Tiffanie Guevara
Orlando
Summary
Registered nurse with fourteen years of experience, including over seven years in intensive care units and prior experience in post-anesthesia care. Demonstrates strong decision-making skills and effective teamwork in high-pressure environments, while maintaining a calm and reassuring demeanor, delivering critical care to patients. Committed to achieving positive patient outcomes through expert management of complex medical situations.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Registered Nurse, Intensive Care Unit
AdventHealth East Orlando
Orlando
01.2021 - Current
- Experience in a multi-system intensive care unit of a 295-bed community hospital, with a 24-bed intensive care unit based on a 2:1 ratio of direct patient care (max) 3:1 ratio.
- Demonstrating strong leadership skills by precepting and mentoring new and/or incoming nurses to the unit.
- Working well under pressure.
- Provided patient care, performed assessments, and delivered different nursing interventions and procedures while acquiring commendations from ICU doctors and leaders.
- Decreasing unit hospital-acquired infections and hospital-acquired pressure injuries by adhering to isolation protocols and methods of infection prevention.
- Collaborated with multi-disciplinary teams to develop and execute patient treatment plans.
- Assist in bedside procedures.
- Experience in the care of patients with advanced airways and tracheostomies on mechanical ventilation support.
- Experience caring for patients post-cardiac arrest and providing them with therapeutic hypothermia therapy via the Arctic Sun.
- Adhering to ICU protocols.
- Maintained active communication with patients and families by educating them on their health care progress, plan of care, medical diagnosis, goals of care, and, if appropriate, withdrawal of care in a compassionate and non-technical manner.
- Caring for patients post-PCI and removal of arterial sheaths.
- Experience with various hemodynamic monitoring systems.
- Experience administration and titration of multiple vasopressors, sedations, and other life saving medications simultaneously based on patients progress and responses.
- Proficient in the care and management of arterial lines.
- Proficient in providing patients with CRRT treatment.
- Experience in the care and management of patients receiving continuous insulin infusion, and the use of the Glucomander system.
- Experienced in the use of EPIC for electronic charting.
- Proficient in venipuncture and blood specimen collection.
Registered Nurse, Pre op/PACU at ASC
Park Place Surgery Center
Maitland
07.2019 - 01.2021
- Experience preparing patients for same-day surgeries and procedures, and ensuring all necessary documents and preparations are completed prior to surgery or procedure at an ambulatory outpatient center.
- Experience caring for patients post-general and MAC anesthesia. Ensuring patients meet all discharge criteria, and are stable upon discharge home.
- Experience caring for patients post-surgical/post-procedure, including patients post-orthopedic spinal surgeries, shoulder arthroscopy, and RCR, knee arthroscopy, podiatry surgeries, pain injections, and radiofrequency ablation.
- Experience educating patients and family members on discharge and post-surgical instructions to ensure patients' safety upon discharge.
Registered Nurse, Intensive Care Unit
Florida Hospital Fish Memorial
Orange City
09.2016 - 07.2019
- Experience in a 160-bed community hospital with a 21-bed ICU.
- Decreasing unit hospital-acquired infections and hospital-acquired pressure injuries by adhering to isolation protocols and methods of infection prevention.
- Experience in the care of patients with advanced airways and tracheostomies on mechanical ventilation support.
- Adhering to ICU protocols.
- Maintained active communication with patients and families by educating them on their health care progress, plan of care, medical diagnosis, goals of care, and, if appropriate, withdrawal of care in a compassionate and non-technical manner.
- Experience with various hemodynamic monitoring systems.
- Experience with the administration and titration of multiple vasopressors, sedations, and other life-saving medications simultaneously, based on patients' progress and responses.
- Proficient in the care and management of arterial lines.
- Experience in the care and management of patients receiving continuous insulin infusion, and the use of the Glucomander system.
- Experienced in the use of Cerner for electronic charting
- Proficient in venipuncture and blood specimen collection.
Registered Nurse, Medical Surgical Unit
Florida Hospital Fish Memorial
Orange City
06.2011 - 09.2016
- Experience in an approximately 160-bed community hospital with a 36-bed Medical Surgical Unit, with a 6:1 ratio.
- Extensive experience caring for patients post various surgical procedures.
- Experience administering chemotherapy to oncology patients.
- Extensive experience caring for patients with CBI treatment, Heparin drip titration, and wound care (including the application and management of KCL wound vacs).
- Experience educating patients and family members on discharge instructions to ensure patients' safety and understanding upon discharge.
Education
Associates Degree - Nursing
Daytona State College
05.2011
Associates of Arts Degree -
Daytona Beach Community College
05.2008
Skills
- Demonstrating strong leadership skills by precepting and mentoring new and/or incoming nurses to the unit
- Working well under pressure
- Provided patient care, performed assessments, and delivered different nursing interventions and procedures while acquiring commendations from ICU doctors and leaders
- Decreasing unit hospital-acquired infections and hospital-acquired pressure injuries by adhering to isolation protocols and methods of infection prevention
- Collaborated with multidisciplinary teams to develop and execute patient treatment plans
- Maintained active communication with patients and families by educating them on their health care progress, plan of care, medical diagnosis, goals of care, and, if appropriate, withdrawal of care in a compassionate and non-technical manner
- Proficient in providing patients with CRRT treatment
- Experienced in the use of EPIC and Cerner systems for electronic charting
- Experience educating patients and family members on discharge instructions to ensure patients' understanding and safety upon discharge
- Experience administering chemotherapy to oncology patients
Certification
- Advanced Cardiac Life Support
- Basic Life Support
Timeline
Registered Nurse, Intensive Care Unit
AdventHealth East Orlando
01.2021 - Current
Registered Nurse, Pre op/PACU at ASC
Park Place Surgery Center
07.2019 - 01.2021
Registered Nurse, Intensive Care Unit
Florida Hospital Fish Memorial
09.2016 - 07.2019
Registered Nurse, Medical Surgical Unit
Florida Hospital Fish Memorial
06.2011 - 09.2016
Associates Degree - Nursing
Daytona State College
Associates of Arts Degree -
Daytona Beach Community College