NIKKI GUEVARRA
San Diego,United States
Summary
Profile for NIKKI G. GUEVARRA, RN, BSN, CEN, PCCN
Clinical Focus: Emergency Room - 11years, PCU/MS TELE 6 years
Total years of RN Experience - 17 years
Overview
17
17
years of professional experience
Work History
Registered Nurse, PCU
UCSD Medical Center
10.2022 - Current
- Monitored cardiac and other critical vital signs to detect changes and enable intervention of life-threatening or emergency situations.
- Promoted a positive work environment within the PCU team through collaboration, mutual respect, and proactive problem-solving approaches.
- Administered prescribed medications, changed dressings, cleaned wounds and monitored vital signs to provide high standards of patient care.
- Precepted new nurses through orientation processes, sharing expertise in PCU nursing practice and fostering professional growth.
Travel Registered Nurse - EMERGENCY DEPARTMENT
HANNIBAL REGIONAL HOSPITAL
01.2022 - 08.2022
- Company Overview: Hannibal Regional Hospital is a 99-bed acute care hospital providing comprehensive health and wellness services to the residents of the tristate area
- The Emergency Department is prepared to handle emergencies with a technologically advanced monitoring system and on-staff cardiologists who have the capability to monitor EKG results from a remote location
- Hannibal Regional Hospital is a designated Level III Stroke Center by the Missouri Department of Health and Senior Services as a component of the Time Critical Diagnosis System throughout the state
- Hannibal Regional Hospital is a 99-bed acute care hospital providing comprehensive health and wellness services to the residents of the tristate area
- The Emergency Department is prepared to handle emergencies with a technologically advanced monitoring system and on-staff cardiologists who have the capability to monitor EKG results from a remote location
- Hannibal Regional Hospital is a designated Level III Stroke Center by the Missouri Department of Health and Senior Services as a component of the Time Critical Diagnosis System throughout the state
Travel Registered Nurse - EMERGENCY DEPARTMENT
BARNES JEWISH HOSPITAL
03.2021 - 01.2022
- Company Overview: Barnes-Jewish Hospital is the St
- Louis region's top adult hospital and a 1266+ bed capacity hospital
- Formed from the merger of the former Barnes and Jewish Hospitals to become Missouri's largest hospital, it continues the traditions of its predecessors along with its partner, Washington University School of Medicine, in providing cutting-edge treatments, educating future medical professionals and working to make our community as healthy as it can be
- Barnes-Jewish Hospital has been ranked on the U.S
- News & World Report Best Hospitals Honor Roll
- In 2021, Barnes-Jewish ranked 11th overall with 11 specialties being ranked nationally
- The hospital was also the first hospital in Missouri to be designated as a Magnet hospital in 2003 by the American Nurses Credentialing Center for excellence in nursing and has been redesignated consistently since
- Barnes-Jewish Hospital is a teaching hospital staffed by more than 1,500 Washington University Physicians, the clinical practice for the Washington University School of Medicine
- The Emergency Department is composed of 80+ beds, with a nurse-patient ratio of 1:4 depending on the acuity level and with a minimum census of 200 patients per 24 hours
- Barnes-Jewish Hospital is the St
- Louis region's top adult hospital and a 1266+ bed capacity hospital
- Formed from the merger of the former Barnes and Jewish Hospitals to become Missouri's largest hospital, it continues the traditions of its predecessors along with its partner, Washington University School of Medicine, in providing cutting-edge treatments, educating future medical professionals and working to make our community as healthy as it can be
- Barnes-Jewish Hospital has been ranked on the U.S
- News & World Report Best Hospitals Honor Roll
- In 2021, Barnes-Jewish ranked 11th overall with 11 specialties being ranked nationally
- The hospital was also the first hospital in Missouri to be designated as a Magnet hospital in 2003 by the American Nurses Credentialing Center for excellence in nursing and has been redesignated consistently since
- Barnes-Jewish Hospital is a teaching hospital staffed by more than 1,500 Washington University Physicians, the clinical practice for the Washington University School of Medicine
- The Emergency Department is composed of 80+ beds, with a nurse-patient ratio of 1:4 depending on the acuity level and with a minimum census of 200 patients per 24 hours
Staff Nurse - EMERGENCY DEPARTMENT
AL DHAFRA HOSPITALS
04.2015 - 01.2021
- Company Overview: Al Dhafra Hospitals is a group of hospitals and a government owned institution which caters primarily to people in the Western region of Abu Dhabi
- It is a JCI accredited, general secondary hospital with 155 bed capacity accommodating wide variety of healthcare services e.g Surgery, Medicine, Operating Theatre, Obstetric and Gynecology, Pediatric, Dialysis, ICU, Emergency and Out-patient Department
- Al Dhafra Hospitals utilizes Electronic Medical Record using the CERNER system and is a member of SEHA Heath System which is responsible for managing and developing public hospitals and clinics in the Emirate of Abu Dhabi
