

4. specialty clinic committee and enacting departmental
change
• 2010 to present Faststaff U.S. Nursing Staffing and Travel Agency
 Replacement (Strike) assignments at several prestigious hospitals
across the US caring for patients in high acuity ICU’s as well as
in Level I &II Trauma ER’s. Hospitals include:
 2010 Riverside Medical Center Emergency Nursing and ICU
during action (Level II trauma center, medical ICU 5 day strike)
> than 20 bed vigorous ED integrated with pediatrics
• Applying primary nursing using comprehensive
assessment, planning, treatment and evaluation of
patients assigned or presenting to triage using EMR
for documentation.
• Application of TNCC, ACLS, and NIH stroke scale
training in patient care (California staffing nurse
patient ratio law in critical care/ER units 1:1 or 2:1)
• Evaluating care and communication findings with
emergency physician receiving orders as needed
• Creating a safe environment for escalated patient
presenting with psychiatric emergencies, detox
(including over doses) and infectious diseases
• Applying, evaluation and analyzing effectiveness of
nursing care of ER nursing care
• Applying and evaluation of delegated duties to
unlicensed assistive personnel
• Applying knowledge in performance as a trauma team
member participation based experience, TNCC
training
• Applying experience in caring for ICU overflows
patient care (admission, care plan, admission orders)
• Applying nursing knowledge and experience with
splinting, assisting with casting, reduction with
conscious sedation experience as well as assisting
including setting up for ED physician procedures
• Applying experience concerning Pre-op assessment
for emergent OR cases along with traumatic ER to OR
transport
• Applying and facilitating patient treatment, instruction
and timely discharge or admission maintaining patient
flow in the ER
• Creating clear and concise SBAR report
communication for emergency and admission
• Creating and maintaining an environment for efficient
ER patient care
• Applying knowledge for rapid and immediate
emergency decision making and intervention as
needed
2014/2015 Kaiser Permanente San Leandro Emergency Nursing
 Application, analysis and understanding patients presenting to
the ER for care
 Comprehension of accountability related to ER patients at a 1:1
or 2:1 patient care ratio (per California staffing law).
 Understanding and applying patient care needs for patient in >25

5. bed ER assigned to trauma, cardiac and treatment rooms
 Application TNCC and ENA core curriculum care in conjunction
with the nursing process in patient care along with addressing,
communicating and responding to concerns in conjunction with
ER physicians
 Management of patient flow through ED either to admission or
discharge with teaching and instruction
 Creating and evaluation of ER patients plan of care in emergency
decision making intervention with appropriate documentation
 Creating an environment of teamwork and professionalism
 Comprehension of accountability related to ER patients at a 1:1
or 2:1 patient care ratio (per California staffing law).
 2011 Kaiser Permanente Oakland, Ca. Emergency Nursing
(Level 1 trauma center)
 Application, analysis and understanding patients presenting to the
ER for care
 Comprehension of accountability related to ER patients at a 1:1
or 2:1 patient care ratio (per California staffing law).
 Understanding and applying patient care needs for patient in >25
bed ER assigned to trauma, cardiac and treatment rooms
 Application TNCC and ENA core curriculum care in conjunction
with the nursing process in patient care along with addressing,
communicating and responding to concerns in conjunction with
ER physicians
 Management of patient flow through ED either to admission or
discharge with teaching and instruction
 Creating and evaluation of ER patients plan of care in emergency
decision making intervention with appropriate documentation
 Creating an environment of teamwork and professionalism
• 2012-13 Montifore Medical Center, Bronx, NY
 Application and knowledge in acute inpatient adult hemodialysis
using the Fresenius K dialysis machine in the acute unit dialyzing
2:1 ratio ICU/ER, SLEED Setup, and initiation.
