Pamela Vazquez

Focus: PRAC 6568Z Synthesis in Advanced Nursing Practice of Patients in Family

• Managed a complex patient panel with multiple comorbidities (DM, HTN, HF, CKD), independently initiating and titrating medication regimens, interpreting advanced diagnostics (BNP, eGFR, PFTs), and developing comprehensive care plans.
• Performed comprehensive geriatric assessments, including cognitive screening (MoCA), fall risk evaluation, and advanced care planning discussions to optimize aging in place.
• Evaluated and managed acute exacerbations of chronic conditions (COPD, CHF) and initiated evidence-based workups for complex geriatric presentations like unexplained weight loss and syncope.
• Coordinated care across multiple specialties and served as a primary care liaison, integrating specialist recommendations into a unified management plan.

Focus: PRAC 6552 Advanced Nurse Practice in Reproductive Health Care Practicum

• Managed a daily panel of 20+ patients, performing serial exams, interpreting diagnostic testing, and developing care plans for conditions including gestational diabetes.
• Performed over 50 comprehensive well-woman exams, including Pap smear collection, bimanual pelvic exams, and contraceptive counseling.
• Demonstrated proficiency in LARC procedures through independent removal of multiple IUDs and insertion and removal of subdermal implants, ensuring adherence to clinical guidelines under preceptor supervision.
• Provided tailored counseling on weight management and nutrition for women across the lifespan, from adolescence to menopause.

Focus: PRAC 6541Z Primary Care of Adolescents and Children Practicum

• Managed a full spectrum of pediatric and adolescent acute care patients, diagnosing and treating 50+ cases of AOM, pharyngitis (performing rapid strep tests), bronchiolitis, and URIs.
• Performed 100+ well-child exams from newborn to adolescent, integrating developmental screening (ASQ-3, M-CHAT-R) and behavioral assessments (PHQ-9-A) into each visit.
• Administered all routine childhood immunizations, providing effective counseling to vaccine-hesitant parents and managing follow-up care.
• Developed and managed chronic care plans for pediatric asthma and obesity, including teaching inhaler technique with spacers and providing family-centered nutritional counseling.
• Conducted confidential adolescent visits utilizing the HEADSSS assessment framework, addressing reproductive health, mental health, and substance use.

Focus: PRAC 6531Z Primary Care of Adults Across the Lifespan Practicum

• Performed focused histories and physical exams for 20+ patients daily with common acute and chronic conditions, presenting assessments and differential diagnoses to my preceptor.
• Gained proficiency in point-of-care testing, performing and interpreting rapid strep/flu/COVID tests, urinalysis, and urine pregnancy tests to aid in diagnosis.
• Assisted in developing patient-centered management plans for hypertension, diabetes, and hyperlipidemia, including patient education on medication adherence and lifestyle modification.
• Conducted health maintenance reviews, identifying gaps in cancer screenings and immunizations, and counseling patients on preventive health strategies.
• Became proficient in clinic workflow and EHR documentation, entering patient notes, reviewing lab results, and preparing prescription orders for preceptor authorization.

• Executed travel nursing responsibilities across New Mexico, Arizona, and California, partnering with multiple agencies to deliver high-quality patient care.
• Performed advanced physical assessments on critically ill patients, identifying subtle changes in condition to prevent clinical deterioration.
• Managed complex medication regimens (vasopressors, sedatives, insulin drips) and titrated therapies based on continuous hemodynamic monitoring.
• Acted as a first responder during medical emergencies, executing ACLS protocols and stabilizing patients prior to provider arrival, demonstrating decisive clinical judgment under pressure.
• Provided comprehensive patient and family education on complex disease processes (e.g., post-MI care, sepsis management), establishing a foundation for effective patient communication in primary care.
• Precepted new nurses and served as a charge nurse, fostering a culture of safety and mentoring clinical staff—skills directly transferable to leading a clinic patient care team.

• Performed rapid, systematic triage assessments for a high-volume, diverse patient population, accurately prioritizing acuity and initiating diagnostic protocols (e.g., EKGs, labs, imaging) prior to provider evaluation.
• Managed a full spectrum of high-acuity conditions autonomously under standing orders, including acute coronary syndromes, sepsis, stroke, and multi-system trauma, ensuring timely intervention and stabilization.
• Executed and assisted with advanced emergency procedures including complex wound repair, lumbar punctures, chest tube management, and procedural sedation, ensuring patient safety and optimal outcomes.
• Functioned as a core member of the trauma and code response team, delivering ACLS/PALS interventions, managing airway adjuncts, and administering critical medications with precision under intense pressure.