BRANIESNEY Guevara
Summary
Focused on providing the best services in healthcare and change lives of many people in the society.
Time conscious, highly adaptive to any environment and can use evidence-based data to help guide all diagnosis and treatment plans.
Highly proficient in providing patient care, prioritizing relevant information and organize tasks based on priority.
Educated and familiar with guiding patients to prevent diseases and promote healthier lifestyles. Compassionate and dedicated Registered Nurse and Family Nurse Practitioner seeking a FNP position in an outpatient clinic or hospital setting. With over 15 years of clinical experience in diverse settings, offering excellent patient assessment skills and a dedication to providing holistic, high-quality care. Passionate about building relationships with patients to create a sense of trust and care. FNP-certified Nurse Practitioner with proficient in patient and family education regarding the management of acute and chronic health conditions. Self-directed professional with superior problem-solving, communication and management skills. Successful in prioritizing tasks and organizing projects to improve the quality of patient care.
Overview
14
14
years of professional experience
Work History
Emergency Nurse Practitioner
CentraCare Health System
Melrose, MN
11.2023 - Current
- Assessed and managed critically ill patients in the emergency department.
- Developed treatment plans for patients with a variety of acute medical and traumatic conditions.
- Performed rapid assessment, diagnosis, and treatment of emergent conditions including resuscitation and stabilization.
- Provided advanced nursing care to stabilize acutely ill or injured patients.
- Ordered laboratory tests, imaging studies, medications, and other treatments as necessary.
- Coordinated transfers from the Emergency Department to other departments or outside facilities when needed.
- Performed physical examinations on new patients to assess their condition and determine appropriate plan of care.
- Educated patients about health promotion activities related to disease prevention and management strategies.
Family Nurse Practitioner
Rejuv Medical
Waite Park, MN
09.2023 - Current
- Ordered laboratory tests, imaging studies, medications, and other treatments as necessary.
- Performed physical examinations on new patients to assess their condition and determine appropriate plan of care.
- Developed individualized patient treatment plans based on identified needs and medical history.
- Performed routine diagnostic tests such as laboratory work, EKGs, x-rays, ultrasounds and other imaging studies.
- Prescribed medications and therapies for treating musculoskeletal injuries or diseases.
- Reviewed literature pertaining to new developments in the field of Orthopedics.
Family Nurse Practitioner
Mille lacs Health System
Onamia, MN
03.2022 - Current
- Instructed and counseled patients to comply with prescribed medical or physical regimens, medications, health maintenance and addiction treatment.
- Reviewed patient's medical history and laboratory data for abnormalities and completeness and delivered informed follow-up.
- Offered preventive services such as well-child, adult and gynecological examinations.
- Evaluated and treated sexually transmitted diseases.
- Provided women's health services for contraception, reproductive concerns and family planning.
- Assessed historical medical information and recent symptoms.
- Educated patients on strategies for chronic disease prevention.
- Worked with multiple healthcare disciplines to manage patient care.
- Provided school-aged children with appropriate physical examinations and required vaccinations.
- Performed physical exams, ordering and evaluating lab test as well as medications.
- Delivered primary care for patients and handled diagnosis, treatment, referral for consultation or specialty services, follow-up care, evening urgent care call and on-call emergency consultation.
- Explained treatment plan care, physician-ordered tests and medications to patients and family members or caregivers.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
Nurse Practitioner
Fe y Justicia
Long Prairie, MN
04.2022 - Current
- Documented patient information, treatment provided and vitals in patient charts.
- Collaborated with multidisciplinary healthcare teams to provide comprehensive care.
- Built trust and rapport with prospective patients to understand treatment needs and determine appropriate level of care.
Community Health Volunteer
Project HEAL
Saint Cloud, MN
09.2016 - Current
- Demonstrated leadership by making improvements to work processes and helping to train others.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Notified individuals regarding appointment follow-ups and referrals and provided transportation to appointments.
Nurse Practitioner
Molina Healthcare
Salt Lake City, UT
08.2021 - 12.2021
- Performed physical exams, ordering and evaluating lab test.
- Answered patient and family questions to educate on optimal treatment procedures.
- Built trust and rapport with patients by listening to concerns, advocating for wellness and educating on acute and chronic health issues.
- Assessed need for, ordered, obtained and interpreted appropriate lab tests.
- Managed pharmacological and non-pharmacological treatment of various disorders and diseases.
- Managed patients with acute and chronic conditions such as stroke, heart disease, asthma, and COPD.
- Oversaw average of 9 patients per shift.
- Collaborated cross-functionally with local businesses to organize health promotion programs to engage and attract potential patients.
- Educated patients relative to health care urgency and community resources available to meet needs.
- Documented services discussed and provided details in electronic medical records.
- Offered medical advice and recommendations based on physician guidance and clinical protocols.
- Documented symptoms, complaints and issues discussed during calls and actions taken in patient medical records.
- Documented patient call with detailed progress notes in electronic medical records.
- Communicated patient conversations with other care team members for appropriate follow up.
- Reviewed medical chart to streamline appointments, prescriptions and consultations for urgent needs.
