Patricia Desylva

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.

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

High School Diploma - James Nikki Rowe High School (1997)

Certified Nursing Assistant - South Texas Vocational Technical Institute (1997)

LVN License - Valley Grande Institute (2023)