Patricia Desylva
Licensed Vocational Nurse
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About
Strategic and high-performing Licensed Vocational Nurse with 23+ years of experience across hospice, immigration shelters, dialysis, imaging, correctional care, WIC programs, and surgical/clinic settings. Skilled in triage, assessments, wound care, safety compliance, emergency response, and interdisciplinary coordination. Adept at delivering trauma-informed, culturally sensitive care while ensuring regulatory accuracy and high-quality patient outcomes.
Experience
Immigration Shelter Nurse / LVN Clinical Nurse Supervisor - Compass Connections
(2024-11)
Provide trauma-informed, culturally sensitive care to unaccompanied immigrant minors in an ORR-regulated shelter.
- Conduct triage, intake exams, physical assessments, and daily wellness checks
- Administer medications, immunizations, and treatments while monitoring for adverse reactions
- Maintain infection control, manage DME, and ensure ORR/HIPAA compliance
- Respond to Code Blue emergencies with rapid stabilization
- Collaborate with case managers, mental health staff, youth-care workers, and federal partners
- Supervise Medical Technicians and ensure efficient clinical operations
- Document all medical care in secure EMR systems
- Support health protocol development and quality improvement
- Provide youth education on hygiene, wellness, and medication safety
Hospice Clinical Liaison (LVN) - Elara Caring Hospice
(2024-05 - 2024-09)
- Completed comprehensive hospice admission assessments to determine level of care
- Delivered symptom management including pain control, dyspnea support, and safety interventions
- Educated families on comfort care, medications, and end-of-life expectations
- Collaborated with interdisciplinary teams on individualized care plans
- Ensured seamless transitions between hospital, inpatient hospice, and home care
- Reviewed medical records for eligibility and ensured Medicare-compliant documentation
LVN - DHR Health Breast Imaging Center
(2024-01 - 2024-03)
- Assisted patients undergoing mammograms, ultrasounds, biopsies, and diagnostic breast procedures
- Coordinated with radiologists to present clinical findings and obtain further imaging recommendations
- Obtained verbal orders from physicians and communicated diagnostic needs to provider offices
- Provided detailed pre-procedure education, verified consents, and ensured patient understanding
- Assisted with catheterization in radiology, maintaining sterile technique
- Prepared biopsy trays, pathology specimens, labeling, and formalin handling
- Supported radiologists with positioning, equipment setup, time-out procedures, and patient reassurance
- Delivered post-procedure care including dressing changes, discharge teaching, and complication monitoring
- Contacted patients regarding scheduling, copays, and follow-up imaging requirements
- Maintained exam room readiness and ensured compliance with radiology safety standards
LVN Clinic Nurse - Fresenius Dialysis Clinic
(2023-10 - 2023-12)
- Prepared dialysis machines, primed dialyzers, and maintained sterile technique
- Performed pre-dialysis assessments including vitals, access checks, and fluid evaluations
- Cannulated AV fistulas and grafts; managed central venous catheter care and dressings
- Monitored patients throughout treatment for hypotension, cramping, infiltration, or complications
- Documented treatment parameters, fluid removal goals, and patient tolerance in EMR
- Educated patients on kidney disease, access care, fluid restrictions, infection control, and medications
- Collaborated with nephrologists, dietitians, and social workers for holistic patient care
- Responded to emergent issues such as alarms, arrhythmias, and acute distress
- Ensured compliance with CMS dialysis regulations and Fresenius protocols
QA LVN Nurse - A Healing Touch Hospice
(2023-08 - 2023-10)
- Reviewed charts, physician orders, and documentation for accuracy and regulatory compliance
- Verified Medicare hospice eligibility and assisted with audit preparation
- Monitored staff clinical competency and provided corrective guidance
- Supported infection control processes and incident investigations
- Coordinated DME orders including G-tube formulas, wound supplies, oxygen units, and mobility devices
- Prepared end-of-month reports and compliance summaries
- Communicated with families, caregivers, and staff to ensure clarity of care plans
- Assisted leadership with workflow improvements and policy updates
Education
High School Diploma - James Nikki Rowe High School (1997)
Certified Nursing Assistant - South Texas Vocational Technical Institute (1997)
LVN License - Valley Grande Institute (2023)
