CV and Job Application



Manasia, Roshan Jan Muhammad RN, BScN

Res. Address : 8701 West Parmer Lane, Austin Texas, 78729

Mailing address : 104 east 31st street, Austin, Texas, 78705

Email : roshanmanasia@

Cell : 512-762-7243

Objective: To obtain employment as a Clinical Nurse Specialist in an adult/geriatric medical surgical Acute Care/Critical Care Unit or in quality improvement patient safety department to utilize my potentials to enhance clinical practice and systems to improve clinical outcomes.

QUALIFICATION SUMMARY

|The Johns Hopkins University School of Nursing, Baltimore, MD |December 2013 |

|MSN, CNS (Adult/Geriatric Acute/Critical Care Track) (GPA 4.0) | |

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|The Aga Khan University School of Nursing, Karachi, Pakistan |August, 2001 |

|Bachelor of Science in Nursing (GPA 4.0) | |

|The Aga Khan University School of Nursing, Karachi, Pakistan |August, 1996 |

|Associate Diploma in Nursing (GPA 3.57) | |

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PROFESSIONAL TRAINING AND CERTIFICATION

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|Armstrong Institute for Patient Safety and Quality, |November 2013 |

|Johns Hopkins Hospital | |

|Patient Safety Certification Program | |

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|Armstrong Institute for Patient Safety and Quality, |September 2013 |

|Johns Hopkins Hospital | |

|Comprehensive Unit Based Safety Program Workshop | |

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|American Heart Association Training Center, Dubai, UAE |Feb 2008 |

|Instructor, Advanced Cardiac Life Support (ACLS) | |

|Instructor, Basic Cardiac Life Support (BLS) | |

|Royal Infirmary Edinburgh, UK |August 2007 |

|Continuous Renal Replacement Therapy Training | |

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|The Aga Khan University Hospital, Karachi, Pakistan |May 2006 |

|Facilitation and Tools Training for Continuous Quality Improvement | |

|The Aga Khan University Hospital, Karachi, Pakistan |Feb 2004 |

|Joint Commission International Accreditation Awareness Workshop | |

PROFESSIOANL EXPERIENCE:

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|The Aga Khan University Hospital, Karachi Feb 2013-April 2013 |Dar es Salaam, Tanzania |

|Visiting Clinical Nurse Specialist Student Karachi, Pakistan |Mar 2010 – Oct 2011 |

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|Revised the training module of in-house critical care training program and conducted 4 critical care training workshops spending 1600 theory and 1200 | |

|clinical hours that covered 85 critical care nurses. | |

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|The Aga Khan Hospital, Dar es Salaam, Tanzania Mar 2010 – Oct 2011 | |

|Nurse Manager, Critical Care Units, Nursing Education Service and Nursing Practice | |

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|Revamped and managed clinical and administrative processes of ICU and Accident and Emergency (A and E). |

|Developed and implemented critical care training module in accordance with Essentials of Critical Care |

|Orientation (ECCO) program of American Association of Critical Care. |

|Introduced continuous CVP and arterial line monitoring; and internal and external cardiac pacing services. |

|Initiated Ventilator Associated Pneumonia (VAP) and Catheter Associated Urinary Tract Infection (CAUTI) surveillance system and implemented VAP |

|bundle. |

|Restructured charging system of ICU services to cater revenue loss and economize services to patients. |

|Revitalized triaging system in A and E, derived from evidence based (MEWS) scoring model. |

|Established clinical data base to monitor and evaluate care outcomes in ICU and A and E. |

|Developed and implemented scheme of service for nurses in collaboration with human resource department to align the nurse’s grades and salaries based |

|on qualification, years of experience and appraisals. |

|Restructured nursing orientation program; introduced specialty base training courses; and started in-house BLS and ACLS certification program |

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|Co- chair, Quality Improvement and Patient Safety Committee Mar 2010 – Oct 2011 |

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|Assisted in quality improvement and patient safety programs. |

|Revised clinical documentation tools according to Joint Commission’s standards. |

|Devised monitoring mechanisms for 29 clinical indicators towards quality improvement and patient safety. |

|Introduced VAP bundle, refurbished and harmonized disinfection practices in ICU. |

|Started mechanism of in-house patient satisfaction survey. |

|Enhanced institutional compliance against Joint Commission’s standards: |

|Improved physician and nursing assessment compliance to 67% from 33%. |

|Raised conformity to anesthesia and surgical care standards from 19% to 54%. |

|Augmented patient and family education compliance to 92% from 40%. |

|Enhanced the adherence to medication management standards from 31% to 62%. |

|Reduced medication error rate from 48% to13.6% through quality improvement and patient safety project. |

