Edith Orejel
San Diego,CA
Summary
Compassionate Psychiatric Mental Health Nurse Practitioner with experience in providing both acute and chronic care for patients with psychiatric disorders. Strengths include strong interpersonal skills, ability to provide patient-centered care, and advanced clinical knowledge in psychiatry. Previous work has involved direct patient care, collaboration with multidisciplinary teams to develop comprehensive treatment plans, and effective crisis intervention techniques.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
San Diego Family Care
01.2023 - Current
- Diagnose and treat psychiatric conditions, conduct comprehensive medication intakes, performing follow-ups as indicated per treatment plan, prescribe medication when indicated, create and update treatment plans, and teach health promotion and disease prevention to patients and/or family members
- Provide direct clinical services to patients, including evaluation, education, counseling, and medication management on an outpatient basis
- Complete accurate and relevant electronic progress notes, prescriptions, and Treatment Authorization Requests
- Review medical records, test results, lab reports, and consultations as necessary
- Maintain behavioral standards, including (but not limited to), effective listening and communication skills and respectful interactions with colleagues and patients
- Follows policies and procedures, including (but not limited to), cooperating with the timely submission of credentialing and licensing paperwork; maintaining BLS certification; maintaining CME units based on the requirements of the specifying Board; attending all mandatory meetings; minimizing incident reports
- Meet clinic site and organization needs in a reliable and flexible manner; prioritize work and adhere to a schedule
- Participate in administrative duties, including lab reports, charts, and medication refills reviewed and managed appropriately
- Perform other duties as assigned
Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
Well Coast Medical
12.2021 - 01.2023
- Responsible for providing psychiatric services to clients
- Scope of services includes outpatient psychiatric evaluations and medication management services
- Assess, diagnose, and treat adults experiencing symptoms of a behavioral health disorders
- Prescribe, recommend, or discontinue drugs and treatments to treat mental, emotional, or behavioral disorders in accordance with the Collaborative Practice Agreement and the state’s Nurse Practice Act
- Collaborate with counselors, social workers, or other treatment team members to coordinate client care
- Responsible for timely and accurate completion of medical records, including assessment, treatment plan, progress notes, outcome measures, and billing entries
- Counsel clients during appointments, as necessary
- Design/participate in the development of individualized treatment plans, incorporating best and leading practices into treatment interventions.
- Collaborate with guardians, relatives, and significant others on client’s conditions and treatment when clinically appropriate
- Return calls and emails promptly
- Records all services performed for accurate billing for services provided in compliance with all local, state and federal laws
- Actively participate in all agency and department education, training, and in-services to confirm understanding of new information or changes to established clinical policies and procedures
Registered Nurse (RN)
Scripps Mercy Hospital
10.2016 - 12.2021
- Company Overview: Emergency Department
- Psychiatric Emergency Services Full time staff
- Assessment of Acute Psychiatric patients in Emergency Room
- Implemented treatment plans for patients with a broad range of mental health issues
- Ensured that doctors' orders were effectively carried out, including testing, medical procedures, consultations and stat orders for restraint
- Evaluate patient care needs to prioritize treatment and maintain patient flow
- Demonstrated sound ethical and independent decision-making
- Lead and trained new staff and registered nurses on unit routine, hospital protocol, direct patient care, and duties within the unit
- Responded to numerous volatile situations and violent outbreaks, earning the respect of physicians and coworkers for calm, levelheaded and quick thinking to restore the safety and security of patients and staff
- Administer medication to patients presenting serious risk of danger to themselves and others while ensuring correct dosage, frequency, and appropriate use
- Efficient transfer to inpatient setting such as Behavioral Health Unit or Medical Floor
- Emergency Department
Registered Nurse (RN)
Aurora Behavioral Health
05.2016 - 10.2016
- Psychiatric Intensive Care Unit Full time/Core Staff
- Full assessment of new patients on admission
- Asses 19 patients daily for Suicidal or Homicidal ideation, and takes appropriate precautionary action to ensure safety of patient as well as milieu
- Collects and analyzes data regarding patient's physical, psychological, self-care, educational, and discharge planning needs
- Develops comprehensive outline for care to be delivered to attain expected outcomes, including specific goals and interventions unique to every patient
- Maintains effective communication with all units and departments
- Functions with policies and philosophies of organization
- Supervises direct patient care as required.
