Irma Jestes
Oklahoma City
Summary
Critical Care Registered Nurse with extensive experience in high-acuity trauma environments. Proficient in managing complex clinical technologies, including ECMO and CRRT, while providing leadership through precepting new nurses and optimizing clinical workflows.
Overview
1
1
Certification
24
24
years of professional experience
Work History
ECMO/Transplant ICU Staff RN
Integris Baptist Medical Center
01.2023 - 08.2026
- Managed VV and VA ECMO, titrated ventilators with lung protective strategies, and adjusted medications for patient comfort and stable pulse pressures
- Assisted Advanced Care Practitioners & Physicians with bedside ECMO cannulations and reconfigurations, Swan-Ganz insertion, central venous catheter insertion, arterial line insertion, and emergent intubation of patients
- Independent management and monitoring of hemodynamically unstable patients undergoing CRRT, MARS, filter troubleshooting, fluid balance calculations, and optimizing fluid and electrolyte imbalances
- Oversaw care for 100+ ventilated patients, including blood gas interpretations and supported ventilator weaning processes
- Provided post-operative care to liver transplant patients while assessing for organ rejection, bleeding, and infection
- Precepted 4 new graduate nurses and 2 student externs on CRRT and ECMO management, enhancing their hemodynamic monitoring skills and aiding transition to night shift through constructive feedback
- 500+ bed Level II trauma facility, 20-bed unit with Medical Intensive Care Unit overflow patients
- Served as Relief Charge Nurse and resource nurse January- August 2026
ECMO/Transplant ICU Nurse Tech
Integris Baptist Medical Center
Oklahoma City
08.2021 - 12.2022
- Supported RN in delivering direct patient care, monitoring vital signs, managing glucose levels, and ensuring hygiene.
- Collaborated with interdisciplinary teams to develop patient care plans.
- Utilized advanced monitoring equipment to assess patient conditions continuously.
- Provided direct patient care in a fast-paced intensive care environment.
ECMO/Transplant ICU Health Unit Coordinator
Integris Baptist Medical Center
02.2015 - 07.2021
- Transcribed and entered physician orders into EHR to maintain up-to-date patient records
- Processed admissions, transfers, and discharges paperwork to ensure accurate patient flow
- Acted as primary contact for visitors and staff by answering phones, call lights, and relaying messages to facilitate communication.
ECMO/Transplant ICU CNA
Integris Baptist Medical Center
05.2010 - 01.2015
Oncology/Medical Surgical Unit CNA
Integris Baptist Medical Center
02.2006 - 04.2010
Hospitality Patient Assistant Liaison
Integris Baptist Medical Center
04.2003 - 01.2005
Pre-Op Nurse
Ocom Hospital
Oklahoma City
09.2026 - Current
- Prepare patients for surgery ensuring they are physically ready for surgery. Work closely with anesthesia and physicians while verifying readiness for surgery, assessing the patient, and providing education.
Education
Bachelor of Science - Nursing
University of Central Oklahoma
Edmond, OK12-2022
Bachelor of Science - General Studies
University of Central Oklahoma
Edmond, OK12-2019
Skills
- Epic EMR
- Cerner EMR
- Bilingual - Spanish
- ECMO management
- Hemodynamic monitoring
- Ventilator management
- CRRT management
- Post-operative assessment
- Placing IVs
- Surgical readiness verification
- Preoperative assessment
- Team collaboration
- Effective communication
Certification
- Critical Care Registered Nurse (CCRN), 02/28
- Advanced Cardiac Life Support (ACLS), 06/27
- Basic Life Support (BLS)/CPR, 09/27
- Registered Nurse (RN), Multistate Compact License, 03/28
- PALS 09/28
Leadership Experience And Activities
- Member, National Association of Hispanic Nurses
- Founding member oh NAHN Oklahoma
- Member, Oklahoma City Chapter of AACN
- Transplant ICU UBC 2015-2022
- Resource RN/relief charge RN January-August 2026 in ECMO Transplant ICU
Timeline
Pre-Op Nurse
Ocom Hospital
09.2026 - Current
ECMO/Transplant ICU Staff RN
Integris Baptist Medical Center
01.2023 - 08.2026
ECMO/Transplant ICU Nurse Tech
Integris Baptist Medical Center
08.2021 - 12.2022
ECMO/Transplant ICU Health Unit Coordinator
Integris Baptist Medical Center
02.2015 - 07.2021
ECMO/Transplant ICU CNA
Integris Baptist Medical Center
05.2010 - 01.2015
Oncology/Medical Surgical Unit CNA
Integris Baptist Medical Center
02.2006 - 04.2010
Hospitality Patient Assistant Liaison
Integris Baptist Medical Center
04.2003 - 01.2005
Bachelor of Science - Nursing
University of Central Oklahoma
Bachelor of Science - General Studies
University of Central Oklahoma