Pediatric Nurse Practitioner Primary and Urgent Care
Resume:
Maria Iren Creticio Garza CPNP- PC
**** ******* **, *** #*****, San Antonio, Texas, 78240
Phone: 210-***-**** E-Mail: **********.*****@*****.*** Objective
● Pediatric Nurse Practitioner in both primary and urgent care centered environments with opportunity for continual professional growth.
Professional Summary
● 10 years of experience as a Pediatric Nurse Practitioner in a primary care setting.
● 3.5 years of experience as a Pediatric Nurse Practitioner in an urgent care clinic.
● Licensed registered nurse practitioner with broad base experience gained through emergency nursing.
● Pediatric Critical Care Level lll Trauma Center
● 3 years of experience in Telemetry and Medical–surgical Nursing.
● 2 years of adult emergency nursing.
● 15 plus years of children emergency nursing.
● Part time Pediatric and Adult out-patient day surgery Professional Experience
TOP CARE MEDICAL GROUP/ PEDIATRIC ASSOCIATE MARCH 2023- May 2026
● Provision of care to children from birth through young adult with an in-depth knowledge and experience in pediatric primary health care including well child care and prevention/management of common pediatric acute illnesses and chronic conditions
● Assess and screen, evaluate, and diagnose children from birth through young adults to provide the full spectrum of primary care health services.
● Prescribe a comprehensive therapeutic treatment plan including pharmacological and non-pharmacological strategies, patient and family education, as well as referral to collaborative members of the healthcare team when indicated.
● Mentors staff and does frequent informal teaching using plan of care as a dynamic tool.
● Function as preceptor for at least 3 nurse practitioner students.
● Monitor nursing care on a going basis as a round of patients. Gives frequent feedback to managers. Provide an example of change in nursing practice related to NP input.
● Formulated plan based on priority issues for patients and family. Perform duties as assigned.
● Perform a complete sports physical and acute care examination from early childhood to 18 years of age.
● Perform a complete Well child examination from age o to 18 years of age.
● Obtain complete history relevant and perform appropriate physical exams.
● Orders and interpret appropriate diagnostic testing and instituting a plan of care respectively, management and intervention specific to the diagnosis as previously identified.
● Recognizing life threatening conditions to all patients that present to the clinic which may requires immediate intervention measures.
● Collaborate and communicate effectively to the staff members and ancillary support of the clinic. TOTS AND TEENS PEDIATRIC URGENT CARE August 2021- april2023
● An advanced practice nurse that helps with all aspects of patient care in an urgent care setting.
● Perform a complete sports physical and acute care examination from early childhood to 18 years of age.
● Obtain complete history relevant and perform appropriate physical exam.
● Orders and interpret appropriate diagnostic testing such as Radiographs, Laboratory results andinstituting a plan of care respectively, management and intervention specific to the diagnosis as previously identified.
● Recognizing life threatening conditions to all patients that present to the clinic which may require immediate intervention measures.
● Collaborate and communicate effectively with the members of the health clinic.
● Performs minor procedure with the collaborating supervising MD i.e. minor incision and Drainage Dermabond application, splinting.
● Prompt referral and delivery of critically ill pediatric patients to higher levels of care as needed UNITED MEDICAL CENTERS (CPNP-PC) January 2020- August 2021
● Provision of care autonomously, in Covid 19 clinic NursePractitioner (NP), conduct curbside physical assessment, perform and interpret diagnostic tests. Diagnose and treat common conditions as well as identify life threatening conditions with prompt referral and transfer to the intermediate facility/emergency department for appropriate life saving measures. Provide screenings, intervention, counseling, prescribe medications as needed to patients in specified age categories. Provide accurate assessment, diagnosis and treatment of common pediatric illness from 0-18 years of age.
● Provision of care to children from birth through young adult with an in-depth knowledge and experience in pediatric primary health care including well child care and prevention/management of common pediatric acute illnesses and chronic conditions
● Assess and screen, evaluate, and diagnose children from birth through young adults to provide the full spectrum of primary care health services.
● Prescribe a comprehensive therapeutic treatment plan including pharmacological and non-pharmacological strategies, patient and family education, as well as referral to collaborative members of the healthcare team when indicated.
● Mentors staff and does frequent informal teaching using plan of care as a dynamic tool.
● Function as preceptor for at least 3 nurse practitioner students.
● Monitor nursing care on a going basis as a round of patients. Gives frequent feedback to managers. Provide an example of change in nursing practice related to NP input.
● Formulated plan based on priority issues for patients and family. Perform duties as assigned.
● Perform a complete sports physical and acute care examination from early childhood to 18 years of age.
● Perform a complete Well child examination from age o to 18 years of age.
● Obtain complete history relevant and perform appropriate physical exams.
