Sylvia Romero

• Practiced med/surg nursing skills for employees in the corporation Wellness Centers (Navy Federal Credit Union & AstraZeneca) for Premise Inc. Assisted in the implementation of policies and procedures that aligned with regulatory standards and best practices.
• Streamlined nursing processes by incorporating technology into daily documentation, medication administration, and patient monitoring tasks.
• Assessments, blood and specimen collection, assist MD with physicals, managed daily urgent care, as well as other pre-employment testing.
• Held wellness days where vaccines (i.e. covid, flu, hepB and others) focusing on B/P monitoring infection control, basic health education to increase understanding of conditions and the best ways to manage conditions.
• Participated in Telemedicine triage, assessing the client's status, prior to reporting to physicians.
• Collaborated with interdisciplinary teams for optimal patient outcomes and efficient care coordination.
• Contributed to positive clinical environment through active participation in staff meetings, committee work, and ongoing professional education opportunities.

• Perform in-home assessments with new clients, their families and caregivers. Collaborate with social workers, and care managers to develop an initial care plan for discharge.
• Evaluated performance metrics to identify trends in patient care delivery in the home, driving initiatives to address identified gaps or opportunities for improvement.
• Interview candidates for onboarding, while managing the budget and resource allocation for the nursing staff , ensuring fiscal responsibility and operational efficiency.
• Ensured orientation and competency validation programs were up to date with RN, LPN and CNA licensure requirements compliance within their scope of practice as determined by the Maryland Board of Nursing requirements for personal care.
• Championed patient safety initiatives by implementing best practices in infection control measures, falls prevention strategies, and medication management protocols.
• Streamlined nurse scheduling processes to maximize staffing efficiency while ensuring adequate coverage during peak times.
• Ensured compliance with regulatory standards, including accreditation requirements, state licensing regulations, and CMS guidelines.
• Established collaborative relationships with external partners such as educational institutions, community organizations, and other healthcare providers to advance the mission of the organization.
• Prepared and reviewed infection control surveillance reports to identify trends and develop effective actions to control and prevent infections.

Utilized adult learning principles to adapt teaching methods according to individual learner needs, maximizing comprehension and retention of material presented.

• Responsible for the planning and presentation of dialysis theory to new RNs and PCTs before they are moved on to the clinical floor for additional training. Counseled and tutored those who were showing progress but needed a little additional assistance. Graded exams and the student’s presentations.
• Contributed educational and clinical expertise to help optimize training courses and boost student learning.
• Led the development of annual training plans based on identified gaps in knowledge or skills among clinical staff members.
• Compiled, administered and graded examinations to evaluate and record student comprehension levels.
• Supported student educational and vocational planning to help each optimize learning strategies and reap long-term career benefits.
• Assisted in the design of simulation exercises, enhancing hands-on learning experiences for clinical staff members.
• Kept current with emerging trends in healthcare education, incorporating new strategies into existing curricula for continuous program improvement.
• Educated nursing students on successful methods for performing [Type] and [Type] techniques.
• Developed comprehensive competency assessments, effectively measuring nursing staff knowledge and skill levels.
• Contributed to hospital accreditation efforts by ensuring compliance with industry standards and best practices in nursing education.
• Prepared course materials such as syllabi, homework assignments and handouts for distribution or use within classroom.
• Served as a mentor for junior nursing staff, fostering a positive learning environment and promoting professional growth.

• Opened and managed many dialysis facilities in Frederick and Montgomery Counties in Maryland Managed clinical, financial, staffing and other operational aspects of the business.
• Many times, due to staffing or any other extraordinary situation, I have been ready and able to step in to take on clinical role as a nurse
• Conducted regular facility audits to ensure adherence to environmental regulations and maintain a safe working environment for staff members..
• Championed process improvements through continuous analysis of workflows, identifying opportunities for optimization that led to increased productivity and reduced costs.
• Coordinated resource allocation among group facilities to optimize utilization rates while minimizing waste.
• Oversaw capital improvement projects for facility upgrades, resulting in increased productivity and reduced maintenance costs.
• Led team training initiatives on industry best practices, bolstering employee skill sets and improving overall facility performance.
• Responded on 24-hour, 7-day basis to significant unusual occurrences.
• Fostered a culture of continuous improvement within the organization by encouraging staff members to share ideas, collaborate on solutions, and embrace innovation in their daily workflows.
• Developed comprehensive emergency response plans, ensuring the safety of staff members and minimizing potential damage to facilities during incidents.
• Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
• Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.

• Years of clinical nursing in hospitals as well as private duty nursing, while continuing to maintain a fulltime position with DaVita Served as a peritoneal dialysis nurse expert for a law firm in Virginia, where I testified in court during a malpractice suit
• Worked on a respiratory floor with patients on vents, and often attended post-op patients when the ICU was full
• In dialysis my experience has been with every modality of this treatment
• Many years performed as the Peritoneal Dialysis Specialist for most of the nephrology practices in Montgomery County MD
• Responsible for the planning and presentation of dialysis theory to new RNs and PCTs before they are moved on to the clinical floor for additional training
• Counseled and tutored those who were showing progress but needed a little additional assistance
• Graded exams and the student's presentations.
• Achieved high patient satisfaction by providing compassionate and knowledgeable care.
• Participated in quality improvement initiatives aimed at optimizing nursing practices and enhancing the overall patient experience.
• Led educational sessions on various health topics for patients, families, and colleagues to increase awareness and promote wellness strategies.
• Assisted physicians in diagnosing and treating complex medical conditions, improving patient outcomes.
• Conducted thorough patient assessments to identify potential risks and develop appropriate interventions.
• Managed challenging cases with a focus on critical thinking and clinical reasoning, resulting in improved decision making.
• Applied advanced clinical knowledge in emergency situations, stabilizing critically ill patients until further treatment could be initiated.
• Collaborated with interdisciplinary teams to create comprehensive care plans for patients with chronic illnesses.
• Responded to patient emergencies to provide prompt and correct intervention .
• Administered medications and treatments to manage patient's condition.
• Maintained accurate and comprehensive patient records in line with regulatory standards.
• Provided wound care to promote healing and prevent infection.
• Evaluated patient histories, complaints, and current symptoms.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Implemented care plans for patient treatment after assessing physician medical regimens.