Nileena Kumbalamchottil Joseph

• Deliver expert care to critically ill patients in the Neuro ICU, managing complex conditions such as traumatic brain injuries, strokes, and spinal cord injuries, to optimize patient outcomes.

• Utilize advanced monitoring technologies, including intracranial pressure (ICP) monitoring and ventilators, to vigilantly track patient status and promptly identify and address early complications.

• Administer and titrate intravenous medications and fluids, including sedatives, analgesics, and neuroprotective agents, ensuring adherence to precise protocols for enhanced patient safety and recovery.

• Collaborate proactively with a multidisciplinary team of neurologists, neurosurgeons, and allied health professionals to develop and execute tailored care plans that meet the unique needs of each neurological patient.

• Provide comprehensive education and emotional support to patients and families, empowering them with knowledge on neurological conditions, treatment options, and recovery strategies.

• Lead in emergency interventions, demonstrating quick decision-making and clinical expertise in life-saving procedures such as advanced airway management, CPR, and seizure control.

• Optimize respiratory support for patients with compromised lung function, working collaboratively with respiratory therapists to adjust ventilator settings and ensure efficient ventilation and oxygenation.

• Champion infection control protocols, ensuring strict adherence to sterilization procedures and hand hygiene, contributing to a clean and safe environment for critically ill patients.

• Drive quality improvement initiatives, actively contributing to clinical audits and leveraging data to identify opportunities for process enhancements and better patient outcomes.

• Led a team of nurses and support staff in the management of 32 critically ill COVID-19 patients, ensuring efficient workflow, patient safety, and adherence to protocols in a high-stress, fast-paced environment.
• Coordinated patient care across a multidisciplinary team, including physicians, respiratory therapists, and pharmacists, ensuring timely and accurate care delivery and improving patient outcomes
• Developed and implemented daily staffing plans, ensuring optimal nurse-patient ratios and responding dynamically to patient acuity levels, ensuring high-quality care in a resource-challenged environment.
• Monitored the overall operational effectiveness of the unit, identifying potential bottlenecks or resource needs, and communicating with hospital leadership to ensure availability of critical supplies and equipment
• Conducted daily team briefings, providing updates on patient conditions, ICU protocols, and changes in treatment strategies, while fostering team cohesion and maintaining morale during challenging times.
• Implemented ICU-specific care strategies, including managing ventilated patients, prone positioning, and ECMO, per evolving COVID-19 treatment guidelines.
• Managed critical patient flow, ensuring timely admissions, transfers, and discharges, maintaining a well-organized ICU environment, and balancing high acuity demands and resource limitations.

• Served as a Unit educator- Developed and implemented comprehensive education programs for ICU nursing staff, focusing on advanced critical care concepts, evidence-based practices, and specialized protocols to enhance patient care and outcomes.
• Led onboarding and orientation sessions for 50 ICU nurses, ensuring a smooth transition into the unit by providing in-depth training on clinical procedures, equipment, and ICU-specific patient care guidelines.
• Delivered specialized, critical care to up to 18 patients in a high-pressure Medical ICU, managing life-threatening conditions such as respiratory failure, sepsis, and multi-organ dysfunction.
• Utilized advanced monitoring tools like arterial lines, ECG, and invasive hemodynamic assessments to track patient conditions and intervene promptly when necessary.
• Administered high-risk medications such as inotropes, vasopressors, sedatives, and anticoagulants, ensuring precise dosage and monitoring for potential complications.
• Maintained meticulous patient records, documenting assessments, interventions, and patient progress in real-time to support continuity of care and regulatory compliance.

• As a Supervisor, oversaw daily operations of a 27-bed ICU and clinical care for critically ill patients in a high-acuity ICU environment.
• Led and mentored multidisciplinary teams to ensure high standards of patient care and safety.
• Managed patient flow and resource allocation to optimize ICU performance.
• Coordinated and implemented patient care plans based on evidence-based practices.
• Fostered a collaborative environment to enhance team cohesion and patient safety.
• Managed staffing, training, and professional development of ICU staff to ensure competency.
• Supported emergency interventions and maintained efficient ICU operations.
• Drove improvements in clinical outcomes through effective leadership and communication.