CASILDA

GONZALES

**** *** ***** ****** ****., Danville, Ca 94526

adzl8p@r.postjobfree.com 925-***-****

RN430785 Exp 9/30/2024 * PHN 80595 Exp 9/30/2024 * NPI 163W00000X PROFESSIONAL SUMMARY

Astute nursing professional with progressive background in high-risk patient environments and dedication to exceptional nursing care. Offers skills in clinical staffing, supply management, and facility accreditation support. Well-versed in direct patient care and bringing sound clinical and operational judgment.

Tireless Registered Nurse, specializing in overseeing care delivery in Inpatient and Outpatient clinical settings. Patient-focused, responsive and proficient in managing day to day needs of a busy unit and getting the job done.

Talented Registered Nurse/Public Health Nurse, skilled at completing daily assignments and contributing to team success. Always willing to take on any task. Adapts quickly to new needs and policies.

Focused Registered Nurse, who delivers consistent and professional work for every patient assignment. Offers 35 years in various nursing environments and top-notch abilities in communication, compassion and cultural sensitivity. A team player who brings proven expertise in patient care. Motivated and skilled at meeting customer needs. Stays on top of demands in fast-paced environments by effectively using slow periods. Maintains organized, clean and safe work areas with diligent attention to important details.

SKILLS

Bilingual - English/Spanish Clinical staffing Safety monitoring Schedule preparation Personnel recruitment Social perceptiveness Task prioritization Public speaking

EXPERIENCE

Director of Nursing Education

Unitek College Concord, CA

OB/Peds Instructor

December 2019 – May

2021

October 2019 - current

Updated staff, facility, and care records in different systems and software with timely changes. Kept up with certification and accreditation requirements through efficient paperwork management. Coordinated daily clinical staffing and patient flow with organized approach. Verified continued compliance of team's nursing care against federal, state, and local regulations. C

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Elevated quality of care through improved training for RNs, LPNs, and nursing aides. Dealt with regulatory violations by creating systems and processes to address performance deficiencies.

Maintained highest standards of care and environment focused on continuous professional development.

Stayed at forefront of medical and technical advances, evaluating options and integrating useful solutions.

Handled emergency calls to assess situations and coordinate care. Directed, supervised, and evaluated work activities of [Type] personnel. Maintained knowledgeable and skilled staff, recruiting top candidates and overseeing continuous training initiatives.

Coordinated effective interdepartmental collaboration through open communication between medical staff.

Improved care delivery by monitoring performance and optimizing strategies. Met coverage demands by establishing work schedules and assigning specific jobs. Directed and conducted recruitment, hiring, and training of personnel. Protected staff and patients by maintaining strong safety, security, and cleaning standards. Built successful team by recruiting, hiring, and evaluating clinical personnel. Director of Nursing

Avianna Home Health Concord, CA

August 2018 - June 2019

Kept up with certification and accreditation requirements through efficient paperwork management. Coordinated daily clinical staffing and patient flow with organized approach. Protected staff and patients by maintaining strong safety, security, and cleaning standards. Maintained highest standards of care and environment focused on continuous professional development.

Built successful team by recruiting, hiring, and evaluating nursing and clerical personnel. Verified continued compliance of team's nursing care against federal, state, and local regulations. Tracked medication administration and frequently audited medication sheets. Supervised work of RNs and LVNs caring for patients in the private home setting. Elevated quality of care through improved training for RNs and LVNs, Dealt with regulatory violations by creating systems and processes to address performance deficiencies.

Handled emergency calls to assess situations and coordinate care. Updated staff, facility, and care records in different systems and software with timely changes. Met coverage demands by establishing work schedules and assigning specific jobs. Directed, supervised, and evaluated work activities of RNs and LVNs. Maintained knowledgeable and skilled staff, recruiting top candidates and overseeing continuous training initiatives.

Directed and conducted recruitment, hiring, and training of personnel. Stayed at forefront of medical and technical advances, evaluating options and integrating useful solutions.

Achieved program goals by effectively motivating and supervising nursing staff. Coordinated effective interdepartmental collaboration through open communication between nursing staff.

Improved care delivery by monitoring performance and optimizing strategies. Protected patient data with secure records management system. Home Health/Hospice RN Case Manager

American Hospice and Home Health Dublin, CA

January 2017 - March 2018

Arranged clinical, psycho-social, and spiritual services through case management in line with plan of care.

