ICU Nurse Manager, Adult Intensive Care Unit - Tripler Army Medical Center - Honolulu, HI
(2024-01 - 2026-01)
- Ran daily ICU operations, using staffing, patient flow, readiness, and safety data to guide real-time decisions.
- Tracked care delivery through the hospital's EHR system, catching risk early and reporting findings to hospital leadership.
- Worked with PACU, OR, emergency, and bed management teams to find workflow bottlenecks and fix them.
Program Director / Deputy Program Director, Practical Nursing Program - Brooke Army Medical Center - San Antonio, TX
(2022-01 - 2024-01)
- Directed a 44-week practical nursing program training 130+ students a year (active-duty and reserve military personnel); supervised 16 military and 5 civilian instructors delivering 1,070–1,580 clinical training hours per class.
- Tracked student progression, clinical performance, and competency data to guide program decisions and leadership reporting.
- Redesigned the curriculum, which was later adopted at the program's other training sites nationwide, and used licensure outcome data to bring three consecutive classes to a 100% pass rate on the national nursing licensure exam (NCLEX-PN) — well above the 79% national and 86% Texas averages. The program ranked #1 in Texas and in the top 10 nationally among 600+ graduates, and graduate retention rose above 90%.
Critical Care Nurse Manager & EHR Implementation Lead - Brooke Army Medical Center (BAMC) - San Antonio, TX
(2020-01 - 2022-01)
Managed an 18-bed medical ICU, including the hospital's only ECMO (heart-lung bypass) program, inside a 425-bed Level 1 trauma center; supervised 64 nurses, 19 support staff, and $5M in equipment. Grew capacity for continuous renal replacement therapy (a form of dialysis) from 11,000 to 23,000+ cases in a single year.
- Deployed to McAllen, TX during the region's COVID-19 patient surge: fit-tested 200+ staff for N-95 respirators and trained the rapid response team through 1,179 activations with zero adverse events. Managed a 30% jump in critical-care volume (3,850 to 4,686 patients between 2019 and 2021) while roughly a fifth of the clinical staff was deployed elsewhere, and started a quarterly program addressing staff burnout that drew 100+ attendees.
- Represented the ICU's data, documentation, and workflow needs as the hospital's critical-care lead on the EHR rollout.
- Analyzed clinical workflows and system behavior, flagged issues, wrote and tracked resolution tickets, and worked with technical teams on testing and fixes.
- Sat on the hospital's Informatics Steering Committee, weighing in on rollout priorities, workflow design, and staff adoption.
- Helped launch telehealth-based critical care technology in 56 ICU rooms, letting providers assess patients remotely and cutting use of protective equipment. Also traveled to several other military hospitals to review local workflows, resolve EHR problems, and help staff adopt standardized processes.
- Led multidisciplinary critical-care operations through COVID-19, coordinating with the ICU, OR, lab, pharmacy, blood bank, and labor and delivery to keep things running.
Lead Nurse Case Manager & Assistant ICU Nurse Manager - Joint Base Lewis-McChord & Walter Reed National Military Medical Center
(2016-01 - 2019-01)
- Supervised a team of 3 nurse case managers coordinating transition care for 200+ patients a year with complex medical needs; used scheduling and follow-up data to cut the missed-appointment rate from a 5% benchmark down to 1.5%.
- Charge nurse in a 17-bed surgical ICU inside a 261-bed medical center (Walter Reed, Bethesda), supervising 7–10 nursing staff; also served as the unit's diabetes resource nurse and mass-casualty response point of contact.
Nurse Case Manager / PACU & ICU Staff Nurse - Fort Belvoir, Landstuhl, and Afghanistan
(2011-01 - 2016-01)
- Documented and interpreted clinical information across case management, post-anesthesia recovery, intensive care, and deployed medical settings.
