Krystian Smith
Kansas City,MO
Summary
Qualified and dynamic Registered Nurse with over 4 years of diverse clinical experience across high-acuity settings, including Intermediate Medical Unit (IMU), Acute Care, Emergency Department, LTAC, Telemetry, Medical-Surgical Units, and most recently, Advanced Primary Care. This broad background has equipped me with a versatile and patient-centered approach to care in both inpatient and outpatient environments. Recognized for being compassionate, efficient, and detail-oriented, I bring strong critical thinking and collaborative skills to multidisciplinary teams. I excel in fast-paced, high-pressure settings where clinical judgment, adaptability, and clear communication are essential to achieving positive patient outcomes. I am committed to evidence-based practice, continuous learning, and delivering empathetic, high-quality care, whether stabilizing patients in emergencies or supporting long-term health goals in the management of chronic diseases. I am also highly proficient in multiple EMR systems, including Epic, Cerner, Meditech, and Athena, with a proven ability to optimize documentation workflows and adapt quickly to new technologies.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Lead Registered Nurse – Primary Care
Spira Care
09.2023 - Current
- Served as clinical lead for a high-volume primary care practice, overseeing daily nursing operations and supporting a multidisciplinary care team.
- Facilitated the development and implementation of text macros (dot phrases) in the EMR to improve efficiency, consistency, and clarity in nursing documentation.
- Provided comprehensive patient education and follow-up through phone outreach, including lab and imaging result discussions, medication instructions, chronic disease support, and health maintenance counseling.
- Performed telephone triage for acute and chronic complaints, ensuring appropriate escalation, timely interventions, and continuity of care.
- Led onboarding and skills training for MAs, LVNs, and RNs, ensuring clinical readiness, adherence to protocols, and integration into a patient-centered model of care.
- Participated in the Clinical Practice Council, contributing to the development and revision of Standard Operating Procedures (SOPs) to enhance clinical safety, efficiency, and regulatory compliance.
- Completed and submitted Prior Authorizations and Appeals to insurance companies for medications, diagnostic testing, and specialist referrals, helping to minimize care delays and support patient access.
- Recognized for leadership in workflow optimization, patient communication, and interdisciplinary team collaboration.
- Collaborated with multidisciplinary teams, including respiratory therapists, physicians, and case managers, to develop and implement individualized care plans.
- Utilized EMR systems for accurate and timely documentation of assessments, interventions, and patient outcomes.
- Provided compassionate end-of-life care and family education in accordance with hospice/palliative standards when appropriate.
- Maintained adaptability and effectiveness across diverse facility types and patient populations while meeting or exceeding assignment goals.
- Consistently recognized for excellent patient advocacy, clinical judgment, and leadership in high-acuity settings.
Registered Nurse - LTAC Travel Nurse
Kindred Northland
04.2023 - 09.2023
- Delivered high-quality patient care in long-term acute care (LTAC) facilities, specializing in patients with complex, chronic medical conditions requiring extended hospital stays.
- Monitored and managed ventilators, tracheostomies, wound care, and central lines, ensuring adherence to infection control protocols and patient safety standards.
Registered Nurse – Orthopedic Trauma Acute Care
Memorial Hermann | Level I Trauma Center – Texas Medical Center
03.2022 - 04.2023
- Delivered comprehensive nursing care to patients with acute orthopedic injuries and polytrauma, including fractures, spinal injuries, joint dislocations, and post-operative complications.
- Managed post-surgical care for high-acuity patients following open reduction internal fixation (ORIF), total joint replacements, external fixation, and spine surgeries.
- Provided specialized care for patients recovering from gender-affirming surgical procedures, including revision surgeries, with an emphasis on trauma-informed, affirming, and respectful nursing practices.
- Conducted frequent assessments for early signs of post-op complications such as infection, bleeding, hematoma, DVT/PE, and surgical site issues, ensuring timely escalation.
- Delivered compassionate, individualized patient and family education related to surgical recovery, mobility, wound care, pain control, and discharge planning.
- Collaborated with orthopedic, plastic, trauma, and gender-affirming care teams, social workers, and physical therapists to ensure holistic, inclusive care and safe transitions.
- Demonstrated proficiency in neurovascular checks, wound management, use of traction and immobilization devices, and early ambulation techniques.
- Maintained clear, timely documentation using EMR systems and contributed to interdisciplinary care rounds in a fast-paced, high-acuity unit.
- Recognized for excellence in patient advocacy, cultural competency, and clinical expertise in a nationally accredited Level I Trauma Center.
Registered Nurse – COVID IMU / Critical Care Unit
HCA Healthcare Kingwood
06.2021 - 06.2022
- Provided direct nursing care to critically and acutely ill COVID-19 patients, including those with complex respiratory needs, multi-organ involvement, and fluctuating clinical stability.
- Managed high-acuity interventions such as high-flow oxygen, non-invasive ventilation (BiPAP/CPAP), and care for patients requiring intubation or prone positioning.
- Closely monitored patients for signs of rapid deterioration, escalating care to the ICU when necessary in collaboration with the critical care team.
- Adhered to strict infection control protocols, including full PPE use, negative-pressure room protocols, and isolation practices to prevent viral transmission.
- Administered and titrated IV medications (e.g., antivirals, antiarrhythmics, anticoagulants, etc), managed central lines and continuous monitoring devices.
- Provided compassionate communication and frequent patient and family updates, often serving as the main point of contact during visitor restrictions.
- Collaborated with respiratory therapists, intensivists, and case managers to coordinate care and plan for step-down or palliative pathways.
- Maintained up-to-date knowledge of evolving COVID-19 treatment guidelines, including use of remdesivir, corticosteroids, monoclonal antibodies, and anticoagulation protocols.
Education
MSN - Family Nurse Practitioner
Graceland University
Lamoni, IA06.2027
Bachelor of Science - Nursing
Stephen F. Austin State University (SFA)
Nacogdoches, Texas05.2021
Skills
- Clinical leadership
- Staff development
- Clinical judgment
- Compassionate care
- Nursing assessment
- Care coordination
- Healthcare technology
- Disease prevention
- Health promotion
- Documentation
- Vitals monitoring
- Patient consultation
- Strong clinical judgment
- Relationship building
Certification
- Registered Nurse, State of Texas/Multistate, June 2021-Present
- Basic Life Support, American Heart Association, Expires January 2026
- Stop the Bleed, American College of Surgeons
Timeline
Lead Registered Nurse – Primary Care
Spira Care
09.2023 - Current
Registered Nurse - LTAC Travel Nurse
Kindred Northland
04.2023 - 09.2023
Registered Nurse – Orthopedic Trauma Acute Care
Memorial Hermann | Level I Trauma Center – Texas Medical Center
03.2022 - 04.2023
Registered Nurse – COVID IMU / Critical Care Unit
HCA Healthcare Kingwood
06.2021 - 06.2022
MSN - Family Nurse Practitioner
Graceland University
Bachelor of Science - Nursing
Stephen F. Austin State University (SFA)
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