Summary

Duties in the provision of care include:

• Independently manage patient care with oversight from a supervising physician, focusing on the prevention, diagnosis, and treatment of acute and chronic health conditions in the internal medicine setting.
• Order and interpret tests and procedures, applying cost-saving measures while ensuring appropriate diagnostic information is obtained.
• Identify and manage acute and chronic health care conditions, employing evidence-based practices and individualized care plans.
• Prescribe and de-escalate therapies based on objective and subjective factors, including patient history, diagnostic information, and response to treatment.
• Provide patient education to increase compliance and improve patient advocacy, tailoring education to individual patient needs and preferences.
• Share time with patients and families to identify chronic conditions, assess for depression/dementia, mitigate or eliminate polypharmacy, and submit treatment plans to help patients make informed decisions on their treatment options, including specialist resources.
• Utilize understanding of ICD 10 guidelines to review and submit correct diagnoses as outlined by Medicare guidelines, ensuring accurate and timely documentation and billing.
• Collaborate with other healthcare providers, including primary care physicians, specialists, and nursing staff, to ensure comprehensive and coordinated care for patients.
• Maintain current knowledge of best practices, guidelines, and professional standards in the field of internal medicine, participating in continuing education and professional development opportunities as appropriate.
• Adhere to all organizational policies, procedures, and regulations, ensuring the highest level of patient safety and quality of care.

Work independently for the completion of Medicare Annual Health Assessments on a geriatric population. Those duties include but are not limited to the following:

• Share time with patient and family with a goal in identifying chronic conditions, assessing for depression/dementia, mitigation or elimination of polypharmacy, and submitting treatment plans to help the patient make an informed decision on their treatment options including specialist resources.
•  Collaborate with primary care providers to ensure appropriate follow up especially in cases where diagnostic tests may have been accidentally missed.
• Work in different clinics within San Diego County showing flexibility and cultural awareness of the diverse San Diego population while completing the required assessments. Placement in the various IPA clinics around San Diego County afforded an opportunity to review and observe how the varied providers interpret guidelines for chronic care therapies.
• Accepted additional local responsibilities such as working to create a training protocol to standardize procedural knowledge throughout the organization and the management of the flu vaccine program in Southern San Diego.
• Utilize understanding of ICD 10 guidelines to review and submit correct diagnosis as outlined by Medicare and Optum guidelines.

Collaboratively care for patients for the treatment of new and chronic conditions with a focus on cardiology. Diagnosis and treatments are an anic component of the practice with an effort to keep costs mitigated for an underserved population. Duties included, but are not limited to, are:

• Performing and documenting a comprehensive history and physical examination for first time clients for a baseline while ensuring that records are updated with every follow up visit.
• Ordering and evaluating diagnostic data to most effectively tailor the treatment plan for each individual as appropriate
• Optimize medical management for chronic cases and refer to appropriate specialties when pharmacological interventions are no longer the most effective treatment
• Conducting and documenting comprehensive history and physical examinations for new patients, establishing a baseline and updating records with each subsequent visit.
• Ordering and analyzing diagnostic data to customize treatment plans for individuals as needed, ensuring the most effective course of action.
• Optimizing medical management for chronic cases, referring patients to appropriate specialists when pharmacological interventions are no longer the most effective treatment option.
• Managing patients with various cardiac conditions, such as heart failure, arrhythmias, hypertension, and coronary artery disease, providing tailored care and monitoring.
• Collaborating with cardiologists and other healthcare professionals to develop, implement, and evaluate multidisciplinary treatment plans, ensuring optimal patient outcomes.
• Prescribing and adjusting medication regimens for cardiac patients, closely monitoring for potential side effects and therapeutic effectiveness.
• Performing and interpreting non-invasive cardiac diagnostic tests, such as EKGs, stress tests, and Holter monitoring, to inform treatment decisions.
• Educating patients and families on cardiovascular risk factors, lifestyle modifications, and self-care techniques to promote heart health and prevent disease progression.
• Providing pre- and post-operative care for patients undergoing cardiac procedures, such as angioplasty, stenting, and cardiac ablation, ensuring proper preparation and recovery.
• Assisting with the management of patients with cardiac devices, including pacemakers and implantable cardioverter-defibrillators (ICDs), monitoring device function and providing follow-up care.
• Participating in quality improvement initiatives, clinical research, and case conferences to enhance the delivery of cardiology care and stay current with the latest evidence-based practices.
• Developing and maintaining strong working relationships with referring physicians and healthcare organizations, facilitating seamless patient care and communication.
• Providing end-of-life care and support for patients with advanced cardiac disease, collaborating with palliative care teams to ensure comfort and dignity during the final stages of life.

