CHRISTIANE GUERRA

(917) 570-1155 Sayville, New York 11782 christianeguerra@yahoo.com.br

REGISTERED NURSE
Oncology Medical-Surgical Dialysis
Dynamic nursing professional who capitalizes on diverse background, specialized training, and personal drive to ensure the
highest levels of patient care. Self-starter with strong clinical skills used to quickly and accurately assesses a patients status
even in fast-paced, high-stress situations. Flexibility allows constant adjustments to ever-changing patient needs and
regulatory requirements. Relies on nursing expertise and business acumen to expertly balance patients healthcare needs
with corporate fiscal and operational goals. Extensive experience using computerized charting to accurately document and
quickly share critical patient information. Loyal team player who readily builds relationships with patients from all socio and
economic backgrounds as well as doctors, administrators, other nurses, and third-party representatives. Areas of Expertise:
Total Patient Care Patient Assessment Quality Assurance Project Management Disease Management
Computerized Charting Case Review & Management Troubleshooting & Problem Resolution
Patient & Family Education Patient Advocate Staff Training Team & Peer Leadership
Fluent in English and Portuguese, Conversational in Spanish

PROFESSIONAL EXPERIENCE
DAVITA DIALYSIS CENTER 2013- Present
Dialysis center for chronic patients as well as home hemo(nxstage machine)

Home Hemo Dialysis Nurse/Dialysis Nurse (full time/per diem)

Able to train pt's to go home on their own.Monitor labs,contact MD if any abnormal, change medications as per
protocol,order all supplies for Tx.Teach pts about their access and cannulation, the dialysis machine, their fears
GATEWAY DIALYSIS CENTER Brooklyn, New York 2010-2013
Dialysis center for chronic patients as well as home hemo; staffs 30 employees operating 20 machines.

Dialysis Nurse(full time)

Provide hands-on nursing care and function as Opening Nurse (ensuring all machines are ready, refrigerator is at
proper temperature, medications are current, blood work processed, and all parties contacted about abnormal lab
results). Fill role of Charge Nurse (CN) as needed and close the center if someone calls in, including organizing the
unit, checking machine cleanliness, and counting medications. Work collaboratively with 1 or 2 other nurses as well as
the CN to develop short- and long-term care plans that involve providing dialysis treatment for 20 patients who have
permanent fistulas, grafts, and catheters, using equipment like Fresenius H & T, on 4 daily shifts. Assess patients and
update computerized flowsheets/notes on observations as well as with information such as status on returning from
hospital, new medications and/or diagnoses, immunizations, labs, and advice for further evaluation. Perform routine
tests, introduce IVs, distribute medication, monitor equipment for ventilator-dependent patients, and intervene in
emergencies to stabilize patients. Manage dialysis equipment, reporting problems and assisting with set-up. Explain
the benefits and side effects of dialysis to patients as well as to provide education about medication and conditions.
Selected to function as Charge Nurse during absence of full-time CN.
Quickly became proficient in dialysis care despite no previous experience, poor medical terminology, and
language/cultural barriers, currently providing in-house training for peers and new employees.
Consistently requested as the first choice to cover shifts due to flexibility, competency, and reliability.
Advocated with patients and on their behalf to ensure consistent, high-quality treatment; form strong bonds with
patients and become a trusted advisor in helping them see past bad days and continue to take treatment.
Sole employee selected by management to update patient documents that were 2 years behind, contributing to
the company passing its latest state inspection.
Prevented potential problems and promoted better care by creating a full history of notes for each patient that
was written in a clear and accurate manner easily understood by all employees.
NEOMY DIALYSIS CENTER Brooklyn, New York 2012-2013
Dialysis center for chronic patients with 28 machines

Dialysis Nurse (Per Diem)

Perform nursing services on an as-needed basis, generally filling in for vacations, illnesses, and staffing changes.
Learned all procedures and policies to implement dialysis treatment using equipment such as Fresenius K 2 model on
patients with permanent fistulas, grafts, and catheters. Utilized entire nursing process on 20 assigned patients by
observing and analyzing each time they arrive, determining needs/status, and working with healthcare providers on
potential issues. Monitor vital signs and draw blood regularly to assess critical indicators. Remind patients about
checkups and teach lifestyle changes to improve health. Inform families/patients about status. Maintain patient charts
and write progress notes. Handle and troubleshoot on-call queries from patients.

