Staff Nurse Citations


WHILE SERVING AS INPATIENT MENTAL HEALTH STAFF NURSE AND DIVISON OFFICER OF THE DIRECTORATE OF MENTAL HEALTH STAFF EDUCATION AND TRAINING FOR NAVAL MEDICAL CENTER SAN DIEGO (NMCSD) FROM MAY 2010 TO JUNE 2013. SHE LED A 12-MEMBER INPATIENT TEAM IN THE DELIVERY OF THERAPEUTIC MENTAL HEALTH CARE TO OVER 1,300 PATIENTS, AND ENSURED PROPER MENTAL HEALTH TRAINING FOR OVER 200 STAFF MEMBERS AT NMCSD AND ITS SATELLITE LOCATIONS. AS A MISSION LEADER OF THE SPECIAL PSYCHIATRIC RAPID INTERVENTION TEAM (SPRINT), LTJG NELSON LED 1 AND RESPONDED TO 3 MISSIONS, RESULTING IN ACUTE AND FOLLOW-UP CARE BEING PROVIDED TO OVER 1500 SAILORS AND FAMILY MEMBERS AFFECTED BY STRESS DUE TO EVENTS DURING MARITIME MISHAPS, MILITARY OPERATIONS, AND NATURAL DISASTERS. HER DEDICATION TO CONTINUING EDUCATION AND PERSONAL DEVELOPMENT RESULTED IN A MENTOR PROGRAM FOR 15 ENLISTED MEMBERS PURSUING ACCEPTANCE INTO THE MEDICAL ENLISTED COMMISSIONING PROGRAM (MECP), A DE-ESCALATION AND RESTRAINT TRAINING PROGRAM, STANDARD OPERATING PROCEDURES FOR INPATIENT PROCESS GROUPS AND ELECTROCONVULSIVE THERAPY, AND THE INITIATION OF THE KEEP IN TOUCH PROGRAM, COORDINATING COMMUNICATION AND PREPARING CARE PACKAGES FOR DEPLOYED TROOPS. LTJG NELSON'S EXCEPTIONAL PROFESSIONALISM, UNRELENTING PERSEVERANCE AND DEVOTION TO DUTY REFLECTED CREDIT UPON HERSELF AND WERE IN KEEPING WITH THE HIGHEST TRADITIONS OF THE UNITED STATES NAVAL SERVICE.




MERITORIOUS SERVICE WHILE SERVING AS STAFF AND INTERIM SHIFT CHARGE NURSE AT [CLASSIFIED LOCATION] FROM XXXXXXXX TO XXXXXXXX. LIEUTENANT MINUS EMBRACED HER LEADERSHIP RESPONSIBILITIES IN HER CAPACITY AS STAFF AND INTERIM SHIFT CHARGE NURSE, SKILLFULLY MANAGING AN ELEVEN MEMBER COALITION CONTINGENT IN THE CARE OF OVER 200 TRAUMATICALLY INJURED AND CRITICALLY ILL UNITED STATES, COALITION, AND LOCAL NATIONAL PATIENTS. HER METICULOUS DOCUMENTATION DURING MAJOR TRAUMA SITUATIONS REDUCED SUBSEQUENT ERRORS BY 50 PERCENT AND SET THE STANDARD FOR ALL TO FOLLOW. AS THE DEPARTMENTAL INFECTION CONTROL OFFICER, SHE COLLABORATIVELY DEVELOPED AND IMPLEMENTED AN EMERGENCY DEPARTMENT INFECTION CONTROL TRAINING PROGRAM TO IMPROVE COMPLIANCE WITH ESTABLISHED GUIDELINES. HER DILIGENCE IMPROVED THE INFECTION CONTROL COMPLIANCE RATE FROM 65 TO 85 PERCENT ON THE MOST RECENT AUDIT AND ELIMINATED CASES OF INFECTION BY CONTAMINATION. AS COMMAND SAVI, SHE REVISED THE SEXUAL ASSAULT POLICY, UPDATED CONTACTS AND RESOURCES, RESULTING IN A SIMPLIFIED AND STREAMLINED PROCESS AND IMPROVED VICTIM SUPPORT. BY HER EXCEPTIONAL PROFESSIONALISM, UNRELENTING PERSEVERANCE AND LOYAL DEVOTION TO DUTY, LIEUTENANT MINUS REFLECTED CREDIT UPON HERSELF AND WERE IN KEEPING WITH THE HIGHEST TRADITIONS OF THE UNITED STATES NAVAL SERVICE.




