Desiree Barrientos, DNP, RN
Chino
Summary
Dynamic and accomplished nursing leader with a Doctor of Nursing Practice (DNP) and Master of Science in Nursing (MSN) degree, specializing in education and leadership. Proven track record in pharmaceutical sales, case management, NICU nursing, educational, and leadership roles. Committed to delivering exceptional patient-centered care, fostering professional development and a culture of innovation, and advancing organizational excellence.
Overview
19
19
years of professional experience
Work History
Clinical Sales Liaison-RN
Coram CVS Infusion Specialty
01.2021 - Current
- Demonstrated outstanding customer service and expertise in promoting pharmaceutical products to the aligned hospital accounts in the Inland Empire, including patient care experiences, and growing the Ontario market to achieve and exceed sales targets
- Utilized leadership, strong communication, and interpersonal skills to build and maintain relationships with key stakeholders and played a crucial role in identifying market trends, providing feedback to internal teams, and contributing to strategic business planning
- Lead for San Gabriel territory expansion and creating strategies for the new target hospitals
- Precepted clinicians in navigating EPIC electronic platform and flowsheet documentation
- Conducted meetings with the Sales team to identify and demonstrate improvement areas and executed team-building exercises to build cohesive and high-performing teams, fostering collaboration, communication, and mutual respect among team members
- Demonstrated leadership by training and mentoring new CSL-RN team members for other states, Nevada, Washington, and Idaho, contributing to team success
- Guided team members through periods of change within the organization, effectively managing resistance and driving the adoption of new initiatives and processes
- Addressed conflicts among team members, facilitated constructive dialogue, and found mutually beneficial solutions
- Encouraged a culture of innovation and creativity within the organization and promoted exploring new ideas and approaches to drive continuous improvement and competitive advantage
- Educated and trained healthcare professionals on product features, benefits, and appropriate usage
- Marketed Coram’s core home infusion therapies: Anti-infectives, TPN, Inotrope therapies, Specialty therapies, and Enteral nutrition support
- Educated patients through video education links and virtual and bedside teaching before discharge home
- Educated patients at the hospital bedside on Coram’s core therapies for home infusion therapies in the following unit departments: Medical-surgical, Surgical-oncology, Cardiothoracic, Neurology, Postpartum/Family Center Care, and NICU/Pediatric step-down
- Demonstrated appropriate flushing recommendations based on the type of vascular access device and administration guides/infusion pumps (Curlin, Cadd, & Bard)
- Educated patients and caregivers regarding potential side effects of therapy, expected response to therapy, and troubleshooting complications
- Educated patients and caregivers to utilize Coram patient education tools regarding therapy administration and specific processes
- Advanced knowledge in IV therapy, wound care, pain management, and post-operative care
- Excellent communication, patient education, and interdisciplinary teamwork
- Provided education to patients and families on post-discharge care, medication management, and health maintenance
- Acting Case Manager to obtain a track record of effectively managing cases within a sales infusion position for the VA and Loma Linda University hospitals
- Assessed, planned, coordinated, advocated, monitored, documented, supported, problem-solve, and evaluated specific needs of the patients/families for home infusion therapies
- Assisted the team in generating daily patient information (PIF) and (COR) referrals
- Collaborated with Home Health Agencies to assist with patients’ discharge needs
- Participated in the daily Ontario Stand Down Branch calls
- Followed up with patients post-discharge to ensure a smooth transition and delivery status of medications and supplies
- Conducted in-services to hospital accounts, including Case Managers, medical staff, and specialty clinics
- Created and implemented QR education codes for direct access to Coram’s educational link videos on the method of administration for infusion therapies
- Created and implemented monthly newsletters to Case Managers and medical staff
- Educated community hospital Pharmacists and medical professionals so they know how to prescribe the therapy
- Educated medical professionals on using the curlin pump and other intravenous administration equipment
- Evaluated and managed payer mix with patient therapies and nursing services
- Proficient in Coram’s Medicare Specialist training for home therapies, Medicare policies, and regulations
- Collaborated with commercial private payers and community home health agencies to ensure a safe discharge planning process
