Stephen Gonzales
San Antonio
Summary
Dedicated nurse practitioner focused on enhancing healthcare quality through individualized care plans and multidisciplinary collaboration. Proficient in managing chronic conditions, prescribing medications, and educating patients on preventive strategies. Committed to leveraging evidence-based practices to achieve positive patient outcomes.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Nurse Practitioner-Advance Practice Lead Clinician
Wellmed
San Antonio
11.2024 - Current
- Conducted patient assessments and developed individualized care plans.
- Delivered primary care for patients and handled diagnosis, treatment, referral for consultation, or specialty services, follow-up care, evening urgent care call and on-call emergency consultation.
- Prescribed medications and monitored patient responses to treatments.
- Managed chronic illness care, ensuring continuity through follow-up consultations.
- Performed diagnostic tests and interpreted results for treatment decisions.
- Reviewed lab results and imaging studies to make accurate diagnoses and develop treatment plans.
- Educated patients on health management and preventive care strategies.
- Advocated for patient needs within healthcare systems and resources.
- Collaborated with multidisciplinary teams to improve patient care outcomes.
- Coordinated with members of multidisciplinary teams to provide integrated services for complex cases.
- Mentored new staff on best practices in patient care delivery.
- Managed pharmacological and non-pharmacological treatment of various disorders and diseases.
Nurse Practitioner Resident
Veterans Administration
San Antonio
09.2023 - 11.2024
- Function as a Primary Care clinical expert in a PACT team that influences and models evidence-based health care and demonstrating expertise in the ability to manage a patient panel.
- Examine, obtain medical history, perform a physical assessment, and create approaches to management of complex client care.
- Delivered primary care for patients and handled diagnosis, treatment, referral for consultation, or specialty services, follow-up care, evening urgent care call and on-call emergency consultation.
- Utilized electronic health systems to diagnose and manage patient care, ensuring effective implementation of treatment plans for positive patient outcomes.
- Provided virtual patient care for acute and chronic illnesses, focusing on accurate diagnosis and treatment implementation.
- Completed clinical rotations across multiple specialties, applying structured approaches to enhance patient outcomes for our panel population.
- Conducted comprehensive health assessments for veteran patients in diverse settings.
- Coordinated with physicians, families, and patients to effectively monitor lifestyle changes and medication management for improved management of acute and chronic disorders.
- Developed and implemented personalized care plans addressing chronic and acute conditions.
- Collaborated with multidisciplinary teams to enhance patient care and treatment outcomes.
- Educated veterans on disease prevention, management strategies, and medication adherence.
- Advocated for veteran healthcare needs within the community and healthcare systems.
- Reviewed lab results and imaging studies to make accurate diagnoses and develop treatment plans.
- Prescribed medications based on patient needs and current clinical standards of care.
- Managed pharmacological and non-pharmacological treatment of various disorders and diseases.
Staff RN, ER
San Antonio Military Medical Center
Fort Sam Houston
12.2012 - 08.2023
- Prioritized assignments for team members, executing care based on each patient's condition and delegating tasks to ensure safe, efficient care.
- Collaborated with interdisciplinary health care team to develop and adjust patient care plans, individualizing strategies to enhance health and achieve recovery goals.
- Conferred with resident and staff physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Provided virtual patient care in collaboration with a physician or mid-level provider for acute and chronic illnesses.
- Trained military, contract, and civil service nurses in care standards, operational procedures, and safety protocols.
Staff RN
Methodist Children's Hospital
San Antonio
10.2009 - 11.2012
- Children's Emergency Room to include Team Leader, Preceptor and Relief Charge., Pediatric ICU.
- Assessed patients' physical, psychological, physiologic, and cognitive status to inform treatment plans.
- Trained new nurses in techniques, care standards, and safety protocols to ensure high-quality patient care.
- Precepted student nurses and oriented new hires on hospital policies and emergency procedures to foster a knowledgeable nursing team.
Staff Registered Nurse
Texsan Heart Hospital
San Antonio
08.2008 - 10.2012
- Cared for patients post-cardiac interventions, including stents, heart bypass surgery, pacemaker placements, myocardial infarcts, and cardiac arrhythmias, ensuring optimal recovery.
