MARCELLA CASTILLO
Advance Practice Nurse Practitioner
Las Vegas,NV
Overview
20
20
years of professional experience
Work History
Advanced Practice Registered Nurse
Pulmonary Group LLC
Henderson, NV
08.2024 - Current
- Provided comprehensive physical examinations, including ordering appropriate diagnostic tests
- Related to pulmonary disease and sleep medicine
- Part of the clinical trials being conducted by Henderson Clinic Trials
- Assessed patient health conditions and developed individualized care plans with patients and families
- Initiate referrals to other healthcare specialists, as indicated
- Prescribed medications based on patient needs and current clinical standards and guidelines
- Collaborated with physicians to coordinate optimal patient care outcomes
- Maintained detailed records of patient visits, diagnoses, treatments, and test results in electronic health record systems
- Evaluate and manage patients with hypoglossal nerve stimulators for the activation and management of obstructive sleep apnea
- Inspire implant-certified provider
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system
- Proficient in ICD and CPT coding.
Advanced Practice Registered Nurse
Premier Physicians Weightloss And Wellness
Las Vegas, NV
05.2023 - Current
- Advanced Practice Registered Nurse taking a comprehensive, evidence-based approach to treating obesity
- Comprised 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 body composition trends
- Monitored diet, physical activity, behaviors, and other patient factors to assess conditions and adjust treatment plans
- Manage treatment of various disorders and diseases related to obesity
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system
- Proficient in ICD and CPT coding
- Provide education and counseling to patient and families regarding nutrition, physical activity, medication and psychosocial aspects for wellness and optimal outcomes.
Advanced Practice Registered Nurse
Nevada Heart and Vascular
Henderson, NV
08.2023 - 07.2024
- 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 outcome
- 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 certified provider
- Evaluate and manage patient with phrenic nerve stimulator's certified provider for Remede implant
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system
- Proficient in ICD and CPT coding
Registered Nurse Medical
Imaging, Mountain View Hospital
Las Vegas, NV
06.2021 - 11.2024
- 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.
Registered Nurse
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)
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.
Surgical Intensive Care Registered Nurse
Valley Hospital & Medical Center
Las Vegas, NV
01.2021 - 09.2021
- 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
- Hemodynamic monitoring of patients, administration of sedation, paralytic and vasopressin drugs, and, titrations per treatment plans
- Performed and/or assisted in bedside endoscopy, TEE definity studies, and bedside tracheostomy and PEG placement
- Assisted with bedside procedures including invasive lines, drains, and chest tubes placement
- Management of patients requiring advanced airway and ventilator management
- Kept accurate, up-to-date, and confidential electronic health records (EHR) using Meditech and applications per hospital policy and procedures.
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.
Intensive Care Nurse
Neonatal, Sunrise Children's Hospital
Las Vegas, NV
10.2018 - 07.2020
- 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, and Pediatric CVICU.
Education
Masters of Nursing - undefined
Family Practice Nurse Practitioner - undefined
Roseman University of Health Science
12.2022
Bachelor of Science - Nursing
Roseman University of Health Science Henderson
02.2018
Bachelor of Science - Nuclear Medicine
University of Nevada Las Vegas
05.2005
Accomplishments
- 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
Interests
Licensure/ Certifications
, 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
Registered Nurse (RN)#RN98436 - Nevada
Advance Practice Registered Nurse (APRN-CNP) #14196625-4405 - Utah
Advanced Practice Registered Nurse (APRN- CNP) #12449 - Minnesota
Registered Nurse (RN) # 2531861 - Minnesota
DEA Nevada
Nevada Prescription Authority License - Nevada Board of Pharmacy (Controlled Substance and Dispensing privileges)
Skills
Effective written and verbal communication
Interprofessional collaboration
Clinical judgment
Adult health management
Patient education
Diagnosis and treatment
Medical documentation
Medication prescribing
Telehealth proficiency
Health promotion
Preventive care
Medical histories
Wellness strategies
Lab results interpretation
Chronic disease management
Acute and chronic health issues
Exemplary communication
Evidence-based practice
Physical examination
Work Preference
Work Type
Full TimePart TimeWork Location
On-SiteRemoteHybridImportant To Me
Work-life balanceFlexible work hoursPaid time off4-day work weekPaid sick leaveTimeline
Advanced Practice Registered Nurse
Pulmonary Group LLC
08.2024 - Current
Advanced Practice Registered Nurse
Nevada Heart and Vascular
08.2023 - 07.2024
Advanced Practice Registered Nurse
Premier Physicians Weightloss And Wellness
05.2023 - Current
Registered Nurse
St. Rose Siena Dignity Health
11.2021 - 08.2023
Registered Nurse Medical
Imaging, Mountain View Hospital
06.2021 - 11.2024
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
Intensive Care Nurse
Neonatal, Sunrise Children's Hospital
10.2018 - 07.2020
Nuclear Medicine Technologist
Dignity Health St. Rose Dominican Hospital
01.2005 - 10.2021
Masters of Nursing - undefined
Family Practice Nurse Practitioner - undefined
Roseman University of Health Science
Bachelor of Science - Nursing
Roseman University of Health Science Henderson
Bachelor of Science - Nuclear Medicine
University of Nevada Las Vegas
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