- Carries out medication management responsibilities
- Conducts patient community meetings and groups when necessary
- Maintains patients and unit related documentation
- Maintains a safe and orderly therapeutic environment for patients
Mental Health Worker Behavioral Health PICU
Aurora Behavioral Health
08.2015 - 05.2016
- Psychiatric Intensive Care Unit Full time/Core staff
- Ensures the safety and well-being of patients as well as support the maintenance of the therapeutic milieu
- Takes Vital Signs and notified nurse when Vitals are not within normal limits
- Admits new patients to the unit and orients to program and milieu
- Participate in input and follow through with regard to treatment planning
- Observe and identify patients’ problems, needs and strengths, and suggest treatment plan modifications
- Accompany and transport patients as assigned
- Facilitate patient community meetings
- Maintain patient, and unit related documentation
- Maintain a safe, orderly, and therapeutic environment for patients
- Assists patients with daily living activities consistent with treatment plans
- Carry out administrative and clerical assignments to support patient care, and organizational operation
Milieu Support Staff/House Manager
Hanbleceya Treatment Center
11.2014 - 08.2015
- Knowledge of safe and sound interventions
- Provides crisis intervention as required
- Maintains firm boundaries while maintaining a safe environment
- Familiar with client's diagnosis, current issues, current stressors, structures, therapists, dynamics, and role in the milieu
- Milieu Support on Call as required
- Ability to prepare and maintain clear, accurate, comprehensive recommendations, records, and reports
- Support in taking medications consistently and on time
- Supports medication coordinator
- Ability to deal with Angry, Suicidal, or otherwise difficult clients
- Assists in ADL's, problem solving, and participating in program recovery
- Monitors clients in maintaining their hygiene and cleanliness of their living space
- Support clinical staff in the implementation of client's treatment plan
- Accompanies clients to appointments and communicates pertinent information as well as maintains records and files
- Participates in staff meetings, treatment planning, staff training, and emergency staff meetings
Mental Health Specialist
Big Sister League of San Diego
01.2014 - 11.2014
- Provides support for women with mental illness such as Schizophrenia, Bipolar disorder, Depression, Anxiety, and Eating disorders among many
- Promotes independence to allow self-empowerment
- Provides a kind, compassionate, and safe environment while maintaining firm boundaries
- Completes Case management weekly
- Monitors Medications and assures proper usage of them
- Observes and monitors client behavior and response to treatment
- Records client information accurately indicating suicidal precautions
- Facilitates a smooth discharge by encouraging and reassuring clients throughout transition
- Directed family-centered, strengths-based, culturally competent, and individualized intakes and assessments
- Connected clients with community service and resource agencies
Direct Support Professional
Ryan's Way
08.2009 - 02.2014
- Serves as a Certified Nursing Assistant and later progressed to Direct Support Staff license with developmentally disabled adults
- Provides complete care for patients as well as medication administration under the RN's license
- Provides bathing, toileting, feeding, and outdoor/ activities to promote well-being and emotional support for optimum health
- Administers breathing treatments, Medications, and G-tube feedings
- Flexible to cross train at all houses
- Worked Day, Evening and Night shift
Education
Masters in science of Nursing -
Walden University
08.2021
Bachelor’s in Science of Nursing -
National University
01.2013
Skills
- Psychiatric evaluation
- Medication management
- Treatment planning
- Patient education
- Electronic health records
- Fluent in Spanish
- Collaborative care
- CPR & BLS Certified
- 103 NP
Affiliations
- Member of the American Psychiatric Nurses Association (APNA)
- Member of the National Alliance on Mental Illness (NAMI)
Certification
- Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) by the ANCC
- Attention Deficit Consultant (ADC-C) by the AIHCP
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
Timeline
Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
San Diego Family Care
01.2023 - Current
Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
Well Coast Medical
12.2021 - 01.2023
Registered Nurse (RN)
Scripps Mercy Hospital
10.2016 - 12.2021
Registered Nurse (RN)
Aurora Behavioral Health
05.2016 - 10.2016
Mental Health Worker Behavioral Health PICU
Aurora Behavioral Health
08.2015 - 05.2016
Milieu Support Staff/House Manager
Hanbleceya Treatment Center
11.2014 - 08.2015
Mental Health Specialist
Big Sister League of San Diego
01.2014 - 11.2014
Direct Support Professional
Ryan's Way
08.2009 - 02.2014
Masters in science of Nursing -
Walden University
Bachelor’s in Science of Nursing -
National University
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