I have been working as an RN for 24 years. My background, experiences and skill base as a whole, I believe can add to your team. After relocating from the Long Beach area, I have gained and reinforced additional experience in supervisory/charge nurse roles, OR, Home Health/Hospice, Case Management, and teaching roles. My Nursing practice promotes strong patient advocacy, excellence in the delivery of nursing care, compassion and evidence based practice.
Overview
27
27
years of professional experience
Work History
RN Perinatal Nurse, OB-GYN
Optum
Long Beach, CA
03.2022 - Current
Administered medications accurately and safely, reducing medication errors and adverse reactions.
Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
Administered medications via oral, IV, and intramuscular injections and monitored responses.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
Improved patient outcomes by providing high-quality nursing care and implementing evidence-based practices.
Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
Served as a liaison between physicians and patients'' families to facilitate clear communication regarding treatment options and progress updates.
Provided emotional support to patients and their families.
Provided emotional support to patients during challenging times, fostering a sense of trust and rapport that contributed to better overall wellbeing.
Participated in professional development opportunities regularly to stay current on best practices in the field of nursing.
Devised individualized care plans tailored to each patient''s unique situation, optimizing clinical outcomes.
Utilized advanced clinical skills such as wound care management or IV therapy administration, leading to faster recovery times for patients treated under my supervision.
Streamlined documentation processes to ensure accurate record-keeping and compliance with regulatory standards.
Championed quality improvement initiatives within the unit by identifying areas for improvement and implementing evidence-based strategies.
Assessed patient conditions promptly upon admission to determine appropriate interventions and prioritize care needs.
RN Infusion Specialist
Infusion Partners 360
03.2021 - 03.2022
Specialty Infusions provided to patients in the home setting, independent Infusion Centers, and facilities
A myriad of chemotherapeutic, anti-infective, anti-fungal, antibiotic and transitional implant infusion therapies
Coordination of appropriate documentation, orders, and supplies for meds required for infusions
Assessments, and screening for either Inclusion or exclusion for appropriateness of therapies
Infusing patients, ongoing education pre and post infusions as well as follow up care
Blood draws as needed and extensive documentation meeting all appropriate Medicare and state guidelines utilizing EMR.
Administered medications accurately and safely, reducing medication errors and adverse reactions.
Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
RN-Covid Crisis Nurse/Float RN-Contract
California State Prison System- Norco
Norco Men's Prison And Chino Women's Prison
10.2020 - 04.2021
Triage, asses and treat covid positive inmates/patients
Daily Covid testing in a quarantine and Isolation setting, multidisciplinary team setting and care planning as appropriate
Triage, full head to toe assessment and treat inmates with any illness, disease, trauma, and post procedures
Respond to medical emergencies called within the prison via ambulance, field assess and treat including ACLS response and elevating to higher level of care when appropriate
IV's, medications, wound care, splinting, addressing drains and feeding tube issues, and EMR
Formulating care plans and adjusting all plans of care utilizing the nursing process
An autonomous role that requires multitasking, time management and prioritizing on a continuous basis
Psychiatric nursing in a licensed facility on prison grounds
Assessing and addressing the psychiatric needs of Inmate/patients in conjunction with a multidisciplinary team approach
Applying nursing plan of care and changing when appropriate for patient needs
1:1 coverage for those with suicidal/ homicidal/ self harming behaviors, responding to psychiatric emergencies from overdosing, hanging,cutting or other traumas
Team approach nursing with psych techs, LVN's and CNA's.
RN-Clinical Transition Specialist
Specialty Pharmacy-IV Infusion therapy
10.2019 - 03.2020
My role is to interface with Case Managers, physicians, hospitalists, pharmacists and other entities pertinent to the patient discharge plan
Head to toe physical assessments of patients for appropriateness of hospital discharge on Infusion therapies, assessing pt
And caregiver for being “ teachable”
Essential teaching with physicians and RN's about our therapies and the prevention of hospital readmission is important in both the discharge plan and execution of the proper therapy put forward
I am an expert in the start of PIV's and the education of the medications used
Multitasking the planning, teaching, collection of essential history and medical data, and coordination of the actual discharge and delivery of important meds and supplies
Accessing Port O cath's , PICC lines, and other central line access points, is an intricate and essential part of my teaching prior to discharge.
RN IV Infusion Specialist
OSO Infusion Therapy
09.2019 - 10.2020
A Pharmaceutical Specialty Pharmacy/Home Health Infusion Company for over 35 years
Being Lead RN in the Redland Infusion Center encompasses many aspects of my skill base
Having an expertise in starting PIV's especially with patients whose veins are poor and frequently accessed, managing the challenges of pt
And family dynamics in the Center and home, overseeing other RN, LVN, and ancillary staff to manage the flow dynamics of the clinic, prioritization and education of new and existing patients is a continuous part of the process
Accessing PICC's and other central lines as well as Midlines
Delegating was an important part of the Lead role to the staff, and maintaining annual competencies as well as schedules for staff.