- Monitored and reported on conditions of intubated and ventilated patients, maintaining oxygen saturation within optimal levels to support respiratory function.
- Responded rapidly to critical codes to coordinate stabilization treatments and restore vital functions.
- Operated critical care equipment to stabilize patients and facilitate recovery processes.
Travel Registered Nurse
Nurse Finders Agency
San Antonio
05.2006 - 10.2009
- Working in Lubbock TX and San Antonio TX hospitals in PICU, NICU, Adult ICU/ER.
- Delivered high-quality care to patients in 50-100-bed neonatal ICU, ensuring optimal health outcomes.
- Coordinated interdisciplinary healthcare teams to develop and implement personalized care plans, enhancing patient health and recovery.
- Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals.
- Managed telemetry procedures, administering PA catheters, vasoactive drugs, and interpreting dysrhythmias to support critical patient care.
- Prioritized assignments and executed care based on each patient's condition.
Travel Registered Nurse
All About Staffing Agency
San Antonio
09.2008 - 09.2009
- Staffed trauma facility, addressing medical and emergent care needs for adult and pediatric patients across all specialties including PICU, pediatric ER, pediatric bone marrow transplant, oncology, hematology, and pediatric step-down.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications via oral, IV and intramuscular injections and monitored responses.
- Administered medications and treatments to patients and monitored their responses.
- Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
- Collaborated with physicians to discuss diagnoses and develop coordinated treatment plans, enhancing patient care and outcomes.
Registered Nurse
Care Clinics
Austin
01.2007 - 01.2009
- Collaborated with interdisciplinary health care team to develop and adjust patient care plans, tailoring strategies to enhance health and achieve recovery goals.
- Assessed physical, psychological, physiologic and cognitive status of patients.
- Provided education to patients, families and caregivers on diagnosis, prognosis, treatment options, disease management, and lifestyle modifications.
- Guided families on effective treatment options and at-home care strategies, contributing to improved long-term outcomes.
- Treatment of children with Autism, ADD, and other behavioral disorders.
Travel Registered Nurse
American Mobile
San Antonio
05.2006 - 01.2007
- Participated in pediatric trauma and emergency interventions for serious head injuries, gunshot wounds, and thoracic trauma, ensuring timely and effective care.
- Collaborated with interdisciplinary health care team to develop, implement, and adjust patient care plans, tailoring strategies to enhance health and achieve recovery goals.
- Prioritized assignments and executed care according to each patient's condition, delegating tasks to personnel to ensure safe and efficient care delivery.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
Travel Registered Nurse
Aureus
Phoenix
05.2004 - 05.2006
- Travel assignments in Phoenix, AZ at St Joseph Hospital in Pediatric ICU and Phoenix Children's Hospital in all pediatric specialties.
- Provided specialized care in cardiovascular, neuro-surgical, trauma, ventilator, and wound management to optimize patient outcomes.
- Teamed on Pediatric trauma and emergency interventions involving serious head injuries, gunshot wounds and thoracic trauma.
- Administered medications via oral, IV and intramuscular injections and monitored responses.
- Monitored and assessed patients' conditions, promptly reporting changes in physical presentation and behavior to inform treatment decisions.
- Prioritized assignments and executed care based on each patient's condition.
- Collaborated with physicians to discuss diagnoses and develop coordinated treatment plans, enhancing patient care continuity.
- Ordered, interpreted and evaluated diagnostic tests to identify and assess patient condition.
Administrator/Recruiting
United States Marine Corps
Lubbock
05.1996 - 08.2004
- Developed recruiting strategies to identify qualified candidates and build network.
- Created and implemented forward-thinking initiatives to improve recruiting engagement.
- Assessed candidate strengths and weaknesses through targeted screening processes to enhance selection quality.
- Managed personnel records and updated internal databases to ensure accurate document management and compliance.
- Informed staff on organizational mission and goals to align efforts and support Marines in achieving success.
- Government and Military
Staff-RN/Charge Nurse
University Medial Center
Lubbock
08.2002 - 05.2004
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Monitored patient conditions by interpreting EKG readings and identifying irregular telemetry patterns, promptly updating team on changes in stability or acuity.