- Al Dhafra hospitals' utilizes OMNICELL as its central pharmacy automation working with unit-dose system in dispensing medications to improve safety and adherence across all of the departments
- The emergency department is composed of 16 beds (1 resuscitation room, 1 Trauma room, 1 Isolation room, 8 treatment/observation rooms, 1 procedure room, 2 triage rooms) plus 2 urgent care clinics
- Usual shift composed of 1 nurse to 4 patient ratios, with at least 100 patients work volume per 24 hours
- Al Dhafra Hospitals is a group of hospitals and a government owned institution which caters primarily to people in the Western region of Abu Dhabi
- It is a JCI accredited, general secondary hospital with 155 bed capacity accommodating wide variety of healthcare services e.g Surgery, Medicine, Operating Theatre, Obstetric and Gynecology, Pediatric, Dialysis, ICU, Emergency and Out-patient Department
- Al Dhafra Hospitals utilizes Electronic Medical Record using the CERNER system and is a member of SEHA Heath System which is responsible for managing and developing public hospitals and clinics in the Emirate of Abu Dhabi
- Al Dhafra hospitals' utilizes OMNICELL as its central pharmacy automation working with unit-dose system in dispensing medications to improve safety and adherence across all of the departments
- The emergency department is composed of 16 beds (1 resuscitation room, 1 Trauma room, 1 Isolation room, 8 treatment/observation rooms, 1 procedure room, 2 triage rooms) plus 2 urgent care clinics
- Usual shift composed of 1 nurse to 4 patient ratios, with at least 100 patients work volume per 24 hours
Staff Nurse, Emergency Department
University Hospital Sharjah
05.2011 - 02.2015
- Company Overview: University Hospital Sharjah is a tertiary care multispecialty teaching hospital located in the campus of University of Sharjah; with recognized JCI accreditation and is currently operating 325 beds spread across multiple specialties including 210 inpatient beds, 40 specialty outpatient beds, 34 emergency beds, 11 ICU beds, 10 CCU beds, 11 neonatal ICU and 9 daycare beds
- UHS utilizes TRAKCARE as Electronic Medical Record and has been recognized by Healthcare Information and Management Systems Society (HIMSS) for achieving Stage 6 on the EMR Adoption Model SM (EMRAM)
- This represents a significant advancement in the integrated healthcare network's IT capabilities, positioning the hospital to deliver highest quality patient care
- UHS is also known as both a baby and mother-friendly hospital and an approved General Civil Aviation Authority (GCAA) center responsible in conducting GCAA aviation medicals
- UHS is also recognized as the first of its kind CENTER for Breast Care in Sharjah which caters to early detection, treatment and follow up of tumors and other breast diseases; Regional CENTER of excellence for maternity care, LEVEL 3 NICU equipped to care for neonatal/premature babies with critical illnesses at all gestational ages
- UHS is also known to be an institution that uses an advance technology and utilizes SWISSLOG Pneumatic Tube as its automated transport system within the facility
- University Hospital Sharjah is a tertiary care multispecialty teaching hospital located in the campus of University of Sharjah; with recognized JCI accreditation and is currently operating 325 beds spread across multiple specialties including 210 inpatient beds, 40 specialty outpatient beds, 34 emergency beds, 11 ICU beds, 10 CCU beds, 11 neonatal ICU and 9 daycare beds
- UHS utilizes TRAKCARE as Electronic Medical Record and has been recognized by Healthcare Information and Management Systems Society (HIMSS) for achieving Stage 6 on the EMR Adoption Model SM (EMRAM)
- This represents a significant advancement in the integrated healthcare network's IT capabilities, positioning the hospital to deliver highest quality patient care
- UHS is also known as both a baby and mother-friendly hospital and an approved General Civil Aviation Authority (GCAA) center responsible in conducting GCAA aviation medicals
- UHS is also recognized as the first of its kind CENTER for Breast Care in Sharjah which caters to early detection, treatment and follow up of tumors and other breast diseases; Regional CENTER of excellence for maternity care, LEVEL 3 NICU equipped to care for neonatal/premature babies with critical illnesses at all gestational ages
- UHS is also known to be an institution that uses an advance technology and utilizes SWISSLOG Pneumatic Tube as its automated transport system within the facility
Staff Nurse, Medical Surgical
Urdaneta District Hospital/ Don Amadeo J Perez Memorial
02.2008 - 02.2011
- Company Overview: Don Amadeo Perez is a government hospital serving the community of Urdaneta
- It is now comprised of 196 bed capacity and has level 3 ER, adult, pediatric and OBGYN ward/in patient services
- Don Amadeo Perez is a government hospital serving the community of Urdaneta
- It is now comprised of 196 bed capacity and has level 3 ER, adult, pediatric and OBGYN ward/in patient services
Education
Bachelor of Science - Nursing
University of Baguio
Baguio City, Philippines03.2007
Skills
- BLS
- ACLS
- ART PCU
- TNCC
- PCCN
Clinical Skills Summary
- Triaging ED patients based on 5 ESI levels.
