Marcella Castillo
Las Vegas,NV
Summary
Dedicated nursing professional with an exemplary work ethic, and an enthusiastic learner devoted to delivering evidence-based, compassionate, quality care to the community. Licensed Family Nurse Practitioner APRN-CNP and Registered Nurse in the State of Nevada. Dual board certified by ANCC and AANP for Family Nurse Practitioners. Currently practicing as a Family Nurse Practitioner specializing in Sleep Medicine and Adult and Pediatric obesity medicine. Previous experience as a Registered Nurse in adult Medical/Surgical Intensive Care Unit, as well as level III Neonatal Intensive Care Unit, delivering quality healthcare to the most fragile population. Looking for a challenging and responsible role to as a Nurse Practitioner to promote health and well-being for the community I serve.
Overview
19
19
years of professional experience
Work History
Advanced Practice Registered Nurse
Nevada Heart and Vascular
Henderson, NV
08.2023 - Current
- Provided comprehensive physical examinations, including ordering appropriate diagnostic tests. Related Sleep medicine and sleep disorders.
- Assessed patient health conditions and develop individualized care plans with patient and family
- Initiate referrals to other healthcare specialists as necessary.
- Prescribed medications based on patient needs and current clinical standards of care.
- Collaborated with physicians to coordinate optimal patient care outcomes.
- Counseled patients on lifestyle modifications to improve their overall health.
- Educate patients and families about medical treatments and self-care management techniques.
- Maintained detailed records of patient visits, diagnoses, treatments, and test results in electronic health record systems.
- Evaluate and manage patient with hypoglossal nerve stimulator's for management of obstructive sleep apnea. Inspire implant
- Evaluate and manage patient with phrenic nerve stimulator's certified provider for Remede implant.
Advanced Practice Registered Nurse
Premier Physicians Weightloss And Wellness
Las Vegas, NV
04.2023 - Current
- Advanced Practice Registered Nurse taking a comprehensive, evidence-based approach to treating obesity. Compromised of four pillars of obesity medicine association; nutrition, physical activity, psychosocial, and medication. To include fifth pillar of obesity medicine Bariatric surgery.
- Developed tailored care plans for each patient in collaboration with physicians and the healthcare team.
- Performed physical exams, ordering and evaluating lab tests, EKGs, and Tanita's body composition trends. Monitored diet, physical activity, behaviors, and other patient factors to assess conditions and adjust treatment plans.
- Manage non-pharmacological treatment of various disorders and diseases related to obesity.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Provide education and counseling to patient and families regarding nutrition, physical activity, medication and psychosocial aspects for wellness and optimal outcomes.
Registered Nurse, ICU
St. Rose Siena Dignity Health
Henderson, NV
11.2021 - 08.2023
- Management of critically ill adult patients in a 52-bed mixed Surgical/Medical ICU
- Advocated for patient needs with the interdisciplinary team and implemented outlined treatment plans.
- Managed and prioritized care in acute post-op surgical patients with abdominal, general, vascular surgery, open heart, neurosurgery, endovascular coiling, Heart catheterization, and CEA
- Management of Code white, LVO with tPA administration, and/or thrombectomy
- Assisted in bedside procedures including invasive lines, drains, and chest tube placement
- Care and maintenance of invasive hemodynamic lines and monitors including primarily central venous catheters, arterial lines, and pulmonary artery catheters.
- Care and maintenance of external ventricular drains (EVD) with ICP monitoring and lumbar drains.
- Medication administration with frequent monitoring and titrations of vasoactive, cardiac, and sedation drips.
- Management of patients requiring advanced airway and ventilator management.
- Care and monitoring of patients receiving CRRT via NextStage equipment.
- Certified for care and management of IABP and Impella.
- Maintain accurate, up-to-date, and confidential electronic health records (EHR) using Cerner and applications following hospital policy and procedures
- Preceptor for nursing students and nurse apprentice program (NAP)
Registered Nurse Medical Imaging
Mountain View Hospital
Las Vegas , NV
06.2021 - Current
- Medical Imaging RN Special procedures include Interventional Radiology(IR) procedures, Computer Tomography guided biopsy, Nuclear Medicine Stress Testing with pharmacological medication, and Treadmill Bruce protocols.
- Angiodynamics trained PICC line and MIdline insertions catheters. Ultrasound-guided intravenous catheter insertion.
- Administration of procedural conscious sedation. Continuous monitoring of patient vital signs pre and post-sedation.
