Board Certified Nurse Practitioner specializing in medication pain management, women's health, family planning, STDs, immunizations, HIV, tuberculosis, and primary care. Demonstrated expertise in managing and supervising teams. Known for strong work ethic, adaptability, and exceptional interpersonal skills. Proven ability to work independently and rapidly acquire new skills.
Overview
27
27
years of professional experience
1
1
Certification
Work History
APRN Medication Pain Management
Department of Veterans Affairs
El Paso, Texas
09.2023 - Current
Assessed patient pain levels, severity and location to develop individualized treatment plans.
Provided education on pain management techniques including medication administration, lifestyle changes and relaxation strategies.
Performed physical exams to assess the source of pain, range of motion and strength.
Ordered diagnostic tests such as X-rays, CT scans or MRIs to determine the cause of chronic pain in patients.
Prescribed medications for acute and chronic pain relief based on patient history and current condition.
Monitored patient response to treatments and adjusted accordingly.
Collaborated with physicians, nurses and other healthcare providers to ensure optimal care for patients in pain management programs.
Developed comprehensive plans for long-term management of chronic pain conditions.
Maintained accurate records regarding patient progress, treatments administered and medications prescribed.
Participated in interdisciplinary team meetings to review cases involving complex medical issues related to severe or persistent pain syndromes.
Provided counseling services for patients struggling with emotional issues due to their chronic pain symptoms.
Implemented non-pharmacological interventions such as acupuncture, massage therapy or biofeedback when indicated by patient needs.
Coordinated referrals for psychological support services when necessary.
Managed opioid analgesics safely according to established protocols.
Conducted regular follow-up visits with patients receiving ongoing care for chronic pain conditions.
Reviewed laboratory results and imaging studies to evaluate effectiveness of treatment plans.
Evaluated efficacy of alternative therapies such as yoga or meditation for managing stress associated with chronic illness.
Counseled family members on how best to support a loved one suffering from intractable pain.
Attended continuing education seminars related to advances in treatment modalities for managing acute and chronic pains.
Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
Coordinated with healthcare team to establish, enact and evaluate patient care plans.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
Referred patients to specialized health resources or community agencies to furnish additional assistance.
Collaborated with health groups to plan or implement programs designed to improve overall health of communities.
Conducted specified laboratory tests to help detect conditions and determine diagnosis.
Family Nurse Practitioner/Immunizations Manager
City Of El Paso
5115 El Paso Dr., El Paso, TX 79905
11.2021 - 10.2023
Managed and treated over 2000 family planning and STD patients in a one year period.
Significantly reduced the spread of STD infections in the community of El Paso by properly treating and following up on all of my patients and their sexual partners using the CDC guidelines.
Reduced the number of unplanned pregnancies in my patient population by initiating and/or referring over 50% of my patients to some form of contraception to include vasectomies and bilateral tubal ligations.
Referred all patients with signs and symptoms of type 2 diabetes, hypertension, hyperlipidemia, and other acute and chronic conditions to primary care.
Educated patients on strategies for chronic disease prevention.
Promoted health on 100% of patients by advising patients about diet, hygiene and methods for prevention of disease.
Provided women's health services for contraception, reproductive concerns, counseling, and family planning.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Collaborated with health groups to plan or implement programs designed to improve overall health of communities.
Counseled 100% of my patients on risks of alcohol and tobacco use.
Operated in triple capacity, serving as clinician for Title X, STD clinic and as program manager for the Immunizations Department.
Supervised over 30 employees to include nurses, patient care technicians, medical assistants, and clinical assistants.
As a program manager, I re-opened two community immunization clinics that had been closed for over two years.
As program manager for immunizations, I became the grant writer for the department.
Analyzed monthly reports on actual revenue performance and compared with budgeted projections.
Administered review of budget department personnel.
Reviewed operating budget periodically to analyze trends affecting budget needs.
COVID-19 Program Manager
TB department provider
Ordering and interpreting chest x-rays
Ordering TB medications
Served as point of contact for team members, parent organization and public health entities to inform on operations and testing data.
Oversaw daily operations to maximize testing output and minimize patient processing times.
Recruited and trained new staff members to administer and process tests quickly while maintaining organized databases.
Managed local marketing efforts, increasing awareness of site operations to drive testing numbers higher.
Recruited, hired and trained new medical and facility staff.
Correctional Registered Nurse
DOJ/BOP
8500 Doniphan Rd., Anthony, TX 79821
07.2015 - 10.2021
Following standing delegation orders, I assessed & treated inmates suffering from injuries caused by falls, stabbings or other means of injury.
Stabilized inmates prior to transport to nearest medical facility.
Administered PPD test on all inmates.
