Nathan Acapulco
Clovis,CA
Summary
I'm a dedicated nursing student with a 4.0 GPA at California State University, Fresno, pursuing a Bachelor of Science in Nursing with the long-term goal of becoming a Certified Registered Nurse Anesthetist (CRNA). I have a strong foundation in med-surge nursing, interdisciplinary care, patient assessment, lab value and vital sign monitoring from my clinical rotation experience at this hospital during my second and third semesters for med-surge and OB respectively. I'm currently seeking a nursing externship in a step down ICU setting at this hospital to strengthen my foundational nursing skills, gain valuable clinical experience, and prepare for future practice in critical care environments such as the ICU which is where I want to work in after graduation. Being able to work with ICU patients is important to me given the fact that my grandfather, a type 2 diabetic with bilateral AKA, who I lived with growing up had spent the last decade of his life in and out of the ICU at this hospital. He had immigrated from the Philippines with my grandmother and I remember being involved in his ADLs such as bedpanning him, emptying his urinals, and helping him ambulate around the home. Unfortunately, he passed away in the ICU unit in this hospital around eight years ago so it's been my life-long ambition since then to care for patients like my grandfather. I also have a history of congenital heart conditions on my father's side which has driven to working in critical care as well. I have had rotations on the telemetry floor and ED during my med-surge clinical at this hospital where I feel that this externship presents a unique opportunity for me to join my baseline foundation in critical care and meticulous patient monitoring paired with med-surgical nursing skills. Despite my professional experience being minimal, I'd consider my strengths as being a team player who prioritizes patient safety and well-being and being a hard-working student who is willing to do everything in my power to learn new skills and prove myself worthy of working alongside the step-down ICU team of this hospital.
Overview
1
1
year of professional experience
1
1
Certification
Work History
Volunteer
Mobile Health Unit - Fresno State
08.2024 - 12.2024
- Assisted in taking blood pressures and hemoglobin A1cs at community events, and providing health education for controlling hypertension and A1c levels and interpreting and teaching results at south Fresno community events (Mary Ella Brown Park, Cherry Auction, Fresno City College - west Fresno Campus, Wat Brahmacariyakaram)
- Participated in performing height and weight measurements at Clovis North sports physicals
Volunteer
Central Valley Heart and Stroke Walk
10.2023 - 2023
Education
Bachelor of Science - Nursing
California State University, Fresno
Fresno, CA11.2025
High school diploma or GED - undefined
Clovis High School
Clovis05.2021
Skills
Personal Care/ Hygiene & Safety
- Wrist & ankle restraints
- Use of bed rails, gait belt, body mechanics
- Bathing: bed & shower
- Oral care/ dentures
- Bed making: occupied/ unoccupied
- Hand washing
- Peri care: male & female
- shampoo & shaving
- Isolation precautions: standard, contact, droplet, airborne, neutropenic
- arm band for special precautions: allergy, fall, restricted extremity
Communication
- therapeutic
- nursing team
- multidisciplinary team
- confidentiality/ HIPAA
- SBAR
Psycho/ Social
- Admission/ discharge planning
Patient/ Family Teaching
- orientation to unit
- Individual/group teaching
- teach back
- Special teaching: age-specific, preoperative, postoperative, pain scale to patient and family
Neurological
- Assessment: LOC, pupillary reaction, motor function, sensory function, GCS (adult & child), head circumference
- seizure precautions: padded side rails, neurovascular checks
Integumentary
- Assessment: skin turgor, pressure ulcer prevention/staging/reporting/measuring, JP
Cardiovascular
- temperature: oral, axillary, tympanic, rectal
- pulses: apical, radial, pedal, femoral, carotid
- respiration
- Blood pressure
- Adult heart sounds
- Pain: Provocation, Quality, Radiation/Region, Severity, Time
- Lab value interpretation (CBC/ Lytes/ UA/ Blood gases) and reporting
- monitoring equipment: thermometer, electronic BP, pulse oximeter, ETCO2 monitor
- height/weight
- antiembolism stockings
- Sequential compression device
- capillary refill
- edema scale
- vascular assessment
- PIV therapy: site care, tubing change, care of IV lock/flush, primary line/secondary line setup peripheral line discontinuation
- IV start: over the needle cannula
- Phlebotomy/ blood draw
- IV drip calculations
- Central venous access devices: mediport, PICC, CVP hemodialysis catheter
- IV pump: alarm, primary line, secondary line
- central IV therapy: maintaining line patency, site care/dressing change, tubing change/labeling
- Pain control: assessment of pain, numeric pain scale
Pulmonary
- Assessment: breath sounds, normal breath sounds, adventitious breath sounds, rate of respirations, quality of respirations, insertion of oral/nasal airway, postural drainage
- O2 administration: pulse oximetry, nasal cannula, mist mask
- Equipment: incentive spirometer
Gastrointestinal
- Assessment: bowel sounds, abdominal distention/ tenderness/ girth, NG tube assessment
- Nasogastric/ gastrostomy tubes: Intermittent/continuous tube feeding
- Rectal: Enemas
- Ostomy: irrigations, ostomy care/ bag change, appliance change, skin care
- Oral: oral care, I&O
Genito/Urinary
- Assessment: bladder, urine
- Output: urinal, indwelling urinary catheter, urine meter, CBI Bed pan, drains/tubes
- Procedures: foley insertion single/triple lumen, foley irrigation CBI/Manual, bladder scanner, external catheter male & female, anchoring foley tubing/drainage
Musculoskeletal
- body position: semi-fowlers, trendelenburg, reverse trendelenburg, turning/ log rolling
- ambulation: cane, crutches, walker, wagon, abduction pillow
- strength/sensation: warmth, sensation, movement
- dressings: sterile field, sterile, gloving, surgical scrub, sterile dressing change, transparent, hydrocolloid, calcium alginate/collagenase, wound VAC, wound irrigation/care, wound drainage bag, steri strips, staple/ suture removal, abdominal binder, debridement (autolytic, mechanical, & medication), cast care/splint care
Medications
- blood glucose monitor: fingerstick
- Documentation/medication test
- administration of oral: tablet, liquid, sublingual, spray
- Topical: eye drops ear drops, nose drops, ear irrigations, suppositories, ointments/creams, inhaler/spacer/nebulizer
- IM injections
- IM site identification (deltoid, dorsogluteal, ventrogluteal, vastus lateralis,
- Z-track
- Subcutaneous: insulin, heparin, lovenox
- Intradermal
- IVPB
- IV push
- IV narcotic adminsitration
- IV medication drips
Certification
- BLS Certification
- AED Certification
- CPR Certification
Timeline
Volunteer
Mobile Health Unit - Fresno State
08.2024 - 12.2024
Volunteer
Central Valley Heart and Stroke Walk
10.2023 - 2023
High school diploma or GED - undefined
Clovis High School
Bachelor of Science - Nursing
California State University, Fresno