Delivered equitable healthcare as advocate for patients, families, and caregivers. Planned program of care in collaboration with front-line clinicians directly implementing treatment plans.

Assisted patients and families in establishing patient-specific goals, removing barriers, and improving resource utilization.

Established clear outcome targets for patients, families and institutional goals. Oversaw reasonable and appropriate transitions throughout continuum of care. Coordinated patient and family interventions as leader of unit healthcare team. Monitored consistent use of aseptic techniques to protect against infection. Developed and implemented treatment plans for patients with various acute and chronic concerns. Conducted accurate chart updates in computer system. Administered oxygen and monitored respiratory performance and stability. Managed direct care of patients, including conducting assessments and documenting care activities.

Dressed, cleaned, and redressed wound and incision areas. Worked closely with physicians and surgeons, as part of unit team. Supported patients' nutrition needs through assistive feeding and effective management of gastric tubes.

Educated patients on preventive care and lifestyle choices to improve overall health. Collected patient data and biological samples for testing and procedures. Managed smooth patient flow and handled admissions and processed discharge paperwork. Alleviated patients' fears of treatments using kind, empathetic communication. Improved recovery by educating patients and caregivers on proper at-home care and treatment regimens.

Met post-surgical patient needs, monitored catheters, and handled personal hygiene tasks. Recorded changes in patient conditions and laboratory test results. Stabilized patients experiencing emergency complications and decompensations. Registered Nurse - Labor & Delivery Level 3

Maxim Healthcare (Temporary assignment) Emeryville, CA July 2016 - January 2017

Delivered skilled nursing care, including basic pain relief and setting up IVs for more complex responses and potential surgeries.

Tracked responses to induction and pain relief techniques. Notified physicians and midwives of concerning responses.

Helped move fetuses into position for delivery with versions and proper positioning. Supported laboring mothers with comfort, advice, and medical interventions. Coached women in labor about techniques for improving comfort, emotional coping, and pain. Triaged incoming patients for emergent needs, condition, and potential delivery timetables. Focused on preventing complications with good monitoring and assessment skills for mothers and babies.

Met individual patient needs with effective use of nursing process to assess, plan, evaluate, and implement plans of care.

Performed vaginal examinations, insertion of FSEs, amnioinfusion, prostin and cervadil induction, scalp stimulation, fern testing under microscope, nitrazine, ultrasound for fetal position, assist with epidural insertion, spinal anesthesia, versions, amniocentesis, IUPC insertion, Vacuum and forceps assisted deliveries, normal vaginal deliveries and cesarean deliveries of single and multiple gestation babies, Management of postpartum hemorrhage, D & C, DIC, fetal demise., management of PIH, magnesium sulfate, insulin, drips, blood transfusions, pitocin inductions. Have managed patients with several medications used in pregnancy and high-risk labor and delivery. Management of neonates (AGA, LGA and SGA) from birth through discharge home. Delivered evidence-based, cost-effective care to every patient based on extensive experience in Labor and Delivery.

Enhanced patient outcomes through careful monitoring of conditions and comprehensive support. Resolved or reduced patient symptoms with intramuscular, intravenous and oral medicines. Contributed to team efficiency, optimal patient flow, and accuracy in treatments by maintaining accurate and detailed reports and records.

Modified patients' treatment plans as indicated by patients' responses and new physician orders. Maximized unit efficiency, keeping supplies and records well-organized for expected needs. Controlled infection risks with careful care of wounds and thorough sanitizing techniques. Stabilized patients during emergencies with first aid and life support care. Administered medications to patients and monitor patients for reactions or side effects to quickly intervene in serious issues.

Supported procedures by handling instruments and monitoring patients. Registered Nurse Home Health Care Liaison

John Muir Medical Center Concord, CA

January 2009 - July 2016

Utilized modalities and procedures with knowledge of common contraindications related to age and diagnosis.

Coordinated health team duties to promote comprehensive care and continuity of services. Followed established channels of communication in resolving problems and presenting information. Reported patient hospitalizations, discharges, and physician appointments to notify care team. Maintained strict patient confidentiality in alignment with HIPAA directives. Obtained physician's written prescription and approval for all treatment changes. Developed and implemented treatment using appropriate techniques within physician's recommendations.

Delivered evidence-based, cost-effective care to every patient based on extensive experience in discharge planning.

Contributed to team efficiency, optimal patient flow, and accuracy in treatments by maintaining accurate and detailed reports and records.

