Experience

Veterans Evaluation Services

• United States
• Hospitals and Health Care
• 400 - 500 Employee

• Medical Provider

  • Aug 2022 - Present

  Germany



University of the Incarnate Word

• United States
• Higher Education
• 700 & Above Employee

• Doctor of Nursing Practice

  • Aug 2019 - Present

  San Antonio, Texas Advancing skills in Quality Improvement, research, data management, epidemiology, Telehealth/telemedicine, education of healthcare teams and students



QTC Management, Inc.

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Nurse Practitioner

  • Jan 2021 - Present

  San Antonio, Texas Metropolitan Area



Brooke Army Medical Center

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Nurse Practitioner

  • Jul 2018 - Jan 2019

  San Antonio, Texas Area Specialty care for general GI patients -- diagnose, treat, prescribe, referrals for diagnostic procedures e.g, colonscopy, esophageal endoscopy, esophageal manometry and pH manometry testing, liver biopsy, hemorrhoidal banding, endoscopic retrograde cholangiopancreatography (ERCP). -Assist in diagnosis, teaching and management of IBS and IBD patients -Weekly review of patient charts and classroom instruction of 50 colonoscopy patients to enhance pre-procedural understanding of colorectal… Show more Specialty care for general GI patients -- diagnose, treat, prescribe, referrals for diagnostic procedures e.g, colonscopy, esophageal endoscopy, esophageal manometry and pH manometry testing, liver biopsy, hemorrhoidal banding, endoscopic retrograde cholangiopancreatography (ERCP). -Assist in diagnosis, teaching and management of IBS and IBD patients -Weekly review of patient charts and classroom instruction of 50 colonoscopy patients to enhance pre-procedural understanding of colorectal cancer screening (risks, benefits and alternatives) -Perform and interpret outpatient Fibroscan testing for patients with fatty liver disease Show less



United States Air Force - 35th Fighter Wing

• Family Nurse Practitioner

  • Jul 2015 - Nov 2017

  Misawa AFB, Japan Element Chief, Active Duty Officer -Performs Practice Manager duties. Leads 4 work centers with 34 personnel, 3K appointments and $327K budget. -Optimizes healthcare/eduction and prevention for infant through adult covering 9K beneficiaries. -Performs Physical Exams (prenatal; newborn; well-child; sports; college; adult; pre/post op physicals; military (Medical Evaluation Boards; Physical Health Assessments; Deployment Health Assessments). -Performs minor outpatient and surgical… Show more Element Chief, Active Duty Officer -Performs Practice Manager duties. Leads 4 work centers with 34 personnel, 3K appointments and $327K budget. -Optimizes healthcare/eduction and prevention for infant through adult covering 9K beneficiaries. -Performs Physical Exams (prenatal; newborn; well-child; sports; college; adult; pre/post op physicals; military (Medical Evaluation Boards; Physical Health Assessments; Deployment Health Assessments). -Performs minor outpatient and surgical procedures -Directs, trains, and mentors nurses and medical technicians (upgrade training for core skills, didactics, readiness exercise skills e.g,. triage, IVs, wound care, splinting) -Conducts peer review for all primary care providers -Ensures compliance of all the Air Force to Joint Commission Standards -Provides full spectrum direct patient care, interprets test results, performs minor office procedures (minor suturing, toenail removals, cryotherapy freezing of warts and nonmalignant lesions, placement and removal of Nexplanon, Battlefield Acupuncture -Generates specialty referrals and consults within the Military Treatment Facility (MTF), Telepath, Telederm and local national provider systems overseas and domestic -ACLS certified and Transport provider (ambulance) -Tobacco Cessation Program preceptor and liaison between primary care and pharmacy -Medical Contingency Response Plan (MCRP) Team Chief -Completed Air Command and Staff College (ACSC) non-resident professional military education -Medical Group's Air Force Medical Service (AFMS) Advanced Practice Nurse of the year 2016 Show less



