Andres Maldonado
El Centro,CA
Summary
Dedicated nursing professional with nearly 20 years of diverse experience across multiple medical fields, collaborating effectively with nurses and physicians. This extensive background fosters a deep understanding of patient care dynamics and realistic career advancement opportunities. Eager to leverage over two decades of clinical knowledge and expertise in a nurse practitioner role, demonstrating a commitment to excellence in patient outcomes and team collaboration. Prepared to contribute to a healthcare environment that values compassionate care for our community.
Overview
23
23
years of professional experience
Work History
Family Nurse Practitioner
All Valley Urgent Care
Brawley, CA
07.2022 - Current
- Ordered and interpreted diagnostic tests to develop and implement treatment plans.
- Prescribed appropriate pharmacologic and non-pharmacologic treatment modalities to support the health and comfort of patients.
- Assessed patients to determine individual needs and develop care plans coordinated with multidisciplinary healthcare professionals.
- Educated patients on treatment options, medical needs, and non-medical options for treatments and therapy.
- Appropriately diagnosed and treated a variety of diseases, conditions, and injuries through careful questioning and assessment of patient symptomology.
- Discussed care plans with patients, test results, and proper use of medications.
- Teamed with physicians to provide comprehensive patient care, referrals, and high-risk management strategies.
Intensive Care Unit Registered Nurse
Pioneers Memorial Hospital
09.2018 - 06.2022
- Cared for two medical and surgical critical patients with multi-system involvement, including cardiac, respiratory, gastrointestinal, renal, endocrine, and neurological/spinal.
- Worked intimately with the respiratory department in the management of artificial ventilation.
- Prepared, managed, and titrated critical care drips, including, but not limited to, norepinephrine, nitroglycerin, amiodarone, propofol, versed.
- Conducted appropriate lab testing to maintain therapeutic drug ranges, ensuring optimal patient outcomes.
- Oversaw various aspects of telemetry by administering vasoactive drugs, thrombolytic therapy, dysrhythmia interpretation, and chest tubes.
- Guided and educated patients and caregivers on diagnoses, disease management, preventative measures, medication use, and self-care to foster consistency in care administration.
- Maintained treatment competency within various methods of COVID care.
Emergency Department LVN II/Registered Nurse
Pioneers Memorial Hospital
03.2015 - 09.2018
- Assessed patients' temperature, pulse, and blood pressure and recorded them in electronic medical records.
- Documented patient vitals, behaviors, and conditions to communicate concerns to supervising nurse.
- Prepared patients for surgery, educating patients and family members on surgical procedures.
- Responded to patient requests with appropriate clinical and personal assistance.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Took samples to complete diagnostic and routine assessment tests.
- Administered controlled narcotics, inserted IVs, and performed catheterizations.
- Cared for wounds, provided treatments, and assisted with procedures.
- Supported physicians during examinations and scans to assist with diagnostic procedures.
- Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management, and wound management.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Gathered lab specimens, ordered testing, and interpreted results to diagnose patients.
- Monitored and tracked patient vitals to keep the team informed of changing conditions.
Behavioral Health Licensed Vocational Nurse II
Imperial County Behavioral Health
El Centro, CA
05.2014 - 10.2014
- Managed a caseload of patients from ages 12-to 25 years.
- Performed psychological nursing assessments of patients with mental illness.
- Assisted doctors with patient assessments.
- Administered injections for the maintenance of the patient's mental health.
- Obtained consent for releasing of information to proper coordinating authorities.
- Coordinated services with affiliated pharmacies and laboratories.
Licensed Vocational Nurse
County School, Imperial County Office of Education
El Centro, CA
02.2013 - 05.2014
- Cared for children with mild, moderate, and severe disabilities, including but not limited to cerebral palsy, autism spectrum, seizure disorders, Down syndrome, and spina bifida.
- Performed urinary catheterization of students when necessary.
- Measured gastric residuals, flushed and fed through gastrostomy tubes as scheduled.
- Medicated children with appropriately prescribed medications.
- Used magnetic seizure therapy for students when necessary.
- Monitored school site or classroom and provided first aid when needed.
