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Juenke, MSN/Ed, RN, Linda K

School of Nursing
Office of Faculty Affairs and Diversity
(210) 567-2444
juenke@uthscsa.edu

Undergraduate clinical teaching is my primary teaching focus. I have been teaching since 2010, starting as a clinical instructor. I was promoted to clinical assistant professor in 2012. My teaching has been across the curriculum; Immersion, Leadership and Management, Adult II which primarily is acute care of the adult, Health Assessment and Foundations. My leadership was in coordinating Foundations both traditional and accelerated track, and Health Assessment. While primary focus is clinical, I have co-taught in Health Assessment didactic and was guest lecturer in Foundations.

I have chaired several committees, such as, Accelerated Track Workgroup, Clinical Evaluation Tool committee, Nominations committee, and am a member of the Committee on Faculty and Student Matters.

I have served as a delegate for TNA, going to Washington D.C. as a TNA delegate to ANA. I now hold the position of President of TNA district 8 which encompasses 28 counties.

I have held certifications in ACLS and CPR as instructor for many years.

To me this analogy fits nursing students:

I am the mama eagle. The students are eggs when they start, then peck out of the egg becoming hatchlings. As the hatchlings grow they become curious and sit on the side of the nest. They eventually try to fly. If they do not try, I push them. If they cannot fly I swoop in and save them, nurturing them until they are ready. By graduation, the eaglet becomes a soaring eagle.

Appointments Education Expertise Teaching

9/2016 - Present

Clinical Assistant Professor

UT Health San Antonio, School of Nursing, San Antonio, TX

Cardiac Cath Lab/Interventional Radiology

- Charge Nurse. Expert in preparing patients for cardiac catherization. Expert in teaching patients about cardiac catherization, athrectomy (removal of plaque in lower extremities), Intravenous conscious sedation (IVCS), and interventional radiology procedures. Expert in IVCS. Expert in caring for patients post cardiac catherization, athrectomy, and IVCS. Expert in all interventional radiology procedures.

Cardiac Rehab

- Dr. Mark Jacob-Cardiologist. Director of Cardiac Rehab. Director. Developed curriculum for education for cardiac patients. Cardiac patient education; diet, medications, stress reduction, exercise. Assisted with stress testing. Office Nurse. Monitored patients on Coumadin.

Educational Nursing

- Teach CPR and ACLS for the organization and across two counties. Continuous education with the medical-surgical nurses regarding disease management and patient safety. Teach radiology process, diagnosis, appropriate IV catheter size, and pain management for new employee orientation. Developed and implemented an organizational learning needs assessment for med-surge nurses regarding knowledge of radiology procedures. Developed and implemented decision trees as a quick reference for the staff nurse when preparing patients for radiology procedures. Developed and implemented patient education forms about computerized tomography (CT) procedures, and magnetic resonance imaging (MRI) procedures to assist the nurses with education of patients. Placed the forms on the intranet. Developed and implemented tracking form to ensure efficiency of documentation of education. Provided in-services for med-surg regarding the use of decision trees and patient education forms. In collaboration with the Radiologists, developed and implemented protocols for CT coronary angiogram for the organization. In-services given to radiology technologists about safe and efficient patient care in the radiology department, instructed how to disconnect and reconnect the cardiac monitor. Developed and conducted competency training for the use of the PICC lines for radiology technologists. Developed and submitted a formal proposal for a process change regarding medication errors. Conducted in-services on hand-off communication. Conducted in-services on JCAHO requirements.

Intensive Care Staff Nurse

- Cared for medical and surgical ICU patients - ratio of 2:1. Cared for Coronary Bypass Patients - ratio 1:1. Care of patients on balloon pump - ratio 1:1. Care of head trauma patients - ratio 1:1.

Medical-Surgical Primary Nurse

- Provided primary nursing care and rounded with physicians for four to six patients. Prepared IV piggyback medications and administered medications. Performed wound treatments for bed-bound patients.

PRN Staff Nurse (LVN)

- Worked primarily in newborn nursery. Cared for up to 40 babies in the well nursery, doing assessments, feeding, bathing, changing. Sick baby nursery cared for 7-10 babies, doing assessments, giving medications, feeding, and changing. Worked one unit and had 13 patients per nurse. General nursing, re-started IV`s, and administered medications.

Patient Care Coordinator (assistant nurse manager)

- Rounded with physicians on 13 patients. Assessed 13 patients and assisted the LVN`s with IV medications. Primary care of four patients. Assisted with education at the unit level.

Pre-op clinic nurse

- Developed and implemented a pre-op nurse position for surgical patients. Worked independently in a supervisory role. Excellent critical thinking assessment skills. Excellent IV skills. Patient education on all surgical procedures. Obtained history and physical pre-surgery. Obtained necessary lab work, EKG, CXR at pre visit.

Psyche Nurse(LVN)

- Performed weekly assessments for all patients on one ward. Administered medications. Performed wound treatments for bed-bound patients.

Radiology Department Nursing

- Charge Nurse, level IV nurse. Maintains the safety of patients transported throughout the hospital. Maintained the flow of patient care, acts as liaison between radiology and nursing units. Developed and implemented standardized written orders for all physicians when ordering bowel preps and to assist the community pharmacies with the correct prep kit contents. Developed and implemented a nursing position at the outpatient ambulatory center in radiology. Developed and implemented a nursing position in the hospital radiology department. Assisted with developing job description for general radiology nurse. Developed protocols and policies for radiology technologist procedures. Developed a questionnaire for patients receiving Iodinated contrast. Developed discharge instruction sheet for Metformin and Iodinated contrast. Close collaboration with the Radiologists when caring for renal insufficient patients who require renal protection and intravenous (IV) hydration pre and post computerized tomography (CT) scans. Works independently with expert knowledge and excellent critical thinking assessment skills in radiology procedures and patient safety. Excellent critical thinking skills when managing contrast reactions. Evidence-based research conducted and implemented regarding Iodinated contrast and Gadolinium contrast in relationship to Contrast Induced Nephropathy (CIN), and Nephrogenic Systemic Fibrosis (NSF). Revised the renal protection policy according to new guidelines from the American College of Radiology. Checks all lab work relating to renal function before CT and MRI scans. Completes medication reconciliation for outpatients before CT, MRI, and Nuclear Medicine scans. Through evidence-based research, developed and implemented standardized orders and policy for Coronary CT Angiogram.

Recovery Room Nurse

- Cared for immediate post surgical patients. Extubated patients that were waking from anesthesia. Monitored pain control, and medicated as needed.

Telemetry Charge Nurse/Primary Nurse