 Understanding the function and maintaining portable R/O water
system with the portable Zyzatec water purification system
during acute dialysis pre treatment and post treatment as well as
in the inpatient setting
 Knowledge of the Association for the advancement of Medical
Instrumentation guidelines concerning dialysis water quality and
applying knowledge in starting dialysis treatment or termination
of treatment related to poor water purification and termination of
treatment along with communication with nephrologist and unit
manager
• 2012 May-Travel assignment at Mercy Hospital System Springfield, MO
Acute adult hemodialysis inpatient setting dialyzing ratio 2:1 patient in unit
and 1:1 for bedside critical care (ICU/ER) treatments.
 Applying and understanding renal replacement alternatives such
as prismaflex set-up and initiation.
 Understanding TPE set-up and initiation, Peritoneal Dialysis

6. using the Baxter CAPD/Fresenius Peritoneal CAPD machine
along with site care set-up and initiation and setup of manual
CAPD using the octopus method with SBAR communication
with primary care nurse concerning start time and management of
system
 Applying knowledge of acute hemodialysis treatments in critical
care units and ER using the Gambro Phoenix dialysis machine
 Collaboration with nephrology, primary care RN, and
documentation required concerning dialysis treatment
assessment, implementation and evaluation pre and post
treatment using EMR
 Creating collaborative relationships with inpatient case managers
along with other paraprofessionals concerning meeting dialysis
care needs patient needs inpatient and at discharge
 Applying acute dialysis experience for initial start patients in the
outpatient dialysis setting
 Applying experience in emergent patient care needs
 Clear and concise documenting in the EPIC EMR
• 2010-Spring-2010 Fall Adjunct Nursing Faculty Hawaii Pacific University, Kaneohe,
HI
• Clinical Instructor overseeing seven senior nursing students in the clinical
area for Adult Health II course
• Applying experience in formal academic teaching clinical environment
• Creating innovative an innovating clinical experience that involved complex
nursing for student exposure to the vigor of bedside nursing care
• Created partnerships with nurses facilitating an wide range for student
clinical exposure assigning students on a rotational basis to cardiac
monitoring in CCU, ER, respiratory therapy and charge nurse shadowing
• Creative methodology to ensure critical aspects of clinical requirements were
directly observed and met (medication administration supervision twice,
observing direct patient care of each clinical student), as well as,
maintaining austere adherence to the standards of nursing care outline in
course syllabus and nursing practice
• Creating opportunity for nursing procedures activity or observations as
available, SBAR reporting in emergent situations, chart reviews for post-op
patients review of plan of care and communication with medical staff and
succinct and constant communication with the primary nurse as needed
• Applying and evaluation of student performance with each clinical day and
determining increase patient care load of up to 3 patients as patient assigned
patient acuity allowed
• Monitoring and evaluation of students readiness and performance
concerning IV line management and supervised IV push meds during clinical
course
• Understanding student knowledge base and instruction in time management
techniques and patient flow for discharge in shadowing with primary nurse
collaboration
• Creating an environment for free-flow communication post clinical
conference with debriefing, presentations, and clinical assignments review
• Daily patient documentation review and cosigning after patient care
discussion of drafted documentation prior to entry into patient progress notes
• 2010-2010 Health Global Staffing and Travel Agency, work-stoppage agency
• Work stoppage nursing in various critical care departments (ER trauma,

7. Acute dialysis, Respiratory, Neurological and Neurosurgical ICU at the
prestigious Temple University Hospital (High acuity ICU’s and level 1
Trauma Center) in Pennsylvania, Pa and St. Joseph Medical Center (Rated in
the top 5 best medical centers in the US)
 Patient ratios 1:1 or 2:1 for critical care patients
 Applying the nursing process in all aspect of patient care
 Creating plans of nursing care, implementing, evaluating with
understanding of nursing care needs in the care in high acuity
critical care units along with experience
 Understanding and applying in collaboration with RRT in the
application of Heliox, inverse ratio and pressure control
ventilation for (ARDS, Multiple medication drip line
management, A-line, Svo2 and swan ganz catheter management
(monitoring, cardiac output and pcwp) including recognizing line
displacement and hemodynamic, low A-a gradient)
 Knowledge of Sepsis care protocols and ventilator related
pneumonia and applying vigilant mouth care
 Creating, applying and understanding of core curriculum for
critical care nurses, ACLS, and NIHSS used as guidelines in
providing care
 Applying understanding of continuous cardiac monitoring
concerning hemodynamics, communication with medical staff
and carrying out medical orders.
