Objective
Dedicated Advanced Care Practitioner who wants to obtain a position as a nurse practitioner in a facility where I can provide the utmost highest degree of quality patient care. With a total of 15-years of nursing experience, 13 of which are in the emergency department at a level II trauma center, and two years as a Nurse Practitioner in an urgent care and emergency room. I have obtained extensive certifications in emergency services, have strong leadership, organizational, and critical thinking skills. I am an exceptional performer with the ability to provide integrity, work independently and collaboratively with others.
Experience
Del Sol Medical Center Emergency Department - Family Nurse Practitioner February 1, 2020 – Present PRN
Perform a complete physical head to toe examination
Care for COVID 19 patients.
Perform gynecological exams and procedures.
Collect a detailed medical history.
Treat patients with acute and chronic illnesses, infections, and injuries.
Order diagnostic exams appropriate for patient complaints.
Interpret diagnostic exams and develop a plan of care according to practice guidelines.
Prescribe appropriate pharmacological and non-pharmacological treatments for assessed medical conditions.
Perform minor surgical procedures.
Develop targeted health education about the patient’s disease and offer all treatment options that are available.
Educate and guide the patient on preventative care and disease management.
Develop differential diagnosis along with a primary diagnosis.
Admit the patient for inpatient treatment or discharge and refer the patient back to their primary care physician or refer to a medical specialist.
Country Club Urgent Care – Family Nurse Practitioner November 2018- February 1, 2020
Perform a complete physical head to toe examination.
Perform gynecological exams and procedure.
Collect a detailed medical history.
Treat patients with acute and chronic illnesses, infections and injuries.
Order diagnostic exams appropriate for patients complaints.
Interpret diagnostic exams and develop a plan of care according to practice guidelines.
Prescribe appropriate pharmacological and non-pharmacological treatments for assessed medical conditions.
Perform minor surgical procedures.
Develop targeted health education about the patient’s disease and offer all treatment options that are available.
Educate and guide the patient on preventative care and disease management.
Develop differential diagnosis along with a primary diagnosis.
Refer patients to medical specialists.
Dr. Yolanda Lagunas OB/GYN – Family Nurse Practitioner February 2019 – Present PRN
Perform annual gynecological exams and pap tests.
Perform breast exams and educate the patients on the importance of doing breast exams.
Focus on the prevention or treatment of diseases specific to women.
Provide comprehensive postpartum nursing care, teaching and support.
Provide guidance for women in menopause and educate them about treatment options.
Order screenings, diagnostic tests and provide appropriate treatment for assessed gynecological condition.
Order and provide STD testing, treatment and counseling.
Provide and educate the patients on the different types of contraception.
Insert and remove IUD’s and Nexplanon.
Educate and guide the patient on preventative care measures.
Assist the physician in surgical procedures (endometrial biopsy, cervical biopsy, colposcopy).
Review pap smear results and other diagnostic testing that were ordered.
Check for fetal heart tones and measure fundal height.
Del Sol Medical Center -Emergency Department RN/Charge/Trauma Nurse February 2007- February 2020
Registered/Trauma Nurse
Initiate IV lines and monitor the site for signs and symptoms of phlebitis or infection.
Give medications (oral, intramuscular, rectal, intravenous, subcutaneous) and monitor the patient for any adverse effects.
Collaborate with physicians, nurses, EMT’s and other emergency department personnel in the assessment, planning and implementation of patient care and treatment.
Perform a rapid triage on patients to get them to the appropriate area of the emergency department to receive treatment.
Collect the patient’s current symptoms, detailed patient and family history, and consult with the health care team to assess, plan, implement, treat, and evaluate the patients plan of care.
Act as a patient’s advocate by supporting their rights, values and beliefs.
Respond to and perform life-saving treatments such as CPR, advanced cardiac life support, and/or neonatal resuscitation.
Monitor and observer changes in the patient’s signs and symptoms, report those changes to the physician and initiate corrective actions using protocols and physician orders.
Provide compassionate care and comfort to critical and non-critical care patients.
Educate the patient and their family members about the patient’s condition and offer support when needed.
Care for medical, surgical, telemetry, and ICU patients holding in the emergency department.
Monitor, observe, titrate, and initiate care for ICU hold patients who are on multiple medication drips, IV fluids, a ventilator, cardiac monitor, central venous pressure monitor, and an arterial line monitor.
Administer blood and blood products and monitor for adverse reactions in non-critical and non-life-threatening situations.
Administer and monitor blood and blood products that were given rapidly to a critical and life-threatening patient.
Manage and care for patients who are ventilated and sedated while titrating multiple medication drips and administering multiple medications and caring for another critical care patient.