Emergency Room Nurse
Intermountain Healthcare
Salt Lake City, UT
09.2021 - 11.2022
- Monitored and managed various treatment and care interventions.
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
- Responded quickly to codes and coordinated efficient and skilled care.
- Maintained open and clear communication with physicians to coordinate effective patient care.
- Stabilized patients, determined health needs and provided direct patient care.
- Administered critical IV medications to stabilize patients for assessment and treatment.
- Treated patients by administering various types of medications and therapies.
- Conducted patient assessments and diagnostic tests to provide physician with important patient health information.
Registered Nurse, Emergency Department
Allina Health
Buffalo, MN
07.2020 - 05.2022
- Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
- Updated physicians on patient test results and assisted in developing care plans.
- Administered medications, tracked dosages and documented patient conditions.
- Maintained personal and team compliance with medication administration standards and patient care best practices.
- Prioritized nursing tasks and assignments and accurately reported patient status.
- Facilitated patient flow during emergency situations, directing evacuations, admissions and transfers.
- Collaborated with doctors to plan post-treatment home care and prevent return hospitalization.
Aesthetic Nurse
Reviveme Mobile
Maple Grove, MN
10.2020 - 08.2021
- Educated clients on additional available services to increase facility revenue and promote client loyalty.
- Advised clients about dermatologic products and benefits or restrictions of different active ingredients.
- Scheduled patient consultations and treatments.
Sexual Assault Nurse Examiner
Central MN Sexual Assault Center
St. Cloud, MN
09.2011 - 12.2020
- Performed and documented sexual assault medical forensic interviews/exams accurately and timely.
Head-to-toe medical assessment for trauma, detailed genital/anal examination
Forensic specimen collection and supportive documentation
Photo documentation of bodily and genital-anal injuries with competent documentation
Assessed for mandatory reporting status and report when appropriate
Maintained chain of custody and adhere to evidence guidelines
Ensure patient/medial record confidentiality at all times (HIPPA)
Maintained professional standards that do not create conflict of interests with employment
or patient care
Administered prophylactic medications and emergency contraception
Coordinated referrals for appropriate follow-up care as needed
Testified as fact witness to any/all cases performed while contracted as a SANE
Emergency Room Registered Nurse
CENTRACARE HEALTH SYSTEM ST CLOUD HOSPITAL
St. Cloud, MN
07.2014 - 04.2020
- COVID-19 crisis response during the coronavirus pandemic providing care, assessing, monitoring and determining priority of care based on physical, psychological and social needs.
- Monitored, recorded, and reported symptoms or changes in patients' conditions.
- Ordered, interpreted, and evaluated diagnostic tests to identify and assess patient's condition.
- Assessed the needs of individuals, families, or communities, including assessment of individuals' home or work environments, to identify potential health or safety problems.
- Administered medications intravenously, by injection, orally, through gastric tubes, or by other methods.
- Evaluated patients' vital signs and laboratory data to determine emergency intervention needs.
- Administered blood and blood products, monitoring patients for signs and symptoms related to transfusion reactions.
- Conducted pulmonary assessments to identify abnormal respiratory patterns or breathing sounds that indicate problems.
- Collaborated with other health care professionals to develop and revise treatment plans based on identified needs and assessment data.
- Collected specimens for laboratory tests.
- Assisted physicians with procedures such as bronchoscopy, endoscopy, endotracheal intubation, and elective cardioversion.
- Identified malfunctioning equipment or devices.
- Ensured that equipment or devices are properly stored after use.
- Educated patients and families on treatment strategies and at-home care.
- Trained and mentored new RNs on best practices, hospital policies and standards of care.
- Promoted healthy lifestyle choices to reduce re-emergence of painful or dangerous symptoms.
- Participated in hospital-wide initiatives and committees to improve patient care, satisfaction and safety.
Emergency Room, Licensed Practical Nurse
CENTRACARE HEALTH SYSTEM ST CLOUD HOSPITAL
Saint Cloud, MN
01.2012 - 06.2014
- Collaborated with other health care professionals to develop and revise treatment plans based on identified needs and assessment data. Collected specimens for laboratory tests.
Assisted physicians with procedures such as bronchoscopy, endoscopy, endotracheal intubation, and elective cardioversion.
Identified malfunctioning equipment or devices.
Ensured that equipment or devices are properly stored after use.
Administered prescribed medications or start intravenous fluids, noting times and amounts on patients' charts.
Observed patients, charting and reporting changes in patients' conditions, such as adverse reactions to medication or treatment, and taking any necessary action.
Provided basic patient care or treatments, such as taking temperatures or blood pressures, dressing wounds, treating bedsores, giving enemas or douches, rubbing with alcohol, massaging, or performing catheterizations. Answer patients' calls and determine how to assist them.
Measured and record patients' vital signs, such as height, weight, temperature, blood pressure, pulse, and respiration.
Worked as part of a healthcare team to assess patient needs, plan and modify care, and implement interventions.
Collected samples, such as blood, urine, or sputum from patients, and performed routine laboratory tests on samples.
