Rebecca Alvarado
San Antonio
Summary
Certified in ACLS, BLS, PALS. My nursing experience began as an LVN in 1991 to then obtain my RN in 2006. I have worked various medical areas and have had the chance to grow as a nurse. My professional growth has gone from working as a bedside nurse to acting as a charge nurse in the ED department.
Overview
19
19
years of professional experience
Work History
RNDOD
Lackland AFB
San Antonio, TX
2012.07 - Current
- I am employed at the Family Emergency Center at Lackland Airforce Base
- The is a level 3 unit in which I perform a range of clinical/medical skills and care that range from triage, utilizing the ESI scale to performing nursing skills within my scope of care.
- These skills include but not limited to PIV placements, lab draws, to EKG's, hemodynamic monitoring, wound care, IV fluid administrations, initiate a variety of IV drips to administering conscious sedation.
- Perform immediate emergent nursing care to patients in distress such as active Myocardial infarct, stroke or patients in respiratory distress.
- I also act as a charge nurse as required, managing the assignments on the floor and coordinating incoming ems patients.
- In this department I have also worked as a Patient Advocate and handling multiple patient complaints.
- Demonstrated respect, friendliness, and willingness to help wherever needed.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Worked flexible hours across night, weekend, and holiday shifts.
- Used critical thinking to break down problems, evaluate solutions, and make decisions.
- Developed and maintained courteous and effective working relationships.
- Resolved problems, improved operations, and provided exceptional service.
- Adaptable individual with exceptional interpersonal skills and talent for building relationships. Known for delivering outstanding service and enhancing client satisfaction. Focused on fostering positive interactions and creating collaborative environment.
PACU RN PRN
Metropolitan Methodist Hospital
San Antonio , TX
2013.08 - Current
- I currently work PRN in the PACU department and float to other departments such as medical surgical, step down unit and tele
- Evaluated patient pain, nausea, difficulty breathing and fear and agitation in recovery room and employed various nursing interventions to manage vulnerabilities.
- Insure post op pain control with use of variety of narcotics
- Address pt decline, change of condition to provider, collaborate and interact with OR staff to provide continuum of nursing care
- Monitored patient reactions to drugs and carefully documented findings.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Monitored patient vitals and recovery progress post-anesthesia to ensure safety and comfort.
- Administered medications and managed pain control protocols for optimal patient outcomes.
- Collaborated with surgical teams to facilitate smooth transitions from operating room to recovery unit.
- Educated patients and families on postoperative care, enhancing understanding and compliance.
- Trained and mentored junior nurses in PACU procedures, fostering professional growth and team cohesion.
- Provided timely interventions to address airway management complications such as respiratory depression or obstruction in post-operative patients.
- Reduced complications by promptly identifying and addressing post-operative issues in PACU patients.
- Enhanced patient recovery by providing comprehensive post-anesthesia care and monitoring vital signs.
- Decreased medication errors by meticulously administering medications following proper protocols and verifying dosages.
- Provided emotional support to patients and their families during the recovery process, easing anxiety related to surgery outcomes.
- Assisted physicians with bedside procedures in the PACU setting, such as wound care, dressing changes, and insertion of invasive monitoring devices.
- Expedited patient admission into the PACU through rapid assessment of vital signs upon arrival from surgeries.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Educated family members and caregivers on patient care instructions.
Field RN
Transitions Hospice
2017.02 - 2020.12
- As a hospice RN, I Maintain communication between and among all team members to include home care technicians, social worker, Chaplin and hospice provider and other members of the multidisciplinary care team
- As a case manager, I educate the patient and family on a variety of disease process and how to manage home care
- This duty as includes monitoring home meds and needed home equipment
- Assumes responsibility for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge
- Administers medications and procedures per established policies and guidelines
- Monitoring change of patient condition and providing additional care is a constant
- Manage control of patient symptoms to include pain, anxiety, nausea and diarrhea
Hospice RN per Diem
Cima Hospice
2012.04 - 2014.11
- I would work as a Field nurse which would require home visits to conduct patients assessments, and to ensure patient comfort, ensuring high quality practices in the treatment of symptoms at the end of life through the coordination and integration of various nursing, medical and complementary interventions
- Involved in caring for patients at the end of life on the critical care, acute inpatient units, Community Living Center and outpatient program and serves as a consultant and resource person I would order medical supplies and medications for symptom control as needed
- I would work with physicians, Social Worker, and Chaplain to manage patient and family physical and emotional needs.
RN
Angel Staffing
2008.09 - 2010.04
- I was employed as a part time Registered Nurse and worked for FEMA performing care during Hurricane relief
- I traveled throughout Texas working in shelters providing nursing care
- I also traveled throughout Texas performing HINI vaccinations
- After these assignments were complete I worked as a contractor at Wilford Hall on 7D the post trauma medical floor, Tele, Urgent care and then ended at Trainee Health in 2012.
RN
Select Specialty Hospital
2007.04 - 2009.10
- I managed care of critically ill patients include cardiac, hemodynamic pulmonary gastrointestinal, neurological, renal medical issues
- I cared for patients that were on ventilators, chest tubes, and iv therapy than involved various iv drips such as lidocain, propofal, heparin, insulin, and requiring frequent blood transfusions
- I functioned as a charge nurse for the unit as needed basis
- Care included participating in case management discussions with the team and family in order to maximize healthcare options.
Education
Bachelor of Science - Bachelor Program
UT Arlington
Arlington, TX11.2021
Associate of Applied Science - Nursing
San Antonio College
San Antonio, TX12.2006
Skills
- Time Management
- Multitasking Abilities
- Self-Directed
- Problem Resolution
Eveningphone
(210) 328-2824
References
- Akera Lewis PA Wilford Hall Emergency Center, 610-348-9289
- Norma Martinez, Wilford Hall Family Emergency Center, 210-367-5024, norma.j.martinez2.civ@mail.mil
- Dana Cruz, Wilford Hall Family Emergency Center, Nurse Practitioner, 210-885-6048, dana.c..cruz.civ@mail.mil
- Melissa Runge, Wilford Hall Family Emergency Center, Lt Col, 210-400-9825, melissa.m.runge.mil@mail.mil
- Patricia Rincon, VAR, RN, 210-425-7137, patricia.rincon@ymail.com
Timeline
Field RN
Transitions Hospice
2017.02 - 2020.12
PACU RN PRN
Metropolitan Methodist Hospital
2013.08 - Current
RNDOD
Lackland AFB
2012.07 - Current
Hospice RN per Diem
Cima Hospice
2012.04 - 2014.11
RN
Angel Staffing
2008.09 - 2010.04
RN
Select Specialty Hospital
2007.04 - 2009.10
Bachelor of Science - Bachelor Program
UT Arlington
Associate of Applied Science - Nursing
San Antonio College