ROXANNE SHELSTAD
Missoula
Summary
Accomplished registered nurse with extensive experience in oncology and dialysis. Skilled in training new staff and coordinating multidisciplinary teams, ensuring patient safety and high-quality care. Ready to leverage leadership skills to enhance patient outcomes and team effectiveness.
Overview
2026
2026
years of professional experience
Work History
Oncology Infusion Registered Nurse
Providence Health & Services
Missoula
01.2017 - Current
- Administered and monitored chemotherapy regimens, biotherapy agents, supportive care medications, hydration therapy and blood products.
- Managed acute infusion reactions such as fever, chills, nausea, vomiting, anaphylaxis and hypersensitivity reactions.
- Collaborated with multidisciplinary team members to ensure quality patient care.
- Coordinated with other departments regarding scheduling of tests or procedures related to the oncology service line.
- Maintained a safe environment for patients receiving chemotherapy by following established safety protocols.
- Provided emotional support to patients and families during difficult times associated with diagnosis and treatment.
- Trained new staff on infusion procedures and patient care standards.
- Performed patient assessments, including vital signs, prior to chemotherapy infusions.
- Reviewed medication orders for appropriateness prior to administration.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
Dialysis Registered Nurse
Fresenius Medical Care Holdings Inc.
Missoula
2014 - 2017
- Administered dialysis treatments to patients with kidney failure.
- Monitored vital signs and patient responses during procedures.
- Collaborated with healthcare team to develop patient care plans.
- Educated patients on treatment options and self-care practices.
- Maintained accurate medical records and documentation of treatments.
- Ensured compliance with safety protocols and infection control measures.
- Trained new staff on dialysis procedures and equipment usage.
- Educated patients on their renal failure diagnosis and how to manage their condition.
- Coordinated with multidisciplinary team members to provide comprehensive care for patients undergoing dialysis treatments.
- Adhered to infection control standards while performing all duties related to dialysis treatments.
- Monitored patients' responses to dialysis treatment and reported any changes or adverse reactions to the physician.
- Provided direct patient care, including physical assessments and treatments, in a dialysis unit.
- Performed daily machine maintenance, including water testing and filter replacement.
- Administered prescribed medications during dialysis treatments according to established protocols.
- Ensured that appropriate safety measures were taken when handling hazardous materials such as biohazardous waste and chemicals used in cleaning machines.
Workers' Compensation Case Manager
Billings Clinic Hospital
Billings
2012 - 2014
- Managed workers' compensation claims from initial report to resolution.
- Coordinated with healthcare providers to obtain necessary medical documentation.
- Facilitated communication between injured employees and insurance representatives.
- Developed return-to-work plans in collaboration with medical teams.
- Educated staff on workers' compensation policies and procedures.
- Monitored progress of injured workers through medical treatment, rehabilitation and job retraining programs.
- Collaborated with third-party administrators to coordinate benefit payments.
- Developed individualized return-to-work plans for injured workers.
- Checked payroll, vendor payments and other accounting disbursements for accuracy and compliance.
Acute Dialysis Registered Nurse
Billings Clinic Hospital
Billings
2009 - 2012
- Administered acute dialysis treatments to patients in critical care settings.
- Monitored vital signs and patient responses during dialysis sessions.
- Collaborated with interdisciplinary teams to develop patient care plans.
- Educated patients and families on dialysis procedures and aftercare.
- Maintained equipment and ensured compliance with safety standards.
- Documented patient progress and treatment outcomes in electronic health records.
- Assisted in training new nursing staff on dialysis protocols and procedures.
- Evaluated patient's laboratory results and adjusted medication dosages as needed.
- Monitored vital signs during dialysis treatments and reported any changes or concerns to physician.
- Participated in discussions with physicians to inform of significant patient health changes.
- Assessed patient's response to dialysis therapy and made appropriate adjustments to the treatment plan.
- Educated patients about nutrition, lifestyle modifications, medications and follow-up care after discharge from hospital setting.
- Administered prescribed medications according to established protocols or physician instructions.
- Noted each patient's condition prior to treatment and adjusted dialytic therapy.
- Provided emotional support to family members of acute dialysis patients during difficult times.
- Coordinated with physicians regarding orders for medications and other treatments.
- Adhered strictly to infection control protocols while providing care for acute dialysis patients.
