Lucia Arevalo
Neonatal Intensive Care Unit Registered Nurse, Level IV NICU Experience
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Sobre mí
Experienced Level IV Neonatal Intensive Care Unit Registered Nurse with 5 years of NICU experience across two academic medical centers as staff, including Stanford Children's Health and UVA Health. Experienced in caring for critically ill, medically complex surgical, cardiac, respiratory, and developmentally vulnerable neonates across intensive and intermediate care settings. Proficient in management of advanced respiratory support, central and arterial line management, vasoactive and continuous medication infusions, neonatal resuscitation, bedside procedures and comprehensive family education.
Strong clinical assessment skills, adaptability, interdisciplinary collaboration, and advocacy for patients and families. Experienced clinical resources with specialized experience caring for infants with bronchopulmonary dysplasia (BPD) and supporting neurodevelopmentally appropriate care.
Experiencia
Registered Nurse, Clinician II at Lucile Packard Children's Hospital, Stanford (2023-08 – 2026-07)
Caring for critically ill neonates in a 40 bed, level IV neonatal intensive care unit.
- Work directly with attending physicians, resident physicians, nurse practitioners, and physician's assistants to develop or change an appropriate plan of care
- Perform a comprehensive physical assessment in combination with lab results and vital signs to appropriately advocate for escalation of care
- Assist providers with bedside procedures including central line placement, rapid sequence intubation, and chest tube placements
- Place peripheral intravenous lines, perform sterile blood draws and intermittent urine catheterization for labs and septic work ups
- Perform arterial sticks to obtain arterial blood gases and other labs
- Manage central and peripheral arterial and venous lines, perform sterile line changes and run point of care glucose tests and blood gases
- Appropriate multi-modal medication administration including the management of intermittent and continuous infusion pumps for TPN, lipids, IV fluids, insulin, antibiotics, sedatives, paralytics, prostaglandins, vasoactive agents, blood products and anticoagulants
- Care for neonates with NG, OG, ND, OD, G-tubes, and ostomy and mucus fistulas
- Care for neonates on multiple modes of ventilation including HFOV, conventional ventilator, NIPPV, bubble CPAP, HFNC, LFNC and tracheostomy
- Provide assistant to breastfeeding mothers on appropriate breastfeeding and pumping techniques and provide escalation to lactation services to aid in continuity of care
- Provide education to caregivers on appropriate use of home health supplies including g-tube teaching such as feeding patient with a feeding pump and how to change g-tube site dressing. Educate on the use of continuous pulse oximetry monitoring with home device
- Create visual aids to assist with caregiver understanding of education
- Complete annual competency training focused on the care of medically complex neonatal populations, including older infants with bronchopulmonary dysplasia (BPD)
- Participate in a specialized program integrating evidence-based medical care with neurodevelopmental support and milestone-focused interventions for high-risk infants
- Serve as a clinical resource for fellow nurses, disseminating knowledge and promoting consistent, neurodevelopmentally supportive care practices throughout the unit
- Educate and supported nursing staff in recognizing and incorporating neurodevelopmental milestones into the care of medically complex neonates
Registered Nurse, Clinician II at University of Virginia Health System (2021-08 – 2023-06)
Provided comprehensive nursing care to critically ill and medically complex neonates in a 56-bed, Level IV NICU.
- Attended high-risk deliveries and participated in neonatal resuscitation, rapid sequence intubation, and surfactant administration
- Performed comprehensive assessments and recognized changes in clinical status, communicating concerns and advocating for appropriate escalation of care
- Care for neonates with NG, OG, ND, OD, G-tubes, and ostomy and mucus fistulas
- Care for neonates on multiple modes of ventilation including HFOV, conventional ventilator, NIPPV, bubble CPAP, HFNC, LFNC and tracheostomy
- Provide assistant to breastfeeding mothers on appropriate breastfeeding and pumping techniques and provide escalation to lactation services to aid in continuity of care
- Provide education to caregivers on appropriate use of home health supplies including g-tube teaching such as feeding patient with a feeding pump and how to change g-tube site dressing. Educate on the use of continuous pulse oximetry monitoring with home device
- Create visual aids to assist with caregiver understanding of education
- Complete annual competency training focused on the care of medically complex neonatal populations, including older infants with bronchopulmonary dysplasia (BPD)
- Participate in a specialized program integrating evidence-based medical care with neurodevelopmental support and milestone-focused interventions for high-risk infants
- Serve as a clinical resource for fellow nurses, disseminating knowledge and promoting consistent, neurodevelopmentally supportive care practices throughout the unit
- Educate and supported nursing staff in recognizing and incorporating neurodevelopmental milestones into the care of medically complex neonates
- Collaborated with physicians, advanced practice providers, respiratory therapists, and other members of the interdisciplinary team to develop and implement individualized plans of care
- Provided care for infants with intraventricular hemorrhage, hydrocephalus, and complex gastrointestinal, respiratory, and surgical needs
- Supported families throughout prolonged hospitalizations and participated in education and preparation for ongoing care needs
Educación
Doctor of Nursing Practice in Pediatric Primary Care Nurse Practitioner – Rush University (2029-05)
Master of Science in Nursing in Clinical Nurse Leader – University of Virginia (2019-05 – 2021-05)
Bachelor of Science in Kinesiology and Health Sciences – College of William and Mary (2015-08 – 2019-05)