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|The Aga Khan University Hospital, Karachi, Pakistan Mar 2008 – Mar 2010 |

|Surgical Units, Medical Surgical and Special Care Units (SCU) |

|Nurse Specialist |

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|Facilitated and led quality circle to reduce code blue incidences in surgical ward from 5.4 to 3.0 per 1000 discharges and improved survival outcome of|

|post cardiac arrest patients from 5.3% to 27 % during Jan to Dec 2008. |

|Managed and supervised clinical processes of 3 surgical units and 5 SCUs. |

|Analyzed structure, system and practice related issues; assessed knowledge level of nursing staff in SCU; and revitalized the areas needing |

|improvement. |

|Mediated clinical capacity building of nursing staff of SCU through advanced clinical courses and clinical mentorship program. |

|Provided clinical consultation in management of critically ill patients. |

|Reviewed clinical policies to synchronize clinical practices with best practice standards. |

|Initiated indicators monitoring to evaluate the clinical outcomes of patients in SCU. |

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|Co- Chair, Cardiopulmonary Resuscitation Committee Mar 2008 – Mar 2010 |

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|Devised and presented feasibility report to joint staff committee, advocating implementation of “Rapid response team”. |

|Conducted BLS, ACLS and PALS certification and re-certification courses for physicians and nurses. |

|Outlined and implemented sepsis bundle to improve outcomes of patients with septic shock. |

|Remodeled code blue team by introducing nurses to the group. |

|Commenced on-going training programs for code team nurses to improve quality of resuscitation. |

|Initiated indicator monitoring of codes per 1000 discharges and related survival outcomes. |

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|Member, Multidisciplinary team of joint staff for chapter “Anesthesia and Surgical Care” 2009 |

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|Contributed in renewal of policies according to Joint Commission standards and assessed related compliance. |

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|Member, SCU and ICU committee |

|2008-2009 |

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|Conducted assessment of care processes and practices of SCU to identify the areas needing improvement. |

|Restructured training modules/program for nurses of SCU. |

|Initiated continuous CVP monitoring, Intra-abdominal pressure monitoring, and non-invasive ventilation services in SCU. |

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|The Aga Khan University Hospital, Karachi, Pakistan | |

|Exalted to Clinical nurse teacher II, ICU |Feb 2004 - 2008 |

|Clinical nurse instructor I, ICU |Dec 2002-2004 |

|Supervised and mentored nursing staff to managing complex critically ill patients of ICU. |

|Implemented safe practices in lieu of institutional policies and Joint Commission Standards. |

|Reorganized and implemented clinical training programs for ICU nurses. |

|Monitored unit specific indicators and strived to keep trends within benchmark. |

|Contributed to reduce VAP incidence from 13.2 to 1.2 per 1000 device days during Jan – Sep 2005. |

|Collaborated to decrease Catheter Related Blood Stream Infection (CRBSI) to 1.3 from 13 per 1000 devices. |

|Decreased incidence of accidental extubation by introducing sedation agitation monitoring scale. |

|Managed to reduce average length of stay of ICU patients from 6.5 to 5.1days between Jan – June 2007. |

|Assisted in commissioning of pediatric intensive care unit. |

|Initiated CVVH services at ICU being first CRRT nurse. |

|Improved resuscitation skills of ICU nurses through mock drills. |

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|Member, multidisciplinary team of joint staff for chapter 2006 |

|“Access to Care and Continuity of Care and Assessment of Patient |

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|Assisted in renewal of policies according to Joint Commission standards and assessed related compliance. |

|The Aga Khan University Hospital, Karachi, Pakistan |Nov 2001-2002 |

|Senior critical care nurse Registered nurse, ICU |July 1996-1999 |

|Dealt with clinical and administrative issues of ICU as a team leader of the shift. |

|Preceptor for novice and student nurses. |

|Managed complex patients of ICU with multi organ dysfunction. |

HONORS AND AWARDS

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|The Aga Khan University Hospital, Karachi, Pakistan |2008 |

|Acclaimed as Best Clinical Nurse Instructor |2006 |

| |2004 |

|The Aga Khan University Hospital, Karachi, Pakistan |2007 |

|Applauded for continuous quality improvement towards patient safety at intensive care unit | |

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|South Asia publication for excellence in education, Pakistan |2002 |

|XII star award 2001 | |

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|The Aga Khan University School of Nursing, Karachi, Pakistan |August, 2001 |

|Bachelor of Science in Nursing (BScN), | |

|Received ‘Outstanding Post RN-BScN Student award’; Merit award for ‘Adult Health Nursing’, ‘Life sciences’ and | |

|‘Dean’s honor’ | |

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|The Aga Khan University School of Nursing, Karachi, Pakistan |August, 1996 |

|Associate Diploma in Nursing | |

|Received Dean’s Honors award | |

PROFESSIONAL MEMBERSHIP

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|American Association of Critical Care Nurse |2005-2016 |

|Member | |

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|Rho Delta Chapter, Sigma Theta Tau International |Dec 2009 to March 2012 |

|Chair, Newsletter and Website Committee |Sep-2005 to Sep-2006 |

|Chapter Secretary |Sep-2000 to date |

|Member | |

|American Heart Association |Feb 2008 to Feb 2010 |

|Instructor, ACLS and BLS | |

|American Association of Critical Care Nurses | |

|Member |2002 to present |

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|Pakistan Nursing Federation |2001 to present |

Member

RESEARCH/PUBLICATION

Manasia, R., Husain, S. J., Hooda, K., Imran, M., & Bailey, C. (2013). Implementing Therapeutic Hypothermia in Post Cardiac Arrest Patients: Clinical Nurse Specialist’s Initiative in a Developing World. Manuscript in press.

