JAMES M. BRECEDA

Pediatric rotation at Children hospital of Richmond at VCU

• Provided anesthesia care for pediatric patients across a range of surgical specialties.
• Gained hands-on experience in pediatric airway management, regional anesthesia, and perioperative pain control.

Complex Rotation – VCU Medical Center, Richmond

• Delivered anesthesia care for high-risk patients undergoing open-heart, vascular, and thoracic surgeries.
• Managed invasive hemodynamic monitoring, ventilatory support, and cardiac assist devices.
• Optimized perioperative management through collaboration with multidisciplinary teams in a high-acuity setting.

St. Francis Medical Center-Midlothian, VA

• Performed regional anesthesia techniques for knee and hip surgeries, including PENG block, adductor canal block, and spinal anesthesia.
• Applied ultrasound-guided techniques to ensure precision and efficacy in regional anesthesia administration.

Henrico Doctors Hospital-Forest, Richmond VA

• Administered anesthesia for complex cardiac and vascular procedures, including open-heart surgeries and valve replacements.
• Optimized perioperative care through collaboration with surgical, perfusion, and critical care teams.

Johnston-Willis Hospital- Richmond, VA

• Provided anesthesia care for neurosurgical cases, including craniotomies, spinal procedures, and intracranial pressure management.
• Implemented advanced airway management and neuroprotective strategies to optimize patient outcomes.

• Delivered intensive care to cardiac surgery, thoracic surgery, vascular surgery, and Coronary Care ICU patients. Managed critically ill patients requiring advanced ICU support, including hemodynamic monitoring and cardiac assist devices such as Intra-Aortic Balloon Pump (IABP) and Ventricular Assist Devices

• Provided highly specialized care at a Level 2 trauma center for patients presenting with life-threatening injuries
• Optimized acute post-surgical care of abdominal,General, ENT, Orthopedic ,vascular, and neurosurgery patients

• Provides diligent care at a Level 1 Trauma Center to unstable patients recovering or requiring surgery
• Optimized acute pre/post-surgical care of abdominal, general, ENT, orthopedic, vascular, and neurosurgical patients

• Managed multiple advanced therapies including: Continuous Renal Replacement Therapy, Targeted Temperature Management, Intra aortic Balloon Pump, Left Ventricular Assistive Device, Impella, and VV ECMO
• Acted as STEMI Nurse where duties include responding to STEMI's within vascular building and Emergency Room
• Educated colleagues on evolving hospital policies in resuscitating patients during the Covid-19 with aim to respond while protecting both provider and patient as part of CICU Medical Surgical Emergency Team
• Led as a preceptor by teaching one new ICU graduate for 3 months and orienting multiple travel nurses to unit

• Provided diligent care at Level 1 Trauma Center for patients recovering from cardiothoracic and plastic surgeries such as: Coronary Artery Bypass Graft, valve replacements, heart transplants, and Maze procedures
• Implemented physical assessments, patient education, medication administration, identifying acute changes in a patient's condition and collaborating with healthcare providers and specialists regarding patient's plan of care
• Engaged as an active member on the CAUTI committee, incorporating new evidence-based research to reduce frequencies of infection by collecting data from unit and implementing new interventions

• Acted in roles including but not limited to: Triaging, phlebotomy, 12 Lead EKG placement, intravenous and urinary catheter insertions, hemodynamic reporting and assisting codes