ARLIE S. ANDRES
Fairfield,USA
Summary
Provide exceptional patient care utilizing nursing theory and skills.
Compassionate registered nurse with 30 years experienced in both clinical settings and prehospital care, highly organized, responsible, and hard working. Accept responsibilities with dedication and consider under high pressure situation as a challenge to prove own adaptability, flexibility and initiative. Ability to work harmoniously in a team and to solve difficulties efficiently and achieve goals set by the company and work group.
Experienced healthcare professional skilled in patient care, critical thinking, and communication. Strong focus on team collaboration and achieving optimal patient outcomes. Reliable and adaptable, ensuring efficient and compassionate care in dynamic environments. Equipped with expertise in medical procedures, patient assessments, and care coordination.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Registered Nurse ICHD
Davita Kidney Care
Vallejo, CA
11.2021 - Current
- Performs hemodialysis treatments in accordance with approved facility policies and procedures.
- Prior to initiation of dialysis, ensures dialysis machine, its alarms and products used during treatment are prepped and meet quality standards.
- Monitors the patient during dialysis, assess any emergent changes in the patient’s condition, and communicates any problems to the physician and patient’s family.
- Administers and charts all prescribed pre, intra, and post dialysis medications and charge items in the Medical Information System (MIS) and the treatment flow sheet.
- Participates in patient care conferences, medical rounds and chart reviews, as assigned. Documents patient education to ensure compliance with the local.
- Interacts with local hospitals as a liaison to facilitate continuity of care.
- Collaborates with all staff members and renal team members to maintain medication inventory, ensure the dialysis machines are functioning properly, and maintain an adequate stocking of unit supplies.
- Works with the head nurse and nurse manager to assure that OSHA compliance, occurrence reporting, and emergency preparedness is up to date.
- Administered patient care, including medication management and vital sign monitoring.
- Collaborated with interdisciplinary teams to develop and implement individualized care plans.
- Administered comprehensive patient assessments to develop individualized care plans.
- Collaborated with interdisciplinary teams to optimize patient outcomes and enhance treatment efficacy.
- Educated patients and families on chronic kidney disease management and self-care strategies.
- Implemented quality improvement initiatives to enhance patient safety and service delivery processes.
Dialysis Nurse
Sonoma Specialty Hospital
Sonoma, CA
11.2024 - 01.2025
- Achieved high standards in patient care through diligent monitoring of vital signs and comprehensive physical assessments. Enhanced patient treatment processes by effectively managing dialysis initiation and termination. Streamlined documentation of physician’s orders and laboratory work to improve workflow efficiency.
- Enhanced patient care by accurately documenting trauma signs in physical and mental assessments. Improved treatment processes by reviewing dialysis orders for compliance. Strengthened patient records through meticulous observation documentation.
- Reported all emergencies, life-threatening complications, and related incidents to medical director and dialysis manager.
- Conducted assessments of patient and family learning readiness, providing essential insights on renal disease, dialysis treatment, and overall health impact.
- Assisted in delivering dialysis therapy by formulating dialysis plans based on physician orders. Supported weight and rate of ultrafiltration adjustments. Verified compliance with safety measures and administered medications as needed. Followed established procedures for discontinuing dialysis and documented all activities accurately.
- Delivered comprehensive instructions to patients on necessary pre- and post-dialysis care practices.
- Participates in the development and implementation of the patient’s short and long term plan of care and monthly progress note
- Checking the patients’ vital signs and talking with them to assess their condition
- Teaching patients about their disease and its treatment and answering any questions
- Making sure patients are given the correct medications ordered by their doctors
- Reviewing the patients’ lab work and letting the doctors know about changes in their patients’ conditions
- Oversees the review and evaluation of patient care in accordance with regulatory agencies, facility quality program In collaboration with the Education Coordinator and Dialysis Manager plans for and provides the training and assessments of patient care staff
- Collaborates with the Medical Director, Social Worker, Dietitian, Staff Nurses and Technicians on any specific problem of patient care including selection of modality
- Actively encourages and helps maintain open and free communication between staff, administration, physicians and patients
- Reviews financial operations of Dialysis Unit with Administrative Team, Medical Director, and Dialysis Manager providing input and participation in financial decisions relating to operations
- Administered dialysis treatments to patients, ensuring adherence to protocols and safety standards.
