Madeline Julita
Atascadero,CA
Summary
Motivated and compassionate new graduate Psychiatric Mental Health Nurse Practitioner (PMHNP) with extensive training in mental health care for individuals across the lifespan. Experienced in conducting psychiatric assessments, developing treatment plans, and managing medications under supervision. Strong interpersonal skills with a focus on building therapeutic relationships and providing patient-centered care. Currently pending board certification and eager to secure a position where applying skills and knowledge in a collaborative mental health care setting, while continuing to grow as a practitioner and contribute to patient outcomes.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Health Services Specialist
Department Of State Hospitals-Atascadero
07.2021 - Current
- Works under the direction of the Nurse Administrator, Assistant Nurse Administrator, or Supervising Registered Nurse within the Central Nursing Services Department.
- Monitors and ensures the delivery of high-quality nursing services in a forensic setting.
- Collaborates with a multidisciplinary team to develop and implement care plans for mentally ill patients.
- Conducts assessments, oversees treatment, and ensures compliance with health and safety standards.
- Provides leadership and supervision to nursing staff during assigned shifts.
- Focuses on the physical and mental health needs of patients, ensuring that proper care protocols are followed.
- Responsible for maintaining a secure and therapeutic environment for patients in a forensic setting.
- Assists in staff training and development, ensuring that unit personnel are educated on best practices in nursing care.
Registered Nurse
Department Of State Hospitals-Atascadero
03.2018 - 07.2021
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Administers nursing care, including medication administration (oral and hypodermic injections), and monitors patient responses.
- Observes and assesses patients' physical conditions and behaviors, reporting significant changes to shift leads or physicians.
- Participates in Therapeutic Strategies and Interventions (TSI), including patient containment, applying restraints, and responding to emergencies.
- Develops and implements nursing care plans, assessing patient needs and determining appropriate interventions.
- Follows infection control procedures, ensures patient safety, and manages restraint and seclusion protocols when necessary.
- Collaborates with a multidisciplinary team to ensure holistic care for patients in a forensic psychiatric setting.
- Works within a secure environment, handling patients who are court-committed and managing security protocols to prevent escapes or safety risks.
- Offers guidance and direction to unit staff, including psychiatric technicians, and assists in staff training as necessary.
Registered Nurse
Department Of State Hospitals - Coalinga
08.2016 - 03.2018
- Provide Direct and Indirect Patient Care: Administer psychiatric nursing care, including medication management, treatment, and rehabilitation services, to patients with a focus on safety and therapeutic interventions.
- Supervision and Collaboration: Work closely with other healthcare professionals, including psychiatric technicians and physicians, to implement individualized care plans.
- Monitor Patient Behavior: Regularly assess the mental and physical conditions of patients, identifying risks or changes in behavior, and report findings to the care team to ensure patient and staff safety.
- Crisis Intervention and Emergency Response: Engage in crisis management, including applying physical restraints and using Therapeutic Strategies and Interventions (TSI) during emergency situations.
- Security and Safety Protocols: Participate in maintaining a secure treatment environment, ensuring compliance with facility policies and procedures while providing care within a secure perimeter.
- Documentation and Compliance: Maintain accurate patient records, including nursing notes and reports on interventions, treatments, and observed behaviors.
- Care for High-Risk Forensic Patients: Provide specialized care for patients legally committed under the sexually violent predator law, addressing their psychiatric and medical needs in a structured and secure setting.
Clinical Rotation - Student PMHNP
Wellmind With McGee (Preceptor: M. Brimage Sr.)
09.2023 - 06.2024
- 280 clinical hours of adult population and 216 clinical hours of geriatric population in outpatient setting.
- Evaluated between 10-16 patients in 8-10 hours day.
- Clinical Assessment and Diagnosis: Performed comprehensive psychiatric evaluations on patients across various age groups to develop accurate diagnoses and individualized treatment plans.
- Medication Management: Managed psychopharmacological treatments under the supervision of a licensed provider, adjusting medications for patients with conditions such as depression, anxiety, bipolar disorder, and schizophrenia.
- Therapeutic Interventions: Applied evidence-based therapeutic techniques, including cognitive-behavioral therapy (CBT) and motivational interviewing, to support patient recovery.
- Interdisciplinary Collaboration: Worked with a multidisciplinary team, including primary physician, therapists, and case managers, to coordinate care and ensure holistic treatment for patients.
- Patient Education and Counseling: Educated patients and families on mental health conditions, treatment options, and medication adherence, fostering engagement in care.
- Crisis Management: Assisted in managing psychiatric crises, including risk assessment for suicide or aggression, and implementing de-escalation strategies.
- Documentation and Compliance: Maintained detailed records of patient encounters, treatment plans, and outcomes in compliance with healthcare regulations and institutional policies.
Clinical Rotation - Student PMHNP
Angeline De Guzman (Preceptor: Lourie Jordan)
10.2023 - 04.2024
- 107 clinical hours of pediatrics in outpatient setting
- Pediatric Psychiatric Assessments: Conducted thorough mental health evaluations for children and adolescents, focusing on developmental milestones, family dynamics, and presenting symptoms.
- Management of Pediatric Psychiatric Disorders: Assisted in managing psychiatric conditions such as ADHD, anxiety, depression, gender identity disorder, PTSD, OCD, and autism spectrum disorders, using both therapeutic and pharmacological approaches.
- Medication Adjustments and Monitoring: Collaborated with supervisors to determine appropriate psychotropic medication dosages and monitored pediatric patients for therapeutic effects and side effects.
- Developmentally Appropriate Interventions: Applied age-appropriate therapeutic interventions such as play therapy and behavioral modification techniques to engage young patients.
