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DARLENE BURGOYNE-
MADRIGAL
3669 East KerckhoffAvenue, Fresno,CA 93702 | H: 559-369-3610 | darlingmad@gmail.com
PROFESSIONAL SUMMARY
My overall background consists of a solid clinical medical background in acute care settings such as:
Surgical Services: PACU, PRE-OP, Discharge, Cardiac Progressive care, Cardiovascular Recovery, Cath
Lab and Interventional Radiology, Conscious Sedation, Intensive Care, Cardiac Care, Emergency,
Medical Surgical, Orthopedics, and Nursing Administration. I have been working in these disciplined
areas for over 25 years. This has helped me master excellent customer service skills. I am well
acclimated to respective personalities and have dynamic interpersonalskills. I have been a licensed
Nurse since May 2007. I have been working as a licensed nurse in Cardiac Progressive Care, Cardiac
Step-down, Pre/Post Cath Lab, Conscious Sedations, Interventional Radiology, and Step-down.
Advocate for patients rights; strive to understand a patient's needs and concerns. *Hardworking and
energetic; flexible; adapt easily to change of environment and work schedule. *Maintain critical
thinking skills essential to providing competent and dignified patient care. *Personable with a positive
attitude; interface well with patients, families, and nursing staff. *Team leader with able to create a
positive working environment that uplifts patients' spirits and staff. *Nursing focused in healing: mind,
body, and spirit using nursing process.
LICENSES
CA RN713063
ACLS Certified
BLS Certified
SKILL HIGHLIGHTS
PACU-Peri-op Telemetry
Cardiovascular Services Post-open heart step down
Step Down Post Cath lab care
Pre-op Education
Conscious Sedation General Surgery Recovery
TEE/Cardioversions Cardio-thoracic Surgeries
PROFESSIONAL EXPERIENCE
10/2017 to Current Infusion Nurse
Fresno Yosemite Healthcare -Fresno, CA
Home Infusion Nurse
wound care
09/2015 to 09/2017 RN: PACU for Pediatric Oral Surgeries
Elite Care - Fresno, CA
Pre-op and recovered pediatrics client from oral surgeries
12/2014 to 12/2016 Perioperative RN
Sumplementa Healthcare - Fresno, CA
LDAC- IR/CATH & Surgical Center : Periop Nurse
11/2014 to 11/2016 Registered Nurse (RN)
02/2011 to Current REGISTRY Nurse
Global Health Staffing - Fremont, CA.
EMERGENT CRISIS STAFFING Assignments: OCT 2011, 7day assignment Sutter
Solano: Vallejo CA 1.
Assignment: Oct 2011, 7day assignment, Sutter Solano:Vallejo CA DEPT:
Interventional Radiology: Conscious Sedation on IR cases, floated to
pre-/post ambulatory surgery area, and ICUas resource support 2.
Assignment: Dec 2011, 5 day assignment Sutter Solano: Vallejo CA DEPT:
MS/Tele: Primary Care, Team Member on night shift 3.
Assignment: June 2011, 7 day assignment Sutter Solano: Vallejo CA DEPT:
MS/Tele: Charge Nurse.
09/2009 to 10/2016 Cardiovascular RN III/PACU/Pre-op
Saint Agnes Medical Center - Fresno, CA
Cardiovascular Recovery Department:serviced Cardiovascular
Surgery/Davinici Robotic Surgery/ Cardiac Cath Lab/Interventional
Radiology/Cardiology-pre-op and recovered for all departments,
conscious sedation for TEE/Cardioversions, arterialline pulls from upper and
extremities and groin sites, recovered Acute MI w/ stent placement,
emergency and scheduled pre-op for open heart surgeries and
cardiovascular surgeries, managed criticalcare drips, vented patients and
vasoactive drugs, recovered angiograms (cardiac and peripheral
vascular) pacmakers, EP studies, PICC placement, declot and placement
of dialysis caths, mediports and ect.
Surgical Services: pre-op, recover, and discharge for generalsurgeries
Float: to Endo Dept, Amb Surgery Dept.
Eye institute.
preop and recovery.
