CULLEN DUENAS

Provided 911 emergency medical response across the greater Tucson municipal area, working 24-hour shifts three times per week on some of the busiest units in the AMR network. Delivered rapid assessment, emergency treatment, and safe transport of patients to and from hospitals while collaborating closely with police, fire, flight crews, nurses, and trauma physicians. Completed detailed patient assessments, obtained medical histories during transport, and delivered clear oral and written reports to hospital staff. Maintained accurate documentation for both AMR and receiving facilities, assisted with patient check-in, and ensured compliance with administrative and clinical protocols. Certified to operate emergency vehicles Code 3 (lights and sirens) following completion of AMR Emergency Vehicle Operator Course (EVOC). Served as designated bariatric transport unit for Tucson, providing specialized care and transport for oversized patients, including those with amputations and complex mobility needs. Demonstrated proficiency in radio communication, mapping and navigation, incident command system (ICS), vehicle and equipment maintenance, inventory management, supply ordering, and shift readiness checks. Frequently served as lead EMT responsible for unit operations and shift management. Selected to train and mentor new EMTs, working closely with leadership to support skill development and performance improvement.

Collaborate with co-instructors to support student success through hands-on skills training and classroom instruction. Teach a comprehensive EMT curriculum, including airway, breathing, circulation (ABCs), CPR, and preparation for the National Registry examination. Facilitate skills refinement and clinical readiness for both prehospital and hospital-based settings. Currently pursuing CPR Instructor certification. Serve in a PRN role with a flexible, self-managed schedule, ensuring availability does not interfere with predefined work commitments. Demonstrate strong communication, mentorship, and instructional skills while maintaining a supportive learning environment for students.

Performed comprehensive medical intake assessments for individuals entering a secured facility, serving as the first point of medical contact. Obtained and documented vital signs, medical history, psychiatric history, medication and substance use history, and current injuries to determine medical clearance for admission. Conducted focused physical assessments, including evaluation of wounds, injuries, and overall condition, and promptly identified patients requiring higher levels of care or 911 transport. Worked extensively with high-risk populations, including individuals experiencing homelessness, substance use disorders, and psychiatric crises. Demonstrated proficiency in recognizing signs of intoxication, withdrawal, overdose, and behavioral escalation. Utilized de-escalation techniques to safely gather accurate medical information from combative or distressed patients and collaborated closely with nursing staff to initiate appropriate treatment. Completed standardized screenings including COWS, COWS II, CIWA, and Columbia Suicide Severity Rating Scale. Assisted with wound care, routine medication administration, and medical out-processing evaluations for released individuals. Coordinated with local clinics to obtain releases of information and ensure continuity of care for therapies such as Methadone and Buprenorphine. Maintained accurate documentation within the facility’s medical record system and delivered clear verbal reports to nursing staff. Worked in maximum security and psychiatric holding units, managing medical needs during overdoses and behavioral emergencies. Conducted twice-daily controlled substance and sharps inventory checks in collaboration with correctional officers

Evaluated and documented work-related injuries, initiated in-house 7-day treatment protocols, and referred employees to outside medical providers as needed. Responded to moderate and advanced injuries throughout the facility as part of the emergency response team, providing immediate assessment and first aid care. Managed workers’ compensation cases from intake through resolution, including case documentation, tracking, and communication of medical updates, work restrictions, and return-to-work status to building leadership. Maintained compliance with OSHA requirements by tracking hearing conservation programs, audiometric testing, injury cases, and medical leaves of absence. Served as assistant clinic manager, supporting daily clinic operations including scheduling, inventory management, supply ordering, and workflow adjustments based on seasonal demands. Trained facility emergency response team members and warehouse staff in first aid and CPR, and actively pursued CPR Instructor certification. Collaborated with clinic leadership to address employee medical requests and optimize clinical operations.

Served as a COVID-19 Screener at Pima West Campus, conducting patient screening and intake in a high-volume testing environment. Implemented FEMA testing protocols to accurately collect, label, and ship specimens to laboratories. Assisted in training staff on proper COVID-19 testing procedures and safety standards. Independently managed testing tent operations, including daily setup, teardown, and inventory management of medical supplies and equipment. This was a FEMA contract and it wasn't renewed by the county.

• Provided immediate medical care and support during emergency situations.
• Increased public trust in EMS services by maintaining a professional demeanor during interactions with patients, families, bystanders, and other healthcare professionals at all times.
• Trained EMTs in basic life support skills, oxygen therapy, and wound care.
• Demonstrated leadership abilities while serving as lead EMT during designated shifts or special events requiring additional responsibilities beyond primary duties.
• Contributed to a positive work environment by providing mentorship and support to new EMTs entering the field.
• Advanced patient comfort during transport by employing proper handling techniques and providing emotional support as needed.
• Improved patient comfort and safety during transport with attentive care and communication, easing patient anxiety.
• Collaborated with law enforcement and fire department personnel to secure accident scenes, enhancing operational safety for all involved.

Developed and maintained a real-time Excel tracking system to monitor calibration, testing, and preventive maintenance compliance for over 1,400 pieces of equipment, including aviation ground support equipment, petroleum/oil/lubricant inventory, and diagnostic testing devices. Implemented new standard operating procedures to improve efficiency, organization, and regulatory compliance. Trained and supervised senior and junior personnel to ensure understanding and adherence to updated program standards. Oversaw program operations for two years, ensuring timelines and quality standards were met while supporting multiple high-demand operational units. Successfully managed limited budgets and supply shortages while maintaining mission readiness. Reduced equipment delinquency rates from 85% to 17% within three months and increased supply availability by 65% while lowering overall expenditures. Led a small supervisory team in managing large-scale equipment programs and contributed to passing a major regulatory inspection for the first time in eight years.