Prepared patients for examinations, tests, or treatments and explain procedures
Licensed Practical Nurse
CENTRACARE HEALTH SYSTEM-MELROSE CLINIC
Melrose, MN
10.2009 - 12.2011
- Provided basic patient care or treatments, such as taking temperatures or blood pressures, dressing wounds, treating bedsores, giving enemas or douches, rubbing with alcohol, massaging, or performing catheterizations.
- Measured and record patients' vital signs, such as height, weight, temperature, blood pressure, pulse, and respiration.
- Worked as part of a healthcare team to assess patient needs, plan and modify care, and implement interventions.
- Collected samples, such as blood, urine, or sputum from patients, and perform routine laboratory tests on samples.
- Prepared patients for examinations, tests, or treatments and explain procedures.
- Make appointments, keep records, or perform other clerical duties in doctors' offices or clinics.
- Assisted in delivery, care, or feeding of infants.
Education
ATLS Course -
University of Utah
Salt Lake City, UT09.2021
Medical Aesthetics Training:Absorbable PDO Threads - Certificate
National Laser Institute
Scottsdale, AZ05.2021
Doctor of Nursing Practice - Family Practice Nurse Practitioner
College of St. Scholastica, St. Cloud MN DNP
Duluth, MN12.2020
CALS Certificate - Course
College of Saint Scholastica
Duluth, MN06.2020
Facial Aesthetic Master Program - Facial Aesthetics Master Program
The American Assoc of Aesthetic Medicine & Surgery
Beverly Hills, CA05.2020
Bachelor of Science - Registered Nurse
St. Cloud State University, St Cloud MN BSN
Saint Cloud, MN05.2016
B.A - Spanish
St. Cloud State University
Saint Cloud, MN05.2016
Associate of Science - ADN
Alexandria Technical And Community College
Alexandria, MN05.2014
Licensed Practical Nurse
Alexandria Technical And Community College
Alexandria, MN07.2009
Skills
- Excellent interpersonal and organizational skills
- Compassionate and caring for the sick
- Can communicate and collaborate effectively
- Solid ethics that guide personal and professional conduct
- Critical thinking skills that can help in decision-making
- Ability to critically pay attention in detail
- Mental, physical and emotional strength hence stamina
- Patient-centered care
- Laceration repair
- Bilingual in Spanish
Relevant Clinical Experience
Primary Care rotation at Central Melrose Clinic, MN
Family Medicine Rotation at Central Melrose Clinic, MN
Emergency Medicine rotation at St Cloud Hospital, MN
Family Practice-Gero at Essentia Health - Virginia, MN
ReviveMe Mobile at Maple Grove, MN
- Performed physical exams, ordering and evaluating lab test as well as medications
- Managed care of critically ill patients with hypertension, diabetes, renal failure, cardiac disease, closed head injuries, strokes, seizures and tumors
- Delivered primary care for patients, including diagnosis, treatment, referral for consultation or specialty services, follow-up care, evening urgent care call and on-call emergency consultation
- Explained treatment plan care, physician-ordered tests and medications to patients and family members or caregiver
- Complied with hospital policies and procedures in an effort to ensure every patient's safety
- Computerized charting specialist
- Aesthetic nurse
Timeline
Emergency Nurse Practitioner
CentraCare Health System
11.2023 - Current
Family Nurse Practitioner
Rejuv Medical
09.2023 - Current
Nurse Practitioner
Fe y Justicia
04.2022 - Current
Family Nurse Practitioner
Mille lacs Health System
03.2022 - Current
Emergency Room Nurse
Intermountain Healthcare
09.2021 - 11.2022
Nurse Practitioner
Molina Healthcare
08.2021 - 12.2021
Aesthetic Nurse
Reviveme Mobile
10.2020 - 08.2021
Registered Nurse, Emergency Department
Allina Health
07.2020 - 05.2022
Community Health Volunteer
Project HEAL
09.2016 - Current
Emergency Room Registered Nurse
CENTRACARE HEALTH SYSTEM ST CLOUD HOSPITAL
07.2014 - 04.2020
Emergency Room, Licensed Practical Nurse
CENTRACARE HEALTH SYSTEM ST CLOUD HOSPITAL
01.2012 - 06.2014
Sexual Assault Nurse Examiner
Central MN Sexual Assault Center
09.2011 - 12.2020
Licensed Practical Nurse
CENTRACARE HEALTH SYSTEM-MELROSE CLINIC
10.2009 - 12.2011
ATLS Course -
University of Utah
Medical Aesthetics Training:Absorbable PDO Threads - Certificate
National Laser Institute
Doctor of Nursing Practice - Family Practice Nurse Practitioner
College of St. Scholastica, St. Cloud MN DNP
CALS Certificate - Course
College of Saint Scholastica
Facial Aesthetic Master Program - Facial Aesthetics Master Program
The American Assoc of Aesthetic Medicine & Surgery
Bachelor of Science - Registered Nurse
St. Cloud State University, St Cloud MN BSN
B.A - Spanish
St. Cloud State University
Associate of Science - ADN
Alexandria Technical And Community College
Licensed Practical Nurse
Alexandria Technical And Community College
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