LIBY VARGHESE REGISTERED NURSE

Acted as a role model in coordinating and managing specialist neonatal care for complex medical, surgical, and preterm neonates within the Neonatal High Dependency Unit.

• Safeguarded the provision of high standards of quality care to infants and their families in line with the hospital's mission, vision, values and strategic plan.
• Deputized for the CNM 1 in her absence and supported the smooth and effective running of the department.
• Led department as floor in-charge, developing leadership skills, ensuring safe and effective management, and optimising resource allocation while undertaking delegated responsibilities.
• Deputize d for the CNM 1 in her absence and supported the smooth and effective running of the department.
• Mentored nursing staff, interns, and students, providing guidance and support to enhance skill development and professional growth.
• .I participated in a pain quality improvement project aimed at enhancing pain assessment, management and patient comfort through evidence-based practices
• Worked towards achieving department metrics by upholding high standards of patient care, fostering teamwork, and promoting efficiency.

.Promoted family-centred care by supporting and involving families in the planning and delivery of patient care

Conducted thorough inspections and performed cleaning and dressing of patient wounds to promote healing.

Documented patient care services by charting in patient and department records accurately.

• Assisted surgeons and anaesthetists during operations, providing essential nursing care.
• Collaborated with occupational therapists, social workers, and other professionals to develop cohesive patient care plans.
• Provided emotional support and counselling to patients and their families during difficult times.
• Supervised patient rehabilitation exercises, closely monitoring progress and adjusting care plans accordingly.
• Maintained inventory levels by ensuring all units and stations were stocked with necessary clinical supplies.
• Recorded patient food intake and nutritional needs, liaising with dietitians to tailor meal plans.
• Offered palliative care, providing comfort and dignity to patients in their final stages of life.
• Collaborated with occupational therapists, social workers, and other professionals to develop cohesive patient care plans.

• Monitored and managed critically ill patients in ICU, providing direct care including medication administration, diagnostic tests, and wound dressing to support optimal recovery.
• Executed emergency procedures such as intubation, chest tube insertion, and cardioversion to ensure patient stabilisation during critical situations.
• Monitored and operated medical equipment, ensuring patient safety and infection control.
• Regularly assessed patient conditions, adjusted care plans, and reported findings to physicians.
• Maintained accurate patient records and collaborated with a multidisciplinary team to develop individualized care plans.
• Educated patients and families on post-discharge needs and offered emotional support.
• Assisted in medical procedures and participated in staff education on best practices.
• Contributed to policy development and conducted quality assurance audits to enhance patient care standards and compliance.

• Provided critical care in a Level 3 NICU with a 1:1 or 1:2 nurse-patient ratio, adhering to hospital policies and International Patient Safety Goals.
• Expertly managed neonates as early as 22 weeks gestation (500g) requiring ventilator support, umbilical venous/arterial lines, chest tubes, surfactant therapy, and PICC lines.
• Skilled in cooling therapy for birth asphyxia, nitric oxide for PPHN, and administering high-intensity phototherapy, CPAP, BiPAP, and advanced feeding techniques (NG, NJ, PEG, PEJ).
• Participated in high-risk deliveries and administered medications with thorough understanding of indications and side effects to ensure optimal patient outcomes.
• Advocated for patient rights and confidentiality through effective SBAR utilisation for clear and concise patient handovers.
• Coordinated communication between families, physicians and healthcare team members to ensure comprehensive understanding of patient care plans.

• Facilitated communication between families, physicians, and healthcare teams on patient care plans, supported NICU admissions, and educated parents on essential infant care. Managed respiratory status and ventilator support, including airway suctioning, IV fluids, electrolytes, and blood products per physician orders. Maintained accurate EMR documentation and ensured safe handling of fragile neonates.
• Delivered comprehensive nursing care to neonates, including vital sign assessments, medication administration, and monitoring for condition changes.
• Monitored vital signs, identified emerging issues, performed emergency interventions, and maintained tracheostomy tubes.
• Participated in multidisciplinary rounds, provided emotional support to families, and applied evidence-based guidelines for patient care.

Managed ventilator-dependent infants and performed necessary interventions such as airway suctioning, IV therapy, and administration of blood products.

Provided specialized nursing care to neonates, performing regular assessments, administering medications, and closely monitoring for any changes in condition.

Coordinated care plans through clear communication with families, doctors, and healthcare team, assisting with NICU admissions and educating parents on essential infant care techniques.

Provided emotional support to families, following evidence-based practices for neonatal care, identifying potential complications, and implementing necessary interventions.

Managed emergency procedures, ensuring optimal patient outcomes.

Ensured accurate, timely documentation in EMR system, safely handled neonates during transfers, and actively participated in multidisciplinary rounds to keep team members informed.

• Administered life-saving interventions, including mechanical ventilation, CPAP, BiPAP, and advanced respiratory support. Provided comprehensive care involving intravenous fluids, electrolyte management, and administration of antibiotics and blood products.
• Managed diverse and complex neonatal cases, including extreme prematurity and neonatal sepsis, in a high-acuity NICU setting.
• Monitored vital signs and assessed neonates regularly to identify early signs of complications, ensuring timely intervention for conditions like sepsis or respiratory distress.
• Collaborated with interdisciplinary teams to create tailored care plans for neonates, enhancing individualised treatment and improving overall patient outcomes.
• Provided high-quality, evidence-based care, optimising outcomes for critically ill newborns while actively supporting and educating families throughout the care process.