Irina Villafranca Egozcue

Collaborated under a formal collaborative agreement with a Hepatobiliary Surgery specialist, providing comprehensive care to patients with complex hepatobiliary conditions.

Key Responsibilities:

• Performed comprehensive patient evaluations in outpatient clinics, inpatient units, and perioperative settings.
• Managed acute and chronic hepatobiliary conditions including postoperative care.
• Conducted daily clinical rounds and monitored patient progress.
• Ordered and interpreted diagnostic tests, imaging, and laboratory studies.
• Coordinated pre-admission evaluations and specialty referrals for surgical candidates.
• Developed and implemented treatment plans in collaboration with multidisciplinary teams.
• Participated in weekly tumor board meetings with oncologists, gastroenterologist, radiologists, pathologists, and nutrition specialists.
• Provided clinical guidance to nursing staff regarding:

ICU perioperative care

Hemodynamic monitoring

Surgical wound care

Drain management

Arterial and central venous line management

Early patient mobilization

• Maintained comprehensive clinical documentation and case presentations
• Coordinated care directly with specialty providers

Provided advanced emergency medical care for critically ill and high-acuity patients.

Key Responsibilities:

• Conducted comprehensive patient assessments including history and physical examinations.
• Prioritized patient acuity using triage and clinical evaluation.
• Developed evidence-based differential diagnoses.
• Interpreted diagnostic studies including CT scans, MRI, X-rays, EKGs, and laboratory testing.
• Initiated and adjusted medical treatment plans following clinical protocols.

Managed complex acute conditions including:

• Sepsis.
• Acute respiratory failure.
• Diabetic emergencies.
• Hypertensive crisis.
• Acute heart failure.
• Electrolyte imbalances.
• Chest pain and cardiovascular emergencies.
• Altered mental status.
• Severe infections.

Additional Responsibilities:

• Coordinated interdisciplinary care with emergency physicians, intensivists, hospitalists, and specialists.
• Facilitated hospital admissions and inter-facility transfers.
• Educated patients and families regarding diagnoses and treatment plans.
• Maintained detailed and accurate medical documentation.

Progressed from Licensed Practical Nurse to Registered Nurse while providing advanced care in Internal Medicine and Intensive Care Units, including Liver Transplant services.

Key Responsibilities:

• Delivered direct patient care including advanced monitoring and treatment support
• Provided care for liver and kidney transplant patients
• Managed patients experiencing transplant rejection and immunosuppressant toxicity
• Supported patients requiring:
• Mechanical ventilation
• Endotracheal intubation
• Continuous renal replacement therapy (CVVHD)
• Dialysis therapy
• Assisted in major surgical procedures
• Managed patients with septic shock, renal failure, and complex critical illnesses
• Performed advanced wound care and postoperative monitoring
• Provided care for COVID-19 patients following evolving clinical protocols
• Managed hemodynamic monitoring and hypertensive emergencies

Provided maternal, pediatric, and community-based healthcare services.

Key Responsibilities:

• Managed care for high-risk pregnancies and obstetric patients
• Assisted OB/GYN physicians during deliveries and procedures
• Provided prenatal and postpartum patient education
• Conducted community health follow-ups for over 120 families
• Managed chronic disease prevention and monitoring including diabetes, asthma, and hypertension
• Participated in cervical cancer prevention and screening programs
• Assisted pediatric and primary care services
• Served as Emergency Department Lead Nurse for two years