- Family Involvement: Educated and counseled families on their child’s diagnosis, treatment options, and the importance of medication adherence, providing support for effective home care.
- Crisis Management: Participated in managing acute psychiatric crises in pediatric patients, including suicidal ideation and behavioral outbursts, employing de-escalation strategies and crisis intervention plans.
- Interdisciplinary Collaboration: Worked alongside pediatricians, child psychologists, social workers, and educators to create comprehensive care plans tailored to the needs of each child.
- Documentation: Maintained detailed records of assessments, interventions, and patient progress, ensuring compliance with pediatric mental health care standards and regulations.
- Evaluate between 8-10 patients in an 8-hour day.
Clinical Rotation - Student PMHNP
Living Hope Counseling (Preceptor: Yvonne Jackson)
01.2024 - 02.2024
- 102 clinical hours
- Psychotherapy Sessions: Observed and participated in individual and group therapy sessions focused on a range of mental health conditions, including anxiety, depression, and trauma-related disorders.
- Therapeutic Modalities: Gained practical experience in various psychotherapy techniques such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Motivational Interviewing to support patient mental health and behavioral change.
- Patient Interaction: Practiced building rapport and establishing a therapeutic alliance with patients to foster open communication and trust during therapy sessions.
- Treatment Planning: Collaborated with preceptor in creating and adjusting psychotherapy treatment plans based on patient progress and presenting mental health needs.
- Trauma-Informed Care: Applied trauma-informed approaches during therapy sessions, focusing on patient safety, emotional stability, and empowerment in therapeutic settings.
- Emotional Regulation Techniques: Assisted patients in identifying and managing emotional triggers, utilizing mindfulness and emotional regulation strategies within the therapeutic framework.
- Crisis Management in Therapy: Addressed acute psychological distress in therapy, supporting patients experiencing crisis and ensuring referrals or interventions when necessary.
- Psychotherapy Documentation: Maintained detailed therapy notes and documentation for each session, adhering to legal and ethical guidelines related to psychotherapy record-keeping.
- Supervision and Feedback: Received direct supervision and feedback from preceptor on therapeutic technique, patient interaction, and overall professional development within a psychotherapy setting.
Education
Master of Science in Nursing - Psychiatric Mental Health Nurse Practitioner
West Coast University
Irvine, United States06.2024
Bachelor of Science in Nursing - Nursing
Chamberlain University
Downers Grove, IL02.2021
Associate Degree in Nursing - Nursing
Mount San Antonio Community College
Walnut, United States12.2015
Skills
- 8 Years RN experience in Department of State Hospital
- Comprehensive Psychiatric Assessments and Patient Education: Conducted detailed assessments of patients presenting with a wide range of psychiatric conditions, including mood disorders, anxiety disorders, schizophrenia, bipolar disorder, and personality disorders, to help guide treatment planning Educated patients about psychiatric diagnoses, treatment options, medication adherence, and coping strategies to promote understanding and engagement in care
- Medication Administration and Monitoring: Administered and monitored psychotropic medications, ensuring safe dosage and compliance, and closely observing patients for therapeutic responses and potential side effects
- Crisis Intervention and De-escalation: Responded effectively to psychiatric crises, utilizing verbal de-escalation techniques and other therapeutic interventions to manage acute episodes of agitation, aggression, and psychosis in patients
- Multidisciplinary Collaboration: Worked closely with psychiatrists, social workers, therapists, and other healthcare professionals to create comprehensive, individualized care plans for patients with complex mental health needs
- Management of Co-occurring Disorders: Provided care for patients with co-occurring mental health and substance use disorders, developing treatment plans that integrated detoxification protocols, harm reduction strategies, and relapse prevention techniques
- Suicide/Violence Risk and Safety Planning: Conducted suicide/violence risk assessments and collaborated with mental health teams to implement safety plans for high-risk individuals during crisis, including initiating restraint as the last resort for safety when necessary
- Patient Advocacy: Acted as a strong advocate for patient rights, ensuring that individuals received compassionate, respectful care and were empowered in their treatment decisions
Certification
Registered Nurse in the State of California, expires August 31, 2025.
Nurse Practitioner in the State of California, expires August 31, 2025.
American Nurses Credentialing Center Board Eligible, anticipated certification in September 2024.
BLS and First aid certifications.
Skills
Skilled in mental health assessments, crisis management, and medication administration, while building strong patient relationships and advocating for compassionate care. They collaborate with interdisciplinary teams, ensure accurate documentation, and use therapeutic interventions. Additionally, they are proficient in using computer for electronic health record (EHR) systems and other healthcare software for efficient care management.
Timeline
Clinical Rotation - Student PMHNP
Living Hope Counseling (Preceptor: Yvonne Jackson)
01.2024 - 02.2024
Clinical Rotation - Student PMHNP
Angeline De Guzman (Preceptor: Lourie Jordan)
10.2023 - 04.2024
Clinical Rotation - Student PMHNP
Wellmind With McGee (Preceptor: M. Brimage Sr.)
09.2023 - 06.2024
Health Services Specialist
Department Of State Hospitals-Atascadero
07.2021 - Current
Registered Nurse
Department Of State Hospitals-Atascadero
03.2018 - 07.2021
Registered Nurse
Department Of State Hospitals - Coalinga
08.2016 - 03.2018
Master of Science in Nursing - Psychiatric Mental Health Nurse Practitioner
West Coast University
Bachelor of Science in Nursing - Nursing
Chamberlain University
Associate Degree in Nursing - Nursing
Mount San Antonio Community College
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