- Assisted with the educational plan and kept children on their respective schedules.
Registry Staffing Licensed Vocational Nurse
Maxim Healthcare
Seattle, WA
09.2012 - 12.2012
- As a registry nurse through Maxim for Millennium Laboratories collecting sputum, urine, and cell specimens for narcotic, opiate, and controlled substances to obtain the results of therapeutic ranges and the presence of other agents.
- Traveled to different locations to perform testing with a fellow nurse.
- Managed logs on labor periods as well as vehicle mileage.
Licensed Vocational Nurse
Pioneers Memorial Hospital
Brawley, CA
08.2009 - 08.2012
- Supported and worked with fellow staff for patients that required the labor of more than one nurse.
- Provided and led care for four patients of various acuities.
- Empathized with families in times of injury and tragedy.
- Administered intramuscular injections.
- Established peripheral intravenous access and intra-osseous access and placed nasogastric tubes and foley catheters through sterile technique when appropriate.
- Suctioned patients orally and nasally to clear secretions and obtain laboratory specimens such as sputum cultures.
- Obtained throat and nasal swabs for tests such as streptococcus, MRSA, cultures, and influenza.
- Assisted with and set up procedures such as but not limited to lumbar punctures, suture trays, thoracentesis, paracentesis, incision and drainage trays, central line placements, and dialysis catheter placements.
- Cared for patients under contact, droplet, and airborne isolation.
- Provided wound care, including flushing wounds, packing wounds, and dressings.
- Inserted urinary catheters to obtain sterile urine specimens for testing.
- Administering blood products following revision of blood with laboratory and fellow nurse.
- Educated patients and family on medication, prevented ailments and answered any questions regarding specific medical conditions.
- Transferred patients to various units, surgery, intensive care, direct observation, pediatrics, and the medical-surgical unit.
- Transferred local behavioral/mental health patients to accepting hospitals.
- Arranged transfers of patients to facilities with a higher level of care and provided updates regarding their current status.
Nursing
Pioneers Memorial Hospital
Brawley, CA
01.2009 - 01.2012
- Once Registered, the License was obtained in January 2018. I had the opportunity to initiate a role as the primary nurse for critical patients within the emergency department.
- I triaged patients according to Emergency Severity Index (ESI).
- Managed critical care drips such as but not limited to norepinephrine, heparin, dobutamine, and insulin.
- Administered piggyback intravenous drugs such as antibiotics and gave drug pushes through direct IV.
Medical-Surgical Licensed Vocational Nurse
Pioneers Memorial Hospital
02.2009 - 08.2009
- Under the supervision of a charge nurse, I managed and cared for five patients of different acuities in the Medical-Surgical unit.
- Monitored patients with chest pain, medicating when necessary and advising the supervising doctor of any changing conditions.
- Admitted patients from several departments, emergency, surgery, intensive care departments, and directly from doctor's offices.
- Cared for patients with various conditions such as, but not limited to, cardiac, renal, gastrointestinal, genitourinary, integumentary, immunological, and orthopedic.
- Cared for post-surgical patients, including but not limited to knee replacements, cholecystectomy, limb or digit amputation, complex abscess incision and drainages, and fracture repair.
- Provided incisional wound care for post-surgical patients.
- Ensured patients were turned on their sides as needed to prevent pressure ulcers.
- Cleansed various stage wounds and ulcers which required debridement, applied proper dressings and documented progress or lack thereof.
- Reported any changes in patient mentation or medical condition to the doctor.
Home Health Nurse, Licensed Vocational Nurse
Imperial Valley Home Health Care
St Brawley, CA
02.2009 - 06.2009
- Traveled to locations in Imperial County to care for patients with varying conditions: postoperative patients, newly diagnosed issues, or recently hospitalized patients.
- Assessed patient's current condition and took proper action according to the situation, such as calling an ambulance or calling their primary doctor when necessary for medication changes depending on symptoms.
- Issued a care plan to patients by documenting progress and educating them on their current status to improve or maintain quality of life following their recent hospitalization.
- Educated family members and caregivers on proper medication administration and diet.
- Devised reports for the home office regarding the patient's information, treatments, changes, and any needed supplies to provide care to patients.
