Irene Romero, R.N.

*** ******* **** **. ** Paso, Texas 79932

915-***-****

adh0l2@r.postjobfree.com

Objective: Dedicated Registered Nurse with 20 years of experience, seeking a position that will allow me to use comprehensive health care training, excellent communication skills, and self-directed prioritization that will benefit the clients, to fulfill their ability to the highest level of wellbeing. Utilization of nursing knowledge procedures, and medical equipment to provide direct patient care efficiently.

Work Experience:

El Paso Children’s Hospital, 4845 Alameda, El Paso, Texas 79905—April 7, 2019 to July 9,2020

Collaborating with staff, and physicians on patients plan of care, and discharge planning, upon

admission. Review admission, complete interqual review, and assess patient’s symptoms and complaints, to consider versus the recommended criteria, and the patient is in the appropriate level of care. Assist with discharge planning, i.e. home health, rehabilitation, transfer to facility of higher level of care, and assist with obtaining durable medical equipment. Worked closely with reauthorizations on medications that were not on insurance formularies. Through timely reviews, improvement of patient status, and timely discharge planning, as a case manager, I was able to participate in the decrease length of stay, therefore, financial saving for the hospital stay.

Immigration Custom Enforcement, El Paso Processing Service Center- 8915 Montana, El Paso, TX 79925. Sept. 17, 2018 to April 7,2019.

Staff Nurse- Providing direct care to detainees, to include detainee intake physical assessments, social assessments, referrals to providers, and treatments as ordered. Treatments included medication administration, IV medication administration, IM medication, NG tube feedings, wound care, respiratory treatments, and drawing daily labs. Worked closely with providers to report any changes in status for ordered treatments, and make appropriate referrals as needed. Completing pre-assessments for detainees that would be leaving facility for outside scheduled appointments and follow up on treatments from outside physicians upon return. Participated in the care of detainees in sick call, where detainees sign up to be assessed for non-emergent conditions such as headaches, cough, colds, and allergies, which can be treated with over the counter medications provided by staff nurse at discretion. Responsible for follow-up with detainees that have symptoms that worsen and require further treatment. Emergent treatment to detainees that may become involved in altercations with other detainees, sudden illness, change in status, requiring emergent stabilization and/or transfer care to higher level of care through Emergency Medical Services.

Fresenius Dialysis Care- 1225 E. Cliff #1-A, El Paso, Tx 79902. Jan. 3, 2018 to Sept. 11, 2018

Peritoneal Dialysis Nurse-Conducting initial assessment and determining best teaching strategy for patients and family members, to perform peritoneal dialysis treatments in the home. Stressing the importance of having treatment in a clean and sterile environment as possible, to prevent infection. Reinforcing the importance of the teaching and understanding of the process and reasoning behind the process. Under the direction of the physician, initiating first flush post operatively, sterile dressing changes, troubleshooting peritoneal catheters, assessments to assure patients do not develop infections, and treating patients when there are indicators of a possible infection. Administering antibiotics into peritoneal cavity as ordered by physicians. Teaching and reinforcing teaching with patients when using cyclers to complete treatments, or when patient is performing manual exchanges. Scheduling and completing monthly lab draw on all patients to assure dialysis treatments are clearing enough waste product. When lab results indicate abnormalities, notify physician so that adjustment can be made to exchange prescription for optimal results.

Centene/Superior Health Plan-6070 Gateway East Blvd, El Paso, TX 79905. July 2017 to April 2018. Pediatric Care Manager—Visit to patient home to conduct initial assessment of patient health history, durable medical equipment for home use, services such as physical therapy, occupational therapy, and speech therapy. Documentation of current needs, and assistance with connecting patient with facilities, and physicians as needed.

Providence Memorial Hospital-2001 N. Oregon, El Paso, TX 79902. May 09, 1999 to Jan. 2, 2018

Pediatric, Adult, and Geriatric Registered Nurse Case Manager-April 07, 2009 to Dec. 22, 2017

Collaborate with hospital staff and physicians to coordinate patient care, to include medical and surgical pediatric patients, oncology pediatric patients, and pediatric patients in the intensive care unit. Presentation of complex cases to Director of Case Management. Through assessments and data collection, the identification of barriers to discharges, and resources available through medical coverage, and community resources to facilitate discharge. Referrals to acute care facilities, home health companies, long term care facilities, and skilled nursing facilities for continued care as needed and recommended by physicians. Utilization review, evaluating healthcare treatments, and assure that patients are in the correct level of care for the most cost-effective treatment. Providing clinical information to insurance providers and working as patient advocate, to assist with accurate health information, and assure proper reimbursements for service.

Providence Memorial Hospital-May 09,1999 to April 04, 2009

Staff Registered Nurse in newborn nursery, postpartum and antepartum

Assessment and care of newborn to nursery, thru transition period. Care to include physical assessment, administration of Vitamin K, Erythromycin ophthalmic ointment, and Hepatitis B vaccination. Providing teaching, support and care of the newborn to include assistance with breast and bottle feeding, diaper changes, teaching of circumcision care, as needed. Providing of care to postpartum patient, to include vaginal and cesarean section delivery, breast, and incision care. Monitoring patient, providing antibiotic administration as ordered, assessment of pain, and teaching of postpartum care precautions. Yearly competencies in fetal monitoring completed. Fetal monitoring to antepartum patient as ordered to assess the health of fetus, report any abnormal indicators, and implement nursing interventions until a physician provides orders and arrives to assess patient and fetus. Administration of tocolytic drugs, and antibiotics under direction of physicians. Prepare patient and notify neonatal practitioners for an eminent birth of a premature infant. Report to labor and delivery nurse that will accompany patient to delivery. Document all activity that transpired prior to report, in complete detailed notes, that led up to delivery.

Horizon Health Care, El Paso, Texas Licensed Vocational Nurse – 2301 N. Oregon, El Paso, Tx 79902. May 1998 to January 1999 Charge Night Nurse responsible for 20-25 residents, with duties that included assessment and care of patients, administration of medication, both p.o., and thru g-tubes, enteral feedings, and basic wound care. In charge of assignments of nursing assistants, medication technicians, and transporters.

EDUCATION: El Paso Community College, El Paso, Texas Associates Degree of Applied Science in Nursing, 1998 Certification of Licensed Vocational Nurse, 1997

Licensure: Registered Nurse in State of Texas -License No. 656520 Current-1/31/2021

Certification: Basic Life Support-CPR

References available upon request.

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