- Assist physician in various lifesaving procedures such as intubations, defibrillations, and cardioversion.
- Responds to codes in the hospital.
- IV insertion/ABG collection and phlebotomy/blood extraction.
- Administer medication (PO, IM, SC, IV, nebulization, patch).
- Administering oxygen therapy, low flow and high flow concentration.
- Administering blood and blood products.
- NGT insertion.
- Foley Catheter insertion - male and female.
- Wound Care/Dressing.
- Splinting/Back slab/Cast application.
- Assisting in conscious sedation.
- Assisting in Intubation.
- Assisting in Chest Tube insertion.
- Performing EKG.
- Performing point of care testing like ABG, RBS, rapid strep swab, urinalysis and urine pregnancy test.
- Teaches patients and significant others how to manage their illness/injury.
Cases Cared For
- Myocardial Infarction (stemi/nonstemi pathway)
- Stable/Unstable Angina
- Hypo/Hyperglycemia/DKA
- Palpitation/SVT/Atrial Fib
- CVA/TIA
- Convulsions/Seizures
- Anaphylactic Shock
- Sepsis
- Accelerated Hypertension
- Pulmonary Tuberculosis
- COPD/Bronchitis/Acute Exacerbation of Asthma
- Gastroenteritis with Dehydration
- Acute Kidney Injury
- Head injury/Motor Vehicle Accident
- Burns
- Open and close Fracture
- Malaria
- Acute Pancreatitis/Gastritis/Peptic Ulcer
- Organophosphate Poisoning
Equipments Used
- Alaris IV infusion Pump
- Alaris Syringe Pump
- Phillips and Zoll Defibrillator
- ABL 90 Flex ABG Machine
- Accuchek Inform II System Glucometer
- Drager Evita V300 Ventilator
- Zoll Power Infuser (portable)
- Abbott Freego Feeding Pump
- Portable/Wall-Mounted Wall Oxygen
- Portable/Wall-Mounted Suction machine
- G.E ECG machine
- Christie Transilluminator Vein Locator
- Infinium Vital Sign Monitor
- Anetic Aid Pneumatic Tourniquet
- HICO Ultrasonat Nebulizer/Steam Inhalation
- Nihon Kohden bedside monitor
Licensure And Certificates
- RN LICENSE: BON California License No. 95268652, 11/30/25
- RN LICENSE: BON Missouri License No.2021008211, 04/30/23
Skills And Credentials
- PCCN AACN examination date 11/06/2023
- AACN CCRN ADULT Certification, C13003467, 09/30/22
- CEN ADULT, 7002994, 10/13/23
- BLS, 01/2025
- ACLS, 04/2025
- ART PCU
- TNCC, 02/28/25
Profile
NIKKI G. GUEVARRA, RN, BSN, CEN, Emergency Room, 14, 11
Timeline
Registered Nurse, PCU
UCSD Medical Center
10.2022 - Current
Travel Registered Nurse - EMERGENCY DEPARTMENT
HANNIBAL REGIONAL HOSPITAL
01.2022 - 08.2022
Travel Registered Nurse - EMERGENCY DEPARTMENT
BARNES JEWISH HOSPITAL
03.2021 - 01.2022
Staff Nurse - EMERGENCY DEPARTMENT
AL DHAFRA HOSPITALS
04.2015 - 01.2021
Staff Nurse, Emergency Department
University Hospital Sharjah
05.2011 - 02.2015
Staff Nurse, Medical Surgical
Urdaneta District Hospital/ Don Amadeo J Perez Memorial
02.2008 - 02.2011
Bachelor of Science - Nursing
University of Baguio
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