Maria Remedios Jesusa De Silva, MSN, RN
Daly City,CA
Summary
A dynamic and compassionate Nurse Leader at the San Francisco VA Medical Center, licensed in California, known for uniting clinical expertise with visionary leadership and an authentic dedication to patient advocacy. Driven to foster meaningful change and champion an inclusive, positive organizational culture. Trusted by colleagues and patients for empathy, transparent communication, and unwavering pursuit of excellence.
Holds a Master of Science in Nursing – Leadership and Management, and has over 30 years of progressive clinical and leadership experience with a proven commitment to delivering excellence in patient care as well as fostering and leading empowerment of high-performing teams across nursing services. With eight years of administrative experience as a Nurse Manager, starting in Hematology-Oncology/Med-Surg/Telemetry inpatient units, and recently transitioned laterally to managing the Clinical Education Services.
Was nominated as Federal Employee of the Year in 2020 and spearheaded the notable Hematology-Oncology Nursing Symposium that benefits the Veteran Cancer Care at San Francisco VA Medical Center, which has been sustained in the service for the last 6 years.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Clinical Education Services Nurse Manager
San Francisco VA Medical Center
08.2025 - Current
- Managed nurse educators and nurse informaticists to uphold high standards of performance while adhering to established organizational policies and protocols.
- Analyzed current operations and introduced strategic initiatives to drive efficiency improvements.
- Supported new nurse managers through targeted mentorship, promoting professional growth and improving overall team dynamics.
- Established and enforced compliance policies to uphold regulatory standards and enhance operational integrity.
- Conducted regular staff meetings to promote open dialogue among team members regarding ideas and concerns.
- Assessed team members performance and provided targeted feedback to promote continuous professional improvement.
- Oversaw budget management and cost control to achieve financial targets while maintaining operational integrity.
- Oversaw, guided, and inspired nursing staff to achieve high-quality performance standards.
- Encouraged teamwork and shared decision-making among nurses through structured team meetings focused on open communication.
- Facilitated access to professional development resources, encouraging team members to engage in lifelong learning.
- Facilitated implementation of the staff competency model to an effective, organized, and sustainable process and system.
- Currently, oversees Student Placement and Onboarding for scholarship recipients at the San Francisco VA Medical Center.
1-A Nurse Manager
San Francisco VA Medical Center
San Francisco, CA
12.2017 - 08.2025
- Reviewed department performance and adjusted coverage to compensate for changing conditions.
- Investigated and resolved complaints from staff, physicians and patients.
- Exercised exemplary clinical judgment when making care decisions.
- Managed unit schedule and individual work assignments.
- Managed and directed fiscal operations, including planning budgets, authorizing expenditures, accounting, establishing service rates and coordinating financial reporting.
- Effectively managed clinical oversight for 22-bed unit and Ambulatory Care Infusion Clinic
- Routinely collaborated with department managers to correct problems and improve services.
- Strong leader for nursing personnel assigned to the unit/shift.
- Delegated staff nurse duties.
- Followed infection control procedures.
- Monitored Infection Control and Critical Incidents, Risk Management and Quality Improvement plans.
- Participated in unit-based Quality Assurance Program.
- Recruited, hired, trained and coached on average of 2-4 new employees per year.
- Achieved high staff morale and retention through effective communication, prompt problem resolution, proactive supervisory practices and facilitating a proactive work environment.
- Coordinated the allocation of nursing service equipment and supplies within the facility and established guidelines for efficient, economical use.
- Established staff schedules and assignments based on facility needs and equipment availability.
- Ensured safety and well-being of patients and staff.
- Participated in facility surveys and inspections made by authorized governmental offices, and accrediting agencies.
- Worked with department heads, staff, and faculty to develop engaging curriculum and advance instruction for all nursing programs.
- Self-directed with astute judgment skills. High level of personal accountability.
- Established and oversaw implementation of an effective budgeting and accounting system that improved efficiency and reduced costs.
- Coordinated with other internal departments and customers to keep operations running smoothly and solve both routine and complex problems.
- Investigated and independently resolved complaints from staff, physicians and patients by leveraging clinical judgment and unit management expertise.
- Supervised, directed and motivated high-quality performance from nursing staff.
- Directed nursing staff to deliver high-quality patient care and improve operational efficiency.
- Developed and managed departmental budgets, ensuring resource allocation aligns with strategic objectives.
- Mentored nursing personnel to promote professional development and improve team performance.
- Collaborated with interdisciplinary teams to optimize patient care plans and enhance service delivery.
ICU/CCU Staff Nurse II- Per Diem
Seton Medical Center
1900 Sullivan Avenue, Daly City, CA 94015
10.2014 - 02.2018
- Provide close hemodynamic monitoring to critically ill patients.
- Assess, gather data, formulate nursing diagnoses, analyze, plan, intervene and document patient physiological and psychological condition.
- Facilitate and administer medical, pharmacologic or non-pharmacologic management based on patients condition.
ICU Staff Nurse II
San Francisco Veterans Affairs Medical Center
1450 Clement Street, San Francisco CA 94121
02.2008 - 12.2017
- Performs assessment, data gathering, and documentation of the patient's physiologic and psychologic status.
- Formulates nursing diagnosis, inference, planning, and intervention according to the patient's general condition.
- Facilitate patient and family education, promotes family involvement and patient advocacy.
- Coordinate patient care involving other health care discipline.
- Promote effective health counseling in health care maintenance and decease management.
- Manage care for medical and surgical patients through discharge.
- Contribute substantially to successful department JCAHO accreditation.
- Ensured HIPAA compliance.
- Takes role in the process of diagnosis and treatment of patients with chronic and acute health problems like Cardiac Arrythmias, CHF, COPD, Diabetes and Pneumonia.