Interpretation of PPD results
Pharmacy distribution
Ordering labs per SDOs for inmates going to colonoscopies
Ordering colonoscopy prep medications on inmates scheduled for colonoscopies
Administered immunizations to prisoners per CDC guidelines
Following standing delegation orders, I ordered, labs, and x-rays on patients with positive PPD tests.
Assessed and treated inmates following standing delegation orders with contagious illnesses or conditions, including influenza, lice, scabies, COVID, shingles, chickenpox, c diff, & tuberculosis.
Following standing delegation orders, I stabilized injuries, and ordered x-rays to rule out fractures when needed.
Developed and coordinated patient care plans for prisoners with COPD, diabetes, HTN, hyperlipidemia, or other chronic conditions.
Ran NAAT PCR COVID tests in the lab.
Following standing delegation orders, I provided sick call to all inmates and scheduled with primary providers for follow up based on acuity needs.
Administered oral, IV and intra-muscular medications and monitored patient reactions.
Following standing delegation orders, assessed and treated inmates for insect bites.
Pill Lines
Insulin Lines
Hearing tests
Visual Acuity Tests
Correctional Registered Nurse (PRN)
UMC
601 E. Overland Ave., El Paso, TX 79901
05.2018 - 12.2019
Assessed prisoners suffering injuries through falls, stabbings or other means and stabilized each prior to transport to nearest medical facility.
Identified issues related to mental health conditions and recommended specific therapies for patients.
Cared for prisoners suffering from contagious illnesses or conditions, including influenza, lice and gastrointestinal bugs.
Developed and coordinated patient care plans for prisoners with COPD, diabetes or other chronic conditions.
Mental Health Registered Nurse
El Paso Psychiatric Center
4615 Alameda Ave., El Paso, TX 79905
08.2014 - 07.2015
Conducted independent risk assessment for self-directed violence, analyzing risk factors, protective factors, mental status and current triggers.
Implemented evidence-based and best practice problem-solving interventions to establish protective measures for suicide prevention and self-harm.
Developed collaborative safety plan with patient and family to prepare for discharge.
Participated in root cause analysis for concerning patient behaviors to prevent acts of furtherance on inpatient unit.
Administered medications, adhering to medication schedules and making adjustments commensurate with patients' condition and response.
Documented all medications administered to mental health patients, following instructions from physicians and healthcare providers.
Registered Nurse - Pre-Op/Post OP (PRN)
Vista Surgical Center
1400 Common Dr., El Paso, TX 79936
03.2008 - 06.2015
Prepared operating rooms by setting out and verifying equipment and assessing for compliance with asepsis standards.
Handled laboratory specimens and inspected containers for correct packaging and labeling.
Performed nursing tasks to deliver high level of care and comply with procedures and regulations.
Performed comprehensive assessments
Transferred patients from operating room to recovery room on stretchers and in wheelchairs.
Recorded patient outcomes, new post-operative prescriptions and other information in patient charts.
Assessed patients ALDERETE score throughout the post op period.
Provided pain medications as ordered in the patients post op charts
Assisted Anesthesiologists with conscious sedation procedures
Started IVs
Discontinued IVs
Assisted in code blue emergencies
Labor and Delivery Registered Nurse
University Medical Center, UMC
4815 Alameda Ave., El Paso, TX 79905
03.1998 - 08.2014
Cared for pregnant women expecting imminent birth and for babies immediately after birth in hospitals and health clinics.
Assessed and documented physical condition of mothers and babies and assisted doctors in identifying and treating preeclampsia, and gestational diabetes.
Assisted physicians in delivery of over 40 babies per month and supported and encouraged mothers during childbirth.
Worked in a high risk facility that delivered over 500 babies per month.
Charge nurse for over 14 years
Triage Nurse
Assisted with C/S as an operating labor and delivery nurse.
Assisted with tubal ligation procedures
Assisted with D&C procedures
Prepared patients during the pre-op procedure
C/S emergencies
Hysterectomies
Assisted with the pre and post op recovery of mothers.
Assisted Anesthesia with epidural placement
Assisted Anesthesia with general anesthesia procedures
Monitored post op patients for level of sedation with epidural, spinals and general anesthesia.
Advanced Medical Support Assistant at Department of Veterans Affairs, Central TX Veterans HealthcareAdvanced Medical Support Assistant at Department of Veterans Affairs, Central TX Veterans Healthcare
VETERAN CLAIMS EXAMINER INSURANCE at Department Of Veterans Affairs, Veterans Benefits AdminVETERAN CLAIMS EXAMINER INSURANCE at Department Of Veterans Affairs, Veterans Benefits Admin
Health System Specialist at Department of Veterans Affairs/ Veterans Health AdministrationHealth System Specialist at Department of Veterans Affairs/ Veterans Health Administration
Rating Veterans Service Representative at Department Of Veterans Affairs, Veterans Benefits AdminRating Veterans Service Representative at Department Of Veterans Affairs, Veterans Benefits Admin