Noelle Jauregui

• Appropriately assess and diagnose a variety of acute on chronic medical and psychiatric illnesses and injuries through careful questioning and evaluation of patient symptoms.
• Record abnormal findings in the EMR system within 24 hrs.
• All assessments will be reviewed and if needed a plan of care will be developed,this will assist with access to specific services needed.
• Work with families, caregivers and patients to determine best options for treatment, diagnosis, and prevention.
• Educated patients on treatment options, medical needs, Psychiatric concerns and non-medical options for treatments and therapy.
• Working with patients and people in healthcare about being an effective advocate
• Advocating for yourself, a family member or a patient
• How to effectively communicate with your provider
• You feel that you are not being listened to now what?
• You feel that your pain is not being managed, or a family members pain is not being managed?
• Learn about medical billing and upcharging
• Working with Ellie MD, Providing education, support and health promotion
• Providing support for health care professionals
• Nursing students

1) school support 2) tutoring 3)nursing residency,

4)NCLEX support 5) test anxiety 6)school anxiety

7) depression 8) insomnia/nightmares from school

9) difficulty will skills (skills tutoring) 10)school and

family or marriage issues

• Nurses, Nurse practitioners, PA's, physicians

1) all the above issues but include burnout, a resource for staff who is struggling with their co-workers, if you are being harassed after reporting something that was supposed to be anonymous, if staff is feeling stressed, overwhelmed, depressed, lost, if they wonder why they became a nurse, I am a friendly ear and supportive voice. I have been in your shoes and feel your pain

2) support for guidance for new NP/PA's (I have graduated now what?)

3) guidance on making healthy life choices, learning to put yourself first.

4) can have one on one appointments, could do with a few people,Its all up to you.

• Worked with families, caregivers and patients to determine best options for treatment, diagnosis, and prevention.
• Performed patient physicals and compared and contrasted results with established medical records to provide proper diagnosis and facilitate appropriate treatment.
• Coordinated with physicians, specialists, and other medical staff to develop treatment plans for chronic conditions.
• Discussed care plans with patients and explained test results and proper use of medications.
• Utilized customized patient teaching tools to support patients.
• Assessed patient needs, clearly communicating diagnosis and treatment plans to patients and families.
• Recorded patient medical history, applicable test results, and vitals into medical records.
• Prescribed medications or treatments based on patient medical assessments.

• Ordered and interpreted diagnostic tests to develop and implement treatment plans.
• Appropriately diagnosed and treated variety of diseases and injuries through careful questioning and assessment of patient symptoms.
• Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals.
• Educated patients on treatment options, medical needs, and non-medical options for treatments and therapy.
• Participated in multidisciplinary team meetings to discuss patient cases and treatment plans.
• Implemented individualized patient care plans to address assessment findings.
• Performed comprehensive physical examinations and documented patient histories to gather information and identify health issues.
• Prescribed and managed pharmacological and non-pharmacological treatments to treat underlying causes and relieve symptoms.
• Facilitated patient referrals to specialists and other healthcare providers.
• Informed patients and families on disease prevention and health promotion.
• Participated in hospital committees or working groups to promote quality improvement initiatives.
• Assessed patient needs, clearly communicating diagnosis and treatment plans to patients and families.
• Recorded patient medical history, applicable test results, and vitals into medical records.
• Prescribed medications or treatments based on patient medical assessments.

• Provided medical services and care to patients with chronic and acute psychiatric conditions.
• Educated and guided patients on disease prevention and healthy lifestyle habits to prevent Type-2 diabetes and other complications. (co-manage if mental health medications affect blood glucose or weight, then discussions and teaching are done regarding this.)
• Liaised with healthcare teams to determine best course of action for patients.
• Monitored patient condition and progress, ordering appropriate laboratory tests.
• Developed individualized treatment plans for patients with complex medical needs.
• Assessed patient needs, clearly communicating diagnosis and treatment plans to patients and families.
• Recorded patient medical history, applicable test results, and vitals into medical records.
• Coordinated care with other healthcare professionals, promoting optimal patient outcomes.
• Review patient cases with the collaborating physician
• In the setting of substance abuse, the care plan utilized includes a weaning program and usually MAT: medically assisted treatment. Patient would have to agree to go to daily meetings, have frequent lab and urine tests and follow the recommended steps of the program.
• An agreement is written and signed by the provider and the patient. If used correctly the patient should not experience symptoms of withdrawal or cravings. If they do, per the instructions on the agreement they are to notify the provider ASAP and the medication is adjusted.
• When the agreement is followed correctly and everyone using the tools are educated at the effectiveness of them when done correctly they work well.
• I was the first provider that focused on substance abuse at American Telepsychiatry. I developed plans of care and developed the standard of care that was given to each patient that entered into our substance abuse program. It was the first information that was presented to them so they knew what to expect and what was expected of them. All plans of care were obtained by:https://www.samhsa.gov/find-help/helplines/national-helpline, standards of care
• Naltrexone ordering and suboxone. We also used some other medications for symptom management. Our goal was to try to have the patient wean off substances as an outpatient. We would induce weaning early in the morning and keep some people the entire day. If at the end of the day they still looked questionable then we would admit them to the closest hospital. While they were in the clinic we would start an IV and give them some IV fluids and treat their symptoms. It was not very often that they had to go to the hospital.
• Have the DEA xwaver