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CHRISTIANE GUERRA Page 2 christianeguerra@yahoo.com.br

Quickly promoted to Charge Nurse and gained trust/respect of management and staff despite per-diem status.
Selected as 1 of just 3 people to train staff on the companys new computer charting system.
Successfully resolved a potential volatile situation with a technician who had disrespected a patient, offering
suggestions about more appropriate behavior and remaining calm as the technician did not change posture and
was eventually suspended by upper management.
P&K OF NY(NYC HEALTHCARE STAFFING) 2009-2010
School nurse and transporter for kids with disabilities cerebral palsy, colostomy, tracheostomy,peg tube
PRIVATE NURSE FOR A PT WITH PARKINSONS DISEASE- Manhattan, NY 2008-2010

SANTA CASA DE BELO HORIZONTE Belo Horizonte, MG, Brazil 2007-2008

Social assistance beneficent entity and academic teaching hospital with 1,088 beds as of 2012.

Registered Nurse Medical, Surgical & Oncology

Initially hired as an intern and retained as an RN after graduation, filling many Charge Nurse duties, supervising 6
LPNs, and leading projects to resolve many unit problems. Closely monitored staffs performance while personally
caring for 25 patients. Provided total patient care throughout their stay, including initial and ongoing assessment, care
planning and implementation, and updating the appropriate medical professional about observed issues. Delivered
chemotherapy according to strict protocol. Independently and in conjunction with MDs, performed procedures such as
catheterizing bladders, inserting and administering feedings via nasogastric tube, monitoring all critical indicators,
administering medication of various types, maintaining skin integrity and proper wound care, and ensuring adequate
oxygenation. Extensive one-on-one education with patients and family members about health issues, signs of
problems, and required actions.
Developed, implemented, and managed hospital-wide infection control program, constantly evaluating results to
identify areas for improvement.
Significantly lowered infection rate, patient pain and stress, and material expenses by studying care of oncology
pediatric patients for 3 months then changing protocols for cannulation so that patients stayed with the same
needle for 4-5 days instead of 2-3 days and a different typing of bandaid was used that was more adhesive.
Eliminated safety issues caused by an open-door policy in pediatrics; requested management to hire a doorman
exclusive to pediatrics and mandated that anyone entering have document signed by charge nurse or manager.
Prevented loss/theft of materials and medications by locking everything away and requiring a signature, ID, and
department information be recorded on a sign-out sheet before anything could be taken.
Resolved long-standing problem of too few unit-based infusion pumps for chemotherapy by explaining the
disadvantages (delayed treatment and substandard results) to management; received requested new machines.
Proactively resolved long wait for many medical/surgical patients by triaging the patients, contacting their
insurance for approval, and presenting the worst cases to doctors and/or management to get them better care.
INTERNSHIPS
EXTRA CURRICULAR INTERNSHIPS
Hospital Santa Casa de Misericrdia de Belo Horizonte, 30 hours/week in pediatrics, 8/2006-11/2006
Hospital Espirita Andr Lus, 30 hours/week in psychiatry, 8/2006-10/2006
Hospital Felcio Rocho, 30 hours/week in medical clinic, surgery, emergency treatment, pediatrics, 3/2005-3/2006
Wall Disney World- International College Program 11/2006-02/2007
CURRICULAR INTERNSHIPS PUC CLINICAL ROTATION
5th Semester from 02/2005-06/2005
Hospital Santa Casa de Misericordia de Belo Horizonte, Medic/Surg unit, ICU, operating room, 2/2005-6/2005
Hospital Odilon Behrens l, surgical unit, 2/2005-6/2005
7th Semester
Hospital Santa Casa de Misericordia de Belo Horizonte, pediatrics, 2/01/2006-2/20/2006
Maternidade Odete Valadares, Neonatology, labor and delivery, 5/18/2006-6/14/2006
Hospital Julia Kubistchek, nursery, 5/01/2006-5/17/2006
Hospital Galba Veloso, psychiatry, 2/21/2006-3/09/2006
Centro de Saude(Padre Eustaquio,Joao Pinheiro e Carlos Prates)Community Public Health Care,3/13/06-4/27/06
9th Semester
Nursing Administration and Management Practices Hospital Madre Teresa, ICU, 2/2007-6/2007
EDUCATION & PROFESSIONAL ACTIVITIES
Bachelor of Science in Nursing, Pontifica Universidade Catlica, Belo Horizonte, Minas Gerais, Brasil
RN, State of New York- License 610939-1 Member,American Heart Association ACLS, Red Cross AED/CPR

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