Domingo Ramirrz

Private Duty Nurse – High Acuity (Pediatrics, Trach & Vent Care)

Provide comprehensive, high-acuity nursing care to pediatric patients requiring tracheostomy and ventilator support. Skilled in administering medications, performing enteral (G-tube/J-tube) feedings, conducting nebulizer treatments, and managing complex care needs including urinary catheterization. Responsible for monitoring patient status, coordinating medical appointments, maintaining accurate documentation, and collaborating with families and interdisciplinary teams to ensure optimal patient outcomes.

Key Responsibilities:

• Oversaw and administered prescribed medications safely and accurately for pediatric and adult patients.
• Coordinated and scheduled medical appointments, ensuring continuity of care and timely follow-ups.
• Arranged and managed patient transportation for doctor visits and specialty care.
• Maintained detailed documentation of medication administration and appointment scheduling in compliance with care protocols.

Vaccination Nurse – COVID-19 Immunization Program

Administered COVID-19 vaccines in accordance with CDC and state health guidelines, ensuring safe and accurate dosing. Monitored patients for potential adverse reactions or side effects post-vaccination, providing immediate care and appropriate documentation when necessary. Maintained strict adherence to infection control, safety, and confidentiality protocols.

Chart Auditor / Medical Records Reviewer

Reviewed and audited medical charts for accuracy and compliance with organizational and regulatory standards. Verified that all required documentation—including patient demographics, medication lists, diagnoses, and insurance or sponsorship information—was complete and up to date. Collaborated with physicians, nurses, and administrative staff to resolve discrepancies and ensure high-quality, compliant medical records.

Private Duty Nurse – High Acuity (Pediatrics, Trach & Vent Care)

Provide comprehensive, high-acuity nursing care to pediatric patients requiring tracheostomy and ventilator support. Skilled in administering medications, performing enteral (G-tube/J-tube) feedings, conducting nebulizer treatments, and managing complex care needs including urinary catheterization (up to 40 per shift). Responsible for monitoring patient status, coordinating medical appointments, maintaining accurate documentation, and collaborating with families and interdisciplinary teams to ensure optimal patient outcomes.

Hospice Nurse – Palliative and End-of-Life Care

Provided compassionate, patient-centered care to individuals with terminal illnesses, including advanced-stage cancer. Focused on optimizing quality of life and comfort through pain management, emotional support, and personalized care planning. Collaborated closely with physicians, hospice medical directors, interdisciplinary teams, and family members to ensure continuity of care and adherence to individualized treatment goals.

Floor Nurse → Assistant Director of Nursing (ADON)

Long-Term Care Facility

Floor Nurse (Initial Role)
Delivered comprehensive nursing care to a geriatric population, managing a caseload of 16–25 patients per shift. Provided skilled care including G-tube management, IV therapy, nebulizer treatments, wound care, and medication administration. Maintained accurate documentation and collaborated with interdisciplinary teams to ensure high-quality, patient-centered care.

Assistant Director of Nursing (Promoted after 1.5 years)
Supervised and supported a clinical team of three nurses and six CNAs, ensuring adherence to care standards and facility policies. Oversaw the completion and accuracy of MDS (Minimum Data Set) assessments, coordinating with staff and providers to optimize patient outcomes and compliance. Acted as a liaison between nursing staff, physicians, and administration to maintain smooth operations and quality assurance in the long-term care setting.

Home Health Nurse

Provided skilled nursing care to patients in a home setting, ensuring safe and effective disease management and continuity of care. Responsible for insulin administration, blood glucose monitoring, medication administration and ordering, wound assessment and care, and coordination of medical appointments. Maintained accurate documentation and communicated patient status, progress, and concerns to the Director and Assistant Director of Nursing to support comprehensive care planning and policies.