Bileddo Associates

Nurse leader with over 25 years of experience leading critical care and telemetry, Medical-Surgical departments

• Decreased staff vacancy rate from 43% to 27% during Covid-19 pandemic
• Reduced fall rates on telemetry floor from 8.2 to 3.8 falls per 1000 patient days, and from 3.8 to 1.2 falls per 1000 patient days in the ICU, by standardizing hourly rounding and implementing Last Bathroom Visit Protocol
• Reduced pressure ulcer prevalence in the ICU by 43% by implementing use of turn and positioning system for all dependent patients, estimated cost savings $200,000
• Decreased VAP and CAUTI rates to 0% by developing and implementing nurse driven protocols for oral care, early ambulation, and Foley catheter removal, estimated cost savings $142,000
• Improved compliance with Sepsis Bundle from 15% to 48% compliance by implementing Sepsis Checklist handoff tool from ED to ICU, resulting in a decreased mortality rate from 23% to18%
• Developed annual competency workbook for high acuity, low volume procedures to replace annual skills fair, estimated cost savings $19,000
• Developed multi-disciplinary rounding protocol resulting in reduced length of stay from 3.72 to 3.31
• Reduced hospital acquired pressure ulcer prevalence in the ICU by 60% by implementing use of turn and positioning and proning systems for all dependent patients, estimated cost savings $350,000
• Led a 6-person team to develop, and implement, a nurse driven protocol for small bore feeding tube insertions to decrease patient mortality resulting in 40% decrease in patients without nutrition for >10 days
• Decreased CLABSI, CAUTI and VAP rates to below CDC benchmark; CLABSI 0.3%, CAUTI 0%, VAP 0% in 2013 and 2014

Western Governors University

University of Texas Arlington

Essex Community College