Board Certified nurse practitioner with expertise in the field of Internal Medicine. Proficient in patient and family education regarding the management of acute and chronic health conditions. Self-directed professional with superior problem-solving, communication and management skills. Successful in managing time, prioritizing tasks, and organizing projects to improve the quality of patient care. Knowledgeable professional possesses detailed understanding of principles, methods and procedures. Develops custom treatment plans to assist diagnosis and treatment. Detail-oriented approach to assessing patient need to present problem resolution aims. I have been actively working as an Internal Medicine/Hospitalist Provider for the past 6 years. I enjoy the rewards of knowing that I am able to make a difference on the lives of the people that I came in contact with especially my patients and their families. I am self-directed and solutions-oriented with fantastic communications skills proficient in English, Filipino, Cebuano and able to converse and understand Spanish. I am committed to increasing the quality of patient care through top-of-the-line time management and prioritization. Highly skilled BSN-RN for 25 years of clinical nursing experience. 18 years in the Emergency Room including a Level I Trauma Hospital, 3 years in Intensive Care unit (ICU) in a Long Term Acute Care Hospital, 2 years in Telemetry unit and 5 years in an acute nursing and rehab center. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Acute Care Nurse Practitioner: Internal Medicine
Envision Physicians Services
San Antonio, TX
10.2021 - Current
Conducted physical examinations and assessed lab tests efficacy
Provided information to patients and families about best treatment practices
Established strong patient relationships through active listening
Assessed, diagnosed, and treated acute medical conditions in a timely manner.
Ordered diagnostic tests such as X-rays, CT scans, ultrasounds, MRIs, and lab work as needed for diagnosis and treatment.
Prescribed medications according to patient's condition and needs.
Instructed patients on proper health maintenance techniques including lifestyle modifications.
Collaborated with other healthcare professionals to ensure quality care for each patient.
Monitored patient progress and adjusted treatments accordingly based on results.
Educated patients on their diagnosis and provided them with resources for further assistance if needed.
Participated in multidisciplinary rounds to discuss complex cases with other providers involved in the care of the patient.
Consulted with specialists regarding difficult cases requiring additional expertise or knowledge base.
Ensured accurate documentation of all visits within the electronic medical record system.
Maintained current knowledge of evidence-based practice standards related to acute care services.
Adhered to safety protocols at all times while providing care for acutely ill patients.
Actively participated in weekly case conferences to review challenging cases from the previous week.
Initiated referrals to specialists when needed for further evaluation or management of chronic conditions.
Provided end-of-life counseling for families facing terminal diagnoses.
Served as a preceptor for new Acute Care Nurse Practitioners joining the team.
Managed patients with acute and chronic conditions.
Explained treatment plan care, physician-ordered tests and medications to patients and family members or caregivers.
Reviewed lab test results.
Conducted comprehensive patient assessments to establish accurate diagnoses.
Developed individualized care plans in collaboration with healthcare teams.
Reviewed laboratory results promptly and followed up with appropriate action when indicated.
Nurse Practitioner, Internal Medicine
Talno Medical Group
San Antonio, Texas
02.2019 - Current
Followed internal medicine guidelines while treating inpatient psychiatric patients.
Adhered to healthcare facility protocols and all regulations.
Directed patients on medication use and lifestyle modifications to improve health.
Counseled patients on newly diagnosed health conditions and maintenance of existing conditions.
Wrote medical prescriptions, detailing side effects and possible adverse reactions to keep patients informed and alert of potential issues.
Consulted with surgeons to discuss patient needs, risks and protective strategies to prevent degeneration of conditions.
Endorsed changes in diet and suggested physical fitness activities to improve overall health and keep patients in better shape Engaged with other professionals, including nursing, case managements, nutritionists, pharmacists, technicians and psychiatrists to impart knowledge and discuss best treatment courses.
Thoroughly examined patients and elicited medical history data to use in assessing health and identifying conditions.
Administered high level of care to patients though active listening, open-ended questioning and discussion.
Identified serious conditions and emergency situations and immediately referred to hospital for prompt care.
Evaluated patient histories, complaints and current symptoms to understand conditions and begin diagnostic processes.
Diagnosed and treated patients suffering from chronic conditions including diabetes mellitus, CAD, CKD and asthma/COPD.
Teamed with other physicians, specialists and health care providers to provide well-rounded care for complex cases.
Treated patients undergoing substance abuse treatment, detoxification and recovery in in-patient treatment facility.
Identified alternative pain control methods to avoid use of opioids and other overly-abused narcotics.