Member of the critical care team providing nursing care at the bedside stable and unstable patients in the intensive care and progressive care unit. Duties in the provision of care included:

• Assessment and anticipation of interventions to provide specialized treatment to maximize patient safety and improve outcomes. Acuity of care involved titration of hemodynamic drips, mechanical ventilator monitoring, identification of patient trends with the prevention of destabilization and provide emergency response as necessary.
• Provided active care to recognize when specialized modalities were necessary and collaborated with care team to identify resource gaps in care.
• Participate in evidence based and best practices to provide cutting edge care such as the use of teach back education in pre/post procedural patient responsibilities to ensure compliance and greater patient satisfaction with long term goals.
• Understand and utilize the AACN Synergy Model to provide holistic care as applied to professional practice and recognize that a nurse is a life-long learner who is constantly honing his critical thinking skills to educate himself, peers, and patients. This is also reinforced from a history of military used to maximize team integration and become a valuable resource for the facility and staff.
• Culturally sensitive and have experience diffusing or addressing situations involving challenging patients to include alcohol withdrawal and delirium patients.

Duties included:

• With a background in Non-Destructive Testing (NDT) methods such as eddy current, penetrant, x-ray, ultrasound, and magnetic testing, I have been responsible for ensuring the structural integrity of various support and aeronautical components at the Depot maintenance level for a diverse range of aircraft, including the F/A-18 Super Hornet, E-2 Hawkeye, C-2 Greyhound, SH-60 Seahawk, MH-53 Sea Dragon, and V-22 Osprey. My experience extends to working with the United States Navy, and Marine Corps aircraft, adhering to the rigorous standards required for their efficient and safe operation.
• In my role, I have diligently completed maintenance data collection forms for the company, ensuring accurate documentation and record-keeping for all aircraft maintenance activities. I have always been mindful of hazardous material control procedures and have strictly adhered to safety regulations and protocols to minimize risks associated with these materials.
• As a key point of contact, I have interfaced with customers on a daily basis, prioritizing workload to meet their requirements and ensuring smooth communication between all parties. My expertise in working with aircraft maintenance manuals, original equipment manufacturer (OEM) publications, illustrated parts breakdowns (IPB), Interactive Electronic Technical Manuals (IETMS), engineering drawings, and schematics has allowed me to efficiently identify and address any maintenance or repair issues that may arise.
• Throughout my career, I have demonstrated a strong commitment to maintaining the operational readiness and safety of a wide array of aircraft, while providing outstanding support and service to customers and stakeholders.

As a Staff Non-Commissioned Officer within the Data Communications Section, I have maintained accountability and ensured the well-being of the Marines under my charge. My focus has been on guaranteeing that the Marines are mentally, physically, and administratively ready for deployment. I have supervised the training of Marines to ensure proficiency and sustainment of individual training standards for military occupational specialties within the Data Communications section.