- Monitored patient vital signs and responded promptly to any changes in condition during procedures.
- Educated patients and families on dialysis processes, fostering understanding and cooperation in care plans.
- Collaborated with multidisciplinary teams to develop comprehensive care strategies tailored to individual patient needs.
- Trained and mentored new nursing staff on best practices for dialysis treatment administration and patient care.
- Implemented process improvements that enhanced operational efficiency within the dialysis unit, optimizing patient flow.
- Conducted regular assessments of patient health status, documenting changes accurately in electronic health records systems.
- Ensured optimal vascular access function by performing regular assessments, troubleshooting complications promptly, and collaborating with surgeons when necessary.
- Collaborated with interdisciplinary team members to develop individualized care plans for dialysis patients, resulting in improved overall health and wellbeing.
- Maintained safe and efficient treatment environment by adhering to infection control protocols and equipment maintenance schedules.
- Administered dialysis treatments to patients, ensuring adherence to safety protocols and quality care standards.
- Monitored patient vital signs and laboratory results, adjusting treatment plans as necessary for optimal outcomes.
- Educated patients and families on dialysis procedures, fostering understanding of treatment options and self-care practices.
- Collaborated with multidisciplinary teams to develop individualized care plans, enhancing overall patient experience and satisfaction.
Licensed Clinical
US Renal Care
Napa, CA
10.2019 - 04.2021
- Assist with clinical and operational processes to improve patient health and minimize hospitalizations and misses treatments.
- Demonstrate effective use of supplies and staff labor hours.
- Responsible for updating all logs and ensuring that dialysis run sheets and logs are sent to billing.
- Performs duties as assigned to meet the patient care or operational needs of the clinic.
- Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician.
- Assist physician during rounds and transcribed and implement physician orders timely.
- Assist with the implementation of anemia management and medication protocols as requested.
- Initiate and provide patient education and follow up as needed.
- Assist with program’s target goal for patient outcomes in accordance with quality patient care and Company goals.
- Performs hemodialysis treatments in accordance with approved facility policies and procedures.
- Prior to initiation of dialysis, ensures dialysis machine, its alarms and products used during treatment are prepped and meet quality standards.
- Monitors the patient during dialysis, assess any emergent changes in the patient’s condition, and communicates any problems to the physician and patient’s family.
- Administers and charts all prescribed pre, intra, and post dialysis medications and charge items in the Medical Information System (MIS) and the treatment flow sheet.
- Follows / . Participates in patient care conferences, medical rounds and chart reviews, as assigned. Documents patient education to ensure compliance with the local.
- Interacts with local hospitals as a liaison to facilitate continuity of care.
- Collaborates with all staff members and renal team members to maintain medication inventory, ensure the dialysis machines are functioning properly, and maintain an adequate stocking of unit supplies.
- Knowledge of and compliance with federal, state, local, and regulations, including health care professionals practice act requirements.
- Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations.
- May give direct patient care to the extent of performing efficient, safe dialysis, if allowed by state regulations.
- Responds to all emergencies in clinic.
- Signs off before each shift on water quality verification.
- Supervise preparation of all equipment and supplies, likewise the clean-up following each patient shift.
- Ensures personal protective equipment is used as necessary.
- Complete patient admission process as outlined in policy and procedure, collaborating with team members regarding real or potential problems or needs relative to the treatment provided.
- Works with the head nurse and nurse manager to assure that OSHA compliance, occurrence reporting, and emergency preparedness is up to date.
- Complete pre and post treatment physical assessment.
- Initiate and terminate patient treatments to include connecting and disconnecting catheters and cleaning catheter sites per protocol, if allowed by state regulations.
- Set up dialysis machines, clean, disinfect, and provide quality control of dialysis machines as required by policy and procedures.