- Collaborated with Enteral Nutrition Center in managing patients admitted to Coram’s Enteral services
- Participated in Coram’s annual regional sales meetings with healthcare providers, followed leads, and cultivated new customers
- Critically think and communicate effectively in a fast-paced same-day discharge planning environment at the hospital, medical doctor’s office, and home start therapy services
- Administered specialty medication infusions to the patients at the local branch ambulatory infusion suite (AIS)
- Coram’s Marketing Advisory Board Member
- Performed with the committee members nationwide and provided guidance, insights, and strategic advice to Coram’s home infusion and enteral therapies
- Share knowledge of market trends and emerging technologies
- Shared feedback on the current organization’s initiatives, products, and services
- Networking with clients to leverage partnerships, make informed decisions, and stay competitive in our existing markets
Quality Improvement Project
Loma Linda University Medical Center
06.2023 - 12.2023
- Led, managed, and implemented the post-discharge outreach enteral nutrition program
- This quality improvement is a process improvement project that promotes high-quality care through education, promotion of tube feedings, and effective communication to help bridge care gaps, sustain the continuity of care, and identify opportunities for process improvement
- The program aimed to improve patient outcomes, capture readmission data, and enhance the overall quality of care for patients requiring enteral nutrition
RN Case Manager Utilization Management
Kaiser Permanente Medical Center Los Angeles
03.2019 - 06.2020
- Led, managed, and coordinated care plans for patients, collaborating with interdisciplinary teams to optimize outcomes
- Performed high-quality post-discharge calls to patients discharged within 72 hours from Los Angeles Medical Center’s following service lines: Surgery, Neurology, Urology, Nephrology, Internal Medicine, Cardiology
- Served as a liaison between patients, healthcare providers, and insurance companies, advocating for patient needs and ensuring efficient utilization of healthcare resources
- Educated and facilitated smooth transitions of care and promoted holistic wellness for patients across the continuum
- Conducted assessments, developed care plans, and provided patient education to facilitate self-management and adherence to treatment orders and protocols
- Ensured continuity of care and coordinated discharge planning to support patients’ transition to the next level of care
- Conducted ~ 18-20 daily high-quality telephonic outreach for all patients at risk for readmission from the Hospital Medicine service line via Microsoft Teams
- Promoted education on medication adherence, medical equipment, and disease management and reinforced Post Discharge Hospital (POSH) appointments
- Identified treatment failure, care gaps, medication adverse reactions, and social issues
- Booked POSH appointments for patients who are discharged from LAMC
- Customer service resource and support to patients and families with chronic illness relative to quality and service issues
- Collaborated with MD to address readmission and change of condition escalations using the approved SBAR template
- Collaborated with inpatient Utilization Management Discharge Planning to address DME and home health escalations using an approved SBAR template
- Collaborated with the post-discharge call-back team coordinator to address POSH follow-up appointment escalations using the approved SBAR template
- Collaborated with Pharmacy to coordinate medication delivery during the Covid-19 pandemic
- Assisted ~ 5-8 daily high-quality telephonic outreach for patients participating in the COVID-19 home monitoring program
- Provided resource needs of members post-discharge to prevent the chance of readmission
- Participated in weekly meetings with LAMC Hospitalists for case reviews and hospital performance on post-discharge callbacks and observed over-expected ratio performance trends
- Participated in quarterly Utilization Management meetings regarding case reviews, issues, and systems
- Preceptor the newly hired employee
- Awarded STAR Award for Quality & Safety Excellence in December 2019
- Awarded Patient Safety Most Valuable Player & Good Catch in November 2019
NICU RN Staff Educator
Kaiser Permanente Medical Center Los Angeles
11.2015 - 03.2019
- Designed and implemented educational programs to enhance the clinical skills and knowledge of nursing staff and healthcare professionals
- Member of the administrative team in Regional Tertiary Care Medical Center
- Led the administrative team as a Nurse Educator in the Level III Neonatal Intensive Care Unit specializing in the care of Extremely Low Birthweight Infants (400+ grams) and high-risk complex disorders
- Utilized PDSA methodology to design, implement, and evaluate educational interventions, ensuring the delivery of specialized care for neonatal patients and their families