Small Systems Computer Specialist:

In my role as a Small Systems Computer Specialist, I have been responsible for:

• Overseeing the installation, configuration, and maintenance of computer hardware and software, which includes setting up computer systems, servers, peripherals, and network equipment, as well as installing and updating software programs and operating systems.
• Guiding my team in troubleshooting and problem resolution, diagnosing and resolving technical issues related to computer systems, software, and network components to minimize downtime and ensure optimal performance.
• Ensuring network management and security by monitoring and managing network components, implementing data security measures, and safeguarding the Marine Corps' information systems from unauthorized access and potential threats.
• Providing user support and training to fellow Marines, helping them utilize computer systems and software effectively, and conducting training sessions to educate personnel on the proper use of technology and software applications.
• Supervising system documentation and record-keeping, maintaining accurate records of computer systems, software, and network configurations, as well as documenting any changes, upgrades, or maintenance performed on these systems.
• Ensuring compliance with Marine Corps and Department of Defense (DoD) guidelines, policies, and regulations related to information technology, cybersecurity, and communications systems.
• Collaborating with other IT professionals within the Marine Corps, as well as external agencies and vendors, to share knowledge, coordinate resources, and work together on projects.
• My expertise as a Small Systems Computer Specialist and dedication as a Staff Non-Commissioned Officer within the Data Communications Section have contributed significantly to the Marine Corps' mission, both at home and abroad.

Duties include:

• As a Non-Commissioned Officer in the United States Marine Corps, I have gained extensive experience in both aviation mechanics and non-destructive testing (NDT). In my role, I have served as a dedicated leader and mentor, fostering the professional growth and development of junior enlisted personnel. My wide range of technical skills has allowed me to manage and supervise teams effectively, ensuring efficient completion of daily maintenance tasks and adherence to safety protocols.
• During my time as an Aviation Mechanic, I performed routine maintenance and repairs on military aircraft, guaranteeing the safety and reliability of aircraft systems and components. Later, as a Non-Destructive Testing (NDT) Mechanic, I employed advanced techniques to inspect and evaluate aircraft structural integrity, identifying potential issues and recommending corrective actions to prevent failure. In both roles, I was responsible for conducting quality assurance and control, upholding industry standards and ensuring compliance within the unit.
• Throughout my service, I have demonstrated exceptional communication skills, acting as a key liaison between junior enlisted personnel and commissioned officers. This has helped to maintain unit cohesion and promote a positive working environment. My experience in the Marine Corps has equipped me with a diverse skill set and strong leadership abilities that can be applied to a variety of roles in the civilian sector.

Aviation Mechanic/Non-Destructive Testing Mechanic

Summary experience includes:

• I bring over 5 years of experience in aviation mechanics and non-destructive testing while serving in the United States Marine Corps. My career began as an Aviation Mechanic at Naval Command Cherry Point, North Carolina, where I performed routine maintenance and repair on military aircraft. My duties included troubleshooting and rectifying complex mechanical issues, ensuring the safety and reliability of aircraft systems and components. In this role, I collaborated with fellow mechanics and flight crews to achieve mission readiness and maintain optimal aircraft performance.
• In 1998, I transferred to San Diego, California, continuing my service in the Marine Corps and transitioning to a Non-Destructive Testing (NDT) Mechanic role. As an NDT Mechanic, I utilized advanced techniques, such as ultrasonic testing, radiographic testing, and eddy current testing, to inspect and evaluate aircraft structural integrity without causing damage to the components. This allowed me to identify potential issues and recommend corrective actions to prevent failure and extend the lifespan of the aircraft.
• In both roles, I conducted quality assurance and control to ensure compliance with industry standards and military regulations. My responsibilities included maintaining accurate records, following proper documentation procedures, and performing regular audits to guarantee the highest level of safety and quality. Additionally, I provided training and mentorship to junior mechanics, enhancing team capabilities and fostering a collaborative and supportive work environment.

Master's program

Academic Focus: Adult Geriatric Acute Care Nurse Practitioner

September 5, 2013 - October 25, 2017

As an experienced healthcare professional, I understand the importance of continuing my education and staying up to date with the latest advances in my field. That's why I am committed to ongoing learning and professional development, including completing the AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner - Board Certified) master's program at Grand Canyon University.