- Participate in infection control monitoring, implementation, and recording as requested.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
RN (Hospice)
Hospice of the East Bay
Walnut Creek, CA
05.2018 - 04.2020
- ESSENTIAL FUNCTIONS:
- Hospice nursing services include:
- Assessing all aspects of the patient’s pain and developing an individualized pain management plan.
- Anticipating, preventing and treating undesirable symptoms or secondary symptoms
- Identifying and addressing comfort care needs.
- Supporting, instructing and educating the patient, family and caregiver. Coordinating all patient and family services and community resources as needed.
- Documenting problems, nursing assessments, appropriate goals, care provided, care interventions and patient and family outcomes achieved from intervention and care provided.
- Coordinating all patient and family services and community resources as needed.
- Maintaining the dignity, confidentiality and privacy of the dying patient.
- Supporting the patient’s unique spiritual and cultural beliefs.
- Providing holistic, family-centered care across treatment settings to improve the quality of life.
- Consulting and collaborating with the interdisciplinary team and others involved in the patient’s care.
- Coordinating and managing patient care with awareness of insurance benefits, necessary authorizations and cost containment.
- Coordinating patient care plan with inpatient staff when patient is hospitalized.
- Attending and presenting appropriate patient-related information at the Interdisciplinary Team Meetings that focuses on open care plan problems.
- Updating the comprehensive assessment and patient’s progress towards desired outcomes at least every 15 days.
- Reassesses patient’s response to care.
- Completing patient-related documentation within 2 hours of the shift worked.
- Adhering to and complies with state and federal regulations, as well as accreditation standards. Updating the comprehensive assessment and patient’s progress towards desired outcomes at least every 15 days.
- Providing patient and primary caregiver education/training, as appropriate, for care and services identified in the plan of care.
- Adhering to evidence-based standards of practice that are endorsed by the agency.
- Other Case Management responsibilities:
- Communicating with Team Manager as appropriate regarding patient acuity, scheduling, workload, and difficult situations.
- Completing necessary records, reports and documentation in a timely manner according to agency requirements.
- Following the agency’s process for effective “hand off” communication.
- Participating in educating new staff members as assigned by the Team Manager.
- Supervising performance of Home Health Aide.
- Overseeing Volunteers in the home.
- Attending appropriate in-services held for Hospice of the East Bay staff.
- Participating, as requested, in QAPI activities.
- Initiating and ongoing monitoring of medication reconciliation processes according to Medicare and accreditation standards.
- Administered medications and managed pain relief for patients in hospice care.
- Coordinated interdisciplinary care plans to address patient needs effectively.
- Educated families on end-of-life care options and emotional support resources.
Registered Nurse
Novato Healthcare Center
Novato, CA
02.2014 - 09.2015
- Complete all required record keeping forms / charts upon the resident’s admission, discharge and transfer.
- File in the resident’s chart / or forward to the appropriate department. Transcribe the physician’s order sheet, Initiate resident plans of care on admission.
- Chart TPR’s, blood pressure and blood glucose as required. Order prescribed medications, supplies and equipment as established by the facility’s policies and procedures.
- Review physician orders and transfer / preadmission information for completeness.
- Prepare / administer medication as ordered by the physician.
- Chart licensed nurse’s note in an informative and descriptive manner that reflects the care provided as well as the resident’s response to the care.
- Forward new diet orders, and / or diet changes to the dietary department. Transcribe physician’s orders to resident’s charts, Medication Records, Treatment Records and RNA sheet to assure they remain current.
- Verify the identification of the resident before administering medication or treatment. Requisition and arrange for diagnostic and therapeutic services as ordered by the physician.
- Assure that narcotic records are always current.
- Admit, transfer and discharge resident. Assist in arranging transportation and packing as necessary.
- Check resident charts for specific treatment, medication orders and schedules daily. Administer professional services such as; starts IV, IV infusion, catheterization, tube feeding, suction, applying and changing dressing / bandage, packs, colostomy and drainage bags, taking blood, sputum, urine specimens, care of the dead / dying as established by the facility’s policies and procedures.
- Review medication sheet for completeness of information, accuracy in the transcription of physician orders and adherence to stop order policies. Perform routine charting as required.
