Nurse Practitioner Registered
Resume:
Paula S. Ramirez, APRN, FNP-C
Prague, NE 68050
Cell Phone: 308-***-****
Work Phone: 308-***-****
*********@*****.*** or ********@***************.***
Education:
**/**** ** **/2016 Master’s Advanced Practice Registered Nurse-Family Nurse Practitioner. Chamberlain College of Nursing online program, based in Addison, Illinois. Graduation 09/2016.
12/2007 Bachelors of Science-Nursing degree. University of Nebraska Medical Center at Kearney, NE. Graduation 12/2007.
05/1999 High School Diploma of Graduation. Medicine Valley H.S. in Curtis, NE
Employment:
10/2018-present Cardiology Nurse Practitioner at Platte Valley Medical Group in Kearney, Ne. Responsibilities include assessment, diagnosis, planning and follow up of cardiology patients presenting with cardiac complaints both on the inpatient and outpatient clinic setting. This includes a rotation in call schedule receiving both clinic after-hour phone calls and inpatient rounds on weekends. Assessment, diagnosis, planning/management, and follow up of acute and chronic health conditions specific to cardiology. Supervising both stress testing and tilt table studies on a regular basis. I also managed the Healthy Hearts Clinic which provided close follow up of acute and/or chronic congestive heart failure. Requires team work, rapid and guideline directed decision making, and coordination with multiple medical providers, and effective communication with a multidisciplinary team.
02/2017-10/2018 Family Nurse Practitioner at Kearney Clinic, PC, Kearney, Nebraska. Responsibilities include assessment, diagnosis, planning and follow up of primary care patients presenting with illness. Also, assessment, diagnosis, planning/management, and follow up of chronic health conditions for primary and secondary care. Requires team work and coordination with multiple medical providers, communication skills are a key component.
06/02/2013-2/2016 Critical Care Nurse Educator- Nursing Specialist, CHI Health: Good Samaritan Hospital, Kearney, Nebraska. Job requirements include documented/observed knowledge of critical care nursing skills and ability to successfully educate newly-graduated registered nurses to verify competency. Educator role includes assessment of newly hired/graduated nurses on basic Medical-Surgical and/or Critical Care (ICU-PCU-Tele) nursing knowledge and proper application of skills. Responsible for orientation of nurses to critical care floors. Active teaching role in nurse residency program. Active participation on Process Improvement Projects house-wide: Delirium Protocol, Discharge LEAN, and Bedside Reporting, Falls. Instructor for Basic Arrhythmia, ACLS Mock Code, Kearney High School Health Careers Outreach class.
01/28/08-06/02/13 Staff RN for Progressive Care Unit, 40 bed telemetry care unit. Job responsibilities include care of patients post-CABG, thoracotomy, or post-thoracic trauma, all non-ventilated critically ill patients such as AMI, sepsis, pneumonia, heart failure, DKA, multi-organ failure. Experience includes Bi-PAP, Aquadex, external/internal pacing, post-PTCA, titration of antiarrhythmic and vasodynamic drugs. Management of all patient care including collaboration with ancillary staff and physician/provider teams.
03/12/12-06/02/13 Charge RN for Progressive Care Unit. Job responsibilities include assignment, correlation, and supervision of nursing staff which typically includes 12 nurses, 2-3 CNAs, 2 Telemetry Technicians, and 2 Unit Secretaries. Patient assignment and education prior to discharge. Member of Code Blue and Rapid Response Teams that respond house-wide. Ability to handle stressful situations and conflict management while maintaining critical thinking skills to foster best outcomes for patients.
03/12/12-06/02/13 Float RN to Intensive Care Unit, Good Samaritan Hospital, Kearney, NE. Provide professional nursing care to 1-2 critically ill patients per shift. Assessment and monitoring with telemetry, peripheral arterial and central line monitoring. Monitoring of patients on ventilation in coordination with respiratory staff and physician/provider team. Titration of vasopressive and sedation medications per protocol. Assessment and early intervention for detrimental status change. Approximately 240 hours logged during above stated time-line.
Licensure and Certification:
2016 to present Advanced Practice Registered Nurse, Nebraska. Initial issue in December, 2016 and valid through October, 2020. License number: 112152
2008 to present Registered Nurse, Nebraska. Initial issue in January 2008; valid through October 2020. License number: 66980
06/2010 Advanced ECG Interpretation by Good Samaritan Hospital
09/2008 to present Advanced Cardiac Life Support (ACLS) by American Heart Association. Current license valid through April 2018
05/2008 Basic Arrhythmia by Good Samaritan Hospital.
04/2008 to present Basic Life Support (BLS) by American Heart Association. Current license valid through April 2018.
Professional Honors and Recognition:
12/2007 Sigma Theta Tau Honor Society of Nursing
Research/Grant History:
02/2015 Internal Review Board (IRB) approved research project “Impact of ACLS continuing education on ACLS provider competence” as the primary investigator, projected end date December 2016. No grant or funding required.
12/2013 Internal Review Board (IRB) approved research project “Delirium education in critical care” as co-investigator, projected end date December 2015. No grant or funding required.
Lectures, Courses, and Presentations:
07/2014 to 02/2017 Coordinator for ACLS Mock Code sessions required by organization for all nursing staff that hold the certification. Responsible for education, notification to staff, supervision of sessions/instructors.
10/2013 to 02/2017 Instructor for Kearney High School Health Sciences Outreach class on Cardiology. Responsible for education on pathophysiology and current practice.
09/19/2013 “Delirium Challenge: Assessing, managing in acute/critical care” presented to Good Samaritan Hospital nursing staff as an approved continuing education unit (CEU).
09/2013 to 02/2017 Instructor for Basic Arrhythmia course required for nursing staff on telemetry units. Course is approved through Creighton University Health Sciences Continuing Education committee and offers continuing education unit (CEU).
Professional Service:
Professional Organizations:
2010 to present American Association of Critical-Care Nurses (AACN) membership
2019 to present Nebraska Nurse Practitioner Association membership
Organizational Service:
10-2014 to 02/2017 Member of “Quiet at Night” Team. Responsible for education, practice implementation, and review of literature at Good Samaritan Hospital, Kearney, NE.
09/2014 to 09/2016 Co-Chair of Professional Development Council (PDC), will assume chair responsibilities Sept. 2015 to Sept. 2016 at Good Samaritan Hospital, Kearney, NE.
09/2013 to 02/2017 Member of Delirium Team, interprofessional team that includes physicians, pharmacist, nurse practitioner, nursing staff. Responsible for education and update of practice, data collection, and literature review at Good Samaritan Hospital, Kearney, NE.
07/2013 to 02/2017 Member of hospital-wide Falls Team. Responsible for education, update on practice, data collection and review, and process confirmation for interventions at Good Samaritan Hospital, Kearney, NE.
06/2013 to 02/2017 Member of Nursing Shared Governance Professional Development Council (PDC). Co-chair and Chair of council 09/2014 to 02/2017 at Good Samaritan Hospital, NE.
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