Steven Holguin
El Paso,TX
Summary
Adult Gerontology Acute Care Nurse Practitioner with seven years of experience as a primary nurse looking to expand experience in new role. Adept at critical care and management with training in patient education and leadership. Self-directed and solutions-oriented with excellent communication skills. Committed to increasing the quality of patient care through top-of-the-line time management and prioritization.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Registered Nurse
Post Acute Care & Rehabilitation Of Cascadia
Las Cruces , New Mexico
07.2022 - Current
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
- Administered medications via oral, IV and intramuscular injections and monitored responses.
- Managed care from admission to discharge.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Provided direct patient care, stabilized patients and determined next course of action.
Registered Nurse II Critical Care ICU
University Medical Center of El Paso
El Paso, TX
12.2019 - 07.2022
- Managing care of level one trauma patients within a 300 mile degree radius
- Facilitating the insertions of central lines, chest tubes, external ventricular drains, bolts, etc
- Managing care of patients with multiple comorbidities and ventilated patients
- Competent in placing feeding tubes, Foley catheters, managing peg tubes, tracheostomies, chest tubes, etc
- Facilitating admissions and transfers to other floor units
- Monitoring patient’s conditions for critical changes and notifying appropriate healthcare team
- Floating as needed to CVICU, IMC and COVID ICU unit.
Registered Nurse II Critical Care Endoscopy
University Medical Center of El Paso
El Paso, TX
02.2017 - 12.2019
- Trained in all 4 areas of Endoscopy Unit which includes holding, recovery, pre-assessment and basic endoscopic procedures
- Prepared patients in holding area for procedures such as upper endoscopies, colonoscopies, upper endoscopies with ultrasounds, upper endoscopies with dilations, capsule endoscopies, flexible sigmoid colonoscopies, ERCPs and motility studies
- In charge of complete patient care which includes checking vital signs, obtaining any labs needed, obtaining EKGs, starting peripheral IVs, checking for proper procedure/anesthesia consents, and checking glucose levels
- Trained in Endoscopy PACU to recover all outpatients as well as inpatients throughout the facility including ICU patients
- This includes monitoring all patients, reviewing discharge instructions, making follow up appointments for further GI care, admitting patients for postop procedure complications and following up with next day post op calls
- All patients discharged within pre-anesthesia baseline
- Trained in Pre-Assessment area which includes taking vital signs, reviewing patient medical history, reviewing home medications, giving instructions for each individual procedure, reviewing MD orders for appropriate labs or diagnostics and obtaining cardiac clearance from cardiologists
- Trained to assist GI MDs in basic procedures such upper endoscopies and colonoscopies, circulator for advanced procedures.
Registered Nurse Medical/Renal
Hospitals of Providence Sierra Campus
El Paso, TX
09.2015 - 02.2017
- Managed complete patient care with medical surgical comorbidities ranging from end stage renal disease, congestive heart failure, chronic obstructive pulmonary disease, post op surgical complications, etc
- With 8:1 staffing census
- Worked with social workers and other various healthcare multidisciplinary teams to facilitate timely discharge from facility
- Discharges included back to home, long term acute healthcare facilities, skilled nursing facilities, and rehab facilities
- Started peripheral IVs, managed vital signs, inserted nasogastric tubes, managed peg tubes, cleaning and caring for central lines, managing chest tubes, inserting foley catheters, performing ordered wound care
- Notifying physicians of patients’ conditions, changes, and abnormal lab values
- Ordered any necessary diagnostic labs/test needed such as ABGs, chest xrays, EKGs and labs
- Performed skin assessment on all patients.
Education
Master of Science - Adult Gerontology Acute Care Nurse Practitioner
University of Texas At El Paso
El Paso, TX08.2023
Bachelor of Science - Nursing
University of Texas At El Paso
El Paso, TX05.2015
High School Diploma -
Silva Magnet High School
El Paso, TX05.2010
Skills
- Compassionate and Caring
- Patient Care Assessment
- Accurate Documentation
- Monitoring Vital Signs
- Interpreting EKGs
- Endotracheal Intubation
- Admissions and Discharge Processes
- Chest Tubes
- Airway Management
Certification
ACLS Certified
BLS Certified
Timeline
Registered Nurse
Post Acute Care & Rehabilitation Of Cascadia
07.2022 - Current
Registered Nurse II Critical Care ICU
University Medical Center of El Paso
12.2019 - 07.2022
Registered Nurse II Critical Care Endoscopy
University Medical Center of El Paso
02.2017 - 12.2019
Registered Nurse Medical/Renal
Hospitals of Providence Sierra Campus
09.2015 - 02.2017
Master of Science - Adult Gerontology Acute Care Nurse Practitioner
University of Texas At El Paso
Bachelor of Science - Nursing
University of Texas At El Paso
High School Diploma -
Silva Magnet High School
ACLS Certified
BLS Certified
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