Paula Perham

Background

About Paula Perham

Work Experience Currently clinical assistant Sentrex - Clinical Nurse Liaison Jan2022-March2022 CNA Instructor PCA Program August 2020 – February 12, 2021 Fonemed Registered Nurse Triager September 2018- August 2020 Medical Ambulatory Clinic; September 2016 – September 2018 An outpatient clinic that performs clinical procedures, ranging from thoracenthesis, bone marrow aspirations, blood transfusions, IVIG and various other infusions, phlebotomies, CAVD access and venipuncture. Congestive Heart Failure Clinic Nurse/ Cardiology Procedure Nurse; January 2010 – September 2016 I independently developed and implemented the Western Regional CHF Clinic 2010 according to National Standards with the staff Cardiologist. Managing, running the clinic, assessments, treatment, documentation, networking with fellow Cardiologist within the Eastern Health and regional physicians. As well as scheduling and managing the clinic and client follow up. Clinic involved understanding and communicating pathophysiology of heart failure, assessment and developing of a plan of care. Implementation of treatment of treatment strategies both pharmacologic and non-pharmacological, device treatment. Ethical considerations, palliative care, care transitions, evaluation of effectiveness and professional practice. Implement advances in the treatment of heart failure and early intervention to prevent decompensation to delay disease progression and improve survival. After initial assessment, further Recovery diagnostic testing and implementation of standard medical therapy, outpatient management strategies focus on maintenance of patient stability. Patient counseling, education, promotion of compliance and discharge planning to further contribute to improved patient outcomes. Cardiology Nurse; January 2009-January 2010 Assist with TEE, Dobutamine Stress Echocardiograms, MIBI, Diagnostic Imaging Recovery Room Procedures. Renal Dialysis Nurse; May 2007 – December 2009 Emergency Room Nurse; May 2006 – May 2007 Intensive Care Unit Staff Nurse; April 1989 – May 2006 Staff Nurse – Cardiac Ward; 1988 - 1989 Education 2010 – 2020: CCDN conferences, CCS CMA Credits, Webinars on Heart Failure 2007: Renal Dialysis Course 2013 & 2015: A.C.L.S certification 2002: TNCC 1989: Post Basic Course – Intensive Coronary Care 1988: Registered Nursing Diploma – Western Memorial Regional Hospital School of Nursing – Corner Brook, NL 1984 – 1985: Memorial University 1984: Graduated Herdman Collegiate – Corner Brook, NL