Renee Sinema
Ramona,United States
Summary
Clinical Nurse Specialist experienced in patient safety, medication management, and team building. Achieved high-quality patient care through effective time management, empathy, and collaboration with multidisciplinary teams. Focused on enhancing patient outcomes by fostering a supportive healthcare environment and delivering efficient problem-solving.
Overview
1
1
Certification
21
21
years of professional experience
Work History
Surgical Nurse
Palomar Health
Escondido, CA
08.2025 - Current
- Delivered perioperative care for surgical patients across Palomar Health operating suites.
- Prepared sterile field and surgical instruments for procedures.
- Monitored patient status during preoperative and postoperative recovery.
- Documented assessments, interventions, and care plans in electronic health records.
- Collaborated with surgeons, anesthesiologists, and surgical technologists during procedures.
- Administered medications and maintained safe handoff communication in surgical services.
- Maintained infection control practices and surgical site safety throughout care.
- Responded quickly and calmly to emergency situations that may arise during a surgical procedure.
- Performed wound dressing changes following prescribed orders from the physician.
- Administered medications prescribed by the surgeon according to established protocols.
- Built relationships with pre- and post-surgical patients with compassion and a positive attitude.
- Maintained aseptic environment to prevent patient infections or other unwanted outcomes.
- Supported patients and families emotionally before, during, and after surgeries.
- Participated in training sessions related to new technologies or techniques used in surgical procedures.
- Observed surgical procedures to closely monitor patient and quickly assist physician with potential complications or additional needs.
- Streamlined workflow by maintaining organized inventory of surgical supplies. of surgical supplies including counting sponges, needles and other equipment prior to use.
- Monitored unexpected patient events, interactions, or outcomes and recorded incident report in certain situations.
- Reported any abnormal findings or changes in patient's condition immediately to the attending physician.
- Sterilized and arranged operating equipment and instruments to prepare the room for surgery.
- Consulted with anesthesiologists regarding type of anesthesia needed for each individual patient's case.
- Supported successful administration of care plans by communicating with cross-functional teams.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Instituted new processes and standards for in-patient care, achieving departmental goals and objectives.
Outpatient Nurse
Sharp Healthcare- Endoscopy
San Diego, California
05.2025 - Current
- Assessed outpatient endoscopy patients for procedure readiness and safety.
- Prepared patients for colonoscopy and EGD procedures in Sharp HealthCare Endoscopy.
- Initiated IV access and administered ordered medications during outpatient visits.
- Monitored vital signs and sedation response throughout endoscopy procedures.
- Administered conscious sedation medications under physician supervision.
- Performed conscious sedation using medications such as fentanyl, midazolam, propofol and monitored vital signs.
- Demonstrated airway management, rhythm recognition, and emergency response procedures.
- Worked with cross-functional teams to achieve goals.
- Provided discharge instructions and recovery guidance after outpatient endoscopy care.
- Documented nursing assessments and procedure notes in electronic health records.
- Collaborated with physicians and staff to coordinate daily procedure flow.
- Educated patients on bowel prep, fasting, and post-procedure care.
- Monitored vital signs including temperature, pulse, respiration rate and blood pressure.
- Provided direct nursing care to outpatients in a clinic setting.
- Provided guidance to nurses on evidence-based best practices to enhance patient care.
- Screened patients for common treatment contraindications, drug abuse and pregnancy.
- Attended weekly team meetings to discuss patient progress and collaborate on solutions.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Observed strict safety measures, including checking medication dosages before administration to patients.
Clinical Nurse Specialist & Charge Nurse
Palomar Health- PreOp/PACU II/ENDOSCOPY
Poway, California
10.2022 - 10.2024
- Pre-Op, PACU II, Endoscopy
- Provided compassionate patient care, administered medications, and monitored vital signs. Collaborated with healthcare team to ensure optimal patient outcomes.
- Coordinated multidisciplinary teams to implement patient-centered care plans, resulting in improved treatment efficacy and recovery rates.
- Meticulously documented patient progress, ensuring accurate health records and facilitating seamless communication among healthcare providers.
- Mentored new nursing staff, fostering a culture of continuous learning and professional development within the department.
- Streamlined medication administration processes, reducing errors and enhancing patient safety through meticulous analysis and implementation of best practices.
- Optimized endoscopy procedures through data-driven analysis, enhancing efficiency and patient comfort while maintaining high standards of care.
- Analyzed and improved pre-operative protocols, leading to increased efficiency and enhanced patient safety in preparation for surgical procedures.
- Provided compassionate support to patients, addressing concerns and ensuring thorough preparation, resulting in reduced pre-operative anxiety levels.
- Meticulously managed pre-operative documentation, ensuring accurate patient records and facilitating smooth transitions to surgical teams.
- Developed innovative patient education techniques to enhance understanding of procedures and post-operative care, contributing to faster recovery times.