09/2009 to 10/2016 SKILLS:
Saint Agnes Medical Center - Fresno, CA
Surgical Services: PACU, PRE-op, Discharge 2013-2016: General Surgeries,
float to ENDO CVRA, CEI (eye institutes) and Outpatient Surgicalservices
Cardiovascular Recovery Area Services:Pre/Post for Cath Lab Recovery,
Interventional Radiology and CVOR, Robotic Davinci Recoveries: GYN,
Urology, GI surgeries, Skills: Pre-op/Intra-op/Post=op:for the following types
of procedure: Interventional Cardiac procedures such as
TEE/Cardioversion, Conscious Sedation, Care of Pre/Post-op Pacemakers,
ICDs, Angiograms, EP studies and Ablations.
Monitor ACT, perm I-STATS as needed, Teaching with Star-close,
perclose,,angioseals, and other closure devices.
Manage thrombolytic drips, cardiac medications/drips, insulin drips,
Epidural, PCA, ect.
Access mediports and medication for administration.
Interventional Radiology Recovery: In-pt/out venograms, temp/perm cath,
PICC placement, lower abd angiograms and interventions, nephrostomy
tube placement, Biopsy, epidural injections, Chest Tubes,TIPPS and so
much more Recovery Robotic Davincipatients: types of patients such as:
GYN surgeries, Urology, and GI CVOR: Pre/Post VATS, Lobectomies,
Fem-pops, SternalRe-wire, Carotid endarterectomy, Amputation lower
extremities, Perform Cardioversion, TEE, Tilt tables Daily pre-op/and recover
of critical care patients, inpatient, and ambulatory outpatients.
Our department also preps all emergent and non-emergent scheduled
Open Hearts We are a high volume Recovery area.
We do over 15+ angiograms daily and not including the surgeries or IR
patients.
The department is 24hrs and we take call for emergency case during
non-operating hours.
And we do Discharge Teaching for all out patient.
Electronic Charting: McKesson HSM nursing documentation, Clinstar for
order entry Please request a copy of skills book regarding unit orientation.
Committees: Department Re-Design, Wrote Policy for Department Patient
Flow Clinical Practice Council Superuser:EMR Conversion Genesis Cerner
Computerized Charting training Activities: Central Valley Heart Walk
w/AHA Dept.
Team Captains.
11/2007 to 04/2010 RN II
Community Regional Medical Center - Fresno, California
New Grad Versant Cardiovascular program completion
Cardio progressive care unt/Post Interventional Cardiac Area
Post-Open Heart
Step-down
02/2001 to 03/2002 Paramedical Executive Insurance Examiner
Piedmont Fayette Hospital - Fayetteville Roswell, GA
Function as a Nurse Extern: Initiate the Nursing Process:duties include: assist
with nursing management, assessments, implementing plan of care for
patients, evaluating and teaching .Order entry w/ Clinstar Clinical skills:
EKGs, strong phlebotomy, assess & monitor vitalsigns, ADL's, and other skills
i.e.
IVs, foley catheter insertion, NG placement report any abnormal signs and
symptoms to nurse ect....
Nurse Extern Preceptor:Teach; train new Patient Care Technicians & Nurse
Externs.
Currently: BLS & ACLS Certified Function as a Executive Insurance Examiner:
traveled and serviced the downtown Atlanta area, exams taken in the
home or place of business, fullphysical exams & medical histories,
veinpunctures, EKGs, urine or oral specimens taken, process allexams &
specimen handling and shipping, customer service and supply ordering.
10/2000 to 07/2007 Bed Control Co-cordinator & Patient Care Technician III
Piedmont Hospital - Atlanta, GA
Nurse Extern Preceptor:Inpatient Dept.: Servicing; Orthpaedic/Surgical,
Medical, OBS for Cardiac, Stepdown/short stay, Pediatrics.
07/2000 to 11/2000 Ranstad Staffing Henry Medical Center - Jonesboro, GA
Funtioned as a Receptionist/ Customer Service Rep: outpatient registering,
heavy phones, admitting and discharging, room assignments for
outpatient surgery or patient admitted to the floor, filing, pulling medical
records, assisting w/ pre-certifications ect....
2.) EKG Event Monitor Tech, Diagnostic Service Functioned as an Event
Monitoring Tech servicing nationwide clinics and hospitals, receiving calls
from client's patients with events recorded on event monitors, sign &
symptoms documented on EKG and differentiated & interpreted, Edit
reports and sent to responsible party. Implement Patient education on use
of King of Hearts series, looping monitors, and chest plates. Experience with
Pace Art software & knowledge of Rozin Holter monitoring software.