 Communication and teaching of patients and families with
support.
 End of life care experience and understanding and applying
experience in withdrawal of artificial care
 Applying time management skills utilized for efficient patient
care
 Applying management and understanding of patient flow
through ED either to admission or discharge with teaching and
instruction
• 2007(Jan)-2009 (May) Fresenius Medical Care Acute Hemodialysis Program, Honolulu,
Hawaii full-time 36-40 hrs per week
• Staff Registered Nurse Acute Hemodialysis Department
• Member of a highly experienced renal team filling Hemodialysis
prescriptions at area hospitals on an inpatient bases.
 Knowledge in the use of the Fresenius 2008H/K experience,
dialyzing patient in ER, ICU, OR, and CVICU on LVAD,
IAOBP and conventional dialysis accesses
• Accountable, independent performance as a Registered Professional Nurse in
hemodialysis
• Utilizing critical care experience, time management, and critical care skills
• Utilizing the nursing process and creating nursing plan of care in renal-related
focused assessment for treatment tolerance
• Knowledge in the use of UF profiling and Sodium modeling as needed during
treatment, continuous cardiac monitoring as well as, nephrology orders for
B/P support. Initiation and treatment completion including emergency
retransfusion.
• Knowledge on the core curriculum for nephrology nurses, BCLS, ACLS, and
NIHSS skills applied in emergencies
• Patient management in case of adverse effects (for initial, maintenance,
poisonings and dialyzable overdose patients) also able to provide charcoal
dialysis in addition to tandem set-up and treatment
• Educational liaison to hospital staff and fellow coworkers

8. • Patient and family education for renal dialysis patient with initial
treatments as well as, chronic dialysis patients receiving acute dialysis
• Management of various temporary and permanent dialysis accesses such as
vas catheters, cuffed perm-catheters (IJ, SC mid IVC and femoral),
AVF/AVG (extremity, lower extremity and chest)
• Applying knowledge in the use of CathFlow Activase (TPA) for dialysis
catheters
• Monthly charge nurse responsibility as scheduled in acute dialysis including
scheduling staff and assignments which included scheduling treatments, staff
assignment, hospital liaison and clinical support for dialysis nurses in the
field as well as at the bedside
• Outpatient dialysis experience with charge nurse duties. Patient ratio 12:1
with dialysis technician supervision and delegation at the 4:1 ratio
• Leadership and accountability overall using the nursing process in
monitoring care of all patient care assigned , medication administration
(antibiotics and renal related medications), documenting findings, and
collaboration with nephrologist or nephrology APRN
• Collaboration with staff nurse, and as needed case management, and
dietician for high risk hemodialysis patients concerning placement, reflective
documentation
• 2005(Aug)-present Specialized Nurses Agency (Call-In) 12-36 hour per week month to
month in the following specialties as fill-in staff at the following hospitals:
• Kuakini Medical Center, Pali Momi Medical Center, The Queens Medical
Center,
• Emergency Department Kuakini Medical Center ( Level II trauma center)
2011, assigned to12 Hr shifts
• Applying knowledge and experience in caring for patients in a >14 bed ER
• Understanding and management with patient ratios 3-4:1
• Using the nursing process to provide a comprehensive plan of care for each
patient seeking care in the ER, documentation using EMR
• Understanding and applying triage skills and bed assignment as appropriate
applying ENA core curriculum. Pediatric emergency care provided.