● Orders and interpret appropriate diagnostic testing and instituting a plan of care respectively, management and intervention specific to the diagnosis as previously identified.
● Recognizing life threatening conditions to all patients that present to the clinic which may requires immediate intervention measures.
● Collaborate and communicate effectively to the staff members and ancillary support of the clinic. CHILDREN’S HOME HEALTHCARE August 2019 -January 2020
● Perform health assessment of individuals by evaluating their physical mental and environmental health status provided by nursing intervention based on assessment of needs.
● Coordinate healthcare services provided by ancillary personnel, such as home health aids. Medical social work and indicated therapies.
● Competently assessed the patient’s condition using the EMR and reporting any changes to the physician office.
● Improved patient understanding on the disease process with patient teaching.
● Proficiently take record and report vital signs using the EMR.
● Proficient in working with ventilator patients,caring for patients with tracheostomy, gastrostomy tube. patient feeding regimen and its routine intervention.
● Provide working knowledge of the nursing process as well as in depth knowledge of therapeutic, physical, psychosocial, spiritual, cultural, and developmental needs for a select category of patients. care based on priorities.
● Assesses,implements or delegates, plans, and evaluates total nursing care and functions in accordance with established philosophy, providing and directing patient care for a group of patients.
● Provides professional nursing care for the comfort and well-being of patients.
● Administers prescribed medications, changes dressings, cleans wounds, and monitors patient vital signs. ANGELS OF CARE PEDIATRIC Home health April 2019- January 2020
● Monitor nursing care on a going basis as a round of patients. Gives frequent feedback to the family
● Perform health assessment of individuals by evaluating their physical, mental and environmental health status provided of nursing intervention based on assessment of needs.
● Coordinate healthcare services provided by ancillary personnel, such as home health aids. Medical social work and indicated therapies.
● Competently assessed the patient’s condition using the EMR and reporting any changes to the physician office.
● Improved patient understanding on the disease process with patient teaching.
● Proficiently take record and report vital signs using the EMR.
● Proficient in working with ventilator patients,caring for patients with tracheostomy, gastrostomy tube. patient feeding regimen and its routine intervention.
● Provide working knowledge of the nursing process as well as in depth knowledge of therapeutic, physical, psychosocial, spiritual, cultural, and developmental needs for a select category of patients. care based on priorities.
● Assesses,implements or delegates, plans, and evaluates total nursing care and functions in accordance with established philosophy, providing and directing patient care for a group of patients.
● Provides professional nursing care for the comfort and well-being of patients.
● Prepares equipment and assists physicians during examinations and treatments.
● Administers prescribed medications, changes dressings, cleans wounds, and monitors patient vital signs. SOUTH TEXAS CENTERS FOR PEDIATRIC CARE. April 2017- May 2019
● Provision of care to children from birth through young adult with an in-depth knowledge and experience in pediatric primary health care including well child care and prevention/management of common pediatric acute illnesses and chronic conditions
● Assess, screen, evaluate, and diagnose children from birth through young adult to provide the full spectrum of primary care health services.
● Prescribe a comprehensive therapeutic treatment plan including pharmacological and non-pharmacological strategies, patient and family education, as well as referral to collaborative members of the health care team when indicated.
● Monitor nursing care on an ongoing basis as a round of patients. Gives frequent feedback to managers.Provide examples of change in nursing practice related to . Advanced practice nursing.
● Formulated plan based on priority issues for patients and family. Perform duties as assigned.
● An advanced practice nurse that helps with all aspects of patient care.
● Perform a complete sports physical and acute care examination from early childhood to 18 years of age.
● Perform a complete Well child examination from age o to 18 years of age.
● Obtain a complete history and perform appropriate physical exams.
● Orders and interpret appropriate diagnostic testing and instituting a plan of care respectively, management and intervention specific to the diagnosis as previously identified.
● Recognizing life threatening conditions to all patients that present to the clinic which may require immediate intervention measures.
● Collaborate and communicate effectively to the staff members and ancillary support CHRISTUS SANTA ROSA HOME CARE Dec 2017 - April 2017
● Provide education to staff, in form service education
● Provide working knowledge of the nursing process as well as in depth knowledge of therapeutic,Physical, psychosocial, spiritual, cultural, and developmental needs for a select category of patients. care based on priorities.
● Assesses,implements or delegates, plans, and evaluates total nursing care and functions in accordance with established philosophy, providing and directing patient care for a group of patients.
● Provides professional nursing care for the comfort and well-being of patients.
● Prepares equipment and assists physicians during examinations and treatments.
● Administers prescribed medications, changes dressings, cleans wounds, and monitors patient vital signs.
● Perform primary and secondary assessment to pediatric patients 0-17 years, utilizing the nursing process.
