Roberto Santiesteban

Provide comprehensive primary care within Family Nurse Practitioner scope, with emphasis on adult and older-adult patient populations.

• Evaluate, diagnose, and manage common primary-care conditions using evidence-based pharmacologic and non-pharmacologic treatment approaches.

• Managed chronic diseases such as hypertension, diabetes mellitus, hyperlipidemia, and obesity; monitored treatment responses and adjusted care based on clinical evaluations.

• Perform comprehensive histories and physical examinations; assess acute complaints, chronic conditions, preventive-care needs, and changes in health status.

• Order, review, and interpret laboratory and diagnostic studies to support clinical decision-making and treatment planning.

• Perform medication reconciliation, prescribe/manage medications within scope, monitor therapeutic response and adverse effects, and provide medication education.

• Coordinated referrals and ensured continuity of care with specialists and interdisciplinary healthcare team to optimize patient outcomes.

• Delivered medical services and affordable treatment to community members, providing comprehensive care for individuals with sexually transmitted diseases (STDs), HIV, and Hepatitis C.
• Conducted thorough patient assessments, including physical examinations, medical history reviews, and diagnostic testing to identify STDs, HIV, and Hepatitis C; interpreted laboratory results and collaborated with healthcare team for accurate diagnoses and care planning.
• Treatment and Management: Developed, implemented, and monitored individualized treatment plans for patients diagnosed with STDs, HIV, or Hepatitis C, including prescribing medications and managing side effects. Provide education on treatment adherence and strategies for minimizing transmission.

• Prescribed pharmacological and non-pharmacological treatments to enhance health and comfort for 20 patients daily.
• Ordered and interpreted diagnostic tests to create and execute individualized treatment plans.
• Conducted patient physicals and analyzed results against medical records to ensure accurate diagnosis and facilitate effective treatment.
• Educated patients on treatment options, medical needs and non-medical options for treatments and therapy.
• Rothstein Jeffrey

• Administered medications and treatments to 10 patients, monitored responses, and collaborated with healthcare teams to tailor care plans based on patient needs.
• Educated 10 patients and caregivers on treatment options, diagnosis information, and home care techniques to ensure continuity of care.
• Provided comprehensive care to patients with various diagnoses, overseeing their treatment journey from initiation to completion.

• Ensured students wore masks before entering isolation rooms
• Notified parents of symptomatic students for immediate pickup
• Assessed patient conditions and updated individualized home care plans.
• Administered medications and treatments while monitoring for adverse reactions.
• Educated patients and families on disease management, medications, and safety precautions.

• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Reviewed post-operative orders and continuously monitored 7 patients' post-operative vitals, set up PCA and fluids and oriented patients to unit to achieve optimal outcomes.
• Oversaw care of 6 telemetry patients by administering PA catheters and arterials, vasoactive drugs, titration, thrombolytic therapy, dysrhythmia interpretation, and managing chest tubes.

• Provided direct quality care to 5 patients through daily monitoring and recording of medical conditions.
• Engaged with over 30 clients of diverse ages and ethnic backgrounds, providing quality medical care and education on illness management.
• Assisted physicians in taking blood pressure, conducting blood glucose tests, treating wounds, measuring heart rate, and recording vitals during physical examinations.

• Collaborated with management to establish telemetry department policies and procedures., collaborated with management on department set up policy revisions.
• Trained telemetry and new telemetry nurses on cardiac rhythms to enhance clinical competency.
• Monitored cardiac rhythms of 30 patients per shift, providing timely analysis and reporting to nursing staff and physicians.

• Observed, analyzed, and interpreted cardiac rhythms from approximately 40 acute patients admitted from emergency room and intensive care unit.
• Managed 60+ nursing staff calls, notifying changes in cardiac rhythms and arrhythmia activity to ensure timely patient care.
• Documented cardiac activity bi-hourly, maintaining accurate records for ongoing patient assessments.
• Printed and interpreted cardiac rhythms every twelve hours and at each admission and discharge for comprehensive patient documentation.