Sasha Ramos
Kerrville,Texas
Summary
Versatile Licensed Vocational Nurse with over 8 years of experience in diverse and complex care environments, including skilled nursing, hospice, psychiatric, and correctional settings. Demonstrates strong clinical skills and adaptability, consistently committed to delivering safe, compassionate, and outcome-driven patient care. Proven ability to thrive in fast-paced healthcare teams while fostering positive relationships with patients and colleagues. Dedicated to enhancing patient well-being through a holistic approach to nursing care.
Overview
8
8
years of professional experience
Work History
Licensed Vocational Nurse
Peterson Health
Kerrville, TX
08.2025 - Current
- Provided direct patient care for individuals with cardiovascular conditions, including hypertension, heart failure, and coronary artery disease
- Monitored vital signs, EKGs, and promptly reported abnormal findings to providers when necessary.
- Assist physicians with cardiac procedures such as- Holter monitor placement, echocardiogram preparation, and other cardiac related testing
- Teaching on medications, including anticoagulants and cardiac drugs
- Educated patients on heart-healthy lifestyles, medication adherence, and post-procedure care
- Performed patient intake, including medical history review and symptom assessment (e.g., chest pain, shortness of breath)
- Coordinated referrals, diagnostic testing, and follow-up appointments for cardiology patients
- Maintained accurate and timely electronic medical records (EMR) documentation
- Triaged patient calls, assessing urgency of cardiac symptoms and providing appropriate guidance
- Ensured compliance with infection control, safety standards, and clinic protocols
Licensed Vocational Nurse
Switch
07.2023 - Current
- Deliver direct nursing care to residents in accordance with facility policies and physician instructions.
- Monitor patient conditions, perform routine assessments, and document changes in clinical status.
- Administer medications and treatments accurately and in compliance with state regulations.
- Assist with wound care, catheter care, IVs, and other skilled nursing duties as needed.
- Collaborate with RNs, CNAs, physicians, and interdisciplinary teams to ensure comprehensive care.
- Provide emotional support and patient education to residents and their families.
- Maintain accurate and up-to-date medical records and documentation.
- Ensure infection control and safety standards are followed at all times.
- Respond promptly to emergencies or changes in patient condition.
- Supervise CNAs and support staff as needed during assigned shifts.
Licensed Vocational Nurse
La Hacienda Treatment Center
Hunt, TX
01.2025 - 07.2025
- Provide direct patient care under the supervision of a Registered Nurse (RN) or physician in a residential addiction treatment setting.
- Monitor and document patients' vital signs, withdrawal symptoms, and overall physical condition during detox and recovery phases.
- Administer medications as prescribed, including detox protocols and maintenance therapies, while ensuring proper documentation.
- Observe and report changes in patient condition, including potential medical or psychiatric complications.
- Conduct routine assessments and participate in interdisciplinary treatment planning.
- Support patients during medical crises and assist in emergency interventions when necessary.
- Educate patients on medication compliance, physical health, and recovery-related health topics.
- Collaborate with counselors, therapists, and physicians to provide holistic care.
- Maintain accurate medical records in compliance with HIPAA, state regulations, and facility policies.
- Adhere to infection control standards and ensure a clean, safe medical environment.
- Assist with intake assessments, screenings, and discharge planning when needed.
Licensed Vocational Nurse
Kerrville State Hospital
Kerrville, TX
02.2022 - 07.2024
- Provide direct nursing care during mobile crisis response activities under supervision of RN or physician.
- Assist in crisis assessments, triage, medication administration, and basic health screenings.
- Monitor and document patient response to interventions.
- Support the coordination of care with hospitals, law enforcement, and community partners.
- Provide education to patients and families regarding mental health conditions and medications.
- Maintain accurate medical records in compliance with state and facility protocols.
- Participate in interdisciplinary team meetings and training sessions.
- Drive to various locations to provide crisis services in the community.
Licensed Vocational Nurse
Hill Country Memorial Hospital
Fredericksburg, TX
09.2020 - 12.2021
- Provide compassionate, hands-on nursing care to terminally ill patients in home, facility, or hospice settings under the supervision of a Registered Nurse (RN).
- Assist with implementation of individualized patient care plans focused on comfort, pain relief, and quality of life.
- Administer medications and treatments as prescribed, including IV therapy and symptom control measures.
- Monitor and document changes in patient condition; report significant changes promptly to the supervising RN or physician.
- Educate and support patients and their families regarding disease progression, medication regimens, and end-of-life care processes.
- Provide emotional and psychosocial support to patients, caregivers, and families.
- Collaborate with interdisciplinary hospice team members to ensure coordinated, holistic care.
- Participate in regular team meetings, in-service training, and ongoing hospice education.
- Maintain accurate, timely clinical documentation in accordance with regulatory requirements and agency policy.
- Adhere to infection control and safety standards in home care and hospice environments.
- Be available for on-call rotations, including evenings, weekends, and holidays as assigned.
- Uphold hospice philosophy and promote dignity, comfort, and peace for patients nearing the end of life.
Licensed Vocational Nurse
Advanced Medical Pediatric Home Health
McKinney, TX
01.2018 - 07.2020
- Provide skilled, compassionate nursing care to pediatric patients in their homes under the supervision of a Registered Nurse (RN) and physician orders.
- Perform routine and complex nursing tasks including tracheostomy care, ventilator management, gastrostomy tube (G-tube) feedings, suctioning, and medication administration.
- Monitor patient's vital signs, developmental status, and response to treatments and therapies.
- Maintain accurate and timely clinical documentation, including daily progress notes and medication logs.
- Educate and support parents and caregivers on pediatric care techniques, condition management, and equipment usage.
- Communicate effectively with the care team—including physicians, therapists, and family members—to ensure coordinated care.
- Follow individualized care plans developed in coordination with the RN Case Manager and medical providers.
- Adhere to infection control, safety protocols, and HIPAA regulations.
- Recognize and report any signs of medical distress or changes in patient condition promptly to the RN and physician.
- Maintain a nurturing, family-centered approach that supports the child's comfort, development, and emotional well-being.
Education
Licensed Vocational Nurse -
Schreiner University
12.2017
High School Diploma - undefined
Tivy High School
05.2009
Skills
- Patient-Centered Care
- Medication Administration (Oral, IM, SQ, IV certified if applicable)
- Wound Care and Dressing Changes
- Vital Signs Monitoring and Assessment
- Care Planning and Documentation
- Hospice and End-of-Life Support
- Pediatric Home Health Experience
- Behavioral Health & Crisis Intervention
- Substance Abuse and Withdrawal Monitoring
- Geriatric and Long-Term Care
- Infection Control and Safety Protocols
- EMR/EHR Proficiency (eg, Epic, PointClickCare, etc)
- Team Collaboration and Communication
- Home Health Nursing and Family Education
- Skilled in Working in High-Stress/Correctional Environments
Timeline
Licensed Vocational Nurse
Peterson Health
08.2025 - Current
Licensed Vocational Nurse
La Hacienda Treatment Center
01.2025 - 07.2025
Licensed Vocational Nurse
Switch
07.2023 - Current
Licensed Vocational Nurse
Kerrville State Hospital
02.2022 - 07.2024
Licensed Vocational Nurse
Hill Country Memorial Hospital
09.2020 - 12.2021
Licensed Vocational Nurse
Advanced Medical Pediatric Home Health
01.2018 - 07.2020
High School Diploma - undefined
Tivy High School
Licensed Vocational Nurse -
Schreiner University