RN Supervisor
Aids Health Foundation-Upland,Whittier and Riverside clinics
11.2018 - 04.2019
Aids Health Foundation has been serving the communities in this country since nursing staff, manage clinic flow in both the Upland and Whittier offices as well as the new location opening in Riverside
Assist physician with minor procedures, Injections, phlebotomy, address patient issues, maintain flow of the physician schedule and assist with all aspects of the healthcare team
RX refills, referral and authorizations.
RN Charge Nurse/Case Manager
County Of San Bernardino-Arrowhead Regional Medical Center
08.2017 - 02.2018
Charge Nurse of an ambulatory care clinic
Oversee and manage the clinical staff in the Primary care setting utilizing all 'PRIME' measures and implementing the nursing process
The patient population is of all ages on the spectrum
Multidisciplinary team setting as well
Part of the Policy and Procedure Committee for ARMC and incorporating FHC Policies for implementation of those policies
Ongoing teaching of all staff, residents and staff scheduling, maintaining all supplies for clinical use, wound care and teaching, Diabetes training of staff and patients, PICC line changes & DC, assist with colposcopy, lump & bump as needed, IV start and training of staff, phlebotomy and teaching to clinical staff
Staff teaching and annual competencies for all staff
Case/Care Manager prioritizing patient needs for those most in need of assistance with monitoring Diabetic needs/teaching, arrange referrals for urgent needs, manage housing if needed, hospice referrals, provide a professional patient advocacy to promote wellness and success with their own personal care; for any and all needs
This role also included hands on interventions in the clinic setting; Foley catheters, blood sugar checking, IV infusions, diabetic management, etc...
Geriatric Case Manager
PCMS
01.2017 - 01.2018
Telephonically and Field Manage all aspects of client care, including teaching and overseeing home health services, caregivers and coordination of medical/fiduciary issues that arise
Advocacy for the client and family essential; accompanying clients to all MD appointments, consults, etc
Streamlining all medications, initiate referrals for hospice, home health, housing placement, prioritizing medical needs, caregivers, physical & occupational therapies
Initial evaluations and assessments of new potential clients and appropriateness for Geriatric case management
Interact with community liaisons, physicians and family dynamics
Refer for legal issues and elder abuse concerns
Recognize and implement nursing interventions for emergent care; in an autonomous nursing role, Ombudsman and APS reporting as needed.
RN Lead /Emergency Room for OB/GYN
Emergent Care Center/Complete Women Care
01.2017 - 08.2017
Triage and treatment of women for either Obstetrical and/or Gynecological emergencies
In the capacity of Lead RN, being autonomous and having the ability to assess and clinically evaluate patients presenting with various complaints and come up with a treatment plan
This information is gathered, including performing Ultrasounds, collecting cultures, doing sterile speculum exams, collecting blood work, and treating symptoms
This information is then provided to a treating physician for coordination of care and any further testing and treatments that is needed and will be performed by myself and or the physician.
RN Case Manager-HIV/AIDS
The Care Program
01.2010 - 01.2011
Manage patients living with HIV/AIDS of all ages from children to geriatrics
Prioritizing each patients needs and utilizing community resources as available for appropriate housing, interventions for drug and alcohol abuse patients
Maintain and manage patient medication needs and changes working with Infectious Disease Dr.s
Oversee and intervene with mental health issues and initiate hospitalizations based on patient symptomatology, promoting medication adherence for ARV's/antipsychotics/ antidepressants, etc
Manage all patients under very strict Medicare and Title 22 guidelines
Diabetic teaching, management, hospital admissions based on symptomatology, multidisciplinary IDT meetings and work closely with Social workers for optimum case management outcomes.
Labor and Delivery RN/Transport RN/Fetal Diagnostics RN
Miller Children's/Long Beach Memorial Medical Center
Long Beach, Ca
04.1997 - 10.2014
Fetal Diagnostics, Labor and delivery of all gestational ages, RN deliveries, AROM, Fetal Scalp Electrode Placement/Intrauterine Catheter placement, triage, and transport via ambulance of pregnant high risk patients, postpartum, newborn assessment and transition, NICU float for 'feeders and growers' population, utilizing the most current research, and implementation of the nursing process and most current standards of care as provided by AWHONN/ACOG standards
Shoulder dystocia management, diabetes teaching and management, Breastfeeding Educator, OR circulator, Recovery of post op patients
Interpretation of fetal tracings, interventions based on fetal /maternal changes, Certified OB ultrasound, assist with various procedures including, Amnio-reductions, multi-system disease management of the pregnant/postpartum patient
Blood transfusions, Heparin drips, antibiotic IV management, Expert IV skills, central line management, and various other skills
Multicultural background and education
Implementation of patient plan of care, integrating the nursing process into patient care and maintaining patient on labor curve to promote effective and safe delivery of newborn, vaginally
VBAC management and care, Initiation of induction protocols using prostaglandins (Pitocin, Misoprostol, etc ) Foley bulb induction and AROM
Management of hypertensive patients with superimposed PIH, Hypertensive management according to JOHNNA/ACOG guidelines and current research, Diabetes management, insulin drips, sliding scale and diet controlled
Dialysis patients, various cancers in pregnancy, autoimmune diseases in pregnancy, multi-gestation management of all types, managing and nurse deliveries of fetal demise and induction for terminations, etc
Management of the Intrapartum/postpartum hemorrhage with Postpartum/newborn couplet care, Transition of the newborn with head to toe assessment, and resuscitation of the newborn when needed for primary/secondary apnea.