- Provided empathetic care to anxious patients, employing calming techniques that measurably reduced stress levels and improved overall recovery experiences.
- Ensured efficient patient flow by coordinating pre-operative assessments and recovery care in endoscopy.
- Ensured patient safety by monitoring sedation status, airway support, and vital signs in recovery.
- Ensured patients understood pre-operative instructions and discharge care to promote successful recovery.
- Collaborated with anesthesia, surgeons, and endoscopy staff on daily case readiness.
- Managed pain control, nausea care, and comfort measures during postoperative recovery.
- Admitted patients to Palomar Health procedural areas and prepared them for procedures.
- Facilitated smooth operations by supporting sterile workflow, performing equipment checks, and managing room turnover.
- Evaluated patient care needs, prioritized treatment and maintained patient flow.
- Provided clinical expertise and support to nurses on a variety of patient care issues.
- Mentored junior nurses on delivering quality care while adhering to ethical standards.
- Interpreted laboratory results, diagnostic tests, and imaging studies as necessary.
- Used communication and leadership expertise to liaise between management, clinical staff and community.
- Analyzed data from patient records and surveys to identify areas for improvement in nursing processes or protocols.
- Coordinated interdisciplinary team meetings to discuss complex cases.
- Participated in committees that developed strategies for improving patient satisfaction ratings.
- Educated nurses on best practices for providing care to patients with chronic conditions or illnesses.
- Monitored staffing levels during shifts, ensuring adequate coverage and continuity of patient care.
- Engaged in educational workshops and programs to stay updated on best practices in patient care.
- Identified physical, emotional and social needs of patients during daily planning and addressed critical issues immediately.
- Provided strong leadership and guidance to nurses.
- Collaborated with management teams to implement and evaluate programs and services.
- Provided patients and loved ones with information about conditions, treatments, possible outcomes and at-home care.
- Mentored new nurses through preceptorship and clinical practice
- Demonstrated safe medication administration and patient care procedures
- Enforced clinical protocols, safety practices, and infection control standards.
- Documented unit activity, staffing changes, and patient care coordination in records.
- Served as a preceptor for new nurses by providing orientation to unit policies and procedures, coaching on clinical skills, and mentoring on professional development issues.
- Delegated tasks appropriately among staff members according to their qualifications.
- Conducted daily rounds to assess patient conditions, evaluate progress toward goals, and document changes in status or plan of care as needed.
Charge Nurse
Palomar Health- Labor & Delivery
Escondido, California
10.2016 - 10.2022
- Coordinated labor and delivery unit flow at Palomar Health during high-volume shifts.
- Assessed maternal and fetal status using continuous monitoring and clinical judgment.
- Responded to obstetric emergencies and coordinated rapid team actions for patient care.
- Communicated patient changes to obstetricians, anesthesiologists, and neonatal teams.
- Supervised bedside nurses and delegated patient care tasks across obstetric assignments.
- Trained staff on labor and delivery procedures, protocols, and emergency response.
- Conducted daily rounds to assess patient conditions, evaluate progress towards goals, and document changes in status or plan of care as needed.
- Coordinated communication between physicians and other healthcare professionals regarding patient care.
- Managed staffing levels within the unit while ensuring optimal levels of patient care.
- Prioritized admissions, transfers, and discharges within Palomar Health labor and delivery workflow.
- Conducted daily rounds to assess patient conditions, evaluate progress toward goals, and document changes in status or plan of care as needed.
- Directed unit staff and promoted quality care for diverse patients.
- Provided direct patient care, including assessments and treatments, to a variety of patients.
- Built and maintained strong working relationships between nursing department and other disciplines.
- Built and maintained strong working relationships between the nursing department and other disciplines.
- Educated patients, caregivers and families on diagnoses, treatment and disease prevention.
- Audited patient charts in real-time, verifying accuracy and completion of information.
- Implemented safety protocols when administering medications or performing treatments.
- Maintained accurate records of all treatment interventions provided to each patient.
- Served as a preceptor for new nurses by providing orientation to unit policies and procedures, coaching on clinical skills, and mentoring on professional development issues.
- Participated in quality improvement initiatives to ensure best practice standards were met within the unit setting.
Clinical Nurse Specialist
Palomar Health- Labor & Delivery
Escondido, CA
10.2005 - 10.2022
- Collaborated with Palomar Health Labor & Delivery team on evidence-based patient care.
- Assessed maternal and newborn conditions during labor, delivery, and recovery.
- Coordinated care plans with obstetric providers, nurses, and support staff.
- Monitored fetal heart patterns and supported timely response to concerns.
- Educated patients and families on birth plans, recovery, and newborn care.
- Offered clinical recommendations to physicians, other healthcare providers or healthcare organizations.
- Planned, evaluated or modified treatment programs by observing and interviewing patients or analyzing patient records.
- Developed or assisted others in care and treatment plans.
