Sunnie Ortega

I provide advanced respiratory care to critically ill and or injured neonates, and pediatric patients during air or ground transport between medical facilities. I have extensive knowledge in critical care practices, and advanced ventilator management. I have ability to make rapid clinical decisions while on the move. I am proficient in intubation, I.V access, IO access, needle thoracostomy, iNO delivery, resuscitation, airway clearance, blood gas interpretation, and all aspects of managing level 1 trauma patients; burns, open fractures, and severe head trauma. I use HFOV, HFJV, TXP, Crossvent, Hamilton, ReVel, LTV, Servo-I, Drager, and trilogy.

NICU RT - Responsibilities include

Code White team. Labor and delivery high risk attendance. Transport of neonates/pediatric ICU patients. Neonatal resuscitation. Artial/A-line/UA-line/Capillary draws, analysis, and interpretation. Surfactant administration. High flow Nasal Cannula, Nasal CPAP, NIPPV, administration and management. Intubation/Assistance and management of ETT. Ventilator administration ans management of Servo-i and Oscillator. Administration ans management of iNO. Airway management- suctioning. Aerosol and CPT therapy. Physician rounds. Preceptor.

PICU RT - Responsibilities include

Code white team. Pediatric trauma attendance. Transport of pediatric ICU/trauma patients. Pediatric resuscitation. Atrial/A-Line/PAL/Capillary draws, analysis, and interpretation. Intubation/assistance and management of ETT. Ventilator administration and management of Servo-i, Trilogy, and LTV. CPAP/Bi-pap administration and management of ResMed, Vision, and V60. Tracheostomy changes and management. CPT-vest and cough assist. Trauma management- ICP monitoring, etc. Aerosolized treatment delivery, MDI administration. Airway management- suctioning. Physician rounds.

Adult ICU - Responsibilities include

Code Blue Team, Adult resuscitation. Intubation assistance. Management of ETT. Ventilator administration and management of Servo-i, VOCSN, LTV, and Trilogy. iNO administration and management. Artrial/A-line draws, analysis, and interpretation. Tracheostomy management. CPT-vest and cough assist. IPPV, and MetaNeb administration and management. Patient proning, COVID isolation. Aerosolized treatment delivery, MDI administration. Airway management- suctioning. Physician rounds.

EPIC and Meditech charting systems.

Contracted with high level NICU hospitals.

Harbor UCLA - Responsibilities included

Code White team. NICU. PICU. Pediatric Trauma ED

Transport team- picking up- stabilizing, intubating, to transport neonates/pediatric patients to our facility for higher of level of care.

Intubation. Deliveries. Surfactant administration. Ventilator administration and management of AVEA, and oscillator. Airway management.

Garfield and San Gabriel - Responsibilities included

Solo NICU RT. Communication and treatment instruction from Neonatologist on call. Intubation. Surfactant delivery. A-LINE/UA line/capillary draws, analysis, interpretation. Ventilator and Oscillator administration and management. NCPAP, NIPPV, and high flow administration and management. All deliveries. Neonatal resuscitation.

LAC USC - Responsibilities include

NICU. Deliveries. Intubation. Surfactant delivery. Aerosolized medication delivery. Ventilator administration and management of AVEA, PB 980, Oscillator, and Jet. iNO administration and management. Chest x-ray interpretation. XRAY rounds.

A-line/UA line/Capillary draws, analysis, and interpretation. Med/fellow preceptor. Physician rounds.

Glendale Memorial, Glendale Adventist, Good Sams, and White Memorial Responsibilities include

NICU. Transport team. Deliveries. Intubation. Surfactant administration. Ventilator, Oscillator, and Jet administration and management. iNO administration and management. NCPAP, NIPPV, and HFNC administration and management. Communication and treatment instruction from neonatologist on call.

Clinical education to staff on ventilator management, emergency airway care and management, BLS. Educate and create Respiratory policy and procedures.

I also do high risk trach changes, and I create and manage ventilator and decannulation protocols and individualized plans.

All high risk deliveries and c-sections.

Neonatal intubation.

Set up and management of HFNC, NCPAP, Ventilator, HFOV

Surfactant delivery

VBG, CBG, ABG

Managing the respiratory department- scheduling, payroll, evaluations, education.

Attended APIC quarterly meetings, Participated in infection control board. Created policy and procedures. Created care plans, and completed chart audits. Created ventilator weaning plans. Attended and participated in patient care meetings. Completed trach changes, and decannulation protocols. Ventilator education and implementation. Participated in research for SMA.

Per Diem Responsibilities included-

PICU, and floor RT- Ventilator management. Delivered aerosolized medications. CPT- manual, vest. Airway management. Pediatric resuscitation.

CHLA - Responsibilities included

NICU, PICU, Transport team

For a short time I worked on the cystic fibrosis unit.

Primary NICU therapist.

Attended all high risk vaginal and cesarean deliveries.

Intubated and mange's airways. Initiated and managed nasal cannula, high flow (vapotherm), cpap, NIPPV, ventilator, and HFOV.

Delivered surfactant. Performed CHD studies on infants prior to discharge