Dedicated 36 hours per week as on-call physician at local hospital to supplement staff.
Practiced internal medicine in psychiatric facility, providing diagnosis and treatment for acute and chronic patients.
Suggested diagnostic and laboratory tests to establish underlying causes for any symptoms.
Devised treatment plans for disorders involving cardiovascular, endocrine and other internal systems.
Communicated concerns regarding clients' status, care and environment to nursing supervisors, clinical care supervisors and case managers.
Performed physical exams, ordering and evaluating lab test as well as medications.
Answered patient and family questions to educate on optimal treatment procedures.
Built trust and rapport with patients by listening to concerns, advocating for wellness and educating on acute and chronic health issues.
Nurse Practitioner
Acute Care, Sound Physicians Inc
San Antonio, TX
09.2018 - 09.2021
Assess and treat admitted patients in collaboration with the attending physician Order diagnostic and labs necessary in treating patients to help in deciding patient care Order necessary, safe and effective care needed for the patients Collaborate with other discipline of medicine to ensure effective patient care Collaborate with multidisciplinary team Admits and discharges patients in collaboration with the attending physician Performed an array of patient's examinations, obtained medical histories and assessed the patient's health status Collaborated with my attending to ensure appropriate treatment was provided for optimal health promotion Ordered labs and other diagnostic tests appropriate in determining conditions and disorders in collaboration with my attending.
Provided patient education on various topics ranging from disease prevention, management and health promotion to medication compliance and nutrition Adhered to all hospital procedures, policies and protocols to support patient safety.
Explained medications and side effects to patients, family members and caregivers, and thoroughly reviewed physician-ordered tests.
Recorded patient medical history, applicable test results and vitals into medical records.
Provided medical services and care to patients with chronic and acute conditions, including diabetes mellitus, coronary artery disease, hypertension, asthma and chronic kidney disease conditions.
Utilized customized patient teaching tools to support patients.
Discussed care plans with patients and explained test results and proper use of medications.
Listened to patient concerns and detailed alternative therapies, including yoga and meditation for treatment of migraines.
Performed patient physicals and compared and contrasted results with established medical records to provide proper diagnosis and facilitate appropriate treatment.
Appropriately diagnosed and treated variety of diseases and injuries through careful questioning and assessment of patient symptoms.
Educated patients and caregivers on healthcare protocols and processes.
Offered continuous review of patients in rehabilitation program from admission to discharge.
Executed patient satisfaction and independence by promoting self nursing skills and knowledge of medications.
Advised caregivers and family members in providing emotional and psychological care to support patient needs.
Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals, including physicians, case managers and social workers.
Educated and guided patients on disease prevention and healthy lifestyle habits through discussions and demonstration.
Formulated lists of current and past medical conditions.
Educated patients on treatment options, medical needs and non-medical options for treatments and therapy.
Evaluated new patients by taking vital signs, reviewing lab results and taking visual assessment of patients.
Strictly adhered to all HIPAA regulations.
Used Cerner to create detailed patient reports on patient's condition status and treatments received.
Supported patients in maintaining prescribed regimen of care.
Discussed proposed surgical procedures, risk and potential complications with supervising physician and patient to obtain proper patient informed consent.
Worked with families, caregivers and patients to determine best options for treatment, diagnosis and prevention.
Ordered and interpreted diagnostic tests to develop and implement treatment plans.
Teamed with physicians to provide comprehensive patient care, referrals and high-risk management strategies.
Coordinated with physicians, specialists and other medical staff to develop treatment plans for chronic conditions, including diabetes and heart disease.
Prescribed appropriate pharmacologic and non-pharmacologic treatment modalities to support health and comfort of patients.
Created diagnostic plans to assess extent of clients' handicap or disability and implemented supportive program to access special medical treatment or services in workplace.
Communicated concerns regarding clients' status, care and environment to nursing supervisors, clinical care supervisors and case managers.
Performed physical exams, ordering and evaluating lab test as well as medications.
Answered patient and family questions to educate on optimal treatment procedures.
Built trust and rapport with patients by listening to concerns, advocating for wellness and educating on acute and chronic health issues.