- Educated patients on disease management, fitness and healthy eating.
- Maintained departmental policies, procedures or infection control standards.
- Developed and maintained departmental policies, procedures or patient care standards based on evidence-based practice guidelines or expert opinion.
- Collaborated with other healthcare professionals and service providers to drive optimal patient care.
- Reviewed charts for accuracy to reduce errors and verify completion of updates.
- Pursued opportunities and leveraged expertise to optimize patient care, improve outcomes and optimize performance of nursing team members.
- Memorized and responded to crisis codes.
- Conferred with physicians during rounds, advised each on condition of patients and coordinated necessary diagnostic assessments to accomplish patient care goals.
- Completed comprehensive physical evaluations to prioritize treatments and make effective nursing assignments.
- Established rapport with medical and clinical staff and administration.
- Established and maintained positive relationships with residents, physicians, hospital staff, patients and families.
- Promoted self-advocacy in patients to aid in mitigating family and healthcare-provider relationships throughout treatment.
- Educated patients about treatment care plans.
- Maintained quality care systems, standards and HIPAA confidentiality.
- Provided patients and loved ones with information about conditions, treatments, possible outcomes and at-home care.
- Completed daily rounds of the nursing department while upholding acceptable nursing standards.
- Provided strong leadership and guidance to nurses.
- Identified physical, emotional and social needs of patients during daily planning and addressed critical issues immediately.
- Participated in educational workshops and programs at the facility to enhance skills.
- Analyzed laboratory results, diagnostic tests, and imaging studies.
- Mentored new nurses in hospital orientation and bedside care practices.
- Coached staff on patient assessment, medication safety, and charting.
- Guided nurses through electronic health record documentation and workflows.
- Instructed preceptees on hospital policies and procedures, as well as professional standards of practice.
- Monitored the safety of patients during hands-on training sessions conducted with preceptees.
- Conducted performance evaluations for preceptees on a regular basis.
- Evaluated assessment data collected from patients under the supervision of a preceptor.
- Actively listened to questions posed by the preceptee in order to provide clear explanations or resources.
- Mentored preceptees by modeling effective communication techniques with patients, families, and other health care professionals.
- Reviewed medical records with the preceptors in order to ensure accuracy in documentation practices.
- Motivated nursing staff members by recognizing exemplary work performance within the unit or facility.
- Encouraged an atmosphere of inquiry among preceptee groups through problem solving activities and case reviews.
- Dedicated efforts to student development by providing hands-on training experiences.
- Reviewed competency checklists for clinical readiness and unit expectations.
- Educated parents on infant care and discharge needs
- Responded quickly to neonatal emergencies and code situations
- Used effective communication skills to speak with parents regarding daily baby care.
- Collaborated with healthcare team members to coordinate optimal care for infants.
- Responded quickly and efficiently during emergency situations involving infants.
- Implemented infection control protocols according to hospital guidelines.
- Taught parents how to properly care for their newborns at home.
- Administered medications, immunizations and other treatments as prescribed by physicians.
- Assessed risk factors associated with preterm labor or birth defects prior to delivery.
- Coordinated discharge planning to ensure continuity of care post-hospitalization.
Education
Associate Science - Nursing
Grossmont College
El Cajon, CASkills
- Sterile technique
- Conscious sedation administration
- Airway management
- Vital sign monitoring
- Medication administration
- Endoscopy care
- Infection control
- Clinical documentation
- Patient Assessment
- Patient safety
- Care Coordination
- Medication Management
- Intravenous therapy
- Sedation monitoring
- Emergency care response
- Rhythm interpretation
- Time Management
- Quality improvement
- Task prioritization
- Resource utilization
- Professionalism
- Leadership support
- Team Building
- Interdisciplinary Collaboration
- Team communication
- Problem Solving
- Critical Thinking
- Adaptability
- Stress Management
- Patient Education
- Health Education
- Compassionate care
- Patient advocacy
- Health promotion
- Clinical judgment
- Postoperative care
- Preventive care
- Epic charting
- Sterile field preparation
- Infection control
- Patient confidentiality
- Healthcare ethics
- Attention to detail
- Compassionate care
- Sedation monitoring
- Emergency care response
- Physician collaboration
- Rhythm interpretation
Personal Information
Title: Clinical Nurse Specialist
Certification
RN License, 650952, Certifications, CPR, ALS, NRP
Timeline
Surgical Nurse
Palomar Health
08.2025 - Current
Outpatient Nurse
Sharp Healthcare- Endoscopy
05.2025 - Current
Clinical Nurse Specialist & Charge Nurse
Palomar Health- PreOp/PACU II/ENDOSCOPY
10.2022 - 10.2024
Charge Nurse
Palomar Health- Labor & Delivery
10.2016 - 10.2022
Clinical Nurse Specialist
Palomar Health- Labor & Delivery
10.2005 - 10.2022
Associate Science - Nursing
Grossmont College