- Provided dynamic leadership and strategic direction to ensure the delivery of high-quality education and training initiatives
- Leveraged expertise in nursing education and leadership to drive excellence in clinical best practices, protocols, patient care, regulatory compliance, and organizational outcomes
- Demonstrated leadership by serving as a mentor and preceptor to new team members, fostering their professional growth and development
- Implemented Plan Do Study Act (PDSA) methodology for the NICU programs
- Planned and identified specific goals and objectives for the NICU programs, such as enhancing family support and preparing families for discharge
- Developed a detailed plan outlining the interventions and strategies to achieve unit metrics and goals, considering input from the MCH Director, NICU DA, MD Director, NICU CNS, families, and relevant stakeholders
- Implemented the NICU discharge class program for families of high-risk infants
- Implemented an 'All about the NICU' program for families with infants 28 weeks’ gestation and younger in the NICU setting, such as implementing family education sessions, establishing support groups, and creating discharge protocols
- Collaborated with discharge planning and case management teams
- Gathered data during the implementation phase to monitor the effectiveness of the interventions and identify any challenges or areas of improvement
- Analyzed the data collected during the implementation phase to evaluate the effectiveness of the NICU programs in achieving the established goals
- Assess the impact of the interventions on key outcomes, such as family satisfaction, neonatal health outcomes, and readiness for discharge
- Implemented modifications to the interventions and processes to better meet the needs of the families and improve outcomes for premature neonates
- Assume leadership responsibilities as Acting Department Administrator during periods of absence, ensuring continuity of operations, maintaining staff morale, and facilitating effective communication within the team
- Administrative Liaison for Nursing Management and Staff
- Facilitated nursing workflow in the presence of clinic barriers
- Directed oversight of efficient clinical operations and workflows
- Monitored LAMC NICU education and competency goals by The Joint Commission guidelines and developed strategies to ensure measures were exceeded
- Provided customer service resources and support liaison to patients and families with chronic illness relative to quality and service issues
- Conducted Mock Codes and Critical Events Team Training (CETT) exercises utilizing SimNew Baby simulation mannequin
- Organized and conducted annual NICU Skills Professional Practice Updates (PPU)
- Coordinated scheduling of new employee orientation (NEO) hire training and preceptorship program
- Lead coordinator for scheduling the Traveler orientation onboarding process
- Performed shift huddles for communication of department and organizational goals
- Representative on the Medical Center daily 'Situational Awareness' briefing among Leadership personnel and operations
- Collaborated with nursing leadership to develop strategies/business plans to achieve integrated services and core quality measures
- Implemented evidenced-based practices to optimize patient care delivery, resulting in improved patient care outcomes and satisfaction
- Participated in leadership committees and forums of LAMC (VAP/HAI, Skin to Skin & FMEA)
- Coordinated and assisted with vendor product education in-services
- Monitored Ventilator-Assisted Pneumonia (VAP) and Skin-to-Skin chart audits in the KPHC system
- Lead the HCAHPS Discharge survey onsite for families on the day of discharge
- Implemented policies to enhance the efficiency and quality of surgical care delivery.
- Collaborated with surgical and administrative leadership to achieve departmental goals.
- Streamlined unit procedure equipment supplies (Tracheostomy kits, Myelomeningocele care kits, aEEG/iEEG, hypothermia, reservoir tap kits, cardiac catheter kits)
- Oversaw preoperative, intraoperative, and postoperative nursing care to maintain high standards of practice.
- Ensured proper communication handoffs, infectional control, and equipment maintenance in the sterile field of the NICU operating area.
- Assisted with maintaining the NICU policies without the Clinical Nurse Specialist (CNS)
- Neonatal Resuscitation Provider (NRP) instructor
- Participated in the Maternal Child Health (MCH) Grand Leadership Rounds monthly
- Restructured the Traveler Orientation Onboarding process with the Professional Education and Development Team
- Created the NICU/PICU floating guidelines for staff personnel
- Participated and collaborated in the showcase for LAMC’s new simulation center for TeamSTEPPs clinical performance and safety culture
- Led a team that achieved The Daisy Award for excellence in their extraordinary example of compassionate care.
