Esthela Ramirez
United States
Summary
Family Nurse Practitioner graduate with more than 20 years of pediatric healthcare experience at Texas Children's Hospital, including pediatric pulmonary nursing, cystic fibrosis specialty pharmacy services, and pediatric urgent care. Extensive experience supporting multidisciplinary cystic fibrosis and pulmonary programs through direct patient care, specialty medication management, patient and family education, and care coordination. Demonstrated expertise in pediatric pulmonary disorders, cystic fibrosis management, severe asthma therapies, CFTR modulators, biologic therapies, pulmonary diagnostics, and interdisciplinary collaboration. Recognized for clinical excellence through nominations for Nurse of the Year and Excellence in Nursing. Committed to delivering evidence-based, family-centered care that improves outcomes for children with complex respiratory conditions.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Staff Nurse – Mark Wallace Tower Pulmonary Clinic
Texas Children's Hospital
03.2023 - Current
- Provide comprehensive nursing care and care coordination for pediatric patients with cystic fibrosis, severe asthma, bronchopulmonary dysplasia, and other chronic respiratory disorders.
- Participate in multidisciplinary Cystic Fibrosis clinics in collaboration with pulmonologists, advanced practice providers, respiratory therapists, dietitians, social workers, and specialty pharmacy teams.
- Perform comprehensive patient assessments, triage, and clinical evaluations for acute and chronic pulmonary conditions.
- Monitor pulmonary function testing, laboratory studies, diagnostic imaging, and specialty medication outcomes.
- Educate patients and caregivers regarding airway clearance medications, inhaled medications, CFTR modulator therapies, adherence strategies, and disease management.
- Coordinate multidisciplinary care plans and facilitate continuity of care across outpatient and specialty services.
- Document assessments, interventions, patient education, and care plans utilizing EPIC electronic medical records.
Staff Nurse – Urgent Care
Texas Children's Hospital
Pearland, Texas
02.2022 - 03.2023
- Performed comprehensive nursing assessments and triage for pediatric patients presenting with acute illnesses, injuries, respiratory distress and other urgent medical conditions.
- Collaborated with physicians and advanced practice providers in evaluating and managing diverse pediatric conditions.
- Assisted with diagnostic testing, specimen collection, medication administration, and procedural support.
- Recognized changes in patient condition and facilitated timely interventions to support patient safety and quality outcomes.
- Educated patients and families regarding diagnoses, medications, treatment plans, discharge instructions, and follow-up care.
- Maintained accurate documentation within EPIC electronic medical records.
Specialty Pharmacy Technician - Pulmonary
Texas Children's Hospital
02.2017 - 02.2022
- Specialized in supporting pediatric pulmonary patients receiving complex therapies for cystic fibrosis, severe asthma and pulmonary hypertension medications.
- Coordinated medication access, prior authorizations, insurance approvals, refill management, and financial assistance programs.
- Developed extensive knowledge of cystic fibrosis therapies including: Trikafta, Orkambi, Symdeko, Kalydeco
- Knowledgeable on inhaled antibiotics, pancreatic enzymes and other CF medications.
- Supported medication management for pediatric patients receiving biologic therapies, including Dupixent, Xolair, Nucala, and Fasenra.
- Collaborated closely with pulmonologists, pharmacists, nurses, respiratory therapists, and families to promote adherence and optimize treatment outcomes.
- Trained and mentored new pharmacy technicians on operational procedures and systems.
Pharmacy Technician - Inpatient/Outpatient
Texas Children's Hospital
02.2004 - 02.2017
- Prepared and dispensed medications accurately to ensure patient safety and adherence to protocols.
- Trained pharmacy technicians in the different pharmacy areas within Texas Children's Hospital.
- Conducted medication therapy reviews to identify potential drug interactions and contraindications.
- Compounded IV and oral medications, dispensed medications in compliance with pharmacy regulations and safety protocols.
- Trained in inpatient PICU pharmacy, CVIC Pharmacy, Pavilion Pharmacy, Oncology Pharmacy and Same Day Surgery Pharmacy (outpatient).
Education
Master of Science in Nursing - Family Nurse Practitioner
University of Texas at Arlington
05-2026
Bachelor of Science in Nursing - undefined
University of Houston-Downtown
12-2022
Associate Degree Nursing - undefined
Houston Community College
05-2021
Skills
- Pediatric Pulmonary Care
- Cystic Fibrosis Management
- Asthma Management
- CFTR Modulator Therapies
- Asthma Biologic Therapies
- Comprehensive Health Assessment
- Differential Diagnosis Development
- Patient & Family Education
- Care Coordination
- Chronic Disease Management
- Evidence-Based Practice
- Quality Improvement
- EPIC Electronic Medical Record
- Multidisciplinary Collaboration
Certification
- Texas Registered Nurse License #1044401 (Active, Unencumbered)
- Basic Life Support (BLS) | Expires 2027-05
- Pediatric Advanced Life Support (PALS) | Expires 2027-07
- Advanced Cardiac Life Support (ACLS) | Expires 2028-05
HONORS & RECOGNITION
Nominated for Nurse of the Year, Texas Children's Hospital Ambulatory, Nominated for Excellence in Nursing Award, Texas Children's Hospital Ambulatory
ADVANCED PRACTICE CLINICAL EXPERIENCE
- Pediatric Primary Care Practicum – 180 Hours
- Edgebrook Pediatric Clinic
- Preceptor: María del Carmen Espinoza, MD
- Conducted comprehensive pediatric assessments and sports physicals.
- Performed well-child examinations, developmental screenings, and preventive care visits.
- Evaluated, and managed common pediatric acute and chronic health conditions.
- Provided patient and caregiver education regarding growth, development, immunizations, and disease prevention.
- Primary Care Practicum – 360 Hours, WH 90 Hours and Geriatric 90 Hours
- Clínica Familiar Nuestra América
- Preceptor: Lino Benech-Jiménez, DNP, FNP
- Performed comprehensive health assessments across the lifespan.
- Developed differential diagnoses and evidence-based treatment plans.
- Ordered, interpreted, and evaluated diagnostic testing and laboratory results.
- Provided preventive care, chronic disease management, and patient education.
- Women's Health Practicum – 90 Hours
- Conducted women's health assessments, preventive care visits, and reproductive health counseling.
- Geriatric Practicum – 90 Hours
- Performed geriatric assessments, chronic disease management, medication review, and preventive care planning.
- Total Graduate Clinical Hours: 720
Languages
Spanish
Native or Bilingual
Timeline
Staff Nurse – Mark Wallace Tower Pulmonary Clinic
Texas Children's Hospital
03.2023 - Current
Staff Nurse – Urgent Care
Texas Children's Hospital
02.2022 - 03.2023
Specialty Pharmacy Technician - Pulmonary
Texas Children's Hospital
02.2017 - 02.2022
Pharmacy Technician - Inpatient/Outpatient
Texas Children's Hospital
02.2004 - 02.2017
Master of Science in Nursing - Family Nurse Practitioner
University of Texas at Arlington
Bachelor of Science in Nursing - undefined
University of Houston-Downtown
Associate Degree Nursing - undefined
Houston Community College