- Check food in resident’s rooms that is brought in by resident’s family or visitors in accordance with the facility’s established policies and procedures.
- Behavior of residents on psychoactive medications. Record intake and output, and complete monthly evaluation as per the facility’s policy and procedure.
- Give / receive nursing reports upon reporting in and ending shift duty hours.
- Check all residents daily to assure that prescribed treatment is being properly administered by nursing personnel / assistants and to evaluate their physical and emotional status.
- Record findings in the resident’s chart. Assure that nursing personnel are providing adequate nursing care in accordance with establish nursing service procedures.
- Assure that all personnel follow established infection control and aseptic techniques when isolation procedures become necessary.
- Report all hazardous conditions and equipment to the RN Supervisor and maintenance department immediately. Ensures that all consumer / resident rights and privacy are protected.
- Administered medications and treatments in accordance with established protocols and patient care plans.
- Collaborated with interdisciplinary teams to develop comprehensive care strategies for diverse patient populations.
- Implemented infection control measures, improving compliance rates and ensuring patient safety standards were met.
Nurse 1
Medical City
Manila.Philippines
09.2011 - 04.2013
- Responsible in the provision of quality patient care by maintaining accurate records and professional standard.
- Plans, implements, evaluate standard nursing care. Keep patient’s record, report observations, carries out doctor’s orders.
- Assist physicians in procedures such as lumbar puncture, suturing and patient examination. Administer oral, parenteral medications and vaccination to patients.
- Perform EKG, blood extraction, ABG’s, NGT and urinary catheter insertion, initiates IVF infusion and monitors continuous bladder irrigation.
- Act as a charge / senior nurse when delegated. Attend seminars, training and conferences.
- Administered medications and treatments as prescribed by physicians.
- Monitored patient vital signs and reported changes to the medical team.
- Administered patient care and medication management in high-pressure environments.
- Collaborated with multidisciplinary teams to develop personalized care plans.
Emergency Nurse
Dubai Corporation of Ambulance Services
Dubai, UAE
05.2006 - 07.2011
- Respond to emergency calls to provide efficient and immediate care to critically ill and injured.
- Determines the nature and extent of illness or injury and establish priority for required emergency care based on assessment findings.
- Provide prehospital emergency nursing care of simple and multiple system injury and renders appropriate emergency management e.g. defibrillation, BLS, ACLS, airway management, IVF infusion, immobilization, EKG, extrication, etc.
- Assisting patients with prescribed medications and as well as administering medication as prescribed by physician.
- Provide additional care in triaging the injured in accordance with standard emergency procedures.
- Complies with regulation on handling the deceased, notifies authorities and arranges for protection of property and evidence at the scene.
- Endorses patient to medical facility provided with electronic patient care record.
- Replenish stocks, cleaning and disinfecting ambulance in accordance with the department’s protocol.
- Attends continuing education and training as required by the agency protocol and meets qualifications within the functional job analysis.
- (Formerly Dubai Police EMS) Dubai, U A E
- Administered emergency care to patients in high-pressure environments, ensuring rapid response and effective treatment.
- Collaborated with multidisciplinary teams to develop patient care plans and improve clinical outcomes.
Staff Nurse
East Avenue Medical Center
Quezon City. Philippines
10.2001 - 10.2005
- Plans, implements and evaluates nursing care, performs nursing activities, observes signs and symptoms, institutes remedial action when appropriate and records in chart.
- Administer and charts medication, performs nursing procedures such as IVF infusion, NGT insertion, catheter insertion, EKG, ABG’s, blood extraction, and tube feeding via NGT, gastrostomy and TPN. Monitor continuous bladder irrigation.
- Report observations and assist physicians when examining patients and performing procedures such as lumbar puncture, chest tube insertion, paracentesis, thoracentesis, fine needle aspiration biopsy and bone marrow aspiration biopsy.
- Carries out doctor’s order, observes and responds to patients emotional and spiritual needs.
- Act as liaison between patients and hospital personnel.
- Admit, transfer, discharges patients, performs post-mortem care.