Completed and updated clinical records in [Software], maintaining compliance with all patient privacy protocols.

Modified patients' treatment plans as indicated by patients' responses and new physician orders. Public Health Registered Nurse (Mobile

Urgent Care)

John Muir Medical Center Walnut Creek, CA

September 2008 - July 2015

Provided expert nursing support at public events such as fireworks shows and rodeos. Handled high patient load, covering needs of [Number]+ individuals with skilled nursing care and screenings.

Met tracking requirements by documenting and reporting diseases such as whooping cough, Lyme disease, and chickenpox.

Oversaw work of [Number]+ LPNs and nursing aids, delegating assignments and monitoring work performance to maintain standards of care.

Improved health-related behaviors with proper education and ongoing support. Identified required materials and services necessary to meet needs of individuals with irregular medical care.

Reduced unwanted pregnancies with annual exams, birth control administration, and safe sex education.

Supported underserved and at-risk individuals with critical services such as STD and TB testing, head lice evaluations, and family planning.

Protected public health and increased herd immunity by immunizing individuals against communicable diseases such as influenza and pneumonia. Enhanced early childhood care by educating parents about safety measures, as well as age-appropriate care of babies and toddlers.

Contributed to team efficiency, optimal patient flow, and accuracy in treatments by maintaining accurate and detailed reports and records.

Enhanced patient outcomes through careful monitoring of conditions and comprehensive support. Supported procedures by handling instruments and monitoring patients. Maximized unit efficiency, keeping supplies and records well-organized for expected needs. Administered medications to patients and monitor patients for reactions or side effects to quickly intervene in serious issues.

Controlled infection risks with careful care of wounds and thorough sanitizing techniques. Modified patients' treatment plans as indicated by patients' responses and new physician orders. Prepared patients for and assist with examinations, treatments, and procedures such as gynecological examinations, pap smears, biopsies.

Resolved or reduced patient symptoms with intramuscular, intravenous and oral medicines. Delivered evidence-based, cost-effective care to every patient based on extensive experience in Public Health nursing.

Stabilized patients during emergencies with first aid and life support care. Treated patients with issues such as hypertension and diabetes alongside multidisciplinary team. Registered Nurse Labor and Delivery Level 2

Contra Costa County Medical Center Martinez, CA

August 2008 - July 2014

Coached women in labor about techniques for improving comfort, emotional coping, and pain. Delivered skilled nursing care, including basic pain relief and setting up IVs for more complex responses and potential surgeries.

Triaged incoming patients for emergent needs, condition, and potential delivery timetables. Met individual patient needs with effective use of nursing process to assess, plan, evaluate, and implement plans of care.

Helped move fetuses into position for delivery with versions and proper positioning. Focused on preventing complications with good monitoring and assessment skills for mothers and babies.

Supported laboring mothers with comfort, advice, and medical interventions. Tracked responses to induction and pain relief techniques and notified physicians of concerning responses.

Administered medications to patients and monitor patients for reactions or side effects to quickly intervene in serious issues.

Maximized unit efficiency, keeping supplies and records well-organized for expected needs. Resolved or reduced patient symptoms with intramuscular, intravenous and oral medicines. Treated patients with issues such as pre-eclampsia and diabetes alongside multidisciplinary team. Controlled infection risks with careful care of wounds and thorough sanitizing techniques. Delivered evidence-based, cost-effective care to every patient based on extensive experience in Labor & Delivery

Performed sterile vaginal exam, sterile speculum exam and fern testing under microscope. Performed limited ultrasound for fetal position, FSEs, insertion of induction of labor medications intravaginally. Foley catheters, assisted with epidural insertion, spinal anesthesia, versions, performed amnioinfusion, blood transfusion, circulated spontaneous and assisted vaginal deliveries, circulated cesarean deliveries, recovery of mom/babe following vaginal and cesarean deliveries (regional and general anesthesia).

Management of complicated labors and deliveries such as pre-eclamptic women on magnesium sulfate, often on insulin drips and Pitocin induction. Macrosomic deliveries, AGA and SGA infants. Assistant Department Manager Level 3 Labor &

Delivery Kaiser Permanente Oakland, CA

January 2007 - July 2008

Evaluated department performance and implemented corrective actions and merit rewards. Organized workflow, delegated tasks, and monitored performance to verify task completion. Coordinated employee scheduling to verify adequate shift coverage and meet service delivery standards.