MERITORIOUS SERVICE WHILE SERVING AS STAFF NURSE ON BOARD THE USNS COMFORT (T-AH 20), FROM SEPTEMBER 2017 TO NOVEMBER 2017 IN SUPPORT OF DISASTER RELIEF OPERATIONS IN PUERTO RICO. LCDR RIVERA LED EIGHT NURSES AND 25 CORPSMEN IN THE EMERGENCY CARE OF OVER 2,000 PATIENTS WITH AN 'AT SEA OPERATIONS' CRITICAL CARE ADMISSION RATE OF 29 PERCENT AND A 'PIER-SIDE OPERATIONS' PATIENT TO NURSE RATIO WHICH WAS 300 PERCENT HIGHER THAN STANDARD. ADDITIONALLY, THROUGH DILIGENT OPERATIONAL FORESIGHT, SHE DIRECTED SKILLS TRAINING WITH 500 STUDENT ENCOUNTERS AND EXPERTLY PREPARED MULTIPLE STAFFING MATRICES TO MEET DEMANDING MISSION CONTINGENCIES. BY HER EXCEPTIONAL PROFESSIONALISM, UNRELENTING PERSEVERANCE AND LOYAL DEVOTION TO DUTY, LCDR RIVERA REFLECTED CREDIT UPON HERSELF AND WERE IN KEEPING WITH THE HIGHEST TRADITIONS OF THE UNITED STATES NAVAL SERVICE.




FOR PROFESSIONAL ACHIEVEMENT IN THE SUPERIOR PERFORMANCE OF HER DUTIES WHILE SERVING AS STAFF NURSE, SPECIAL CARE UNIT AND POSTPARTUM WARD, NAVAL HOSPITAL OKINAWA, JAPAN. AS AN INSTRUCTOR, SHE EDUCATED OVER 200 STAFF MEMBERS IN CODE BLUE PROCEDURES, CONDUCTED OVER 30 COMMAND-WIDE CODE BLUE DRILLS, TRAINED OVER 30 PERSONNEL ON THE VIGILEO MONITOR, AND PRECEPTED OVER 70 CORPSMEN IN PATIENT ASSESSMENT AND MEDICATION ADMINISTRATION. AN AGGRESSIVE STUDENT, SHE OBTAINED CRITICAL CARE AIR TRANSPORT TEAM TRAINING, JOINT EN ROUTE CARE TRAINING, FLEET MARINE FORCE DESIGNATION, AND CRITICAL CARE REGISTERED NURSE CERTIFICATION. LIEUTENANT TURNER'S TEACHING ABILITY, PERSONAL INITIATIVE, AND COMMITMENT TO PROFESSIONAL DEVELOPMENT REFLECTED GREAT CREDIT UPON HER AND WERE IN KEEPING WITH THE HIGHEST TRADITIONS OF THE UNITED STATES NAVAL SERVICE.




MERITORIOUS SERVICE AS STAFF NURSE AT NAVAL MEDICAL CENTER, SAN DIEGO FROM JULY 2012 TO OCTOBER 2014. LIEUTENANT JUNIOR GRADE AIKEN DEMONSTRATED EXCEPTIONAL LEADERSHIP, INITIATIVE, AND COMMITMENT IN DEVELOPING AND IMPLEMENTING IMPROVEMENTS WHICH RESULTED IN THE OPTIMIZATION OF PATIENT CARE AND STAFF PRODUCTIVITY. DURING THIS TIME FRAME LIEUTENANT JUNIOR GRADE AIKEN PROVIDED QUALITY HEALTH CARE TO OVER 1,000 PEDIATRIC AND NEONATAL PATIENTS INCLUDING OVER 1,000 VENIPUNCTURES AND IVs. HIS INTRUSIVE LEADERSHIP RESULTED IN THE TRAINING OF 4 NEW CORPSMEN AND 2 NEW NURSES TO THE FLOOR. HE QUICKLY ACQUIRED CHARGE NURSE WHERE HE LED THE NURSING STAFF AND HELPED TRAIN 40 MEDICAL STUDENTS AND INTERNS. LTJG AIKEN'S MENTORING EFFORTS LED TO ONE BLUE JACKET OF THE YEAR RECIPIENT, TWO NAMS AWARDED, FIVE SAILORS ADVANCED, FOUR REENLISTMENTS, AND ONE MECP ACCEPTANCE. BY HIS NOTEWORTHY ACCOMPLISHMENTS, PERSEVERANCE, AND DEVOTION TO DUTY, LIEUTENANT JUNIOR GRADE AIKEN REFLECTED CREDIT UPON HIMSELF AND UPHELD THE HIGHEST TRADITIONS OF THE UNITED STATES NAVAL SERVICE.




