Kanageswari Appanna

• Unit: Cardiology & Respiratory Ward
• Managed 43-beds Cardiology and Respiratory ward.
• Developed and maintained patient care standards with a nurse-to-patient ratio of 1:6 during day shifts and 1:12 during night shifts.

Duties & Responsibilities

• Assisting Doctor In-Peritoneal Tapping, Tracheostomy Tube Changing, Abdominal Flushing, Toilet and Suturing, Lumbar Puncture, Insertion of Chest Tube, Applying Skin Traction, Insertion of Internal Jugular Vein Catheter.
• Care of patient with Central line (Peripherally inserted central catheter, Central Venous catheter, Permcath with IV Port).
• Educated patients on managing chronic conditions such as diabetes or hypertension, empowering them to take control of their health.
• Facilitated patient discharges by coordinating with medical teams, social workers, case managers, and other support staff.
• Enhanced patient care by implementing evidence-based nursing practices and maintaining up-to-date knowledge on industry advancements.
• Prevented infections through diligent adherence to infection control policies, including proper hand hygiene techniques and equipment sterilization procedures.
• Mentored junior nurses, providing guidance on clinical skills and professional development.
• Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
• Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
• Reduced medication errors through thorough documentation and adherence to medication administration protocols.
• Promoted patient independence by teaching self-care skills.
• Promoted a positive work environment by collaborating with interdisciplinary teams and participating in regular staff meetings.
• Acted as an advocate for patients'' rights, ensuring that their voices were heard when making decisions about their healthcare journey.
• Identified patient care requirements by establishing personal rapport with patients and families.
• Developed individualized care plans for complex patients, addressing unique needs and preferences.
• Served as a resource for colleagues seeking assistance or advice in specialized areas of nursing practice.
• Coordinated with physicians to perform bedside procedures such as intravenous injections, vascular line insertions, and bronchoscopies.
• Improved patient outcomes by continuously assessing conditions and adjusting care as necessary.
• Conducted ongoing evaluations of new hires during orientation period to ensure successful integration into the nursing team.
• Led quality improvement initiatives within the department, resulting in streamlined workflows and increased efficiency.
• Provided compassionate end-of-life care, supporting patients and their families during difficult times.
• Managed patients recovering from medical or surgical procedures.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.

Policies and Procedures

• Contribute suggestions in periodic revision and upgrading of nursing policies and procedures and relevant work instructions.
• Check Controlled drugs with the off going nurse in-charge of the previous shifts with in-charge of the present shift.
• Participates in the care, custody, and administration of medications in accordance with hospital policies and procedures.
• Check daily and audits resuscitation trolley periodically as scheduled.
• Ensure all staffs complies with prevention and control of infection.
• Maintain confidentially of patients personal and medical history.
• Facilities and equipment
• Competent to oversee specialize equipment is and able to train new staff.
• Biomedical equipment's instruments are maintained good and safe for us.
• Instruments are maintained in good condition and safe for use.

Type of Cases & Patients Encountered:

• Uncontrolled Hypertension
• Diabetes Mellitus
• Dengue Fever
• Dementia
• Pneumonia
• Chest Infection
• Cellulitis
• Prolapse piles.
• Cancer patients
• Chronic Renal failure or End-stage renal failure
• Heart Problem (Congestive heart failure, Sick Sinus Syndrome, Post Coronary Bypass Heart Surgery, Post Coronary Angiogram, and others related to heart cases)
• Covid Positive cases
• Influenza A&B
• Urology cases
• Brain aneurysm
• Osteoarthritis
• Surgical problems:
• Total Thyroidectomy/ Partial Thyroidectomy
• Total knee replacement / Total hip replacement
• Knee reconstructions / Spine reconstruction
• Total Mastectomy/ Axillary clearance, Breast augmentation, Skin lift, Rhinoplasty, Liposuction
• Total abdominal hysterectomy with Bilateral Salpingo- Oophorectomy
• Holmium Laser Enucleation of the prostate (HOLEP)
• Transurethral resection of the prostate (TURP)
• Video Laparoscopic Appendectomy/ Open Appendectomy
• Video Laparoscopic Cholecystectomy/ Open Cholecystectomy
• Open reduction internal fixation, Open reduction external fixation, Laminectomy, Nerve root injection, Carpal tunnel syndrome
• Wound debridement, Amputations, Toilet and suturing, Incision, and drainage.
• Oesophago Gastroduodenoscopy (OGD), Colonoscopy, Bronchoscopy, Endoscopic Retrograde Cholangiopancreatography (ERCP)
• Eye surgery
• Hernia repair, Lumpectomy
• Type of Equipment Used:
• B Braun Infusion and Syringe Pump / Kabi infusion pump
• Negative pressure wound therapy.
• Thopaz pump
• Drains care (Chest drain, Redivac drain and Jackson Pratt drain
• Glucometer Machine
• Peak Flow Meter, Aero chamber
• Telemetry
• Cardiac Monitor
• Monitor Vital Sign Machine
• Pneumatic Pump
• Suction Apparatus Oxygen Apparatus
• ECG Machine
• Spirometry
• Skin Traction
• Cryocuff
• Monkey Bar
• Blood Warmer
• Weighing Scale
• Orthoscope
• Enteral feeding pump
• Special Procedures Performed:
• Applying Colostomy Bag
• Nasogastric tube Insertion and Feeding
• Tracheostomy Care
• Suction Oral, Nasal and Tracheostomy
• Wound Dressing, Wound Suction, Removal Suture and Staple
• Giving Oral Medication, Intramuscular/Subcutaneous/Intradermal Injection, Rectal and Per Vaginal Medication, Topical Medication
• Insertion of cannula/ Blood taking
• Removing abdominal drains post procedures as doctor orders
• Insertion Of urinary catheter / In and out catheterization
• Monitoring Blood Transfusion/Opioid Infusion/Insulin Infusion
• Perform ECG

• Unit: Multidiscipline Unit Medical & Surgical
• Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
• Assessed physical, psychological, physiologic, and cognitive status of patients.
• Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
• Developed strong rapport with patients and families, fostering trust and open communication during challenging times.
• Demonstrated excellent time management skills while juggling multiple priorities in a fast-paced environment.
• Developed and implemented individualized patient care plans for optimal outcomes.
• Improved patient satisfaction scores by providing empathetic, compassionate care to diverse populations.
• Managed complex wound care, utilizing advanced techniques to promote healing and prevent infection.
• Managed patients recovering from medical or surgical procedures.
• Evaluated patient histories, complaints, and current symptoms.

• Unit: Multidiscipline Unit Medical & Surgical (Premier Ward)