Highly skilled Burn ICU Registered Nurse with extensive experience caring for critically ill adult burn, trauma, and surgical patients in high-acuity military and federal healthcare environments. Expertise in ventilator management, hemodynamic stabilization, massive fluid resuscitation, escharotomy assistance, CRRT, and titration of vasoactive infusions to maintain organ perfusion during acute burn shock. Known for exceptional clinical judgment, rapid crisis response, and leadership in multidisciplinary care. Trained superuser in specialty equipment and advanced EMR systems (GENESIS/MHS GENESIS, Cerner). Consistently recognized for strong patient advocacy, precepting, and adherence to Joint Commission and DHA standards.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Burn ICU- Clinical Staff Nurse
Army Institute of Surgical Research
Fort Sam Houston
11.2017 - Current
Provide multi-organ system nursing care for critically diagnosed patients, surgical patients, and burn/trauma patients in the medical/surgical intensive care unit. To include TBSA involvement ranging from moderate to catastrophic injury, requiring advanced resuscitation, and continuous hemodynamic support.
Integrate and implement technical knowledge, critical thinking, and interpersonal skills for the use of, and explanation of the need for replacement therapies such as continuous renal replacement, hypothermic and IV therapy, and ECMO.
Manage ventilators, invasive lines, and multimodal monitoring (arterial lines, CVP, continuous sedation/analgesia, ICP when indicated).
Precept new ICU and burn nurses, orienting them to high-acuity workflows, resuscitation algorithms, wound care protocols, and safe medication administration.
Recognize age-appropriate considerations and care, as well as age-appropriate vital sign parameters and psychological support for adolescents, geriatric age groups, and specializing in COVID care.
Participate in quality improvement initiatives, including infection reduction strategies, CLABSI prevention, early mobility, and documentation accuracy audits.
Interpret hemodynamic changes (ACLS level), administer and titrate IV vasoactive drips, inotropes, sedation, and insulin, with the use of PA catheters/central lines accordingly.
Evaluate all lab results with strict implementation for subsequent care per protocol and parameters.
Evaluate the therapeutic effects of medications and treatments, with the implementation of effective, focused interventions as needed, in collaboration with physicians and a multi-disciplinary medical team.
Perform administrative functions to include admissions, discharges, and transfers of care, daily huddles, and charge nurse duties.
Epicell/recell care specialist and nursing/research liaison.
Admit, monitor, and provide care for thermal, electrical, and chemical burns, to also include rare skin disorders such as Stevens-Johnson syndrome, necrotizing fasciitis, and toxic epidermal necrolysis.
Advanced care for the community's and Department of Defense's most acutely ill COVID patients, to include proning, ECMO (VV, VA, VV-PA).
Extracorporeal membrane oxygenator specialist.
Ultrasound-guided IV certified, Dobhoff tube placement certified.
EMR documentation lead and MHS Genesis superuser.
Pre, peri, and post-operative care for surgical patients for general surgery and plastic surgery.
Provide multi-organ system nursing care for numerous critically diagnosed patients, surgical patients, and burn/trauma patients in medical/surgical intensive care unit.
Integrate and implement technical knowledge, critical thinking and interpersonal skills for use of, and explanation of need for replacement therapies such as continuous renal replacement, hypothermic and IV therapy.
Recognize age-appropriate considerations and care as well as age-appropriate vital sign parameters and psychological support for adolescents-geriatric age groups.
Continuous monitoring of patient cardiac rhythms and analyzed rhythm strips and maintenance of medical equipment.
Interpret hemodynamic changes, administered and titrated IV vasoactive drips, inotropes, sedation, insulin with use of PA catheter/central lines accordingly.
Evaluate all lab results with strict implementation for subsequent care per protocol/parameters.
Evaluate therapeutic effects of medications and treatments with implementation of effective, focused interventions as needed in collaboration with physicians and multi-disciplinary medical team.
Perform administrative functions to include admissions, discharges and transfer of care.
Research Nurse/Clinical Research Coordinator
South Texas Research Alliance- Institute of Biomedical Research
Laredo
01.2013 - 03.2014
Responsible for the collection, coordination, processing, and quality control of clinical trial data, as well as the management and mentoring of clinical staff.
Actively prepare and assist physicians with screening patients according to research protocols, maintenance of research protocol data, regulatory documents, and various research files according to standard operating procedures.
Prepare for and participate in monitoring and auditing activities to ensure that all queries are resolved in a timely manner, in accordance with protocol and sponsor requirements.
Incorporate principles of good clinical practice, and all applicable federal, state, and local regulations, with implementation and adherence to the South Texas Research compliance program, to include the Code of Ethics and Business Standards.
Sustain investigational research supplies; follow a strict investigational drug accountability process, and aid with the collection and processing of specimens, imaging documents, or other items required for research purposes.
Maintain research records in a confidential manner according to practice policies, sponsor confidentiality agreements, HIPAA guidelines, and any other applicable regulations.
A specialist nurse is working collaboratively with the bedside nurse to ensure the safe coordination and management of a critically ill patient with a wide range of complex needs, including multi-organ system support, and complex hematological, fluid, and sedation management.
