ARIANNE PASTRANA
Palm Harbor,USA
Summary
Family Nurse Practitioner specializing in post-acute nephrology and cardiorenal disease management. Expertise includes evaluation and management of acute kidney injury, chronic kidney disease progression, and electrolyte disorders, ensuring optimal care for medically complex geriatric patients in skilled nursing and long-term care settings.
Overview
12
12
years of professional experience
2
2
Certifications
Work History
Nephrology Nurse Practitioner
CardioRenal Vision
Tampa Bay Region
11.2025 - Current
- Provide specialty nephrology care across skilled nursing and long-term care populations with medically complex cardiorenal disease.
- Practice independently as an autonomous APRN with collaborative nephrologist mentorship available for complex case discussion.
- Independently evaluate and monitor acute kidney injury across post-hospital transitions.
- Manage chronic kidney disease progression risk (CKD stages 1–5).
- Interpret renal panels, urine studies, and electrolyte trends to guide treatment planning.
- Perform renal medication reconciliation and dose adjustment based on kidney function.
- Support hypertension management within CKD populations.
- Monitor anemia markers and mineral bone disease laboratory trends.
- Optimize fluid and volume status in cardiorenal syndrome populations.
- Implement strategies to reduce avoidable hospital readmissions.
- Provide renal risk-adjusted medication recommendations.
- Coordinate interdisciplinary care with primary care providers and cardiology teams.
- Collaborate alongside dialysis providers when residents receive maintenance renal replacement therapy services.
- Utilize consult-style specialty documentation workflows supporting post-acute nephrology care delivery.
- SNF / LTC Specialty Practice
Hospitalist Nurse Practitioner
Tampa General Hospital / St. Joseph's Hospital Tampa
01.2025 - 11.2025
- Provided inpatient medical management for medically complex adult and geriatric populations across acute care and telemetry environments with emphasis on multisystem stabilization and renal-related transitions of care planning.
- Evaluated and managed acute kidney injury in hospitalized patients.
- Interpreted electrolyte abnormalities and acid-base disorders.
- Supported stabilization of chronic kidney disease populations during acute illness.
- Performed renal medication dose adjustment across inpatient treatment plans.
- Coordinated safe transitions from hospital to SNF/LTC environments.
- Participated in interdisciplinary discharge planning to reduce avoidable readmissions.
- Managed hypertension in medically complex CKD populations.
- Evaluated fluid balance in heart failure and renal impairment overlap populations.
- Maintained timely regulatory-compliant documentation within EPIC EMR.
- Extensive experience managing renal-related transitions of care between hospital and skilled nursing environments supporting continuity of nephrology treatment plans.
Nurse Practitioner / Case Manager
Empath Health Hospice
03.2021 - 07.2024
- Provided advanced medical management for medically complex geriatric patients across SNF, LTC, home, and inpatient hospice environments.
- Managed patients with advanced CKD, heart failure, and multisystem disease.
- Interpreted laboratory trends supporting clinical decision-making in frail populations.
- Performed renal-aware medication optimization in reduced kidney function.
- Managed electrolyte-related symptom presentations including fatigue, weakness, delirium risk, and volume-related dyspnea.
- Provided anemia-related symptom evaluation and treatment planning.
- Coordinated interdisciplinary care across post-acute environments.
- Supported hospital-to-SNF transitions in medically complex patients.
- Delivered facility staff education supporting safe medication use.
- Maintained regulatory-compliant specialty documentation across care settings.
- Managed high-complexity pharmacologic regimens including opioid stewardship and multimodal symptom control.
Clinical Nurse II – Cardiac Care
Morton Plant Hospital
02.2014 - 03.2021
- Managed high-acuity cardiac patients with complex comorbid disease including heart failure and cardiorenal physiology overlap populations in a fast-paced inpatient telemetry environment.
- AUTONOMOUS SPECIALTY NEPHROLOGY PRACTICE EXPERIENCE
- Independent renal laboratory interpretation.
- CKD progression monitoring across SNF populations.
- Electrolyte disorder management in medically complex geriatric patients.
- Renal medication dose adjustment workflows.
- Cardiorenal syndrome management familiarity.
- Hospital-to-SNF renal transitions support.
- Collaborative nephrologist consultation for complex cases.
Education
Master of Science - Nursing — Family Nurse Practitioner
Herzing University
Orlando, FLBachelor of Science - Nursing
University of South Florida
Skills
- Cardiorenal syndrome management
- AKI interpretation
- CKD progression monitoring
- Electrolyte disorder management
- Renal medication dose adjustment
- Hypertension management in CKD populations
- Volume status optimization
- Hospital readmission prevention
- SNF/LTC specialty rounding workflows
- Interdisciplinary specialty coordination
- CMS-aligned documentation practices
- Telehealth-supported clinical decision workflows
Certification
- Florida APRN License
- Florida RN License
- DEA License
- FNP-BC
- BLS Certified
- Florida APRN (Autonomous)
- Florida RN
- BLS Certification
Autonomous Specialty Nephrology Practice Experience
- Independent renal laboratory interpretation
- CKD progression monitoring across SNF populations
- Electrolyte disorder management in medically complex geriatric patients
- Renal medication dose adjustment workflows
- Cardiorenal syndrome management familiarity
- Hospital-to-SNF renal transitions support
- Collaborative nephrologist consultation for complex cases
Core Specialty Clinical Skills
- Cardiorenal syndrome management
- AKI interpretation
- CKD progression monitoring
- Electrolyte disorder management
- Renal medication dose adjustment
- Hypertension management in CKD populations
- Volume status optimization
- Hospital readmission prevention
- SNF/LTC specialty rounding workflows
- Interdisciplinary specialty coordination
- CMS-aligned documentation practices
- Telehealth-supported clinical decision workflows
Languages
- Albanian
- English
- Albanian
Awards
2× DAISY Award Recipient
Post Acute Specialty Practice Settings
- Skilled nursing facilities (SNF)
- Long-term care (LTC)
- Hospital medicine environments
- Hospice and palliative settings
- Transitional care workflows
- Telehealth-supported specialty coordination environments
Telehealth And Post Acute Nephrology Expertise
- Post-acute nephrology consultation workflows
- CKD stage 1–5 progression monitoring
- AKI evaluation across transitions of care
- Renal medication dose adjustment
- Electrolyte disorder interpretation and management
- Volume optimization in cardiorenal populations
- Hypertension management in CKD
- Renal anemia marker interpretation familiarity
- Mineral bone disease laboratory familiarity (PTH, calcium, phosphorus, vitamin D)
- Hospital readmission prevention strategies
- Facility staff renal education support
- Interdisciplinary coordination with nephrology and dialysis providers
Timeline
Nephrology Nurse Practitioner
CardioRenal Vision
11.2025 - Current
Hospitalist Nurse Practitioner
Tampa General Hospital / St. Joseph's Hospital Tampa
01.2025 - 11.2025
Nurse Practitioner / Case Manager
Empath Health Hospice
03.2021 - 07.2024
Clinical Nurse II – Cardiac Care
Morton Plant Hospital
02.2014 - 03.2021
Master of Science - Nursing — Family Nurse Practitioner
Herzing University
Bachelor of Science - Nursing
University of South Florida