Medication administration, IV line maintenance, multiple drip line
management. Continuous cardiac monitoring as needed, communication of
patient condition with ER physicians with orders and disposition for
admission with SBAR reporting and communication, or discharge with
teaching and instruction
• Acute Hemodialysis, IV Therapy and Medical Intensive Care (not assigned
but, required as experience to work in acute hemodialysis) Queens Medical
Center Hawaii in-patient unit and bedside dialysis in ICU using Gambro
Phoenix Acute Hemodialysis machine- Kuakini Medical Center ( Level II
trauma center) every Wednesday (Saturday as able) 2006-2008 8-12 hrs
shifts
• Creating, evaluation and applying experience in acute care hemodialysis in
the inpatient setting
• Understanding the rigor and applying experience in the inpatient and bedside
dialysis setting
• Creating, implementation, monitoring and evaluating dialysis treatment
adjusting goals as needed or tolerated by patient
• Applying knowledge in treatment managing emergent situation by analyzing
and evaluating treatment tolerance
• Understanding and applying appropriate dialysate bath based on patient
condition and labs with communication of assessment with nephrologists for
treatment orders

9. • Application and understanding of IV therapy experience in appropriate
placement reflective of plan of care for each patient
• Initial IV starts, central line removal, IV site care including PICC line care
and dressing change as well as, removal with measurement and intact tip
confirmation
• Applying experience of Doppler and florescent blue light for difficult to
place IV while assigned to IV team
• Applying PICC line advocacy based on assessment and evaluation
• Applying experience in placing Sapheonous vein IV access and phlebotomy
• Applying knowledge in accessing single and double barrel port catheter
access, dressing change and needle removal experience
• Understanding of dialysis catheter access and maintenance in emergencies
with phlebotomy
• Accountability and reliable coverage of radiology department IV placement
after hours for CT and MRI scans.
• Post Anesthesia Care HealthSouth Surgi-Center
 Applying knowledge of PACU nursing in the ACS
 Knowledge of Alderate scoring, continuous cardiac monitoring,
IV line maintenance and pain control.
 Discharge when stable and Alderate score met per protocol along
with instruction to patient/ family teaching.
 Supplemental work at assignments at area hospitals as an agency
nurse. Providing direct primary nursing patient care as at local HI
ICU/ER and hemodialysis departments. Advanced critical care,
ER and dialysis skills employed using the nursing process for
comprehensive patient care. Patient/ Family teaching provided for
appropriate specialty
• Hawaii Medical Center West
 GI Lab under the direction of physicians authorized to order
conscious sedation orders
 Provided conscious sedation medication administration during GI
procedures
 Pre-preoperative anesthesia assessment and along with review of
medical history and assuring H&P available for review
 Usage of medication approved for RN administration also
titrating dosages as needed during procedures in response to
patient response and v/s, maintaining airway patency, ensuring
adequate respirations along with maintaining adequate
oxygenation and continuous cardiac and blood pressure
monitoring, IV line maintenance
• 2003 (October)-March 2010 Wahiawa General Hospital, Wahiawa Hawaii (Full-
time/Part-time/Call-in) 12-40 hrs per week
• ICU: Registered Nurse Critical Care Service/ Emergency Nursing/ House
Supervisor
 (5/2008 to March 2010) House Nursing Supervisor part of
administration staff:
• Accountability for safe patient care delivery hospital-
wide including the acute care and long term care area.
• Staff appraisal and counseling input with managers,
staffing and bed control.
• Conflict resolution and staff support responsibilities.
• Directly answerable to hospital administration.
• Applying orientation experience of pharmacy access
per protocol for overnight shift

10. • Code team and rapid response team member
• Applying experience in staff and departmental support
as need not limited only to supervisor support patient
care provided as needed during ER overload
• Long term care (LTC) department care coordination as
required including problem solving, staffing, care
regulation requirements in collaboration with the long
term care DON and coordinators as well as
maintaining standards set forth by CMS.
• Supporting and supervising care provided in the long
term care department in association with the patient’s
level of care in the LTC area including allowable care
needs
• Ensuring patient care needs are met as appropriate in
LTC including supervising and teaching staff LPN’s
and Nursing assistants’ responsibilities and
expectations for the facility.
• Chart reviews of patients in the long term care facility
ensuring proper documentation standards, physician
orders appropriately reflect care requirements in long
term care and assisting in determining meeting care
needs are appropriate for long term care (SNF or LTC)
or collaborating with staff and the physician to
increase care level needs to the acute care area.