01/1999 to 01/2000 ER Tech, Riverside Medical Center Nurse Tech & EMT - Waupaca, WI
Wound cleaning & dressing changes, IV's, phlebotomy, discharge
teaching, accuchecks, specimen collecting, and order entry, many skills
were performed & delegated under the supervision of a licensed nurse.
10/1997 to 01/2000 ICU/CCU Monitor Tech, Saint Michaels Hospital - Steven, WI
Functioned as a monitor technician, differentiating & interpreting cardiac
arrhythmia's, performed full unit secretary (unit coordinator), dictating
doctor's orders, heavy computers, order entry w/ Meditech, and nursing
assistant duties in critical care area, float to ortho, M/S, OB, ect...
01/1996 to 01/1997 Unit Secretary/Nursing Assistant
OB Scrub Tech Sanger General Hospital - Sanger, CA
Manager
Nadine Hensley 559-459-3181 Cardiac Progressive Care Unit: RESIDENCY
PROGRAM: Cardiac Progressive Care Tele-Medical/Surg, Step-down, Prep
Open Heart and receive open hearts,/pre-op & post-op Cath Lab,
Interventional cardiac procedures, care for the M/S telemetry pt with
multiple co-morbidities PICA Unit: Interventional Cath Lab Recovery
(perdiem), inpatient/outpatient pre/post op Cath Lab, care and
recovered PTCA pts, PM/AICD placement/change-outs, Vascular studies,
EP/Ablations, managed A/V lines and removal using Femstop/manual
holds and monitor s/p angiograms w/ closure devices-angioseals,
perclose,, starclose, ect, performe Cardioversion-conscious sedation.
Hospital Secretary
L&D Assistance, NewBorn Nursery Tech & Med/Surg CNA
Assisted L&D RN, DR., RT, Neonatal RN in delivery room Assisted RN in
Nursery w/ newborn care, respond and report any subtle changes in
abnormal assessment, new born vital signs-report any abnormalities,
maintain log/pictures of fetal demised, and so much more.
S/P GYN paitents, assist w/ ADLs, Postpartum care:s/p delivery VAG/C-SEC:
fundus checks, assist w/ teaching, ADLs ect.
EDUCATION AND TRAINING
2007 Associate: Nursing
Gordon College - Barnesville, GA
1999
1997
2006
2000
1997
1995
REFERENC
ES
Nursing
Fox Valley Technical College - Appleton, WI
Fresno City College - Fresno, CA
Gordon College - Barnesville, GA
National Dean's List: for academic excellence
Fox Valley Technical College - Appleton, WI
General Education
Fresno City College - Fresno, CA
General Education
Course of Study: Phlebotomy, EKG Interpretations, and Medical Term
Certifications Volunteered for 6+ months at the VA-Fresno CA in Laboratory
1995-2007 CNA
Community Trade Institute - Fresno, CA
Cont.Education and skills: Jan.2006 Piedmont Hospital, Atlanta GA -12
Lead Interpretation, "Faces of MI" Apr.2006 -Piedmont Fayette Hospital,
Fayetteville GA: Computer Based Charting Training- 2007:Community
Regional Medical Center, Fresno CA: Open Heart Class 2008:Trauma
Course, UCSF @ CRMC-Fresno CA 2009 VA Hospital, Fresno CA: "Critical
Care Consortium" Critical Care Course:8 weeks, 2011:SAMC, Fresno CA:
Advanced EKG Interpretation May 2012: Superuser Trainer for Cerner
Genesis Computer Based Charting Additional skills: ACCUDOSE, PYXIS,
McKesson, Cerner, Genesis, Meditech, Powerchart Home PC w/ Excel,
Outlook, and Word, WITT, HSM Nursing Licensed in the state:CA, NY, GA
(needs renewal).
