Michael Nebriaga
Pflugerville
Summary
Results-oriented Army Nurse Corps Officer and Clinical Supervisor skilled in managing high-volume PACU operations. Achieved optimal patient throughput exceeding 400 recoveries weekly while directly addressing staffing challenges, mitigating risks to patient care, and leading quality improvement initiatives that enhanced departmental efficiency.
Overview
7
7
years of professional experience
Work History
Post Anesthesia Care Unit (PACU) Supervisor
Ascension Seton Main Hospital
Austin
06.2023 - Current
- Direct daily operational and clinical workflow for a high-acuity, tertiary care 27-bed PACU, managing an average of 80 Phase I and Phase II recoveries per day (>400 per week) supporting 26 operating rooms and 16 procedural room.
- Crisis & Resource Utilization: Successfully sustain optimal patient throughput and recovery volume despite extreme infrastructure limitations; navigate a 27-bed environment supporting 42 total surgical/procedural sites where state guidance (1.5 beds per site) outlines an expected capacity of 63 beds.
- Risk Mitigation & Workforce Planning: Proactively address immediate recruitment needs to stabilize acute staffing shortages, directly neutralizing measurable risks to patient care safety, staff sustainability, and the organization's surgical throughput.
- Personnel Leadership: Manage, evaluate, and mentor 30 direct reports and oversee a total departmental staff of 60+ clinical personnel to ensure a high-performing unit culture under resource-constrained conditions.
- Process Improvement: Advisor of the Local Improvement Team Committee; designed and launched a Daily Management System (DMS) board that substantially elevated hospital productivity, throughput efficiency, and patient satisfaction scores.
- Regulatory Compliance: Audit charts and serve as a core leader for ongoing departmental quality initiatives, ensuring strict alignment with Joint Commission Survey standards and pharmacovigilance benchmarks.
- Financial Accountability: Conduct meticulous surgical case perioperative audits to capture accurate clinical data, directly supporting the revenue cycle and billing department.
- Interdisciplinary Collaboration: Serve as the central communication liaison between surgeons, anesthesiologists, and nursing staff to maintain safety protocols and accelerate fluid patient transitions.
Neuro Trauma Step Down Unit Nurse
Tacoma General Hospital
Tacoma
01.2023 - 04.2023
- Delivered high-acuity progressive care within a 12-bed Level II Trauma Center, managing 3-4 complex neuro-trauma patients simultaneously.
- Critical Interventions: Managed patients with tracheostomies, stable mechanical ventilators, heated high-flow oxygen, and BiPAP configurations.
- Acuity Management: Assessed and stabilized acute conditions including hypertensive crises, cerebrovascular accidents (strokes), brain tumors, and severe physical traumas.
Critical Care Department Nurse Officer / Charge Nurse
US Army - Madigan Army Medical Center (MAMC)
Joint Base Lewis-McChord
09.2019 - 01.2023
- Cardiac Progressive Care: Supervised a 20-bed inpatient Progressive Care Unit at a Level II Trauma Center. Orchestrated post-Cath Lab care, femoral TR band management, anticoagulation titration, pacemaker adjustments, and continuous IV antiarrhythmic infusions.
- ICU/Progressive Care COVID Relief (July 2021 - August 2022): Functioned as Staff and Charge Nurse for a high-stress 10-bed mixed ICU/PCU. Managed complex patient caseloads utilizing ventilators, proning protocols, vasopressor titrations, and advanced respiratory therapies.
- Clinical Preceptorship: Mentored, trained, and completed over 4,000 hours of professional instruction for newly commissioned Army Nurse Corps Officers, practical nurses, and combat medics.
Basic Officer Leadership Course
US Army Active Duty
Fort Sam Houston
07.2019 - 09.2019
- Completed an intensive 8-week medical leadership program focusing on mass casualty response management, advanced trauma field triage, and tactical field medical operations specific to nursing leadership.
Gold Bar Medical Recruiting Officer
US Army Active Duty
San Francisco
04.2019 - 07.2019
- Developed recruiting strategy for University of San Francisco, vetting and selecting premier candidates for specialized Army Nurse Scholarships.
Education
Bachelor of Science - Nursing
University of San Francisco
San Francisco, CA12-2018
Skills
- Post Anesthesia Care
- Postoperative Care Management
- Patient Care Coordination
- Interdisciplinary Liaison (Surgeons, Anesthesiologists)
- Joint Commission (TJC) Regulatory Readiness
- Throughput Optimization & Risk Mitigation
- Strategic Recruitment & Staff Sustainability
- Staff Scheduling, Mentorship & Evaluations
- Epic & Cerner EHR Systems Proficiencies
Personal Information
Title: RN, BSN
Licensure Certifications Awards
- Registered Nurse (RN) License
- Advanced Cardiac Life Support (ACLS) - American Heart Association
- Basic Life Support (BLS) - American Heart Association
- Trauma Nursing Core Course (TNCC) Certification
- Trauma Care After Resuscitation (TCAR) Certification
- NIH Stroke Scale Certification
- DAISY Award Honoree Recipient (2020)
- Military Decorations: Army Commendation Medal, Armed Forces Service Medal, National Defense Service Medal
Timeline
Post Anesthesia Care Unit (PACU) Supervisor
Ascension Seton Main Hospital
06.2023 - Current
Neuro Trauma Step Down Unit Nurse
Tacoma General Hospital
01.2023 - 04.2023
Critical Care Department Nurse Officer / Charge Nurse
US Army - Madigan Army Medical Center (MAMC)
09.2019 - 01.2023
Basic Officer Leadership Course
US Army Active Duty
07.2019 - 09.2019
Gold Bar Medical Recruiting Officer
US Army Active Duty
04.2019 - 07.2019
Bachelor of Science - Nursing
University of San Francisco