- Collaborate and directly work alongside Radiologists, Registered Nurses, Medical Imaging Technologists, and Leadership bringing quality health care to the community served.
- Maintain, up-to-date, and confidential electronic health records (EHR) using Meditech and applications per hospital policy and procedures.
Surgical Intensive Care Registered Nurse
Valley Hospital & Medical Center
Las Vegas , NV
01.2021 - 09.2021
- 20-bed Surgical ICU Certification as an Advanced Comprehensive Stroke Center
- Advocated for patient needs with the interdisciplinary team and implemented outlined treatment plans.
- Managed and prioritized care in acute post-op surgical patients with abdominal, general, vascular surgery, open heart, neurosurgery, endovascular coiling, Heart catheterization, TCAR, and CEA
- Management of Code white, LVO with tPA administration, and/or thrombectomy
- Assisted with bedside procedures including invasive lines, drains, and chest tubes placement
- Care and maintenance of invasive hemodynamic lines and monitors including primarily central venous and arterial lines and pulmonary artery catheters.
- Care and maintenance of external ventricular drains (EVD) with ICP monitoring and lumbar drains.
- Medication Administration with frequent monitoring and titrations of vasoactive, cardiac, and sedation drips.
- Management of patients requiring advanced airway and ventilator management.
- Care and monitoring of patients receiving CRRT via prismaflex equipment.
- Certified for care and management of IABP and Impella.
- Maintain accurate, up-to-date, and confidential electronic health records (EHR) using Cerner Fusion and applications per hospital policy and procedures
Medical Intensive Care Unit Registered Nurse
Sunrise Hospital
Las Vegas, NV
07.2020 - 01.2021
- Advocated for patient needs with the interdisciplinary team and implemented outlined treatment plans.
- Provide nursing care to the adult population requiring a variety of needs related to multiple disease processes and comorbidities. Assisting in rapid intubation, and ventilator support along with monitoring ABGs. Assisting with bedside invasive line placement, central lines, and vas-cath perform IV starts. Hemodynamic monitoring of patients, administration of sedation, paralytic and vasopressin drugs, and, titrations per physician orders.
- Performed and/or assisted in bedside endoscopy, TEE definity studies, and bedside tracheostomy and PEG placement.
- Responds to emergencies with speed, expertise, and level-headed approaches to provide optimal care, support, and life-saving interventions.
- Established and implemented nursing care plans for each patient through assessment, development, activation, and evaluation.
- Kept accurate, up-to-date, and confidential electronic health records (EHR) using Meditech and applications per hospital policy and procedures.
Neonatal Intensive Care Nurse
Sunrise Children's Hospital
Las Vegas, NV
10.2018 - 07.2020
- Complied with all hospital policies and procedures to ensure high levels of safety for each patient.
- Managed the day-to-day routines for newborn babies by administering medication and fluids with continuous hemodynamic monitoring to enhance patient safety and improve outcomes.
- Provide nursing care to the neonatal population requiring a variety of needs related to prematurity, congenital anomalies, birth defects, NAS(Neonatal Abstinence syndrome), ventilator support (conventional, oscillator, jet, and administration of Nitric oxide), IV starts, maintenance of central lines PICC, UVC, UAC, Broviac, pre and post-operative patient recovery, bedside surgeries, total body cooling, sedation, administration of vasopressin drug titrations, and end of life care.
- Collaborated effectively with the interdisciplinary team to provide optimal outcomes for the Neonatal population.
- Formulate and review care plans for neonatal intensive care patients and families for timely discharge and optimal patient outcomes.
- Kept accurate, up-to-date, and confidential electronic health records (EHR) using Centricity and Meditech applications per hospital policy and procedures.
- Delivered exceptional care to a 72-bed Neonatal ICU patient population in a Level III unit, as well as, floated to PICU, Peds CVICU, and Peds 1-2 times a month.
Nuclear Medicine Technologist
Dignity Health St. Rose Dominican Hospital
Henderson, NV
01.2005 - 10.2021
- Responsible for the daily operation of the Nuclear Medicine department.
- Preparation and administration of radio-pharmaceuticals.
- Establish and maintain IV access to inpatients and outpatients.
- Performed diagnostic and therapeutic Nuclear Medicine procedures for interpretation.
- Performed cardiac and oncology PET/CT procedures for interpretation.
- Responsible for quality control and assurance on all equipment.
- Communicate and collaborate effectively with patients, physicians, managers, and staff to ensure client safety, satisfaction, and compliance with set standards.
