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Personal Philosophy of Nursing

As a nurse, first and for most, I have to be cognizant of my own spirituality and my beliefs.  As a Christian I have to be respectful of others' beliefs and customs.  I believe that in caring for humanity I must be cognizant of their spirituality, beliefs, and customs and in caring for any person I have an obligation to be respectful and try to incorporate their beliefs into their care.  Thus the person feels respected and comfortable with the care they receive.

Awards

American Academy of Nurse Practitioners:  Won a very competitive scholarship, nation wide, June 1999.

Kaiser Permanente:  Won a very competitive scholarship, statewide, June 1999.

Interest

Love to travel and have visited several countries in Europe, Central America, and the Caribbean.

I also love running and staying in shape.

Personal

Age 52

Bilingual: English and Spanish

Married

No children

U.S. Citizen

Excellent Health

Work History

Jan 2008Present

Family Nurse Practitioner

Community Health System

Diagnosis of patient’s problems on the basis of medical history, physical examination, interpretation of laboratory data and the assessment of socioeconomic and cultural influences.  Order initial or preliminary laboratory tests, and institute appropriate therapy.  Compile and edit data obtained and present this in a concise manner to the supervising physician as appropriate.  Make independent assessment and institute diagnostics and treatment plans within a predefined sphere established by the supervising physician.  Maintain complete, timely, and confidential patient record.

Start intravenous fluids for treatment of hypotension, dehydration, and prepare patients for ambulance transportation to emergency room.

Diagnosis, treatment, and management of diabetes type I and 2, hypertension, hyperlipidemia, coronary artery disease, COPD, asthma, and other common health problems.

2009Present

Preceptor

Novant Health & Community Health Systems

I have been precepting nurse practitioner students from Clemson University, Gardner Webb University, Walden University, and the University of South Carolina for the past three years.  Students follow me for one to two semesters.  During this time the students do hands on assessment, learn to read and order different diagnostic tests and laboratory work, and differential diagnoses.  They also learn how to chart in the clinical setting and using the TS system.

May 2004Oct 2007

Family Nurse Practitioner

RW Hart Wellness

Diagnosis of patient’s problems on the basis of medical history, physical examination, interpretation of laboratory data and the assessment of socioeconomic and cultural influences.  Order initial or preliminary laboratory tests, and institute appropriate therapy.  Compile and edit data obtained and present this in a concise manner to the supervising physician as appropriate.  Make independent assessment and institute diagnostics and treatment plans within a predefined sphere established by the supervising physician.  Maintain complete, timely, and confidential patient record.

Jan 2004Dec 2006

Critical Care Nurse

Gaston Memorial Hospital

Neurological Intensive Care Unit

Cared for critically ill patients with a variety of neurological problems such as head trauma, brain aneurysms, cerebrovascular accidents, craniotomies, arteriovenous malformations, and coma.  Assessed mental status, monitored vital signs, administered oral and intravenous medications. Charted, patient teaching, emergency and routine laboratory tests, and complete patient care.  Care for patients on ventilators.  Monitored Swanz Ganz, Arterial lines, and Central Venous lines.  Also started intravenous lines as needed.

Jun 2001May 2004

Family Nurse Practitioner

Gaston Family Health Services

Had the responsibility of running a rural clinic, satellite of Gaston Family Health Care Center, where I was the sole provider.  The clinic is located in an indigent area.  Supervised a medical assistant and office manager.  When I started working at Bessemer City Health Care Center the average number of patients per day was 8, when I left the average was 15 to 17 patients per day.  Performed careful patient histories and physical examinations.  Diagnosis of patient’s problems on the basis of medical history, physical examination, interpretation of laboratory data and the assessment of socioeconomic and cultural influences.  Ordered initial or preliminary laboratory tests, and instituted appropriate therapy.  Compiled and edited data obtained and presented this in a concise manner to the supervising physician as appropriate.  Made independent assessment and instituted diagnostics and treatment plans within a predefined sphere established by the supervising physician.  Maintained complete, timely, and confidential patient record.

