Shirley Estana
Chula Vista,CA
Summary
Highly experienced Infusion and Oncology Registered Nurse with 29 years of expertise in high-volume outpatient oncology and infusion settings. Proven ability to deliver safe, compassionate, and evidence-based nursing care across the full continuum of cancer treatment. Expert in chemotherapy, biotherapy, immunotherapy, vascular access management, symptom control, and patient education. Recognized for clinical excellence, patient advocacy, leadership, and mentoring while consistently maintaining the highest standards of safety, compliance, and patient satisfaction.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Senior Infusion & Oncology Registered Nurse
Kaiser Permanente
San Diego, CA
01.1999 - Current
- Provide comprehensive outpatient infusion and oncology nursing care for patients receiving chemotherapy, immunotherapy, biologics, hydration, blood products, and supportive therapies.
- Safely administer high-risk medications in strict compliance with ONS, NCCN, and Kaiser Permanente protocols.
- Conduct detailed patient assessments prior to treatment, continuously monitor patients during infusions, and intervene promptly to manage adverse reactions and complications.
- Educate patients and caregivers on diagnosis, treatment plans, potential side effects, symptom management, and home care needs, including antibiotic home start-ups.
- Access, place, and maintain central venous access devices including PICC lines, midlines, PowerGlide catheters, and implanted ports using sterile technique.
- Collaborate closely with oncologists, pharmacists, nurse practitioners, and interdisciplinary team members to coordinate individualized treatment plans.
- Serve as a mentor, preceptor, and clinical resource for newly hired and junior nursing staff.
- Maintain accurate, timely, and compliant documentation within the EPIC electronic medical record system.
- Participate in quality improvement initiatives, safety audits, and regulatory compliance reviews to enhance patient outcomes and clinical efficiency.
- Deliver care to patients with both solid tumors and hematologic malignancies across varying stages of treatment.
- Assist in developing workflow efficiencies to improve patient throughput, safety, and overall clinic satisfaction.
- Build long-term therapeutic relationships with patients and families throughout extended and often complex treatment courses.
- Function in a senior nurse role coordinating care for 60-70 patients per day while maintaining exceptional standards of care, safety, and professionalism.
Education
Bachelor of Science -
San Diego State University
01.2001
Associate Degree in Nursing -
Southwestern Community College
07.1997
Skills
Outpatient Oncology & Infusion Nursing
Chemotherapy, Biotherapy & Immunotherapy Administration
Targeted & Biological Therapies
Central Line Management (PICC, Midline, PowerGlide, Mediport)
Vascular Access & IV Therapy
Symptom & Side-Effect Management
Safe Handling of Hazardous Drugs
Patient & Family Education
EPIC Documentation & Charting
Interdisciplinary Care Coordination
Infection Control & OSHA Compliance
Culturally Competent, Patient-Centered Care
Compassionate communication and emotional support for oncology patients and families
Expertise in managing high-volume outpatient infusion clinic workflows
Strong time management, organization, and prioritization skills
Proven patient advocacy and ethical nursing practice
Advanced IV and vascular access proficiency
Leadership experience coordinating high-acuity patient volumes
Consistent achievement of 100% patient satisfaction survey results
Trusted clinical resource known for calm decision-making and patient safety focus
Certification
- Registered Nurse (RN), State of California
- Certified Registered Nurse Infusion (CRNI)
- PICC Certified
- Chemotherapy & Biotherapy Certified
- Basic Life Support (BLS)
Affiliations
Infusion Nursing Society
Timeline
Senior Infusion & Oncology Registered Nurse
Kaiser Permanente
01.1999 - Current
Bachelor of Science -
San Diego State University
Associate Degree in Nursing -
Southwestern Community College