• Supervisor oversight of the senior behavioral health
unit with supportive responsibilities concerning
patient care and required standards for the long term
care requirements State and Federal.
• Creating and management of patient flow through ER
either for admission or discharge with teaching and
instruction.
• Knowledge of scheduling emergent OR needs and
activation to OR team and post-op bed assignment,
assisting nursing staff completing emergent pre-op
preparation
• Quality improvement activities
 JACHO quality initiatives performing chart reviews for critical
labs documentation, physician notification and outcomes.
 Data collection documentation using Microsoft Excel for
statistical analysis trending compliance and change in procedure
to streamlining procedural practice
 Reporting data in monthly administrative meetings in Excel
format using graphs and presenting effective measures for
compliance by the nursing staff
• Application the nursing process in primary nursing care using the nursing
process for comprehensive care in critical care department for patients with
varied medical/Surgical in critical care unit.
• Applying nursing knowledge in the maintenance of multiple invasive lines,
multiple medication drips with titration based on patient response and
physician orders with appropriate documentation
• Knowledge and experience in caring for patients on ventilator support
(experienced with the following ventilators: Veolar, PB7200, LP10, BIPAP,
and Raphael machines) management along with collaboration with RRT in
adjustments, weaning parameters and readiness for extubation

11. • Continual communication with resident physician and/or attending
physician concerning patient ventilator needs reflected in arterial ABG
results related to initial and ventilator changes, lung compliance associated
with plateau pressure readings in ARDS along with mode of ventilation
effectiveness
• Understanding and application of knowledge of methods of device use
(CPAP, BIPAP, Ventilator) individualized settings, alarm parameters,
changing of settings and administering of nebulizer treatments in
collaboration with respiratory therapy
• Application of nursing knowledge and understanding of multiple invasive
line arterial and mixed venous blood collection from swan ganz catheter and
the use of continuous SVO2 monitors.
 Central line access care and line maintenance (triple and quad
catheter). Swan ganz, central line and arterial catheter
maintenance and removal experience
 Patient transport to hospitals for higher level of care protocol
• Psychiatric patient care in critical care including medicating for detox and
over dose and ETOH withdrawal patient care. Transport to available adult
psychiatric units after medical clearance
• Collaboration with case managers, dieticians (calorie counts TPN options)
concerning patient progress in the critical care department as a
multidisciplinary team approach
• Appling knowledge and critical care training and experience in
providing after hours PACU in ICU
 Understanding of the Alderate scoring system, airway
management and extubation for phase I recovery
 Pain management as ordered including PCA initiation
 Accountable for monitoring telemetry for medical/surgical
unit with ACLS and as rapid response team member
• Accountability as charge nurse and house supervisor applying
experience and academic understanding in each position
• 2/2004-7/2004 Saint Francis Health System, Ewa Beach Hawaii, (Full-time) 36
hrs per week. 2010 March (Temporary position 2 weeks) 24 HRS per week/
2/2004-7/2004
• Emergency Nursing: Registered Nurse Emergency Services, Primary
Nursing patient care in a 2nd
busiest emergency department on Oahu.
• Application of care for patients experiencing emergent and urgent
medical/surgical healthcare needs across the age spectrum whether by
ambulance or walk-in.
• Creating comprehensive plans of care using the nursing process of care
in ED
• Documentation using T-Sheets of data after collection, analyzing and
applying immediate interventions in emergent cases
• Applying experience in maintain patient flow in the ED for admit or
discharge as well as emergency surgery pre-op care.
• Knowledge in experience using the MEDICOM system for
communication with City & County EMS
• Patient ration 3-7:1 assigned to trauma, cardiac, monitored bed, OB/GYN
and observation rooms
• Compressive nursing care provided per nursing process. Rapid and
immediate emergency decision making, care and communication with ED
physician
• Critical care and Emergency nursing core curriculum guidelines followed as
basis for nursing care.