References:
1. Amie Ramirez RN: Co-worker, Relief Coordinator, Charge Nurse at SAMC,
Fresno Ca 559-908-1305
2. Stacey Velasco Bottoms MS : Social Worker, State Disability Work Fresno CA
559-360-7928
3. Zeny Reyes RN : Coordinator SurgicalServices SAMC Fresno CA
559-481-3227
4. Aimee NAN:Charge Nurse SAMC /SurgicalServices/CVRA: Fresno CA
559-906-995
Authorized to work in the US for any employer
ACCOMPLISHMENTS
ADDITIONAL
INFORMATION

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Darlene Madrigal Resume 1 (1)

  • 1. DARLENE BURGOYNE- MADRIGAL 3669 East KerckhoffAvenue, Fresno,CA 93702 | H: 559-369-3610 | darlingmad@gmail.com PROFESSIONAL SUMMARY My overall background consists of a solid clinical medical background in acute care settings such as: Surgical Services: PACU, PRE-OP, Discharge, Cardiac Progressive care, Cardiovascular Recovery, Cath Lab and Interventional Radiology, Conscious Sedation, Intensive Care, Cardiac Care, Emergency, Medical Surgical, Orthopedics, and Nursing Administration. I have been working in these disciplined areas for over 25 years. This has helped me master excellent customer service skills. I am well acclimated to respective personalities and have dynamic interpersonalskills. I have been a licensed Nurse since May 2007. I have been working as a licensed nurse in Cardiac Progressive Care, Cardiac Step-down, Pre/Post Cath Lab, Conscious Sedations, Interventional Radiology, and Step-down. Advocate for patients rights; strive to understand a patient's needs and concerns. *Hardworking and energetic; flexible; adapt easily to change of environment and work schedule. *Maintain critical thinking skills essential to providing competent and dignified patient care. *Personable with a positive attitude; interface well with patients, families, and nursing staff. *Team leader with able to create a positive working environment that uplifts patients' spirits and staff. *Nursing focused in healing: mind, body, and spirit using nursing process. LICENSES CA RN713063 ACLS Certified BLS Certified SKILL HIGHLIGHTS PACU-Peri-op Telemetry Cardiovascular Services Post-open heart step down Step Down Post Cath lab care Pre-op Education Conscious Sedation General Surgery Recovery TEE/Cardioversions Cardio-thoracic Surgeries PROFESSIONAL EXPERIENCE 10/2017 to Current Infusion Nurse Fresno Yosemite Healthcare -Fresno, CA Home Infusion Nurse wound care 09/2015 to 09/2017 RN: PACU for Pediatric Oral Surgeries Elite Care - Fresno, CA Pre-op and recovered pediatrics client from oral surgeries 12/2014 to 12/2016 Perioperative RN
  • 2. Sumplementa Healthcare - Fresno, CA LDAC- IR/CATH & Surgical Center : Periop Nurse 11/2014 to 11/2016 Registered Nurse (RN) 02/2011 to Current REGISTRY Nurse Global Health Staffing - Fremont, CA. EMERGENT CRISIS STAFFING Assignments: OCT 2011, 7day assignment Sutter Solano: Vallejo CA 1. Assignment: Oct 2011, 7day assignment, Sutter Solano:Vallejo CA DEPT: Interventional Radiology: Conscious Sedation on IR cases, floated to pre-/post ambulatory surgery area, and ICUas resource support 2. Assignment: Dec 2011, 5 day assignment Sutter Solano: Vallejo CA DEPT: MS/Tele: Primary Care, Team Member on night shift 3. Assignment: June 2011, 7 day assignment Sutter Solano: Vallejo CA DEPT: MS/Tele: Charge Nurse. 09/2009 to 10/2016 Cardiovascular RN III/PACU/Pre-op Saint Agnes Medical Center - Fresno, CA Cardiovascular Recovery Department:serviced Cardiovascular Surgery/Davinici Robotic Surgery/ Cardiac Cath Lab/Interventional Radiology/Cardiology-pre-op and recovered for all departments, conscious sedation for TEE/Cardioversions, arterialline pulls from upper and extremities and groin sites, recovered Acute MI w/ stent placement, emergency and scheduled pre-op for open heart surgeries and cardiovascular surgeries, managed criticalcare drips, vented patients and vasoactive drugs, recovered angiograms (cardiac and peripheral vascular) pacmakers, EP studies, PICC placement, declot and placement of dialysis caths, mediports and ect. Surgical Services: pre-op, recover, and discharge for generalsurgeries Float: to Endo Dept, Amb Surgery Dept. Eye institute. preop and recovery. 09/2009 to 10/2016 SKILLS: Saint Agnes Medical Center - Fresno, CA Surgical Services: PACU, PRE-op, Discharge 2013-2016: General Surgeries, float to ENDO CVRA, CEI (eye institutes) and Outpatient Surgicalservices Cardiovascular Recovery Area Services:Pre/Post for Cath Lab Recovery, Interventional Radiology and CVOR, Robotic Davinci Recoveries: GYN, Urology, GI surgeries, Skills: Pre-op/Intra-op/Post=op:for the following types of procedure: Interventional Cardiac procedures such as TEE/Cardioversion, Conscious Sedation, Care of Pre/Post-op Pacemakers, ICDs, Angiograms, EP studies and Ablations. Monitor ACT, perm I-STATS as needed, Teaching with Star-close, perclose,,angioseals, and other closure devices. Manage thrombolytic drips, cardiac medications/drips, insulin drips, Epidural, PCA, ect. Access mediports and medication for administration.