- (General Surgery, Urology, Med-surgical Nursing, Emergency Room) Department of Health, Quezon City Philippines
- Administered medications and monitored patient responses to ensure optimal care.
- Collaborated with interdisciplinary teams to develop and implement individualized care plans.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
Nurse / Emergency Medical Technician
Marikina City EMS, Disaster Coordinating Council
Marikina,Philippines
07.1996 - 10.2001
- Undertaking responsible emergency nursing cares.
- Observes symptoms of physical and mental conditions and needs requiring evaluation and application of principles.
- Apply emergency nursing care appropriate for the patient individual nursing needs considering the prioritization and time frame involving the patient, family and other personnel.
- Implement emergency nursing measures and techniques pertinent to medical diagnosis and therapy of the patient.
- Execute legal orders of physician concerning emergency treatment and medications.
- Document accurately nursing observation and interventions done to the patient during emergencies including evaluation of the whole care.
- Evaluates process of emergency nursing care implemented.
- Conduct basic life support and first aid training to schools and community.
- Office of Civil Defense, Philippines
- Administered emergency medical care to patients in high-stress disaster situations.
- Collaborated with multidisciplinary teams to enhance patient outcomes during emergencies.
- Developed and implemented training programs for new nursing staff on emergency protocols.
- Coordinated response strategies for disaster management, ensuring effective resource allocation.
Education
No Degree - Hemodialysis Training
Lifeline Hemodialysis Academy, LLC
Daly City, CA06.2015
Education - Education Subjects for High School Teaching
Marikina Institute of Science And Technology
Marikina, Philippines01.2000
Bachelor of Science - Nursing
Quezon City Medical Center and Colleges
Quezon City, Philippines01.1994
Skills
- Medication administration
- Medication delivery
- Patient care management
- Comprehensive patient evaluations
- Documentation expertise
- Comprehensive patient evaluation
- Effective clinical decision-making
- Patient education
- Clinical decision-making
- Patient advocacy
- Infection control measures
- Patient care
- Patient monitoring
- IV setup
- Intravenous therapy
- Care planning
- Patient management
- Professional bedside manner
- Advanced cardiac life support (ACLS) certification
- Licensed RN
- Family education
- Taking vitals
- Collecting vitals
- Tracheostomy care
- Precepting
- Patient discharge
- Lab result interpretation
- EMR systems
- Performing ekgs
- Insulin medication assistance
- Vaccine administration
- Wound care
- Compassion and empathy
- Care plan development
- Patient evaluation
- Medication distribution
- Proper catheter insertion/removal
- Intake and discharge
- Maintaining privacy
- Relationship building
- Chart updating
- EMR / EHR
- Personal care needs
- Patient relations
- Chest pain management
- HIPAA education
- Administering immunizations
- Hospice and palliative care
- Long-term care
- Geriatric nursing
- Removing sutures
- FLUENT IN Tagalog and English
Certification
- Registered Nurse State of California License # 95024432 Expiration January 31, 2026
- BLS (CPR/AED) for Health care provider American Heart Association CA # 15590 Expiration February 2025
- ACLS November 06 2024 - November 06 2026
Timeline
Dialysis Nurse
Sonoma Specialty Hospital
11.2024 - 01.2025
Registered Nurse ICHD
Davita Kidney Care
11.2021 - Current
Licensed Clinical
US Renal Care
10.2019 - 04.2021
RN (Hospice)
Hospice of the East Bay
05.2018 - 04.2020
Registered Nurse
Novato Healthcare Center
02.2014 - 09.2015
Nurse 1
Medical City
09.2011 - 04.2013
Emergency Nurse
Dubai Corporation of Ambulance Services
05.2006 - 07.2011
Staff Nurse
East Avenue Medical Center
10.2001 - 10.2005
Nurse / Emergency Medical Technician
Marikina City EMS, Disaster Coordinating Council
07.1996 - 10.2001
Bachelor of Science - Nursing
Quezon City Medical Center and Colleges
No Degree - Hemodialysis Training
Lifeline Hemodialysis Academy, LLC
Education - Education Subjects for High School Teaching
Marikina Institute of Science And Technology