- Kept accurate, up-to-date, and confidential electronic health records (EHR) using Cerner Powerchart, Firstnet, and Merge Pac's applications on per hospital policy and procedures.
- Preceptor to Nuclear Medicine Students from the University of Las Vegas for the past 13 years.
Home Health Registered Nurse
AHC Home Health Of Las Vegas LLC
Henderson, NV
03.2019 - 08.2020
- Provide nursing services to patients who are home-bound with long-term illness or disability, and or recuperating from surgery. Main duties were admissions and discharges to and from home health care.
- Head-to-toe assessments obtained patient vital signs, assessed ability to perform daily tasks, recovery progress, and the safety of home, and reviewed medication list for contraindications.
- Skills performed on visits lab work, IV starts, PICC line maintenance, wound care, maintenance of surgical drains, and administration of IV antibiotics.
- Provided education and effective communication regarding care and medications to patients, caregivers, and multidisciplinary teams.
- Developed care plans, covering goals based on nursing diagnosis and incorporating therapeutic, preventive, and rehabilitative nursing actions.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system. Competent in the use of Kantime.
- Coordinated care with physicians, social services, and other clinical staff to prepare for treatment, carry out interventions and enhance the continuum of care to deliver comprehensive services.
Education
Masters of Nursing - Family Practice Nurse Practitioner
Roseman University of Health Science
Henderson, NV12.2022
Bachelor of Science - Nursing
Roseman University of Health Science
Henderson, NV02.2018
Bachelor of Science - Nuclear Medicine
University of Nevada Las Vegas
Las Vegas, NV05.2005
Skills
- Board Certified ANCC Family Nurse Practitioner - FNP-BC Cert#2023002491
- AANP Certified Family Nurse Practitioner - FNP-C Cert#F02230954
- Advanced Practice Registered Nurse (APRN-CNP)#865089 - Nevada
- Board Registered Nurse (RN)#RN98436 - Nevada
- DEA Nevada
- Nevada Prescription Authority License
- Registered Nuclear Medicine Technologist (CNMT)#027237 – Nuclear Medicine Technology Certification
- Basic Life Support (BLS)/ Advanced Life Support (ACLS)
- Prismaflex and Nexstage CRRT
- Intra-Aortic Balloon Pump (IABP)
- Impella
- Angiodynamics Ultrasound guided PICC line and Midline insertion
- Certification by American Medical Educators Training (AMET) Botulinum Toxin and Dermal filler Training
- 200 HR Registered Yoga Teacher – Body Heat Hot Pilates and Yoga
- Certified Classical Pilates Mat Teacher – Pilates Center of Las Vegas
References
Deanne Omar, RN APRN AGACNP-BC - APRN Adult Critical Care
702-217-2627
domar@soundphysicians.com, deanneomarwccatig@icloud.com
Hilary L. Schroeder, MD MBA - Team Lead, Sunrise Market Nellis Office - Faculty and Clinical Instructor Valley Health System Family Medicine Residency, UNLV School of Medicine, and Touro University School of Medicine
702-459-7424
hilary.schroeder1@optum.com
Lauren Bedrock, RN APRN FNP-BC - Adult Family Nurse Practitioner
702-460-4435
Laurenvbedrock@gmail.com
Nader H. Behesti, MD - Radiologist VA - Specialist in General Radiology and Nuclear Medicine
702-300-8003
naderhb@gmail.com
Timeline
Advanced Practice Registered Nurse
Nevada Heart and Vascular
08.2023 - Current
Advanced Practice Registered Nurse
Premier Physicians Weightloss And Wellness
04.2023 - Current
Registered Nurse, ICU
St. Rose Siena Dignity Health
11.2021 - 08.2023
Registered Nurse Medical Imaging
Mountain View Hospital
06.2021 - Current
Surgical Intensive Care Registered Nurse
Valley Hospital & Medical Center
01.2021 - 09.2021
Medical Intensive Care Unit Registered Nurse
Sunrise Hospital
07.2020 - 01.2021
Home Health Registered Nurse
AHC Home Health Of Las Vegas LLC
03.2019 - 08.2020
Neonatal Intensive Care Nurse
Sunrise Children's Hospital
10.2018 - 07.2020
Nuclear Medicine Technologist
Dignity Health St. Rose Dominican Hospital
01.2005 - 10.2021
Masters of Nursing - Family Practice Nurse Practitioner
Roseman University of Health Science
Bachelor of Science - Nursing
Roseman University of Health Science
Bachelor of Science - Nuclear Medicine
University of Nevada Las Vegas
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