- Collaborated on pediatric trauma and emergency interventions, effectively addressing serious head injuries, gunshot wounds, and thoracic trauma to ensure optimal patient outcomes.
- Performed patient assessments and adjusted care plans accordingly.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Educated patients, families, and caregivers on diagnoses, treatment options, and disease management to enhance understanding and promote informed decision-making.
LVN
University Medial Center
Lubbock
01.2000 - 07.2002
- Assessed patients' temperature, pulse and blood pressure and recorded in electronic medical records.
- Provided timely clinical and personal assistance to address patient requests and enhance care experience.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Facilitated admissions, appointments, transfers, and discharges to ensure smooth patient flow.
- Documented accurate and complete patient information to address patient problems and expected outcomes.
- Monitored and communicated critical patient information to healthcare staff to support effective treatment planning and care delivery.
Transporter
University Medical Center
Lubbock
05.1994 - 12.1999
- Assisted with lifting and handling patients using safety equipment, promoting patient safety and comfort.
- Collaborated with CNAs, nurses and physicians to maintain stability during transport and facilitate event-free transport.
- Maintained accurate logs of equipment deliveries and patient trips, ensuring timely documentation at end of shift.
- Greeted patients and visitors warmly to create a welcoming environment.
- Cleaned and maintained vehicle and assessed vehicle for damage after each shift.
- Maintained confidentiality of patient data and condition to safeguard health information.
Education
Master of Science - Acute Gerontology Acute Care Nurse Practitioner
The University of Texas Medical Branch
Galveston, TX12-2023
Bachelor of Science - Nursing
University of Texas At Arlington
Arlington, TX05-2012
Diploma- Registered Nurse - Nursing
Covenant School of Nursing
Lubbock, TX08-2002
License Vocational Nurse - Nursing
South Plains College
Levelland, TX12-1999
Skills
- Patient Assessment
- Disease management
- Care Coordination
- Care bundle utilization
- Quality assurance
- Rapid Response Lead
- Patient Advocacy
- Staff mentoring
- Team Collaboration
- Problem solving skills
- Positive Interactions
- Patient Communication
Certification
• Advanced Cardiovascular Life Support – ACLS, 03/2028
• Basic Life Support Certification- BLS, 03/2028
• Basic Life Support Certification- BLS, 03/2028
Awards
- Nurse of the Quarter, Brooke Army Medical Center, 05/2020
- Nurse of the Quarter, Brooke Army Medical Center, 10/2021
- Department of the Army Civilian Service Commendation, 01/2020
- Advance Practice Lead Clinician for Wellmed Concepcion Market
Languages
Spanish Speaking
Timeline
Nurse Practitioner-Advance Practice Lead Clinician
Wellmed
11.2024 - Current
Nurse Practitioner Resident
Veterans Administration
09.2023 - 11.2024
Staff RN, ER
San Antonio Military Medical Center
12.2012 - 08.2023
Staff RN
Methodist Children's Hospital
10.2009 - 11.2012
Travel Registered Nurse
All About Staffing Agency
09.2008 - 09.2009
Staff Registered Nurse
Texsan Heart Hospital
08.2008 - 10.2012
Registered Nurse
Care Clinics
01.2007 - 01.2009
Travel Registered Nurse
Nurse Finders Agency
05.2006 - 10.2009
Travel Registered Nurse
American Mobile
05.2006 - 01.2007
Travel Registered Nurse
Aureus
05.2004 - 05.2006
Staff-RN/Charge Nurse
University Medial Center
08.2002 - 05.2004
LVN
University Medial Center
01.2000 - 07.2002
Administrator/Recruiting
United States Marine Corps
05.1996 - 08.2004
Transporter
University Medical Center
05.1994 - 12.1999
Master of Science - Acute Gerontology Acute Care Nurse Practitioner
The University of Texas Medical Branch
Bachelor of Science - Nursing
University of Texas At Arlington
Diploma- Registered Nurse - Nursing
Covenant School of Nursing
License Vocational Nurse - Nursing
South Plains College