  • 3. Interventional Radiology Recovery: In-pt/out venograms, temp/perm cath, PICC placement, lower abd angiograms and interventions, nephrostomy tube placement, Biopsy, epidural injections, Chest Tubes,TIPPS and so much more Recovery Robotic Davincipatients: types of patients such as: GYN surgeries, Urology, and GI CVOR: Pre/Post VATS, Lobectomies, Fem-pops, SternalRe-wire, Carotid endarterectomy, Amputation lower extremities, Perform Cardioversion, TEE, Tilt tables Daily pre-op/and recover of critical care patients, inpatient, and ambulatory outpatients. Our department also preps all emergent and non-emergent scheduled Open Hearts We are a high volume Recovery area. We do over 15+ angiograms daily and not including the surgeries or IR patients. The department is 24hrs and we take call for emergency case during non-operating hours. And we do Discharge Teaching for all out patient. Electronic Charting: McKesson HSM nursing documentation, Clinstar for order entry Please request a copy of skills book regarding unit orientation. Committees: Department Re-Design, Wrote Policy for Department Patient Flow Clinical Practice Council Superuser:EMR Conversion Genesis Cerner Computerized Charting training Activities: Central Valley Heart Walk w/AHA Dept. Team Captains. 11/2007 to 04/2010 RN II Community Regional Medical Center - Fresno, California New Grad Versant Cardiovascular program completion Cardio progressive care unt/Post Interventional Cardiac Area Post-Open Heart Step-down 02/2001 to 03/2002 Paramedical Executive Insurance Examiner Piedmont Fayette Hospital - Fayetteville Roswell, GA Function as a Nurse Extern: Initiate the Nursing Process:duties include: assist with nursing management, assessments, implementing plan of care for patients, evaluating and teaching .Order entry w/ Clinstar Clinical skills: EKGs, strong phlebotomy, assess & monitor vitalsigns, ADL's, and other skills i.e. IVs, foley catheter insertion, NG placement report any abnormal signs and symptoms to nurse ect.... Nurse Extern Preceptor:Teach; train new Patient Care Technicians & Nurse Externs. Currently: BLS & ACLS Certified Function as a Executive Insurance Examiner: traveled and serviced the downtown Atlanta area, exams taken in the home or place of business, fullphysical exams & medical histories, veinpunctures, EKGs, urine or oral specimens taken, process allexams & specimen handling and shipping, customer service and supply ordering. 10/2000 to 07/2007 Bed Control Co-cordinator & Patient Care Technician III Piedmont Hospital - Atlanta, GA Nurse Extern Preceptor:Inpatient Dept.: Servicing; Orthpaedic/Surgical, Medical, OBS for Cardiac, Stepdown/short stay, Pediatrics.