United States Air Force - 59th MDG

• Family Nurse Practitioner

  • Jan 2012 - Jun 2015

  Lackland AFB, San Antonio, TX Family Nurse Practitioner -Delivers acute, chronic and preventive care to empanelment of 1.5K Active duty (AD), dependents and DoD patients to support squadron's 35K total beneficiaries -Evaluates AD members for worldwide duties -Recommends profile restrictions -Initiates documentation for Medical Evaluation Boards (MEBs) -Orders, interprets laboratory tests, imaging studies -Coordinates patient care with specialists within Military Treatment Facility (MTF) -Provides… Show more Family Nurse Practitioner -Delivers acute, chronic and preventive care to empanelment of 1.5K Active duty (AD), dependents and DoD patients to support squadron's 35K total beneficiaries -Evaluates AD members for worldwide duties -Recommends profile restrictions -Initiates documentation for Medical Evaluation Boards (MEBs) -Orders, interprets laboratory tests, imaging studies -Coordinates patient care with specialists within Military Treatment Facility (MTF) -Provides medical assessments, treatments of disease, education, health promotions and prevention -Performs minor surgery (lesion removals, biopsies, cryotherapy) -Directs and leads daily clinic operations for 1 RN, 4 medical technicians and 1 administrative technician ensuring delivery and planning of patient care -Facilitates quality, evidence-based care by executing Deployment Health Assessement (DHA) and Periodic Health Assessments (PHA) -Mentored and trained 4 FNP students, 4 prospective NP/PA candidates -Oriented 5 Medical Doctors (MDs), 2 Registered Nurses and 5 Physician Assistants -Performs Quality of Care (QOC) legal chart reviews -Board member reviewer of performance packages for awards -Directed clinic's electronic patient-provider portal "MiCare/RelayHealth" enrollment and improved patient-provider communication -Contributed to Family Health Clinic (FHC) National Committee for Quality Assurance (NCQA) certification, Primary Care Medical Home (PCMH) certification and Accreditation Association for Ambulatory Health Care (AAAHC) inspection success -Clinic's procedure peer reviewer -Clinical supervisor for 2 Advanced Practice Nurse Practitioner students -Clears AD family members for overseas assignments and Exceptional Family Member Program (EFMP) enrollment -Coordinates hospice, case management, specialists for patients -Led lecture series for DoD's largest Family Health Clinic -ACLS, PALS and BLS certified Show less



United States Air Force - 36th Wing

• Family Nurse Practitioner

  • Jan 2009 - Dec 2011

  Andersen AFB, Guam Family Nurse Practitioner -Provides comprehensive outpatient medical care to a population of 6.2K patients ranging from pediatric to geriatric populations -Diagnoses and treats acute illnesses, provides long-term chronic disease management -Performs minor surgical procedures -Collaborates with nursing staff on applicants of home care protocols and directs Preventive Health Assessments (PHAs) -Mass Casualty Response Patient (MCRP) Minimal Team Chief -Minor Surgery Peer… Show more Family Nurse Practitioner -Provides comprehensive outpatient medical care to a population of 6.2K patients ranging from pediatric to geriatric populations -Diagnoses and treats acute illnesses, provides long-term chronic disease management -Performs minor surgical procedures -Collaborates with nursing staff on applicants of home care protocols and directs Preventive Health Assessments (PHAs) -Mass Casualty Response Patient (MCRP) Minimal Team Chief -Minor Surgery Peer Reviewer -On-Call Provider for after-hours patient telephone triage Show less



United States Air Force - 86th Airlift Wing

• Family Nurse Practitioner

  • Jan 2008 - Dec 2008

  Ramstein AFB, Germany Family Nurse Practitioner -Delivers evidenced-based, comprehensive medical care ad focused health promotion for 1.5K Tricare enrollees -Evaluates, diagnoses and treats acute and chronic medical problems -Refers and coordinates care with specialty clinics -Performs physical exams, history in-takes, interprets medical studies, prescribes treatments and develops health care maintenance -Led Field Readiness Team of 20 medics, briefs quarterly on mission updates. Planned and executed… Show more Family Nurse Practitioner -Delivers evidenced-based, comprehensive medical care ad focused health promotion for 1.5K Tricare enrollees -Evaluates, diagnoses and treats acute and chronic medical problems -Refers and coordinates care with specialty clinics -Performs physical exams, history in-takes, interprets medical studies, prescribes treatments and develops health care maintenance -Led Field Readiness Team of 20 medics, briefs quarterly on mission updates. Planned and executed Major Accident Response Exercise (MARE) -Presents wound care lectures to 9 nurses -Review of physician competency folders for errors and makes corrections for successful inspection Show less