FOR PERSONAL ACHIEVEMENT WHILE SERVING AS STAFF NURSE, EMERGENCY DEPARTMENT AT THE UNITED KINGDOM ROLE 3 MULTINATIONAL HOSPITAL, CAMP BASTION, AFGHANISTAN FROM AUGUST 2011 TO JUNE 2012. LIEUTENANT KELSO EMBRACED AND OPTIMIZED HIS LEADERSHIP OPPORTUNITIES IN HIS CAPACITY AS A STAFF AND INTERIM SHIFT CHARGE NURSE SKILLFULLY MANAGING A TWELVE MEMBER COALITION TEAM IN THE CARE OF OVER 333 TRAUMATICALLY INJURED AND CRITICALLY ILL U.S., COALITION, AND LOCAL NATIONAL PATIENTS. HIS METICULOUS DOCUMENTATION DURING MAJOR TRAUMA SITUATIONS IMPROVED FOLLOW-ON CARE AND SET THE STANDARD FOR ALL TO FOLLOW. AS THE DEPARTMENTAL INFECTION CONTROL OFFICER, HE COLLABORATIVELY DEVELOPED AND IMPLEMENTED AN EMERGENCY DEPARTMENT INFECTION CONTROL TRAINING PROGRAM TO IMPROVE COMPLIANCE WITH ESTABLISHED GUIDELINES WHICH IMPROVED THE INFECTION CONTROL COMPLIANCE RATE FROM 65% TO 85%. AS COMMAND SAVI, HE PROVIDED GUIDANCE AND DIRECTION INTO THE REVISION OF THE SEXUAL ASSAULT POLICY, AND UPDATED CONTACTS AND RESOURCES RESULTING IN A SIMPLIFIED AND STREAMLINED PROCESS. LIEUTENANT KELSO'S EXCEPTIONAL PROFESSIONALISM, UNRELENTING PERSEVERANCE AND DEVOTION TO DUTY REFLECTED CREDIT UPON HIMSELF AND WERE IN KEEPING WITH THE HIGHEST TRADITIONS OF THE UNITED STATES NAVAL SERVICE.




PROFESSIONAL ACHIEVEMENT IN THE SUPERIOR PERFORMANCE OF HIS DUTIES WHILE SERVING AS STAFF NURSE, GENERAL SURGERY AND PROGRESSIVE CARE UNIT, NAVAL MEDICAL CENTER, PORTSMOUTH, VIRGINIA FROM SEPTEMBER 2013 TO APRIL 2017. AS CHARGE NURSE, LIEUTENANT KAISER PROVIDED HIGH QUALITY CARE TO OVER 500 CARDIAC AND SURGERY PATIENTS AND WAS PIVOTAL IN THE COORDINATED CARE OF MORE THAN 300 BENEFICIARIES. IN ADDITION, HE PROVIDED RESTRAINT TRAINING TO 30 STAFF MEMBERS, ASSISTED WITH THE DEPARTMENTAL SKILLS FAIR, PRECEPTED SIX REGISTERED NURSES AND SEVEN CORPSMEN, ENABLING THE RAPID ATTAINMENT OF CORE COMPETENCIES. LIEUTENANT JUNIOR GRADE KAISER'S PROFESSIONAL ABILITY, PERSONAL INITIATIVE, AND UNSWERVING DEDICATION TO DUTY REFLECTED CREDIT UPON HIMSELF AND WERE IN KEEPING WITH THE HIGHEST TRADITIONS OF THE UNITED STATES NAVAL SERVICE.




MERITORIOUS SERVICE WHILE SERVING AS STAFF NURSE, NEONATAL INTENSIVE CARE, DIRECTORATE OF NURSING SERVICES, U. S. NAVAL HOSPITAL OKINAWA, JAPAN FROM JANUARY 2012 TO NOVEMBER 2015. AS THE SENIOR NURSE WATCH OFFICER, CAPTAIN RATCHET REPRESENTED THE DIRECTOR OF NURSING SERVICES AND WAS A NURSING RESOURCE TO MORE THAN 70 STAFF MEMBERS. IN ADDTION, HE IS ONE OF THREE NURSES WITH ADVANCED PRACTICE SKILLS NORMALLY HELD BY LICENSED PHYSICIANS. HE PLACED TWO LIFE-SAVING CENTRAL LINES FOR PATIENTS AND SAVED THE COMMAND EIGHT THOUSAND DOLLARS IN SURGICAL FEES. CAPTAIN RATCHET LED 9 TRANS-OCEANIC NICU AE MISSIONS PROVIDING OVER 180 HOURS OF IN-FLIGHT CARE, PERFORMING 100% OF TRANSPORTS FLAWLESSLY. AS A TEAM LEADER, HE LED A SIX-MEMBER TEAM THOUGH 100 HIGH-RISK DELIVERIES, 200 VENTILATOR HOURS, AND 8,000 INCIDENT FREE HOURS. FINALLY, AS INFECTION CONTROL OFFICER, HE PERFORMED 123 INSPECTIONS RESULTING IN ZERO BLOOD STREAM INFECTIONS, TOPPING THE NATIONAL AVERAGE OF 10% AND AVERTING $44,000 IN TREATMENT COSTS. BY HIS NOTEWORTHY ACCOMPLISHMENTS, PERSEVERANCE, AND LOYAL DEVOTION TO DUTY, CAPTAIN RATCHET REFLECTED GREAT CREDIT UPON HIMSELF AND UPHELD THE HIGHEST TRADITIONS OF THE UNITED STATES NAVAL SERVICE.



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