Emergency Department Licensed Vocational Nurse
Kaiser Permanente Hospital
San Diego, CA
10.2006 - 11.2008
- Worked collaboratively with two nurses, one emergency technician, three doctors, and one supervising nurse.
- Implemented primary care for up to five patients in the emergency department's fast-paced, high turnover area.
- Closely interacted with ancillary departments, laboratory, x-ray, and radiology regarding necessary patient testing.
- Provided professional and unbiased care for a populace of varying ethnicities.
- Educated patients and families on conditions, medication use, and care plan for their current ailment.
- Admitted patients to the appropriate department within our facility, including; surgery, intensive care, medical, surgical, pediatrics, obstetrics, ophthalmology, and orthopedics.
- Established intravenous access for required procedures such as; hydration, blood pressure medication, pain and nausea medication.
- Properly immobilized and cast extremities by reducing them following traumatic injuries.
Emergency Department Licensed Vocational Nurse
El Centro Regional Medical Center
El Centro, CA
06.2004 - 10.2006
- Supported fellow staff when trauma/critical patients arrived via ambulance by quickly and efficiently establishing intravenous access, administering proper medications, and ensuring labs and radiological studies were performed efficiently.
- Quickly and efficiently followed protocol when faced with a stroke or chest pain patient by administering required algorithms according to hospital policy.
- Transferred patients via ground or air to appropriate facilities which required higher levels of care.
- Assured the proper patient was being medicated with the correct drug and dosage by checking with corresponding patient information.
- Maintained close communication with providers and ancillary care teams regarding the patient's current condition to prevent deterioration.
Healthcare Assistant
Accent Care
San Diego, CA
04.2003 - 11.2003
- Cared for and aided a 97-year-old man with activities of daily living.
- Promoted therapeutic support for quality of life by encouraging independence in the client.
- Managed bills and a filing system for clients' finances and expenditures.
Education
Master of Science - Nursing
Azusa Pacific University
San Diego, CA01-2022
Bachelor of Science - Nursing
Chamberlain University
Downers Grove, IL2018
Associates Degree - Registered Nursing
Imperial Valley College
Imperial, CA2017
Vocational Nursing -
Maric College
San Diego, CA2003
Skills
- Pain Management
- Healthcare Team Collaboration
- Patient Health Information Privacy
- EMR System
- Nursing Staff Supervision
- Training Junior Team Members
- Acute care expertise
- Precepting
- Employee Guidance
- Medical and Nursing Coordination
- Staff Development
- Patient Education
- Health Promotion
- Fluent in Spanish
Timeline
Family Nurse Practitioner
All Valley Urgent Care
07.2022 - Current
Intensive Care Unit Registered Nurse
Pioneers Memorial Hospital
09.2018 - 06.2022
Emergency Department LVN II/Registered Nurse
Pioneers Memorial Hospital
03.2015 - 09.2018
Behavioral Health Licensed Vocational Nurse II
Imperial County Behavioral Health
05.2014 - 10.2014
Licensed Vocational Nurse
County School, Imperial County Office of Education
02.2013 - 05.2014
Registry Staffing Licensed Vocational Nurse
Maxim Healthcare
09.2012 - 12.2012
Licensed Vocational Nurse
Pioneers Memorial Hospital
08.2009 - 08.2012
Medical-Surgical Licensed Vocational Nurse
Pioneers Memorial Hospital
02.2009 - 08.2009
Home Health Nurse, Licensed Vocational Nurse
Imperial Valley Home Health Care
02.2009 - 06.2009
Nursing
Pioneers Memorial Hospital
01.2009 - 01.2012
Emergency Department Licensed Vocational Nurse
Kaiser Permanente Hospital
10.2006 - 11.2008
Emergency Department Licensed Vocational Nurse
El Centro Regional Medical Center
06.2004 - 10.2006
Healthcare Assistant
Accent Care
04.2003 - 11.2003
Master of Science - Nursing
Azusa Pacific University
Bachelor of Science - Nursing
Chamberlain University
Associates Degree - Registered Nursing
Imperial Valley College
Vocational Nursing -
Maric College