Staff Nurse/ER Charge Nurse
University Health System
San Antonio, Texas
04.2003 - 08.2019
I was an RN III in a busy Level I Trauma ER which I also serves as a relief Charge Nurse
I was a resource and a preceptor in the unit, mentored other medical students including EMTs,
Nursing and even Medical Residents since it is a teaching hospital
Served as a Chairman of the Peer Review Committee
Served as a Chairman of the Medicine Resuscitation Room which serves and care for the
critically ill, unstable and ventilated patients including patients who are having an acute
myocardial infarction, stroke, sepsis, behavior issues with altered mental status, terminally ill that
requires advance life support, CPR or even end of life care
Delivered safe and effective nursing care that requires critical thinking and skills to ensure
patient-family centered care
Collaborated with the physicians and other members of the health care team who are
involved in the patient's care
Trained new nurses in proper techniques, care standards, operational procedures and safety
protocols to optimize performance and safety
Conferred with physicians to discuss diagnoses and devise well-coordinated treatment
approaches
Implemented interventions, including medication and IV administration, catheter insertion and
airway management
Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom
reoccurrence
Delivered medications via oral, IV and intramuscular injections, monitoring responses to catch
and address new concerns
Managed elements of patient care, from admission to discharge or transfer to other units,
using nursing expertise to conduct assessments, administer medications, initiate nursing and
emergency interventions, contribute to care plan development and educate patients
Orchestrated quality-driven, cost-effective care for as many as 75 patients each day in
high-volume Emergency Room setting
Oversaw work of nursing student technicians and externs to educate on proper procedures
and how to prioritize care tasks
Assessed physical, psychological, physiologic and cognitive status of patients
Observed and reported patient condition, progress and medication side effects to accurately
document updates
Educated patients, families and caregivers on diagnosis and prognosis, treatment options,
disease process and management and lifestyle options
Reported patients' status and delegated nurse assignments to achieve optimal outcomes
Collected blood, tissue and other laboratory specimens and prepared for lab testing.
Staff Nurse
Life Care Hospital
08.2014 - 09.2018
Served as a Critical Care Nurse in the Intensive Care Unit of an LTAC Hospital, taking care of
the trached and intubated patients who needs prolonged hospital stay and are ventilator and
PEG tube feeding dependent
Ensuring patient-family centered care is delivered and providing support to the family
members by giving insights and education of the disease process and the patient's current
care plan
Collaborated with the multidisciplinary team.
Charge Nurse/Staff Nurse
Baptist Health System
05.2000 - 12.2013
Served as the Charge Nurse of the Emergency Room .Served as a resource and mentor for the
newly hired colleagues including nursing students
Monitored and assessed patient's status and report these assessments to the physicians
Delivered skilled nursing care to patients that required critical thinking and skills to ensure safe
and effective patient-family centered care.
Charge Nurse/Staff Nurse
Baptist Health System
09.1998 - 05.2000
Served as the Charge nurse and a staff nurse in the Telemetry unit taking care of patients who
were having any cardiac problems and interventions including congestive heart failure, acute
myocardial infarction s/p stress test, heart catheterization and stent placements, as well as
downgraded ICU patients s/p CABG.
Charge Nurse/ Staff Nurse
Memorial Medical Nursing Center
10.1995 - 05.2000
Served as the Charge Nurse and Staff Nurse in the 250 bed capacity Nursing/Rehab Center
Took care of patients who were needing 24 hour skilled nursing care including trached and
peg tube feeding patients
Took care of terminally ill patients and delivered patient-family centered end -of-life care
.Collaborated with multidisciplinary team, Sound Physicians Group.
Education
Master of Science - Nursing
Walden University
Minneapolis, MN
05.2017
Bachelor of Science -
University of Bohol
Bohol, Philippines
04-1993
BSN-RN-Texas BON ACNP -
Skills
Health and wellness expert
Preventive Care
Geriatric treatment
STD care and counseling
Family planning
Vascular care
Quality Improvement
Clinical Decision Making
Intravenous therapy
Healthcare ethics
Advanced cardiac life support
Compassionate Care
Ventilator management
Diagnostic interpretation
Diabetes and nutrition treatments
Geriatric Treatment
Patient Examination
Acute care expertise
Administering medication
Patient-centered care
Chronic Disease Management
Prescribing medications
Geriatric Care
Records Review
Bilingual in Filipino (Tagalog and Cebuano, English and Spanish
Experienced preceptor
Healthcare management
HIPAA Guidelines
Diagnosis and treatment
Patient Education
Treatment Planning
Lab result evaluation
Sound Judgment
American Academy of Nurse Practitioners member
Treatment Plan Development
Health Promotion
Differential diagnosis
Cultural competence
Direct Patient Care
Certification
American Association of Critical Care Nurses Present Licenses and Certification: Basic Life Support (BLS-2025) Pediatric Advanced Life Support (PALS- 2025) Advanced Cardiovascular Life Support (ACL) BSN-RN-Texas BON