Through this program, I have gained extensive knowledge and skills in the management of acute and critical illnesses, particularly among adult and geriatric patients with complex comorbidities. I have completed coursework in advanced pathophysiology and pharmacology, health assessment, acute and critical care management, diagnostic reasoning, pharmacology, healthcare informatics, and healthcare systems and health policy.

In addition, I have completed clinical practicum experiences in acute and critical care settings, where I have worked alongside experienced nurse practitioners and other healthcare professionals to develop and apply my knowledge and skills in the management of complex patient populations. This experience has allowed me to work alongside preceptors in the treatment management of critically ill patients, including shared responsibility in the management and treatment plan for complex profile patients with comorbidities such as congestive heart failure, diabetes, stroke, and traumatic brain injuries on a trauma ICU and neurological ICU.

Overall, I am confident that the education and clinical experience I have gained through the AGACNP-BC program at Grand Canyon University has equipped me with the knowledge, skills, and competencies to provide advanced nursing care to adult and geriatric patients with acute, critical, and complex health problems.

Bachelor of Science in Nursing:

November 14, 2011 -February 3, 2013

As a graduate of Grand Canyon University's Bachelor of Science in Nursing program, I am proud to have completed a rigorous and comprehensive education that has prepared me for success as a registered nurse. Throughout my time in the program, I gained a solid foundation in the sciences, humanities, and social sciences, as well as specialized coursework in nursing.

In addition to completing the core nursing curriculum, I also participated in Grand Canyon University's Associate to Bachelor Bridge program, which allowed me to apply my existing knowledge and skills as a licensed practical nurse to the Bachelor of Science in Nursing program. The Associate to Bachelor Bridge program included coursework in advanced nursing concepts, evidence-based practice, leadership and management, and community health nursing, among others.

Through these programs, I gained a deep understanding of the key concepts and skills needed to succeed as a registered nurse, including patient-centered care, nursing ethics, clinical decision-making, and effective communication. I learned the foundational theories necessary to apply practices in a real-world setting to gain valuable skills and knowledge.

I am confident that the education I received through Grand Canyon University's Bachelor of Science in Nursing program, along with the Associate to Bachelor Bridge program, has equipped me with the knowledge, skills, and competencies needed to succeed as a registered nurse. I am excited to apply what I have learned as I continue to grow and develop in my nursing career.

Associate Degree in Nursing:

August 2009 - May 2011

I am committed to providing high-quality care to patients and constantly striving to improve my skills and knowledge. One of my key clinical competencies is my ability to research and administer medications for patients, while closely monitoring their effects. I am also skilled at monitoring patients' pain status and gathering and documenting vital signs, using electronic record keeping methods to ensure accurate and timely documentation of patient care.

To develop these competencies, I completed an Associate Degree in Nursing program at Grossmont Community College, which provided me with a comprehensive education in the foundational knowledge and skills required for nursing practice. The program included coursework in anatomy and physiology, pharmacology, nursing fundamentals, nursing care for adults, maternal and child nursing, and mental health nursing, among others.

Through the Associate Degree in Nursing program, I learned to utilize critical thinking and evidence-based practices in the care of patients, as well as how to effectively communicate with patients using therapeutic communication techniques. I also gained valuable skills in patient positioning to maximize comfort in accordance with disease processes and the importance of making myself available to staff to provide maximum peer support during a shift.

Additionally, the program emphasized the importance of group discussions on quality improvement of patient care, which has enabled me to effectively participate in discussions with colleagues on ways to improve patient outcomes.

Overall, my clinical competency in researching and administering medications, monitoring patients' pain status, and effectively utilizing time with patients using therapeutic communication was developed through my education in the Associate Degree in Nursing program at Grossmont Community College. I am confident that the knowledge and skills I have gained through this program have prepared me for success as a nursing professional, and I am dedicated to continued learning and professional development in my field.