Acute Dialysis Registered Nurse
Foundation Medical Staffing
Edmond
2006 - 2009
- Administered acute dialysis treatments to patients in critical care settings.
- Monitored vital signs and patient responses during dialysis sessions.
- Collaborated with interdisciplinary teams to develop patient care plans.
- Educated patients and families on dialysis procedures and aftercare.
- Maintained equipment and ensured compliance with safety standards.
- Documented patient progress and treatment outcomes in electronic health records.
- Evaluated patient's laboratory results and adjusted medication dosages as needed.
- Collaborated with multidisciplinary team members to provide comprehensive care for acute dialysis patients.
- Maintained accurate records of all patient information such as medical history, lab results, medications administered.
- Monitored vital signs during dialysis treatments and reported any changes or concerns to physician.
- Participated in discussions with physicians to inform of significant patient health changes.
- Assessed patient's response to dialysis therapy and made appropriate adjustments to the treatment plan.
- Educated patients about nutrition, lifestyle modifications, medications and follow-up care after discharge from hospital setting.
- Administered prescribed medications according to established protocols or physician instructions.
- Noted each patient's condition prior to treatment and adjusted dialytic therapy.
- Coordinated with physicians regarding orders for medications and other treatments.
Registered Nurse, Diagnostic Imaging
Community Medical Center
Missoula
2001 - 2004
- Prepared patients for diagnostic imaging with clear instructions and support.
- Monitored patient conditions during imaging to ensure safety and comfort.
- Educated patients on pre- and post-procedure care requirements.
- Assisted in training new staff on imaging protocols and patient care practices.
- Assessed, monitored and evaluated patient's health conditions.
- Provided direct nursing care to patients undergoing diagnostic imaging procedures.
- Facilitated smooth transition of care between departments within the hospital setting.
- Provided emotional support for family members accompanying patients during scans.
- Ensured the safety of all patients throughout their imaging procedure.
- Administered IV contrast media as necessary during imaging studies.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
Medical Surgical Registered Nurse
Northern Montana Hospital
Havre
2000 - 2001
- Administered medications and treatments to diverse patient populations.
- Monitored vital signs and assessed patient conditions regularly.
- Collaborated with interdisciplinary teams for comprehensive care plans.
- Educated patients and families on health management and post-discharge care.
- Documented patient progress and responses in electronic health records.
- Assisted in surgical procedures, ensuring sterile environments and protocols.
- Implemented infection control measures to maintain patient safety standards.
- Monitored vital signs, administered intravenous fluids, medications, blood transfusions and other treatments according to physician orders.
- Administered treatments, therapies, and medication according to prescribed methods and protocols.
- Assessed patients for signs and symptoms of medical conditions and reported changes to physicians.
- Provided patient education on disease processes, medications, treatment plans, diet and lifestyle modifications.
- Conducted assessments upon admission of new patients in order to develop an individualized plan of care.
- Demonstrated effective communication skills when interacting with patients, families and healthcare team members.
- Performed wound care including dressing changes, debridement and irrigation; monitored healing progress.
- Managed multiple tasks simultaneously while maintaining focus on quality patient care.
- Assisted physicians with procedures as needed during rounds or bedside examinations.
Education
Bachelor of Science - Nursing
Salish Kootenai College
Pablo, MT05-2006
Associate of Science - Nursing
Northern Montana College
Havre, MT05-2000
Skills
- BLS
- Epic
- Cerner
- Pyxis
- Omni Cell
- FMC Chair Side
References
References available upon request.
Timeline
Oncology Infusion Registered Nurse
Providence Health & Services
01.2017 - Current
Dialysis Registered Nurse
Fresenius Medical Care Holdings Inc.
2014 - 2017
Workers' Compensation Case Manager
Billings Clinic Hospital
2012 - 2014
Acute Dialysis Registered Nurse
Billings Clinic Hospital
2009 - 2012
Acute Dialysis Registered Nurse
Foundation Medical Staffing
2006 - 2009
Registered Nurse, Diagnostic Imaging
Community Medical Center
2001 - 2004
Medical Surgical Registered Nurse
Northern Montana Hospital
2000 - 2001
Bachelor of Science - Nursing
Salish Kootenai College
Associate of Science - Nursing
Northern Montana College