COMMUNICARE HEALTH CENTERS West campus (CPNP-PC) Nov 2013- Oct 2017
● Provision of care to children from birth through young adult with an in-depth knowledge and experience in pediatric primary health care including well child care and prevention/management of common pediatric acute illnesses and chronic conditions
● Assess, screen, evaluate, and diagnose children from birth through young adults to provide the full spectrum of primary care health services.
● Prescribe a comprehensive therapeutic treatment plan including pharmacological and non-pharmacological strategies, patient and family education, as well as referral to collaborative members of the health care team when indicated.
● Mentors staff and does frequent informal teaching using plan of care as a dynamic tool.
● Function as preceptor for at least 3 nurse practitioner students.
● Monitor nursing care on an ongoing basis as a round of patients. Gives frequent feedback to managers. Provide an example of change in nursing practice related to NP input.
● Formulated plan based on priority issues for patients and family. Perform duties as assigned.
● Perform a complete sports physical and acute care examination from early childhood to 18 years of age.
● Perform a complete Well child examination from age o to 18 years of age.
● Obtain complete history relevant and perform appropriate physical exams.
● Orders and interpret appropriate diagnostic testing and instituting a plan of care respectively, management and intervention specific to the diagnosis as previously identified.
● Recognizing life threatening conditions to all patients that present to the clinic which may require immediate intervention measures.
● Collaborate and communicate effectively to the staff members and ancillary support of the clinic. LITTLE SPURS URGENT CLINIC (CPNP) locum tenens APRIL 2014- APRIL 2015
● An advanced practice nurse that helps with all aspect of patient care .
● Perform a complete sports physical and acute care examination from early childhood to 18 years of age.
● Obtain complete history relevant and perform appropriate physical exam.
● Orders and interpret appropriate diagnostic testing and instituting a plan of care respectively, management and intervention specific to the diagnosis as previously identified.
● Recognizing life threatening conditions to all patients that present to the clinic which may require immediate intervention measures.
● Collaborate and communicate effectively with the members of the health clinic.
● Performs minor procedure with the collaborating supervising MD i.e. minor incision and Drainage Dermabond application, splinting.
● Prompt referral and delivery of critically ill pediatric patients to higher levels of care as needed. CHILDREN'S HOSPITAL OF SAN ANTONIO (ER RN staff) June 1997- November 2013
● Prioritizing care according to emergency severity index (ESI); identification of accurate level of severity index for prompt and efficient patient care delivery, which is a primary role of a Rapid intake nurse triage leader.
● Perform primary and secondary assessment to pediatric patients 0-17 years old involved in traumatic situations by utilizing the trauma nurse core course guidelines.
● Problem oriented recognition, identification of life threatening conditions and prompt collaboration with the children’s emergency room providers such as emergency room pediatric nurse practitioner, Physician assistant and emergency room pediatric MD.
● Highly experienced in recognition of life threatening conditions by utilization of critical thinking skills acquired through many years of emergency and critical pediatric encounters.
● Utilization of appropriate health care personnel for prompt thru put to the emergency department from patient triage until patient discharge.
● Collaborate with providers in triage with the ultimate goal of decreasing door to provider time; quick management and discharge of level 5 or non urgent pediatric patients in order to decrease waiting time and decrease the bottleneck in triage during peak hours.
● Collaboration with other healthcare personnel, such as orthopedics, surgical team, cardiologist, hematology and oncology team, Mental assessment team, forensic nurse examiner to provide an efficient holistic nursing care and promote family centered nursing
● Assessment and proper identification of patient educational needs and provision of proper patient education prior to discharge.
● Provision of assistance to the emergency room provider during emergency situations such as rapid sequence intubation during code situation. Preparation of emergency drugs and drips needed during code III situation.
● Preceptor of the unit. Versant mentor to newly graduate.
● Facilitator during annual competency, and chest tube management. ST. LUKES BAPTIST SANANTONIO (ER RN Staff per diem) June 98- March 99
● Application of intensive knowledge and skills in the emergency room department both pediatric and adult. Mostly specialized in the cardiovascular department.
● Provision of holistic and comprehensive emergency patient care using the nursing process.
● Prioritization of nursing care based on the emergency severity index (ESI).
● Carrying out both dependent and independent nursing functions.
● Preparation of all patients preoperatively for emergency cardiac catheterization.
● Collaboration with healthcare professionals for prompt and efficient nursing care from admission of patients to the hospital and discharge.
COLUMBIA DOCTORS HOSPITAL OF LAREDO May 1995-June 1997
● Charge nurse/ staff nurse of emergency department
● Delegated work assignments, anticipated staffing for the next shift, and supervised performance of licensed and unlicensed staff.