Teaching Certificate in Nursing community teaching -
Glendale Community College
Glendale, CA
01.2010
Certification - Forensic Nursing, Sexual Assault Nurse Examiner
University of California At Riverside
Riverside, CA
09.2024
Skills
7 plus years of Supervisory, Charge Nurse Experience
Expert in physical assessment, treatment and implementation of the nursing process
ER experience/Urgent Care, multidisciplinary team setting, lead RN
Case Management: Clinical and telephonic Case Management and implementation of individual patient care plans, interventions, problem solve and implement multidisciplinary actions with regard to patient and family teaching
Crisis interventions for mental health and/ or any urgent physical health needs of the patient
Discharge planning and addressing any insurance/fiduciary needs, authorizations via IEHP, Medicare, Medical, Primecare, Regal, Beaver and other medical groups, DME, IV Infusion therapy outpatient/In-home settings, PT/OT needs post Discharge
OR Circulator, Pre-OP and PACU experience; Local, twilight, epidural/spinal and general anesthesia
Preceptor of incoming experienced nurses and new graduates
Nursing Instructor for LVN in a private college setting; both Clinical and Theory in OB/Labor & Delivery, Postpartum, Nursery
Advanced training in IV infusion therapies, TPN/gavage feedings in the adult and pediatric patients Instruct and oversee other RN's/LVN's performing these skills
Wound care management and training of other nurses in the area of Pressure ulcers/wound care staging and care of; stoma, ostomy and trach site care
Case management of the HIV/AIDS patient, general acute patient, ages 18-adult; utilizing strict federal, state and local guidelines, as well as utilizing the nursing process
Geriatric care manager/advocate for the geriatric population Both medical and fiduciary issues, initiating APS intervention where appropriate
Admissions RN of the potential Hospice patient according to strict Medicare regulations, performing extensive assessment and history of pt and recognizing other co-morbidities as it applies to complete patient care
Development of performance tools and skills evaluation of skilled RN's for fulfilling triage RN positions and transport of critically ill pregnant women
Cost containment and implementation of policy development for improving cost efficiency in the fetal diagnostics department
Basic Life Support
Clinical judgment
Compassion and Empathy
Discharge Planning
Quality Improvement
Pediatric Advanced Life Support
Patient education and counseling
Strong Clinical Judgment
Accomplishments
Training - Trained team of staff nurses in medical office procedures to ensure consistent quality of care.
Patient Advocacy - Explained treatment procedures, medication risks, special diets and physician instructions to patients.
Perinatal Care - Assisted physicians in focus studies in prenatal care.Performed basic physical assessments of newborns and infants.
Supervision - Headed onboarding process for new nursing staff.
Employer of the month for Optum Healthcare 2023
Emr
2007-present (multiple systems)
Languages
Spanish
Limited Working
Timeline
RN Perinatal Nurse, OB-GYN
Optum
03.2022 - Current
RN Infusion Specialist
Infusion Partners 360
03.2021 - 03.2022
RN-Covid Crisis Nurse/Float RN-Contract
California State Prison System- Norco
10.2020 - 04.2021
RN-Clinical Transition Specialist
Specialty Pharmacy-IV Infusion therapy
10.2019 - 03.2020
RN IV Infusion Specialist
OSO Infusion Therapy
09.2019 - 10.2020
RN Supervisor
Aids Health Foundation-Upland,Whittier and Riverside clinics
11.2018 - 04.2019
RN Charge Nurse/Case Manager
County Of San Bernardino-Arrowhead Regional Medical Center
08.2017 - 02.2018
Geriatric Case Manager
PCMS
01.2017 - 01.2018
RN Lead /Emergency Room for OB/GYN
Emergent Care Center/Complete Women Care
01.2017 - 08.2017
RN Case Manager-HIV/AIDS
The Care Program
01.2010 - 01.2011
Labor and Delivery RN/Transport RN/Fetal Diagnostics RN
Miller Children's/Long Beach Memorial Medical Center