Charge Nurse
Ability to work with no supervision in a fast-paced environment.
Ability to work with and run the emergency room when we are short staffed.
Knowledgeable in hospital policy, protocols, and regulations.
Identify needs and problems, explore alternatives, and implement solutions.
Strong organizational skills and effective listening.
Resolve patient and staff problems.
Ability to take on a patient assignment while on duty as a charge nurse.
Ability to manage the flow of a fast-paced and busy emergency department.
Delegate patient care assignments based on the needs of each patient and the qualifications and experience of the nursing staff.
Expose, educate, and teach new nurses how to care for critical care patients when I see they are ready and fit to care for these patients.
Direct and supervise less-skilled nursing or other healthcare personnel.
Consult and coordinate with the healthcare team members to assess, plan, implement, and evaluate patient care plans.
Observe nurses and visit with patients to ensure proper nursing care.
Observe patients, review charts, and report changes in patient’s condition and take any necessary actions.
Assign nursing roles to the nurses that attend a level I or level II trauma activation.
Able to handle a stressful situation in a calm manner and help others involved stay calm and focused.
Providence Memorial Hospital – Telemetry Unit Charge/Registered Nurse January 2005 – February 2007
Monitor, record, and report symptoms or changes in the patients’ condition.
Evaluate the patient’s response after a procedure and help them progress toward the desired goal.
Delegate tasks to CNA’s.
Administer oral, rectal, intermuscular, and intravenous medications as ordered by physician in a timely manner.
Monitor patient care and physical activity.
Explain treatments, medications, and other physician orders to the patient and their family.
Monitor intake and output
Monitor patients heart rhythm.
Round with physicians on patients and execute their plan of care.
Boris Kaim, MD Neurology – Clerk/ Tech May 2000 – December 2004
Greet patients and log them in the way they arrive to the office.
Schedule new and follow-up appointments.
Answer phones.
Verify insurance
Call in prescriptions to the pharmacy that were prescribed by the physician.
File diagnostic tests and lab results in the patients file.
Clean exam rooms after each patient
Clean and set up the EEG or EMG machine for the physician when needed
Call patients to remind them of their appointments
Take vital signs on patients when they arrive for the appointment
Gather basic information from the patient for the doctor prior to the physician and medial assistant saw the patient.
Education
Walden University, Minneapolis, MN June 2015- February 2018
Masters of Science In Nursing, Family Nurse Practitioner
University of Texas at El Paso August 1999 – December 2004
Bachelors of Science in Nursing
References
Jose Crespo, MD- Team Health Regional Medical Director for Emergency Services
Jose Loaiza, MD – Team Health Assistant Medical Director for Emergency Services
Rosie Ochoa, FNP-C –Team Health, Lead Family Nurse Practitioner
Cristina Hinojosa FNP-C – Country Club Urgent Care Family Nurse Practitioner
Nicole Gomez, RN - Del Sol Medical Center Emergency Room Administrative Director
(915) 235- 7036
Raul Diaz, RN- Del Sol Medical Center Emergency Department Director
Credentials/Licenses
Family Nurse Practitioner FNP-C (AANP) July 2018 – July 2023
Advanced Practice Registered Nurse (Texas Board of Nursing) December 2018 – December 2020
Registered Nurse (Texas Board of Nursing) December 2018 - December 2020
Trauma Nurse Core Course (TNCC) January 2019 – January 2023
Basic Life Support (BLS): American Heart Association June 2020 – May 2022
Advanced Cardiac Life Support (ACLS): American Heart Association June 2020 – May 2022
Pediatric Advanced Life Support (PALS): American Heart Association October 2019- October 2021
Emergency Nursing Pediatric Course (ENPC): ENA February 2017- February 2021
DEA # MM5034347 July 2018 – January 31, 2022
NPI # 175*******
Skills
Initiate peripheral intravenous lines
Intramuscular injections
Suturing: Wound closure
Incision and Drainage
Basic casting and splinting
Cryotherapy and shave/punch biopsy
Trigger point Injection
Joint aspirations
Joint injections
Corneal Abrasions and Removal of foreign bodies from the eyes
Removal of foreign bodies from the ears
Epistaxis Management
Introduction of IUDs and contraceptive implants
Endocervical Polyp removal
Digital blocks
Partial and complete toenail removal
Affiliations
Texas Board of Nursing: RN/Advanced Practice Registered Nurse April 2005-Present
Emergency Nurses Association July 2014 – July 2020
American Academy of Nurse Practitioners Certification Board – FNP-C July 2018- Present
Urgent Care Association July 2019- Present