● Applied intensive knowledge and skills in emergency situations for both adult and pediatric care.
● Provided comprehensive and holistic nursing care of patients utilizing the nursing process.
● Prioritized level of care according to level of acuity using the emergency severity index. ● Execution of both independent and dependent nursing functions.
FORT DUNCAN MEMORIAL HOSPITAL (EAGLEPASS, TEXAS) October1991- June 1995
● Charge nurse and staff nurse of medical telemetry unit.
● Application of intensive knowledge and skills in medical, surgical as well as telemetry units.
● Vigilant monitoring and Identification of life threatening arrhythmias and prompt therapeutic intervention.
● Provided patient and family centered care, patient education and served as a resource person for staff, patients and their families.
● Performed primary nursing care, collaboration of patient care inter-professionally with other healthcare professionals to provide a holistic patient care for patients and their families.
● Provided education to patients and their families pre and postoperatively.
● Delegated roles and work assignments to properly trained healthcare professionals in order to foster a patient centered working environment to provide patients and families full satisfaction. PHILIPPINE HEART CENTER (Quezon city, Philippines) October 1989- October 1990
● Application of intensive knowledge and skills in medical and surgical cardiovascular care.
● Provided patient and family centered care, patient education and served as a resource person.
● Provided education to patients and their families pre and postoperatively. 7
Clinical Rotation
Pediatric Primary care
75 Hours Thousand Oaks Pediatrics, San Antonio Texas 200 Hours Clinica del Norte Pediatrics, San Antonio Texas Pediatric Acute Care
100 Hours Children’s Hospital of San Antonio, Children's ER and Children's primary care clinic San Antonio, TX
60 Hours Little Spurs Urgent Care Clinics located at City base, Stone Ridge and Bandera. San Antonio Clinical Skills and Procedures
● Proficiency on splinting
● Assisted orthopedic specialist with casting
● Procedures performed are pediatric venipuncture; urinary catheterization; care for chest tubes; spinal immobilization; hare traction splints
● Performed Rapid intake triage according to American severity index
● Proficiency on identification of different types of arrhythmia and prompt therapeutic intervention
● Assisted and monitored mild to moderate analgesia (Conscious sedation) for closed reduction of orthopedic injuries and minor surgical procedures such as repair of complex laceration to the face, incision and drainage of abscesses
● Accessing and troubleshooting medi-port implants for oncologic patients that need blood work and intravenous therapy
● Assessed and managed 18 or more primary care pediatric patients during primary pediatric care practicum
Education
Texas Tech University Health Science Center, Anita Thigpen Perry SON, Lubbock, TX; August, 2013 Master Science in Nursing (Pediatric Nurse Practitioner Program) University of Bohol College of Nursing, Bohol Philippines; March, 1989 Bachelor of Science in Nursing
Philippine Heart Center Post Graduate Course, Quezon City Philippines; October, 1989 Cardiovascular Nursing Core Course
Academic Experience
Children's Hospital of San Antonio Staff Development
● Key member for Professional Regional Council Committee for Staff Development June 2010-June -2012
● Instructor / Facilitator on Annual Nursing competency (ANC) for the care of patients with chest tubes; and Pediatric Critical Care Course snake bites (2011)
● Instructor /Facilitator for Trauma Annual Nursing Competency (TANC) 2012. Spinal Immobilization, Hare traction splint; Splinting; Rapid infuser; Chest tube Management and care; Defibrillator and the use of automatic external defibrillator (AED); Alaris CO2 detector monitoring; tracheostomy care; troubleshooting central line; accessing medi-port implantable device. Professional Certification and Training
● Certified Pediatric Nurse Practitioner
● Certified Emergency Room Nurse 2012
● Trauma Nurse Core Course (TNCC)
● Emergency Nurse Core Course (ENPC)
● Advanced Cardiac Life support (ACLS)
● Pediatric Advanced Life Support (PALS)
Professional Licensure
● Registered Nurse, State of Texas
Professional Activities
● National Association of Pediatric Nurse Practitioner (NAPNAP) Mach 2013
● Sigma Theta Tau (Iota Mu Chapter) 2013
● San Antonio Advanced nurse Practitioner (SANAP) 2013
● Texas Nurse Practitioner (TNP) 2013.
● Emergency Nurse Association (ENA) 2012.
Lecture and Presentation
● Sigma Theta Tau Annual Nursing Conference, Incarnate word University March 2011 Poster presentation of Kolcaba’s Pain Theory.
Community Volunteer Work
● Prevent Child abuse Texas (PCAT), Date: November, 2011 Project: Raised funds of 500 dollars to register and become a member of PCAT; create a group to walk 24 k and raise awareness of child abuse prevention. Participated as a member of the medical aid during the walk and helped to raise funds for the walker.
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