- Coordinate quality improvement activities (QIA's) to identify performance areas for improvement.
- Participated in units-based Quality Assurance Program such as journal club and unit projects.
ICU Staff Nurse II
CPMC-St. Luke's Campus/ Pacific Campus
3555 Cesar Chavez Street, San Francisco CA 94110/ 2333 Buchanan Street, San Francisco CA 94115
02.2006 - 07.2010
- Participated in data collection and development of measures and protocols to improve ICU patient service.
- Identify patient/family learning needs and implement appropriate measures.
- Managed care for Medical-Surgical patients through discharge.
- Liaised between patients and physicians to ensure patient comprehension of treatment plans.
Care Giver
New Haven Home Health Services
Gellert Boulevard, Daly City, CA 94015
05.2005 - 02.2006
- Provide assistance in the patient's medication intake and refills.
- Assisted patient with activities of daily living, lifting, transferring and ambulating.
- Established efficacy of treatment through monitoring of treatment regimens and coordinated progress with the patient's primary doctor.
- Assist patient in making doctors appointments and physical therapies.
Elderly Caregiver
Mr. and Mrs Guastavino
43 Crown Circle, South San Francisco CA 94080
01.2002 - 05.2005
- Coordinate prescription drug refills and doctors appointment.
- Assisted patient with activities of daily living, lifting, ambulating and tasks to enhance quality of life of elderly patient.
Main OR And Minor OR Staff Nurse III
Jose R. Reyes Memorial Medical Center
Rizal Avenue, Sta. Cruz Manila, Philippines
01.2000 - 01.2002
- Assisted doctors on minor or major surgeries and other invasive procedures.
- Trained new staff on quality control procedures.
- Developed improvement and protocols in infection control.
NICU- Staff Nurse I to II
Jose R. Reyes Memorial Medical Center
Rizal Avenue, Sta. Cruz, Manila, Philippines
02.1997 - 05.2000
- Develop and document neonatal primary care, assessment, and evaluation. Assist and perform complex procedures for critically ill neonates.
- Participated in the development of unit-based quality- assurance program. Mentored new staff on neonatal care equipment such as bili-light, radiant warmers, and incubators, to name a few.
- Coordinated Quality Improvement Activities (QIA's) and identify performance areas for improvement.
Education
MSN- Leadership and Management -
Walden University
Minneapolis, MN, USA2018
Bachelor of Science - Nursing
Centro Escolar University
9 Mendiola Street, San Miguel, Manila, Philippines1994
Skills
- Staff leadership and supervision
- Team Building
- Quality assurance
- Multidisciplinary team collaboration
- Project oversight
- Accreditation coordination
- Hiring and recruitment
- Training and mentoring
- Occupancy strategies
- Profit improvements
- Relationship building and retention
- Performance improvement
- Conflict management
- Staff coaching and mentoring
- Budget management and planning
- Task delegation
- Workload management
- Motivational skills
Affiliations
- American Nurses Association (ANA) member
- American Association of Critical-Care Nurses (AACCN) member.
- Association of California Nurse Leaders- California Chapter
- Oncology Nursing Society
- Sigma Theta Tau International Honor Society of Nursing
- Golden Key International Honor Society
Certification
- California Registered Nurse License number 672041, valid until 08/31/2027.
- Advanced Cardiac Life Support (ACLS) Certification
- Basic Life Support (BLS) Certification
- CGFNS Certification number 2010792, received January 1996.
Timeline
Clinical Education Services Nurse Manager
San Francisco VA Medical Center
08.2025 - Current
1-A Nurse Manager
San Francisco VA Medical Center
12.2017 - 08.2025
ICU/CCU Staff Nurse II- Per Diem
Seton Medical Center
10.2014 - 02.2018
ICU Staff Nurse II
San Francisco Veterans Affairs Medical Center
02.2008 - 12.2017
ICU Staff Nurse II
CPMC-St. Luke's Campus/ Pacific Campus
02.2006 - 07.2010
Care Giver
New Haven Home Health Services
05.2005 - 02.2006
Elderly Caregiver
Mr. and Mrs Guastavino
01.2002 - 05.2005
Main OR And Minor OR Staff Nurse III
Jose R. Reyes Memorial Medical Center
01.2000 - 01.2002
NICU- Staff Nurse I to II
Jose R. Reyes Memorial Medical Center
02.1997 - 05.2000
Bachelor of Science - Nursing
Centro Escolar University
MSN- Leadership and Management -
Walden University
References
Dr. Christina Purpora
Chief of Clinical Education-Retired
Former Immediate Supervisor
San Francisco VA Medical Center
Email: christinapurpora@hotmail.com
Telephone number: (415)656-7452
Bobby Jane Ruiz
Chief of Hospital Care Services
Former Immediate Supervisor
San Francisco VA Medical Center
Email: bobby.ruiz@va.gov
Telephone number: (628)256-8237 or (415)221-4810 ext. 23067
Marissa Helen Miranda-Boyd BSN,RN,PHN
HCS Nurse Manager
1A Hematology-Oncology/Med-Surg/Telemetry Unit and Ambulatory Care Infusion Clinic (ACIC)
San Francisco VA Health Care System
Email: MarissaHelen.Miranda-Boyd@va.gov
Telephone number: (415) 375-5746 or (415) 221-4810 ext 22399
Lemma Garoma MPH, MSN, RN
HCS Clinical Nurse Leader
1A Hematology-Oncology/Med-Surg/Telemetry Unit and Ambulatory Care Infusion Clinic (ACIC)
San Francisco VA Health Care System
Telephone number: (415) 413-6164 or (415) 221-4810 ext 25005