Registered Nurse Surgical Intensive Care Unit
METHODIST HOSPITAL
San Antonio
05.2012 - 12.2012
Provided care post-operatively for numerous surgical procedures, particularly cardiac, in surgical intensive care unit.
Integrated technical knowledge, critical thinking and interpersonal skills for use of, and explanation of need for replacement therapies such as continuous renal replacement, hypothermic and IV therapy.
Recognized age appropriate considerations and care as well as age appropriate vital sign parameters and psychological support for adolescent to geriatric age groups.
Continuous monitoring of patient cardiac rhythms and analyzed rhythm strips.
Interpreted hemodynamic changes, administered and titrated IV vasoactive drips, inotropes, sedation, insulin with use of PA catheter/central lines accordingly.
Evaluated all lab results with strict implementation for subsequent care per protocol/parameters.
Evaluated therapeutic effects of medications and treatments with implementation of effective interventions as needed in collaboration with multidisciplinary team.
Registered Nurse Cardiac Intensive Care
MEDICAL CITY Dallas
Dallas
02.2011 - 05.2012
Prioritized care in highly acute ICU utilizing comprehensive, critical thinking skills while collaborating with nursing peers and specialty physicians for efficient, holistic client treatment.
Interpreted hemodynamic changes, administered and titrated IV vasoactive drips, inotropes, sedation, insulin with use of PA catheter/central lines accordingly.
Utilized invasive/non-invasive monitoring, lab/radiologic results, patient assessment and patient reports to recognize and address client care.
Designed and implemented individual care plans to address physical, emotional and spiritual needs of patients and their families.
Precepted fellow critical nurses in HCA facility joint program as a clinical mentor for the adult CVICU.
Competent with use of: Left Ventricular Assist Systems; Intra-Aortic Balloon Counter pulsation Therapy; Temporary Pacemakers; Hypothermia Induction Therapy; Code Blue Management; Respiratory/Ventilation Support Equipment; Management of arterial, central venous, PA and dialysis lines; Nx Stage Continuous Renal Replacement Therapy; Vigilance Hemodynamic Monitoring System.
Education
Bachelor of Science - Nursing
Texas Woman’s University
Dallas, TX
12.2010
Medical Assistant Program -
Concorde Career Institute
Arlington, Texas
12.2005
Bachelor of Science - Biology
The University of Texas At Arlington
Arlington, TX
08.2004
Skills
Critical care management
Ventilator management
Continuous renal replacement
Electronic medical records
Quality improvement initiatives
Interdisciplinary collaboration
Effective communication
Patient advocacy
Research support
Certification
BLS/ACLS/PALS/ABLS Certified
Registered Nurse, State of Texas
Member of American Association of Critical Care Nurses
References
FURNISHED UPON REQUEST
Research
Phase I /Phase 1b Pharmacokinetics Study of oral MLN9708 plus Dexamethasone in relapsed/refractory Multiple Myeloma patients with Normal renal Function or Severe renal impairment
Study of the effects of OPRELVEKIN on Cardiac Repolarization in subjects at risk of Severe Thrombocytopenia after Myelosuppressive Chemotherapy.
A double blind, randomized, placebo-controlled, parallel group study of Sativex oromucosal spray (Sativex; Nabiximols) as adjunctive therapy in relieving uncontrolled persistent chronic pain in patients with advanced cancer, who experience inadequate analgesia during optimized chronic opioid therapy.
An Open-label, Randomized Phase 3 Study Inotuzumab Ozogamicin Compared to a Defined Investigator’s Choice in Adult Patients with Relapsed or Refractory CD22-Positive Acute Lymphoblastic Leukemia (ALL).
A Single-Dose Pharmacokinetic and Bioavailability Study of a Generic Liposome-Encapsulated Doxorubicin Hydrochloride Formulation in Subjects with Epithelial Ovarian Carcinoma Who Have Failed Platinum-Based Chemotherapy.
A Randomized, Multicenter, Open-label, Phase 3 Study of the Bruton’s Tyrosine Kinase Inhibitor PCI-32765 versus Chlorambucil in Patients 65 Years or Older with Treatment-naive Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma.
A Phase 3, Randomized, Double-blind, Controlled Trial of Cabozantinib (XL 184) Versus Mitoxantrone Plus Prednisone in Men with Previously Treated Symptomatic Castration-resistant Prostate Cancer.
A Randomized Multi Center Open Label Phase 3 Study of the Burton’s Tyrosine Kinase BTK Inhibitor Ibrutinib versus Ofatumumab in patients with relapsed or refractory Chronic lymphocytic leukemia/ Small Lymphocytic lymphoma.
Operations & Financial Manager (OFM) at U.S. ARMY INSTITUTE OF SURGICAL RESEARCHOperations & Financial Manager (OFM) at U.S. ARMY INSTITUTE OF SURGICAL RESEARCH
Executive Officer of the Research Directorate at United States Army Institute of Surgical ResearchExecutive Officer of the Research Directorate at United States Army Institute of Surgical Research
Staff Nurse Burn Intensive Care Unit at U.S. Army Institute of Surgical ResearchStaff Nurse Burn Intensive Care Unit at U.S. Army Institute of Surgical Research