• Delegation to unlicensed assistive personnel per ANA’s code of nursing
ethics
• Application of nursing knowledge concerning rapid decision making upon

12. assessment of patient condition with intervention and ED physician
notification
• TNCC, BLS and ACLS protocols utilized
• Acquired splint training, conscious sedation performed with documentation
and recovery per policy with discharge, self-care, crutch adjustment and
training patient teaching
• Application of nursing knowledge and experience in setting up OB/GYN
procedure, handling specimens (products of conceptions, GC plates, etc),
laceration prep and repair setup, use of Morgan lenses, visual acuities,
cerebrum removal, ear wick placement along with other treatment related
nursing care in ER
• Application of nursing knowledge specialty procedures preparation (Plastics,
ENT, Precipitous delivery, thoracotmy, etc) and nursing care
• Understanding and application of nursing knowledge in anticipation patient
care needs in emergencies and procedures
• Application of nursing knowledge in the use of nasal emergencies ( epistax,
silver nitrate and 10% cocaine use)
• Application, understanding concerning pediatric emergency nursing care
standards in general ER
• Application of nursing knowledge in patient/family teaching at discharge,
admission or procedure related care (CT, MRI, isolation procedures, disaster
care, etc) and maintaining of ER department safety
• Application of nursing knowledge concerning timely pre procedure
administration of various contrast and timing for procedure
• Utilizing and application of experience and nursing knowledge with multiple
patient care management of assigned area in the ER (Treatment, Cardiac and
treatment areas)
• Application of nursing knowledge and experience in nursing IV line
placement, tube insertions, large volume lavaging and various venous central
catheter access including implanted port single and double barrel access
(initial and established needle placement) using aseptic technique as well as
dialysis catheter, dialysis fistula and graft access
• Application of nursing knowledge and understanding in STEMI protocols as
well as fast tracking CVA care
• 3/1997-1/2004 Fresenius Medical Care Acute Hemodialysis Program, Honolulu, Hawaii
(full-time) 36-40 hrs per week
• 5/2003-1/2004 Management: Acute Hemodialysis Services Coordinator, 24 Hr
responsibility of a thriving acute dialysis program with 5 area hospital contractual
agreements for service.
• Creative leadership and management of a staff of 17 RNs, applying
experience in scheduling staff assignments, monthly work staff
meetings, staff appraisals and review of nursing documentation.
• Synthesis of monthly incident report summaries with appropriate record
keeping along with sharing results with staff as a quality improvement
effort and procedural change.
• Creating innovative free flow of ideas in staff in-services applying
evidence-based research data, change requirements and change theories
directing staff toward positive outcomes
• Quality improvement activities related to acute hemodialysis in relation to
changing documentation standards; dialysis related nursing care plans,
education and procedural related activities identifying the following:
 Compiling data and analysis of nursing related time from
beginning work day, treatment start time to time of beginning the
second treatment and end of work day completion time
• Results lead to changes in documentation from the

13. SOAP format to a more specifically related dialysis
flow sheet
• Changing treatment assignments per nurse as able to
ensure reasonable expectation in standardizing time
used in each work day, documenting variances and
instituting a solution for contracted hospital delays
through additional cost
• 3/1997-5/2003 Staff nurse in Acute Hemodialysis and Outpatient dialysis clinics floating
as needed
• Member of a highly experienced renal team filling acute bedside
hemodialysis prescriptions at area hospitals on an inpatient bases.
• Utilizing knowledge in the use of the Fresenius 2008H/K experience. On-call
responsibility for emergency hemodialysis treatments after hours in the Acute
Department.
• Creating plans of care along with dialysis orders after focus assessment for
treatment performance at bedside in critical care areas including emergency
departments as needed as well as, medical surgical units.
• Applying experienced with initial hemodialysis treatments, maintenance
treatments, poisonings or overdoses of dialyzable drugs
• Understanding the need in applying experience in emergent cases (severe
hyperkalemia and fluid overload in lieu of respirator application).