Saima, M., Gul., R., Manasia, R., Moez, S.,& Khowaja, K. (2010). Nature of Nurses’ Verbal Communication with Unconscious or Sedated Patients in an Intensive Care Unit at a Tertiary Care Hospital, Karachi, Pakistan. Unpublished manuscript.

Salahuddin, N., Shafqat, S., Mapara, S., Khan, S., Siddiqui, S., Manasia, R., & Ahmed, A. (2008). End-of-life in the intensive care unit: knowledge and practice of clinicians from Karachi, Pakistan. Internal Medicine Journal, 38(5), 303-3044.

Siddiqui, S., Hussein, K., Manasia, R., Samad, A., Salahuddin, N., Zafar, A., & QamarulHoda, M. (2007). Impact of antibiotic restriction on broad spectrum antibiotic usage in the ICU of a developing country. Journal of Pakistan Medical Association, 57(10), 484-488.

Salahuddin, N., Haider, K., Husain, J. H., Zubairi, A. B. S., Siddiqui, S., Hameed, F.,& Manasia, R. (2005). Outcome of home mechanical ventilation. Journal of College of Physicians Surgery Pakistan, 5(7), 387-390.

Siddiqui, S., Ahmed, S.,& Manasia, R. Apache II Score as a Predictor of Length of Stay and Outcome in our ICUs. Journal of Pakistan Medical Association, 55(6).

CONFERENCES/PRESENTATIONS

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|Manasia, R. (2010, July). Paper presentation: Better be safe than sorry: A nursing initiative to reduce codes incidences in post-surgical patient. | |

|STTI 21st International Nursing Research Congress, Florida | |

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|Manasia, R. (2008, April). Pre symposium workshop: Prevention of VAP in ICU. International Infection Control Symposium. The Aga Khan University | |

|Hospital, Karachi. | |

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|Manasia, R. (2008, July). Paper presentation: End-of-Life in the Intensive Care Unit, Knowledge and Practice. Nursing Research Fair Aga Khan | |

|University Hospital, Karachi. | |

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|Manasia, R. (2007, July). Paper presentation: Code Drills to teach resuscitative skills. | |

|2nd International Critical Care Symposium Aga Khan University Hospital, Karachi. | |

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|Manasia, R. (2005, November). Paper presentation: Protocol Driven Sedation. Is it safe? 1st International Critical Care Symposium. Aga Khan | |

|University Hospital, Karachi. | |

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|Manasia, R. (2005, November). Pre symposium workshop: Airway Management and Arrhythmias Interpretation. In Q. Hooda (Chair). 1st International | |

|Critical Care Symposium.The Aga Khan University Hospital, Karachi. | |

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VOLUNTEER ACTIVITES

|Aga Khan Hospital Dar es Salaam. Dar es Salaam, Tanzania |Nov, 2009 |

|Volunteered to conduct BLS and ACLS courses for the medical and nursing staff and trained trainers for BLS. |

|Medical Service (Community based health services), Karachi, Pakistan | |

|Honorary Secretary |2006-2007 |

|Member |2005-2006 |

|Assisted in planning, organizing and conducting health screening camps to identify vulnerable/diseased individuals and establish referral to tertiary |

|care facility. |

|Conducted health counseling of high risk members. |

|Aga Khan Health Service, , Karachi, Pakistan |1998-2004 |

|Member, Regional Health committee | |

|Executed health education sessions on various health problems. |

|Assisted in mass vaccination campaign for epidemics. |

REFERENCES

• Brenda K. Shelton M.S., R.N., CCRN, AOCN

Clinical Nurse Specialist, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Office: 410-955-8530

Pager: 410-283-3125

sheltbr@jhmi.edu

• Anne E. Belcher, PhD, RN, AOCN, FAAN, ANEF

Associate Professor, Johns Hopkins University School of Nursing and Sidney Kimmel Comprehensive Cancer Center

Office (410) 955-1730

abelche2@jhu.edu

Further references would be made available upon request

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• Revamped post cardiac arrest care by initiating protocol based therapeutic hypothermia for adult post cardiac arrest patients in intensive care unit.

• Provided consultation to the stakeholders of rapid response team to integrate Modified Early Warning System (MEWS).

• Initiated invasive intracranial pressure monitoring in the ICU to evaluate cerebral perfusion pressure, intracranial HTN and intracranial compliance.

• Rejuvenated the central venous pressure monitoring system in the ICU, CCU and RR by introducing cursor line method and dynamic testing.

• Developed structured hands-off sheet for the ICU team leaders to have efficient, focused and organized communication between shifts.

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