United States Army - Landstuhl Regional Medical Center/ Family Practice Clinic

• Family Nurse Practitioner

  • Nov 2005 - Dec 2008

  Landstuhl, Germany Family Nurse Practitioner -Provides health management and treats illnesses in family practice clinic at largest European Command (EUCOM) hospital with 24K visits per year -Diagnoses and treats acute illnesses and provides long-term management of chronic illnesses for populations from newborn to elderly - On-call duties on rotating basis providing after-hours coverage for local area -Performs minor dermatologic and gynecologic procedures -Fast Track Clinic provider in Hospital… Show more Family Nurse Practitioner -Provides health management and treats illnesses in family practice clinic at largest European Command (EUCOM) hospital with 24K visits per year -Diagnoses and treats acute illnesses and provides long-term management of chronic illnesses for populations from newborn to elderly - On-call duties on rotating basis providing after-hours coverage for local area -Performs minor dermatologic and gynecologic procedures -Fast Track Clinic provider in Hospital Emergency Room -In-depth teaching for patients and families about diabetes, hypertension, hyperlipidemia, thyroid disorders and other chronic diseases -Female gynecological exams and contraception management -mentored Family Nurse Practitioner student for 3 months -Exceptional Family Member Program reviews -Committees held: Ethics, Pharmacy & Therapeutics. Provided input for key formulary decisions -Contacted and scheduled medical specialists and specialty lecturers for monthly education and training in Family Practice Clinic -Oversaw Family Medicine point-of-care microscopic lab testing to meet 100% compliance with clinical laboratory standards -Oriented 10 Army and Air Force medical technicians for daily and contingency operations -Developed mail-out form for notifying patients of all diagnostic results -Facilitated and coordinated subspecialty and referral testing for patients -ACLS, PALS, and BLS certified -Sexual Assault Nurse Examiner (SANE) Show less



Memorial Hospital

• Hospitals and Health Care
• 700 & Above Employee

• Critical Care Registered Nurse

  • Feb 2005 - Oct 2005

  Colorado Springs, Colorado Area Critical RN in the ICU, ER & Post-operative Recovery Unit (PACU) -Provided intensive care for critical ill patients and heart surgery recovery patients. 12 Lead EKG and Telemetry -Titration of vasoactive intravenous medications (IV). Administrations and titration of insulin IV and subcutaneously. Administration of blood products. Managed titration of opioid medications via oral, IV and PCA pumps -Triaged ER patients -Acute care given for myocardial and stroke patients -Trauma… Show more Critical RN in the ICU, ER & Post-operative Recovery Unit (PACU) -Provided intensive care for critical ill patients and heart surgery recovery patients. 12 Lead EKG and Telemetry -Titration of vasoactive intravenous medications (IV). Administrations and titration of insulin IV and subcutaneously. Administration of blood products. Managed titration of opioid medications via oral, IV and PCA pumps -Triaged ER patients -Acute care given for myocardial and stroke patients -Trauma Nurse Core Course (TNCC) certified -Member of Domestic Response Violence Emergency Nurse Team within the ER -Total patient nursing care and assessments Show less



COLORADO SPRINGS CARDIOLOGISTS, P.C.

• United States
• Medical Practices
• 1 - 100 Employee

• Cardiology Nurse Practitioner

  • Oct 2004 - Jan 2005

  Colorado Springs, Colorado Area Cardiology Nurse Practitioner -Performed treadmill testing, tilt-table testing, and general cardiology assessments -Provided cardiology assessment, diagnosis and treatment for adult patients -Performed outpatient visits and in-patient rounds



Colorado Springs Senior Medicine

• Nurse Practitioner

  • Jan 1999 - Sep 2004

  Colorado Springs, Colorado Area Nurse Practitioner forInternal Medicine Practice -Primary Care for senior citizens in a busy clinic -Assessed and managed geriatric diseases and illnesses -Preoperative consultations and dictation of notes/letters -Hospital rounds at Health South Rehabilitation Facility -12 lead EKG administration and interpretation -Intra-articular joint injections of the shoulders and knees (viscounts-supplementation and Depo-Medrol) -Hospital admission orders and dictations for Memorial… Show more Nurse Practitioner forInternal Medicine Practice -Primary Care for senior citizens in a busy clinic -Assessed and managed geriatric diseases and illnesses -Preoperative consultations and dictation of notes/letters -Hospital rounds at Health South Rehabilitation Facility -12 lead EKG administration and interpretation -Intra-articular joint injections of the shoulders and knees (viscounts-supplementation and Depo-Medrol) -Hospital admission orders and dictations for Memorial hospital and Penrose Main hospital -Home visits, nursing home visits and Hospice visits to the elderly -Oversight management of anticoagulant (Protime Finger Sticks and lab draws) clinic within the clinic by adjustment of dosages and teaching patients -ACLS and BLS certified -Detail person for drug sample closet and point of contact for pharmaceutical salespersons -Wound care -Quality Assurance management for glucose monitor in clinic -Clinical Coordinator for National Institutes of Health (NIH/Colorado Physician Insurance Company (COPIC) sponsored diabetic computer educational study over two-year time period Show less