• Creating, applying and analysis of dialysis treatment in Shock/trauma
patients requiring acute dialysis using blood, saline or albumin priming to
initiate treatment as well as, sodium and ultrafiltration profiling during
treatment
• Evaluation, understanding applying knowledge concerning treatment
tolerance and the need for termination of treatment as need
documentation and nephrologists notification clearly of treatment run
• Applying experience and training in performing independently in the acute
dialysis setting concerning
• Creating and applying a plan of care for each hemodialysis treatment utilizing
critical care experience, time management, and critical care assessment skills
when providing patient care
• Immediate decision making required due to the nature of Acute
Hemodialysis. Guiding staff nurse post treatment in care of patient access.
• Organization skills as well as immediate decision making required in relation
to client response to acute hemodialysis.
• Directly answerable to Nephrologists, acute manager and Vice President of
Hawaii region as well as, with collaboration with primary care nurse
• Educational liaison for hospital staff and acute dialysis staff
• Applying knowledge as charge nurse experience in the acute setting and
outpatient setting including scheduling staff and assignments and patient
scheduling
• Applying training as an RN in outpatient hemodialysis, back-up for
outer island dialysis in place at the FMCNA Lanai unit in absence of
clinical manager including participation in each patients case
management in monthly team multidisciplinary meetings
• Application of experience in collecting monthly outpatient lab work including
the use of centrifuge of samples, packaging for shipping to designate
laboratory.
• Application of knowledge in obtaining blood samples for calculating urea
reduction rate and recirculation studies using standard equations and result
notification to nephrologists and documentation
• 1996-2002 Straub Clinic and Hospital, Emergency Department and Urgent Care Clinic,
Honolulu, Hawaii (Part-time to Call-in)
• Knowledge and application of previous critical care course integrating

14. this with additional ER training and preceptorship per core curriculum
of emergency nursing in this position
• Staff RN I- Stat Nurse/ER (Part-time to Call-in working hours 12-24hr/week)
• Application of nursing knowledge and accountability in primarily
nursing for support of critical care patient care continuity maintained
during transport to procedures regardless of length providing care until
patient return to primary nurse on respective unit with documentation
via flow sheets or progress notes
• Continuous cardiac monitoring along with invasive line monitoring
maintenance as needed via transport monitor
• Applying critical care knowledge for continuity of care management
and collaboration with primary nurse as needed while off nursing care
unit.
• Applying knowledge of light sedation for inpatient and outpatient in
MRI, IV starts admission data base completion for medical surgical
patients for admission
• Multiple drip line management during transport along with other
adjuncts.
• Applying nursing care as backup for ED all areas and post-operative
backup for SICU/Post cardiovascular patients (CABG, Fem-Pop bypass
etc)
• Responding to medical emergency as able
• Assisting cardiac cath recovery room support supporting staff with
sheath removal and pain management, monitoring and management for
hemorrhage prevention by manual or femstop device application as
direct pressure to puncture sites
• Quality Improvement activity related to Stat Nurse position:
 Based on specific criteria documented duties requested, time from
initial request, time spent with patient under my care to the return
to unit.