Apr 2000Jun 2001

Family Nurse Practitioner

Community Health Foundation of East Los Angeles

Had the responsibility of running 3 school based clinics.  Had under my supervision a License Vocational Nurse and a Medical Assistant.  Health care was provided to a community located in a medically underserved area, which is mostly Hispanic.  Health care was provided to the family, but about 30% of the patients seen in the clinics were children between the ages of 0 to 12 year olds.  Performed careful patient histories and physical examinations.  Diagnosed patient’s problems on the basis of medical history, physical examination, interpretation of laboratory data and the assessment of socioeconomic and cultural influences.  Ordered initial or preliminary laboratory tests, and instituted appropriate therapy.  Compiled and edited data obtained and presented this in a concise manner to the supervising physician as appropriate.  Made independent assessment and instituted diagnostics and treatment plans within a predefined sphere established by the supervising physician.  Maintained complete, timely, and confidential patient record. Developed and taught classes to individuals and families about prevention and improvement of medical problems such as hypertension, diabetes mellitus, cancer, weight control, and other health problems.

Jan 1988Jan 2000

Staff Nurse

Los Angeles County/University of Southern California Medical Center

Staff Nurse 

Cardiology Ward

Cared for cardiology patients with problems such as coronary artery disease, status post myocardial infarction, congestive hearth failure, valvular heart disease, cardiomyopathy, cardiomegaly, and arrhythmias.  Patient care included the administration of medication, intravenous therapy, insertion of foley catheters, charting, admitting and discharging patients.  Prepared patients for catheterization, percutaneous transluminal coronary angioplasty, stents, valvuloplasty, electrophysiological study, pacemaker insertion, and open-heart surgery.  Patient teaching included cardiac rehabilitation, teaching of scheduled procedures, and medications.  Read cardiac monitor strips.  Cared for post-catheterization patients.  Was in charge of the ward as needed.

Progressive Monitoring Area (step down cardiology unit)

Cared for patients coming from procedures such as percutaneous transluminal coronary angioplasty, stents, valvuloplasty, electrophysiological study, and pacemaker insertion.  Admitted and cared for patients from emergency room that needed to be ruled out for a myocardial infarction, decompensated congestive heart failure, and patients with dangerous arrhythmias that have to be cardioverted.  Started and titrated drips such as cardiazem, lidocaine, tridil, and dobutamine.  Also, administered intravenous push medications such as lasix, digoxin, cardiazem, and atropine.  Charting, teaching, emergency and routine laboratory tests, and complete patient care.  Cared for patients on ventilators.  Monitor Arterial lines and Central Venous lines.

Cardiothoracic Surgical Ward

Cared for patients that were transferred out of the Cardiothoracic surgical intensive care unit and general surgery.  Patient care consisted of caring for chest tubes, drainage tubes, dressing changes, nasogastric tubes, external pacemakers, monitor of cardiac monitors and read strips, administration of intravenous and oral medications, administration of blood and blood products, charting, admitting and discharging patients, patient teaching, and total patient care.  Was in charge of ward as needed.

General Surgical Ward

Cared for patients coming from general surgery such as appendectomies, cholecystectomies, hernia repairs, bowel resections, and other.  Care included the management of drainage tubes, nasogastric tubes, suction machines, chest tubes, dressing changes, and inserting foley catheters.  Administered intravenous and oral medications.  Administered blood and blood products. Prepared patients for surgery and admitted patients from surgery.  Was in charge of the ward as needed.  Patient teaching included medications, dressing changes, and surgical procedures.

1995 to 1997 Cardiac Rehabilitation Coordinator

Coordinated, taught, developed, and scheduled classes for patients in Cardiology, Intensive Cardiac Care Unit, and Cardiothoracic Surgery wards.  Scheduled classes with the dietitian and physical rehabilitation therapist.  Taught classes to patients and family members, in English and Spanish.  These classes were: Signs and Symptoms of a Myocardial Infarction, Medication Class, Anatomy and Physiology of the Heart, and Prevention and Life-style Changes.  Assessed and admitted patients to the rehabilitation program.  Prepared reading materials for the patients and translated the materials to Spanish.

