Adeline Castillo
MSN, APRN
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About
Completes assessments, admissions, and discharges of patients with cardiovascular issues. Management of post op CABG patients, management of IV heparin drips, continuous cardiac drips, telemetry monitoring, chest tube management, EKG interpretation. Preparing patients for open heart surgeries, vascular surgeries, cardiac catheterizations, and more.
Experience
Advanced Practice Registered Nurse at Miami Cardiovascular Institute, South Miami Hospital & Primary Stroke Center (2022-07 – Present)
Completes assessments, admissions, and discharges of patients with cardiovascular issues. Management of post op CABG patients, management of IV heparin drips, continuous cardiac drips, telemetry monitoring, chest tube management, EKG interpretation. Preparing patients for open heart surgeries, vascular surgeries, cardiac catheterizations, and more.
- Member of Unit Practice Council
- Preceptor of new staff members, Scholar Nurse Partner Students, and float nurses
Transfer Center RN at University of Miami (2021-01 – 2022-07)
Assists other medical facilities to transfer patients to a higher level of care or specialty not offered at their facility, including Bascom Palmer and Sylvester Cancer Center. Assists transfer center representatives and registered nurses to obtain patients' data (diagnosis, current level of care, specialty needed, services needed, etc.). Assists to obtain medical insurance confirmation.
Assists with the communication between referring physician and accepting physician. Communicates case to director of the Emergency room for approval of emergency transfers. Coordinates transfers via helicopter with Nursing Administration, Security, and ER charge nurse.
Communicates with CEO to obtain permission to bring patients promptly when an emergency case is presented and override the protocols needed for a transfer. Revises clinical documents prior to presenting to a potential accepting physical. Recognizes patients who need to be transferred urgently and collects proper documentation needed for patients to return to their original facility after a service or surgery.
Clinical Decision Unit RN at South Miami Hospital & Primary Stroke Center (2015-08 – 2021-01)
Completes assessments, admissions, and treatment of patients with the following diagnosis: TIA, rule out stroke, NSTEMI, chest pain, COPD, pulmonary hypertension, congestive heart failure, neurological illnesses, oncological, and more. Provides care to adults and geriatrics patients in the acute care setting.
- Charge nurse of a 26 bed-unit
- Triage of patients assigned to unit who need a higher level of care
- Assists medical director of the unit during patients care rounds, and interprofessional rounds
- Assists the medical teams with patient treatment, education, and discharge/admission planning
- Responsible for telemetry monitor, monitor alarms, and informs nurses of any cardiac arrythmias
- Helps nurses with debriefing after codes
- Assists obtaining the first Primary Stroke Center Certification with admission of patient and correctly using the stroke pathway, dysphagia screening, and NIH stroke alert scale
- Venipuncture, IV drip start and management, ECG interpretation, NIH stroke scale evaluation, vital sign interpretation, cardiac monitoring, blood product transfusions, wound care, foley catheter insertion, urine intake and output monitoring, arterial blood gas interpretation, rapid assessment and intervention
- Co-Chair of Unit Practice Council
- Assists Chair to communicate with staff of updates regarding quality improvement projects in the unit
Education
Master of Science in Nursing in Acute Care Nurse Practitioner – Nova Southeastern University, Graduate College of Nursing (2023-05)
Bachelor of Science in Nursing in Nursing – Nova Southeastern University, Undergraduate College of Nursing (2015-05)