Josue Silva Nevarez
Orlando,FL
Summary
Registered Nurse with a strong background in high-acuity patient care, including mechanical ventilation, tracheostomy support, and complex neurological monitoring. Recognized for clinical judgment, infection prevention, and efficient care coordination. Dedicated to improving outcomes through accurate documentation and prompt response to patient changes.
Overview
2
2
Languages
1
1
Certification
8
8
years of professional experience
Work History
Registered Nurse, Intermediate Critical Care
Orlando Regional Medical Center
Orlando, FL
04.2025 - Current
Registered Nurse – Intermediate Critical Care
- Perform comprehensive patient assessments and continuous monitoring to identify changes in clinical status and recognize early signs of deterioration.
- Provide nursing care for high-acuity patients, including those requiring mechanical ventilation and tracheostomy care.
- Administer medications, IV therapies, and insulin infusions according to prescribed protocols, monitoring patient responses and blood glucose levels.
- Monitor cardiac telemetry, recognize abnormal rhythms, and promptly report significant changes to the healthcare team.
- Conduct neurological and respiratory assessments, monitor oxygenation, and recognize signs of respiratory compromise or neurological deterioration.
- Collaborate with physicians, respiratory therapists, and interdisciplinary teams to coordinate care for patients with complex medical conditions.
- Apply critical thinking, clinical judgment, and prioritization to identify complications, implement nursing interventions, and evaluate patient outcomes.
- Train and mentor newly hired registered nurses on clinical best practices, hospital policies, patient safety, and standards of care.
Registered Nurse, Neuro Trauma
Orlando Regional Medical Center
Orlando, Florida
04.2024 - 04.2025
- Deliver comprehensive nursing care to high-acuity patients with complex neurological conditions and traumatic injuries, monitoring clinical status and response to treatment.
- Perform neurological and respiratory assessments, monitor level of consciousness, and promptly recognize and report signs of clinical deterioration.
- Administer respiratory care, including tracheostomy management, suctioning, oxygen therapy, and PAP/PEP treatments to enhance respiratory function.
- Manage PEG tubes, colostomies, and central lines while maintaining patient safety and preventing complications.
- Perform IV insertion and management, administer prescribed medications and insulin infusions, and provide wound care based on individualized care plans.
- Collaborate with physicians, neurosurgeons, respiratory therapists, and interdisciplinary teams to coordinate treatment and support positive patient outcomes.
- Implement evidence-based nursing interventions to prevent falls, pressure injuries, infections, and other patient complications.
- Instruct patients and families on treatment plans, care procedures, recovery expectations, and emergency preparedness to empower proactive health management.
- Ensure accuracy of electronic health records and communicate changes in patient condition to facilitate continuity of care.
- Participate in continuing education to maintain clinical competency and stay current with evidence-based nursing practices.
Pharmacy Technician
Prime Therapeutics
Orlando, FL
02.2021 - 03.2024
- Resolved third-party billing discrepancies, pharmacy system issues, and customer service concerns to support efficient pharmacy operations.
- Coordinated with physician offices to facilitate verbal prior authorizations and resolve prescription processing issues.
- Created and updated patient profiles, maintaining accurate medication lists, insurance information, and demographic records.
- Assisted with prescription processing and insurance verification while maintaining patient confidentiality and compliance with pharmacy policies.
- Communicated with patients, healthcare providers, and insurance representatives to resolve medication access and coverage issues.
- Maintained accurate documentation and attention to detail when handling patient medication and insurance information.
Pharmacy Technician
Envolve Pharmacy Solutions
Orlando, FL
06.2018 - 12.2020
- Maintained patient confidentiality and protected sensitive health information in accordance with HIPAA regulations and privacy policies.
- Trained and supported new team members on standard operating procedures and quality assurance standards, enhancing team readiness and operational consistency.
- Managed incoming calls from patients and healthcare providers, resolving inquiries promptly and ensuring clear communication of essential information.
- Provided customer service and administrative support, streamlining pharmacy operations and ensuring timely resolution of medication-related concerns.
- Demonstrated strong communication, attention to detail, and problem-solving skills while handling confidential patient information.
Education
Bachelor of Science - Nursing
South University
Orlando, FL03-2024
Skills
- Critical care management
- Ventilation care
- Neurological monitoring
- Cardiac telemetry
- IV therapy administration
- Patient safety protocols
- Infection prevention
- Interdisciplinary collaboration
- Care coordination
- EHR documentation
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
Certification
- Registered Nurse (RN), Florida- 9659166
- Basic Life Support (BLS)- Exp. 2027
- Advanced Cardiac Life Support (ACLS)- Exp. 2027
Timeline
Registered Nurse, Intermediate Critical Care
Orlando Regional Medical Center
04.2025 - Current
Registered Nurse, Neuro Trauma
Orlando Regional Medical Center
04.2024 - 04.2025
Pharmacy Technician
Prime Therapeutics
02.2021 - 03.2024
Pharmacy Technician
Envolve Pharmacy Solutions
06.2018 - 12.2020
Bachelor of Science - Nursing
South University