Empathic and skilled Nurse Practitioner excelling in quality and quantity of work, work habits, professional relationships, taking independent action as appropriate, meeting work commitments, analyzing situations and materials and supervising the work of others. Team player with strong organizational skills.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Nurse Practitioner
CCHCS-CCWF
02.2017 - Current
Practice primary-acute-urgent-emergency care and coordinate secondary and tertiary care.
Provide initial evaluation, stabilization and ongoing care for patients of low-moderate-high clinical risk based on individual needs.
Perform comprehensive physical exams comparing and contrasting results with medical records to provide proper diagnosis and facilitate appropriate treatment.
Diagnose and treat conditions, illnesses, diseases and injuries through careful questioning and assessment of patient symptoms.
Inform, educate, guide and motivate patients via discussion of care plans regarding disease prevention, healthy lifestyle habits, treatment options, medical needs, and non-medical options for treatments and therapy.
Discuss care plans with patients explaining test results and proper use of formulary (whenever possible) and non-formulary (when unavoidable) medications to support health.
Document all components of patient-specific progress notes including assessment, diagnosis, interpretation of labs/diagnostics, treatment plans, procedure notes, patient education, discharge notes and consultations in EHRS.
Devise treatment plans that are in accordance with training and experience, clinical evidence-based medicine, UpToDate, and published peer reviewed sources.
Coordinate and consult with chief physician and surgeon, chief medical executive, and outside specialists (including e-consult specialists), as indicated.
Perform procedures including cyst excision, incision and drainage, suturing and stapling of lacerations, mole excision, punch/excisional/shave biopsies, toenail excision, pap tests, pelvic exams, rectal exams, procure STI panels, perform joint aspirations and injections
Order follow-up appointments at appropriate institutional guideline intervals.
Provide clinical direction of RNs, LVNs and MAs.
Collaborate collegially with radiology, lab, behavioral health, interdisciplinary teams and custody.
Strive to exceed dashboard Initiatives and goals.
Family Nurse Practitioner
Madera Community Hospital Family Health Services
11.2016 - 12.2019
Provided primary care to infant, pediatric/adult/geriatric/ante-partum/post-partum patients in outpatient primary care clinic.
Performed histories and physicals, focused exams, initial and ongoing mental health assessments.
Developed, initiated, reviewed and modified treatment and therapy plans.
Educated and counseled patients regarding physical and mental health.
Guided patients in making positive health choices.
Provided preventive and follow up care.
Initiated referrals to specialists.
Diagnosed and treated acute and chronic conditions including as asthma, COPD, obesity, diabetes, hypertension, hypercholesteremia, CHF, auto-immune disorders, skin conditions, communicable diseases, infections, injuries, cancer, behavioral/mental disorders and disabilities.
Prescribed medications, immunizations, devices and treatments.
Performed pelvic exams; Pap smears; STI panels, rectal exams.
Ordered and interpreted labs and diagnostics; ordered and interpreted point of care testing such as 12-Lead ECG interpretation, spirometry, peak flow and urinalysis; removed impacted cerumen; performed fluorescein tests; lesion and wart biopsies; cyst removal, abscess incision and drainage, skin and soft tissue laceration repair including suturing; 1st and 2nd degree burn treatment; wound debridement; wound packing, wound dressing, Unna boot application; subungal hematoma evacuation; ingrown toenail removal; joint and soft tissue aspiration and injection; sprain/fracture splinting.
Oriented onboarding primary care providers and supervised support staff.
Registered Nurse
CA Department Of Veterans Affairs Fresno Veterans
10.2014 - 11.2016
Provided registered nursing care to California Veterans in 60 bed general SNF and 60 bed memory care SNF.
Administered medications and treatments.
Interviewed patients with history taking techniques.
Wrote treatment and care plans.
Reviewed and interpreted laboratory values and diagnostic test results addressing normal and abnormal results.
Guided and motivated residents to participate in their care;.
Planned, organized and directed LVNs and CNAs.
Collaborated with medical staff, pharmacists, psychologist, podiatrist, physical therapist, occupational therapist, speech pathologist, and LCSWs;
Delivered emergency and end of life care.
Registered Nurse
CCHCS-Corcoran State Prison
03.2013 - 09.2014
Provided care to inmate/patients in General Acute Care Hospital, Receiving and Release, Triage and Treatment Area, Medical/Surgical units, Mental Health Crisis Bed Unit, Outpatient Housing Unit Alternative Housing Unit.
Recognized and analyzed I/P symptoms, disease processes and I/P behavior.
Provided restorative measures and modalities.
Administered medication and therapeutic agents.
Used hospital-based training skills to facilitate and promote disease prevention and infection control.
Provided for safety
Procured diagnostic specimens.
Provided emergency and first aid care.
Collaborated with physicians, psychologists, respiratory therapist, physical therapist, social workers, case managers.
Clinically supervised LVNs and CNAs.
Maintained accurate and timely records in keeping with CCHCS and CA Registered Nursing Board Scope of Practice.
Facilitated and maintained effective working relationships with custody.
Education
Master of Science in Nursing –Family Nurse Practitioner -
California State University
Fresno, CA
05.2016
Bachelor of Science in Nursing -
California State University
Sacramento
05.2001
Skills
As it relates to dermatology experienced in treating dermatitis, follicultis, pruritis, rash, lesions, pityriasis rosea, benign and cancer and pre-malignant lesions, malignant tumors, skin and soft tissue infections, nail disorders, psoriasis, ulcers, hyperhidrosis, rosacea, lichen planus
Procedures including biopsies (shave/punch/excisional), joint injections, laceration suture, cryosurgery, incision and drainage, nail excision, wound care
Primary Care
Preventive Care
Diagnosis and Treatment
Developing Individualized Patient Care Plans
Differential Diagnosis
Patient Education
Patient Safety
Patient Rights
Certification
ACLS renewed 06/2022
BLS renewed 06/2022
Family Nurse Practitioner Board Certified (FNP-C) F0816038, American Academy of Nurse Practitioners (AANP)-08/02/16 to date
Nurse Practitioner California Furnishing 95004727-08/17/16 to date
Centers for Medicare & Medicaid Services (CMS) National Provider Identifier 1720533714-08/18/16 to date
DEA Controlled Substance Registration Certificate MA3982700-08/19/16 to date
California Registered Nurse 568217-08/24/01 to date
Personal Information
Title: FNP-C
Timeline
Nurse Practitioner
CCHCS-CCWF
02.2017 - Current
Family Nurse Practitioner
Madera Community Hospital Family Health Services
11.2016 - 12.2019
Registered Nurse
CA Department Of Veterans Affairs Fresno Veterans
10.2014 - 11.2016
Registered Nurse
CCHCS-Corcoran State Prison
03.2013 - 09.2014
Master of Science in Nursing –Family Nurse Practitioner -