Intensive Cardiac Care Unit

Floated to ICCU and cared for critical cardiac patients.  Care included Swan-Ganz, cardiac output measurements, central venous pressure readings, arterial lines, drainage tubes, dressings, foley catheters, nasogastric tubes, emergency laboratory tests, respirators, weaning patients off the respirators, intravenous therapy, titration of medications such as dopamine, dobutamine, tridil, lidocaine, and others, administration of blood and blood products, charting, patient teaching, and total patient care.

1992 to 1994   Surgical Intensive Care Unit 

Patient care consisted of close monitoring of patients and cardiac monitors, recognition and treatment of cardiac arrhythmias, pulmonary artery pressure, cardiac output, central venous pressure, arterial line pressure, assisting doctors with the insertion of central lines and other procedures.  Cared for patients on mechanical ventilators and weaned patients off the ventilators. Monitored arterial blood gases.  Administration of intravenous therapy, titration of medications such as dopamine, dobutamine, lidocaine, nitroglycerine, insulin, and heparin drip.  Monitored laboratories.  Administered blood and blood products.  Insertion of nasogastric tubes, foley catheters, percutaneous nephrostomy tubes, followed hospital protocols. Charting, patient and family teaching, admitted and discharged patients.

19951998

Visiting Nurse-part-time

Extended Quality Care

Cared for patients with problems such as open wounds, peritoneal dialysis, diabetes mellitus, cancer, status post-surgery, AIDS, and other problems.  Care included teaching, dressing changes, monitoring of blood sugar, administration of insulin, diabetic teaching, and decubitus care, prevention, and dressing changes.  Cared for patients on respirators and instructed family on the respirator and patient care.  Administered intravenous medications such antibiotics, fluids, and gave oral medications.  Assessed patients needs and referred to social worker, home health aid, and physical therapy.  Family and patient teaching as needed.  Admitted and discharged patients.

Aug 1996Jul 1997

Clinical Nursing Instructor

East Los Angeles College

The clinical training of nursing students on the care of acutely ill patients.  Instructed students on the administration of intravenous and oral medications, foley catheter insertion, gastric tube insertion, clean and sterile dressing changes, charting, admission and discharge, patient feeding, bathing, and bed making.  Also graded case study papers and evaluated students on their clinical performance.

19931995

Visiting Nurse-part-time

Associated Home Health Nurses of America

Cared for patients with problems such as open wounds, peritoneal dialysis, diabetes mellitus, cancer, status post-surgery, AIDS, and other problems.  Care included teaching, dressing changes, monitoring of blood sugar, administration of insulin, diabetic teaching, and decubitus care, prevention, and dressing changes.  Cared for patients on respirators and instructed family on the respirator and patient care.  Administered intravenous medications such antibiotics, fluids, and gave oral medications.  Assessed patients needs and referred to social worker, home health aid, and physical therapy.  Family and patient teaching as needed.  Admitted and discharged patients.

Mentorship Appreciation Certific

Education

Jul 2010May 2014

DNP

University of Alabama

Doctorate of Nursing Practice.  GPA is 4.0.

19972000

Masters of Nursing

Azusa Pacific University

M.S.N., Azusa Pacific University, 2000

Major:  Family Nurse Practitioner                G.P.A. 3.837

19891993

Bachelors of Science

California State University, Los Angeles

B.S.N., California State University, Los Angeles, 1993

Major:  Nursing                                              G.P.A. 3.4

19841988

Associate of Science

East Los Angeles College

A.S., East Los Angeles College, 1988

Major: Nursing                                              G.P.A. 3.2

Certifications

Registered Nurse

North Carolina Board of Nursing
20012016

American Nurses Credentialing Center

American Nurses Association