Registered Nurse, NICU Level III
Kaiser Permanente Medical Center Los Angeles
04.2007 - 11.2015
- Performed tertiary-level services in a 33-bed NICU, including high-risk deliveries in Labor and Delivery
- Provided leadership in a fast-paced NICU environment, ensuring the delivery of high-quality care to critically ill newborns and their families
- Collaborated with interdisciplinary team members to implement evidence-based practices and improve patient outcomes
- Attended low to high-risk C-section & Vaginal deliveries in Labor & Delivery
- Performed exchange transfusions for the infant
- Participated in weekly multi-discipline discharge rounds
- Collaborated with Respiratory Therapy team VAP bundle huddle for safe ventilator management
- Performed preoperative, intraoperative, and post-operative care bedside surgery and management (cardiac, GI, and neuro)
- Proficient in CoolCap and Criticool Hypothermia treatment
- Proficient in aEEG/iEEG care of the neonate
- Served as supportive staff during patent ductus arteriosus (PDA) Ligation surgeries
- Customer service driven to support patients and families to deliver the KP Promise
- Tracheostomy and Gastrointestinal Tube Care and Maintenance
- Float Nurse to FCC/ Postpartum, Newborn Nursery, Pediatrics and PICU
- Supervised NICU staff and Clinical Relief Charge Nurse
Registered Nurse, Level IIB NICU
Presbyterian Intercommunity Hospital, Whittier
10.2005 - 09.2015
- Led, managed, and coordinated care plans for patients, collaborating with interdisciplinary teams to optimize outcomes
- Performed high-quality post-discharge calls to patients discharged within 72 hours from Los Angeles Medical Center’s following service lines: Surgery, Neurology, Urology, Nephrology, Internal Medicine, Cardiology
- Served as a liaison between patients, healthcare providers, and insurance companies, advocating for patient needs and ensuring efficient utilization of healthcare resources
- Educated and facilitated smooth transitions of care and promoted holistic wellness for patients across the continuum
- Conducted assessments, developed care plans, and provided patient education to facilitate self-management and adherence to treatment orders and protocols
- Ensured continuity of care and coordinated discharge planning to support patients’ transition to the next level of care
- Conducted ~ 18-20 daily high-quality telephonic outreach for all patients at risk for readmission from the Hospital Medicine service line via Microsoft Teams
- Promoted education on medication adherence, medical equipment, and disease management and reinforced Post Discharge Hospital (POSH) appointments
- Identified treatment failure, care gaps, medication adverse reactions, and social issues
- Booked POSH appointments for patients who are discharged from LAMC
- Customer service resource and support to patients and families with chronic illness relative to quality and service issues
- Collaborated with MD to address readmission and change of condition escalations using the approved SBAR template
- Collaborated with inpatient Utilization Management Discharge Planning to address DME and home health escalations using an approved SBAR template
- Collaborated with the post-discharge call-back team coordinator to address POSH follow-up appointment escalations using the approved SBAR template
- Collaborated with Pharmacy to coordinate medication delivery during the Covid-19 pandemic
- Assisted ~ 5-8 daily high-quality telephonic outreach for patients participating in the COVID-19 home monitoring program
- Provided resource needs of members post-discharge to prevent the chance of readmission
- Participated in weekly meetings with LAMC Hospitalists for case reviews and hospital performance on post-discharge callbacks and observed over-expected ratio performance trends
- Participated in quarterly Utilization Management meetings regarding case reviews, issues, and systems
- Preceptor the newly hired employee
- Awarded STAR Award for Quality & Safety Excellence in December 2019
- Awarded Patient Safety Most Valuable Player & Good Catch in November 2019
Education
Doctor of Nursing Practice -
California Baptist University
12.2023
Master of Science - Nursing, Education and Leadership
Capella University
12.2016
Bachelor of Science - Nursing
Azusa Pacific University
12.2004
Skills
- Skilled Team Leadership
- Excellent communication and interpersonal abilities
- Proficient in evidence-based practice and quality improvement methodologies
- Ability to collaborate effectively with interdisciplinary teams
- Proficient in EHR systems (EPIC) and healthcare technology
- Proficient in Microsoft Office applications (Word, PowerPoint, Excel, Outlook, Teams)
- Proficient in Online Learning Systems
- Proficient in Sales platforms (Salesforce, SharePoint, LinkedIn Sales Navigator)
Affiliations
Sigma Theta Tau International Honor Society of Nursing
References
Available upon request
Timeline
Quality Improvement Project
Loma Linda University Medical Center
06.2023 - 12.2023
Clinical Sales Liaison-RN
Coram CVS Infusion Specialty
01.2021 - Current
RN Case Manager Utilization Management
Kaiser Permanente Medical Center Los Angeles
03.2019 - 06.2020
NICU RN Staff Educator
Kaiser Permanente Medical Center Los Angeles
11.2015 - 03.2019
Registered Nurse, NICU Level III
Kaiser Permanente Medical Center Los Angeles
04.2007 - 11.2015
Registered Nurse, Level IIB NICU
Presbyterian Intercommunity Hospital, Whittier
10.2005 - 09.2015
Master of Science - Nursing, Education and Leadership
Capella University
Bachelor of Science - Nursing
Azusa Pacific University
Doctor of Nursing Practice -
California Baptist University
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