Oversaw 12 bed Labor & Delivery unit, coordinated resources, and scheduled RNs, LVNs, OB technicians, & unit secretaries for 24-hour coverage in a busy unit of 250 deliveries per month. Ethics committee member for Labor & Delivery, post-partum and NICU. Risk Management team member for entire hospital.

Safety Committee Head for Labor & Delivery.

Joint Commission Mock Survey Team member

Supported cost-control through improvements in budget development and resource optimization. Reviewed timecards, employee absences, and PTO to coordinate payroll documentation for

[Number] department employees.

Controlled waste through continuous monitoring strategies and efficient workflows. Enhanced team performance with hands-on leadership style, monitoring current work and motivating positive changes.

Maintained strict quality controls, monitoring processes to identify and resolve issues. Oversaw internal controls, setting up systems and enforcing policies to keep operations fully compliant with applicable regulations.

Registered Nurse - Labor & Delivery Level 3

Kaiser Permanente Walnut Creek, CA

September 1992 - January 2008

Triaged incoming patients for emergent needs, condition, and potential delivery timetables. Telephone triage and on site triage Helped move fetuses into position for delivery with versions and proper positioning. Supported laboring mothers with comfort, advice, and medical interventions. Met individual patient needs with effective use of nursing process to assess, plan, evaluate, and implement plans of care.

Coached women in labor about techniques for improving comfort, emotional coping, and pain. Tracked responses to induction and pain relief techniques and notified physicians of concerning responses.

Delivered skilled nursing care, including basic pain relief and setting up IVs for more complex responses and potential surgeries.

Focused on preventing complications with good monitoring and assessment skills for mothers and babies.

Modified patients' treatment plans as indicated by patients' responses and new physician orders. Administered medications to patients and monitor patients for reactions or side effects to quickly intervene in serious issues.

Resolved or reduced patient symptoms with intramuscular, intravenous and oral medicines. Stabilized patients during emergencies with first aid and life support care. Contributed to team efficiency, optimal patient flow, and accuracy in treatments by maintaining accurate and detailed reports and records.

Supported procedures by handling instruments and monitoring patients. Maximized unit efficiency, keeping supplies and records well-organized for expected needs. Enhanced patient outcomes through careful monitoring of conditions and comprehensive support. Controlled infection risks with careful care of wounds and thorough sanitizing techniques. Delivered evidence-based, cost-effective care to every patient based on extensive experience in the high-risk Labor & Delivery unit.

Managed high and low risk moms through delivery and recovery. Managed high risk medications administered to the laboring patient, such as magnesium sulfate for pre-eclampsia or pre-term labor, insulin drips, pitocin induction, usage of medications such as terbutaline, nifedipine, betamethasone, and vaginal insertion of prostaglandin gel and cervadil during labor induction. Blood transfusion, tubal ligation, circulated assisted and normal vaginal deliveries and cesarean sections, apgars, recovery of regional and general anesthesia, mom/baby recovery and care through discharge. Charge RN.

Staff RN Renal Metabolic Unit / Labor & Delivery Level 1 Mt Diablo Medical Center Concord, CA

July 1988 - October 1992

Met individual patient needs with effective use of nursing process to assess, plan, evaluate, and implement plans of care. First year was spent in the busy Renal Metabolic Unit, caring for poorly controlled diabetics, insulin management, heparin management, amputations with infected stumps, performed peritoneal dialysis, patient teaching of sterile technique and peritoneal dialysis to be performed at home upon discharge from hospital. Second through final year at Mt Diablo was spent in Labor & Delivery, Post-Partum and Level 1 Newborn Nursery. Circulated vaginal deliveries with minimal intervention, as hospital was not equipped for high-risk care, but stabilization until transport team arrived to transport mom/baby to higher level of care. Mt Diablo Medical Center's delivery unit was winding down as area OBGYN doctors transferred privileges to John Muir Hospital in Walnut Creek.

EDUCATION

Bachelor of Science Registered Nursing May 2010

Regis University, Denver, Colorado

Associates Degree Nursing

Los Medanos College, Pittsburg, CA

May 1988

Associates Degree Community Health

Diablo Valley College, Pleasant Hill, CA

May 1985

INTERESTS

Music, singing, dancing, stand-up comic, cake decorating, entertaining in my yard, gardening, crafting, jewelry making, certified massage therapist, wedding officiant, traveling.

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