 Documentation of requested duties from outside nursing
departments along utilization of time start to completion
 Daily, weekly, and monthly discussion with emergency
department manager after data compiled and analyzed. Microsoft
Excel used for statistical presentation as well as, presenting a
needs assessment for each nursing and non-nursing unit
• Independent function throughout hospital responding to emergent and urgent
client and staff needs critical care in nature
• LPN Urgent Care 96-97 (Call-in)
SUMMARY OF QUALIFICATIONS
2004-present Critical Care Nursing (RN)
o Emergency Nursing
o Intensive Care
o Post Anesthesia Care Unit
o Nursing Administration
o QI/ case management
1996-present Nephrology Nursing (LPN/ RN)
o Staff Nurse
o Nursing Management
o 1991-1996 Critical Care Nursing (LPN/RN)
o Medical Intensive Care (LPNII)

15. o Coronary Care and Surgical Intensive Care (LPN)
o Emergency Nursing & Stat Nurse Rapid Response Team concept and Inter
hospital monitored transport (RN) QI efforts
1989-91 Medical Surgical Nursing (LPN)
 Orthopedics
Technology Experience
• Hewlett Packrat Computerized documentation
• EPIC, Cerner, Med system, T-system
• Diascan
• Dialysis: Cobe, Cobe II, Cobe Century II, Fresenius H/K, Gambro Genesis, Prisma/
Prisma Flex, Baxter PD machine, Fresenius IQ
Certifications
 Basic Life Support Healthcare/AED
 Advance Cardiac Life Support
 Certified Nephrology Nurse
 National Institutes of Health Stoke Scale Certification (parts A &
B)
ADDITIONAL PROFESSIONAL ACTIVITIES
o December 2008 Evidenced-based education presentation at Wahiawa General Hospital
 Acute renal and critical care education project taught at Fresenius
Medical Care Inc and Wahiawa General Hospital ICU (2 hr course non
credit presentation available for review)
o January Teaching Practicum, University of Phoenix
 LPN to BSN program GU system aspect of syllabus
o 1997-2003 Instructor Advanced Cardiac Life Support, St. Francis Health System, Honolulu,
Hawaii
 Assigned stations per AHA guidelines
o 2001-2002 Collective Bargaining Unit Board of Directors and Delegate, Hawaii Nurses
Association, Honolulu, Hawaii
o 2003 Instructor Hemodialysis Training Program, Fresenius Medical Care-Pacific, Honolulu,
Hawaii
 Renal Anatomy and Physiology, Pathophysiology of acute and chronic
kidney disease including medical management modalities based on
Core Curriculum Nephrology Nursing
 1999 Formulation and presentation of the “Inpatient Care of Renal
Patients” In-services are area hospitals in Honolulu, Hawaii (outline and
course material available for review)
 1999 Coordination of Nephrology Nurse Review for 1999 CNN
Examination, Fresenius Medical Care-Pacific (formally Total Renal
Care)
 1999 Instructor Critical Care Course Renal section at Straub Clinic and
Hospital, Honolulu, Hawaii
• Coursework and objectives based on AACN and ANNA
Curriculum respectively
 2004 Instructor General Nursing orientation for nurses GU system,
hemodialysis and patient care at Wahiawa General Hospital, Wahiawa,
HI
 2009 Design and production of disease management information guided
by the standards of literacy using several different programs to ensure
the information was maintained at a 5th
grade reading and
comprehension level
 2010 Progressive Care Unit course development based on the critical
care core curriculum including course description, requirements to

16. attend course, schedule and testing. For Wahiawa General Hospital
(Copyright pending).
 2010 Acute Hemodialysis and ICU educational offering entitled “To
Dialyze or not to Dialyze” course design presentation based on the core
curriculum of the nephrology and critical care manuals. Presented to
Acute Hemodialysis staff at FMCNA and Wahiawa General Hospital
(Copyright pending)
 2010 Community Outreach education project concerning cardiovascular
disease including diet and food selection. This course targeted high risk
cardiac disease clients after a needs assessment performed using a
questionnaire circulated among members of a church using a 5 point
likert scale pre and post course. A multiple choice post test administered
with 100% pass rate. Course presented using Microsoft power point.
USDA and my food Pyramid used in conjunction with this offering
(Copyright pending)
PROFESSIONAL MEMBERSHIPS
o American Heart Association
o American Nephrology Nurses Association
o American Association of Kidney Patients
o Emergency Nurses Association
o Sigma Theta Tau International Nursing Honor Society
o Adele Mitchell Nursing Honor Society
INTERESTS AND ACTIVITIES
o Spirituality, Edification, Literature, Writing (in progress), Aquarium
and Outdoor pond enthusiast, Travel, Culinary recreation, and
Saxophonist, Volunteer Work with the National Kidney Association of
Hawaii on the GFR committee, and Kidney Early detection Health
screening activities
o Academic growth as a life-long process
REFERENCES
Furnished upon request