WILMER PALACIOS
Fresno,CA
Summary
Dedicated Bilingual Family Nurse Practitioner (FNP-C) with a strong critical care foundation, including five years of Registered Nurse experience, three of which were in a high-acuity Medical/Cardiac Intensive Care Unit, followed by 2.5 years of advanced practice experience in Gastroenterology and Hepatology. Experienced in providing comprehensive inpatient and outpatient care, including on-call consultations at Clovis Community Medical Center. Seeking admission to National University Doctor of Nursing Practice Nurse Anesthesia (DNP-CRNA) program to apply my critical care expertise, advanced clinical judgment, and commitment to delivering safe, evidence-based anesthesia care.
Overview
19
19
years of professional experience
Work History
Nurse Practitioner
Fresno Digestive Health
Fresno, California
09.2023 - Current
- Evaluate, diagnose, and manage complex gastrointestinal and hepatology conditions in the outpatient and inpatient settings. Including, liver cirrhosis, Inflammatory bowel disease , Irritable bowel syndrome, pancreatic cysts, pancreatitis acute and chronic etc.
- Assess procedural risk, optimize patients for sedation, and identify patients requiring higher levels of perioperative care.
- interpret complex laboratory trends, including liver function tests, coagulation studies, CBCs, metabolic panels, and viral hepatitis markers to guide clinical management
- Ordered, interpreted, and integrated laboratory studies, diagnostic imaging, and endoscopic findings into clinical decision-making to support accurate diagnoses and effective treatment strategies.
- Recognize and respond promptly to acute clinical deterioration, coordinating emergency evaluation and hospital admission when indicated.
- Collaborate closely with gastroenterologist, hepatologists, anesthesiologists, surgeons, radiologists, nurses, and ancillary staff to coordinate comprehensive patient care.
- Prescribe and adjust medications, including antibiotics, anticoagulants, immunosuppressants, biologic's.
- Provide pre-procedure evaluations and post-procedure follow-up for endoscopy, colonoscopy, liver biopsy, and other GI procedures.
Medical/Cardiac Intensive Care Unit 4th Floor
Community Regional Medical Center/CRMC
Fresno, CA
12.2019 - 12.2023
- Provides professional, comprehensive nursing care for patients who are in critical condition
- Assisted physician with emergency and non-emergency endotracheal tube intubations to ensure patient safety.
- Conducted detailed physical assessments and communicated changes in patient conditions to medical team
- Precepted and mentored new grad and experienced nurses, enhancing team competency and patient care
Nurse Practitioner clinical training
Dizon Medicine/Dizon Urgent Care+ plus
05.2022 - 05.2023
- Performs annual Medicare wellness and annual physicals with minimal supervision
- Conducted comprehensive chart reviews, including past medical history, medications, and laboratory records for 10-12 patients daily, facilitating care plan discussions with physicians.
- Executed minimally invasive procedures including joint steroid injections, toenail removal, and abscess drainage under supervision.
- Interprets in clinic diagnostics such as urine dipstick, hemoglobin A1c, and x-rays.
Trauma/Surgical Step-Down Unit
Community Regional Medical Center/CRMC
Fresno, CA
01.2018 - 01.2020
- Monitored diverse patients, including medical, oncology, and trauma cases, ensuring optimal care in the step-down unit.
- Executed comprehensive dressing changes for trauma patients post-surgical interventions, promoting healing and infection prevention.
- Performed assessment/data collection systematically, focusing on physiologic, psychosocial, cultural, spiritual, and cognitive status, nutrition, pain, patient/family education, family involvement, and patient advocacy.
- Worked effectively in fast-paced environments.
- Self-motivated, with a strong sense of personal responsibility.
College Assistant/Tutor
College of the Canyons
Valencia, CA
01.2017 - 12.2017
- Instructed nursing students on complex topics including care planning, stress management techniques, and skill development to enhance understanding and application of nursing practices for testing and clinical setting
- Supported faculty with administrative tasks, improving workflow efficiency and communication.
- Mentored junior assistants, fostering a collaborative work environment and knowledge sharing.
Restaurant Manager
Stonefire Grill
Valencia, CA
01.2008 - 01.2017
- Supervised daily operations and ensured high-quality service and customer satisfaction.
- Trained and mentored staff on operational protocols and customer engagement techniques.
- Resolved customer complaints promptly, enhancing overall dining experience and loyalty.
Education
Masters of Science in Nursing - Family Nurse Practitioner
Fresno Pacific University
Fresno, CA05-2023
Bachelor of Science degree - Nursing
National University
Fresno, CA, US03-2019
Associate of Science - Nursing
College of the Canyons
Valencia, California, US12-2017
Associate of Arts - Arts
College of the Canyons
Valencia, CA12-2017
Certifications
Certification/Associations Expiration Date
- American Academy of Nurse Practitioners- Board Certification #F06232003 02/27/2028
- Nurse Practitioner- California Board of Nursing #95026412 02/29/2028
- Nurse Practitioner Furnishing- CA Board of Nursing # 95026412 02/29/2028
- Registered Nurse- CA Board of Nursing # 95154383 02/29/2028
- National Provider Identification Number/NPI- # 1245913581 No Expiration Date
- Advanced Cardiovascular Life Support/ACLS- American Heart Association 12/31/2027
- Basic Life Support/BLS- American Heart Association American 12/31/2027
- American Association of Critical Care Nurse- AACN 05/2027
Languages
Bilingual in English and Spanish
Native or Bilingual
Recognitions and Awards
- Community Regional Medical Center Superhero Nurse Award March 2019: Awarded recognition for going above and beyond attention to patients and their families. Feedback is collected through the get-well network from patients and families who mention an employee by name for their exceptional level of care, hospitality, or any other outstanding trait an employee portrays.,
- Community Regional Medical Center Care Hero award March 2021: awarded recognition for going above and beyond what anyone could have expected as a nurse. Awarded after a patient or family donates to the organization and mentions the individual by name as the reason for their donation.
Timeline
Nurse Practitioner
Fresno Digestive Health
09.2023 - Current
Nurse Practitioner clinical training
Dizon Medicine/Dizon Urgent Care+ plus
05.2022 - 05.2023
Medical/Cardiac Intensive Care Unit 4th Floor
Community Regional Medical Center/CRMC
12.2019 - 12.2023
Trauma/Surgical Step-Down Unit
Community Regional Medical Center/CRMC
01.2018 - 01.2020
College Assistant/Tutor
College of the Canyons
01.2017 - 12.2017
Restaurant Manager
Stonefire Grill
01.2008 - 01.2017
Associate of Arts - Arts
College of the Canyons
Associate of Science - Nursing
College of the Canyons
Bachelor of Science degree - Nursing
National University
Masters of Science in Nursing - Family Nurse Practitioner
Fresno Pacific University