• Performed emergency care and Cultivated strong network of providers available to provide assistance to the affected community.
• Intervened in crisis situations to obtain support for clients and reduce escalation or recurrence risks.
• Exercised leadership capabilities by successfully motivating and inspiring others.
• Approached issues proactively to best meet current and future community needs.
• Tracked service activities and outcomes against outlined plans and goals.
• Helped clients navigate social services system and access needed resources.

• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Performed triage on incoming patients and determined severity of injuries and illnesses.
• Equipped patients with tools and knowledge needed for speedy and sustained recovery.
• Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
• Monitored patient reactions after administering medications and IV therapies.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
• Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
• Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
• Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
• Managed patients recovering from medical or surgical procedures.
• Investigated and resolved issues affecting hospital operations and patient care.
• Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
• Worked with healthcare team to develop new dialysis treatment flow sheet and other log forms, improving clinical documentation and accountability.
• Reviewed patient allergies, problems, medications, and immunization statuses.
• Met with patients to discuss concerns, review histories and perform examinations.
• Administered specialized treatment for multiple patients daily.
• Treated acute and chronic conditions to reduce symptoms and improve health.
• Conducted research and stayed current with medical advancements, contributing to growth of medical knowledge.
• Provided and managed direct patient care by conducting physical examinations, evaluations and assessments to determine diagnosis.
• Created treatment plans balancing medical expertise, patient goals and individual compliance levels.
• Educated patients and families on health conditions to raise awareness.
• Developed tools to improve disease surveillance with better screening and reporting options.
• Delivered expert consultation and referrals for appropriate and effective treatment plans.

• Educated and guided patients on disease prevention and healthy lifestyle habits to prevent Type-2 diabetes and other complications.
• Conducted screenings, diagnostic treatment, and rehabilitative services on primary health care team.
• Utilized customized patient teaching tools to support patients.
• Appropriately diagnosed and treated variety of diseases and injuries through careful questioning and assessment of patient symptoms.
• Informed patients and families on disease prevention and health promotion.
• Liaised with healthcare teams to determine best course of action for patients.
• Assessed patient needs, clearly communicating diagnosis and treatment plans to patients and families.
• Home physicals, determine needs, place referrals, notify primary care provider patient current needs and encourage preventive testing
• can be a very dangerous job due to the scheduler is in another state so they have no idea about the area that the staff is being sent into. I had several episodes where I was sent in to areas after dark that were extremely dangerous for me. Only the schedulers were able to make appointments so we were not allowed to reschedule for different times.

• Evaluated post-cardiac thoracic surgical patients each shift, took vitals, and attained key case information.
• patients started as critical care, then were extubated, weaned off inotropes and as they improve assisted through the post -op recovery process with the assistance of PT/OT and ST if needed. when no longer critical their status is changed to surgical post op, they remain in the same room with the caregivers they have established a rapport with already. when it is determined that they are post op, hemodynamically and medically stable they will be cleared by their cardiothoracic surgeon and discharged home with a follow up plan of care to follow.
• Coordinated care with other healthcare professionals, promoting optimal patient outcomes.
• Administered immunizations and performed other preventive health measures.
• Provided patient-centered care in variety of clinical settings.
• worked with electrophysiology, assisted with PPM and ICD placements. In office rhythm checks and reprogramming
• assisted CV surgery and pulm at the bedside with replacement of chest tubs
• assisted pulmonology and Emergency with the emergency placement of intubation
• performed emergent cricothyrotomy
• performed prolonged open chest compressions (heart in hands for 24 min)
• performed chest decompression, for tension pneumothorax
• co creator of the silent code (FMLH)
• Held preop patient classes, "what to expect during hospitalization"
• Utilization review for the hospital
• Participated in hospital committees or working groups to promote quality improvement initiatives.

• Collaborated with patient, family and healthcare team in open discussion to identify mutual goals based on nursing assessment and nursing diagnosis.
• Observed patient condition and notified physician of patient reaction to drugs, treatments and significant incidents.
• Detected, monitored and attempted to prevent complications associated with health situations or treatment plans.
• Assessed and provided primary, secondary and tertiary care to patients in hospital care.
• Treated patients requiring stabilization and resuscitation for variety of illnesses and injuries.
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
• emergency, critical care patients and unstable flight patients