  • 4. 07/2000 to 11/2000 Ranstad Staffing Henry Medical Center - Jonesboro, GA Funtioned as a Receptionist/ Customer Service Rep: outpatient registering, heavy phones, admitting and discharging, room assignments for outpatient surgery or patient admitted to the floor, filing, pulling medical records, assisting w/ pre-certifications ect.... 2.) EKG Event Monitor Tech, Diagnostic Service Functioned as an Event Monitoring Tech servicing nationwide clinics and hospitals, receiving calls from client's patients with events recorded on event monitors, sign & symptoms documented on EKG and differentiated & interpreted, Edit reports and sent to responsible party. Implement Patient education on use of King of Hearts series, looping monitors, and chest plates. Experience with Pace Art software & knowledge of Rozin Holter monitoring software. 01/1999 to 01/2000 ER Tech, Riverside Medical Center Nurse Tech & EMT - Waupaca, WI Wound cleaning & dressing changes, IV's, phlebotomy, discharge teaching, accuchecks, specimen collecting, and order entry, many skills were performed & delegated under the supervision of a licensed nurse. 10/1997 to 01/2000 ICU/CCU Monitor Tech, Saint Michaels Hospital - Steven, WI Functioned as a monitor technician, differentiating & interpreting cardiac arrhythmia's, performed full unit secretary (unit coordinator), dictating doctor's orders, heavy computers, order entry w/ Meditech, and nursing assistant duties in critical care area, float to ortho, M/S, OB, ect... 01/1996 to 01/1997 Unit Secretary/Nursing Assistant OB Scrub Tech Sanger General Hospital - Sanger, CA Manager Nadine Hensley 559-459-3181 Cardiac Progressive Care Unit: RESIDENCY PROGRAM: Cardiac Progressive Care Tele-Medical/Surg, Step-down, Prep Open Heart and receive open hearts,/pre-op & post-op Cath Lab, Interventional cardiac procedures, care for the M/S telemetry pt with multiple co-morbidities PICA Unit: Interventional Cath Lab Recovery (perdiem), inpatient/outpatient pre/post op Cath Lab, care and recovered PTCA pts, PM/AICD placement/change-outs, Vascular studies, EP/Ablations, managed A/V lines and removal using Femstop/manual holds and monitor s/p angiograms w/ closure devices-angioseals, perclose,, starclose, ect, performe Cardioversion-conscious sedation. Hospital Secretary L&D Assistance, NewBorn Nursery Tech & Med/Surg CNA Assisted L&D RN, DR., RT, Neonatal RN in delivery room Assisted RN in Nursery w/ newborn care, respond and report any subtle changes in abnormal assessment, new born vital signs-report any abnormalities, maintain log/pictures of fetal demised, and so much more. S/P GYN paitents, assist w/ ADLs, Postpartum care:s/p delivery VAG/C-SEC: fundus checks, assist w/ teaching, ADLs ect. EDUCATION AND TRAINING 2007 Associate: Nursing Gordon College - Barnesville, GA
  • 5. 1999 1997 2006 2000 1997 1995 REFERENC ES Nursing Fox Valley Technical College - Appleton, WI Fresno City College - Fresno, CA Gordon College - Barnesville, GA National Dean's List: for academic excellence Fox Valley Technical College - Appleton, WI General Education Fresno City College - Fresno, CA General Education Course of Study: Phlebotomy, EKG Interpretations, and Medical Term Certifications Volunteered for 6+ months at the VA-Fresno CA in Laboratory 1995-2007 CNA Community Trade Institute - Fresno, CA Cont.Education and skills: Jan.2006 Piedmont Hospital, Atlanta GA -12 Lead Interpretation, "Faces of MI" Apr.2006 -Piedmont Fayette Hospital, Fayetteville GA: Computer Based Charting Training- 2007:Community Regional Medical Center, Fresno CA: Open Heart Class 2008:Trauma Course, UCSF @ CRMC-Fresno CA 2009 VA Hospital, Fresno CA: "Critical Care Consortium" Critical Care Course:8 weeks, 2011:SAMC, Fresno CA: Advanced EKG Interpretation May 2012: Superuser Trainer for Cerner Genesis Computer Based Charting Additional skills: ACCUDOSE, PYXIS, McKesson, Cerner, Genesis, Meditech, Powerchart Home PC w/ Excel, Outlook, and Word, WITT, HSM Nursing Licensed in the state:CA, NY, GA (needs renewal). References: 1. Amie Ramirez RN: Co-worker, Relief Coordinator, Charge Nurse at SAMC, Fresno Ca 559-908-1305 2. Stacey Velasco Bottoms MS : Social Worker, State Disability Work Fresno CA 559-360-7928 3. Zeny Reyes RN : Coordinator SurgicalServices SAMC Fresno CA 559-481-3227 4. Aimee NAN:Charge Nurse SAMC /SurgicalServices/CVRA: Fresno CA 559-906-995 Authorized to work in the US for any employer ACCOMPLISHMENTS ADDITIONAL INFORMATION