Billy Bixby Payawal
Sacramento
Summary
Dedicated nursing professional with over 16 years of experience in delivering exceptional patient care across diverse healthcare settings. Known for a compassionate approach and strong interpersonal skills, effectively assessing and triaging patient issues to optimize resource utilization while ensuring comfort and safety. Proficient in performing clinical procedures, maintaining accurate records, and monitoring vital signs, all while adhering to stringent cost control standards. Highly organized and proactive in managing patient needs, fostering a supportive environment for individuals from all backgrounds.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Staff Nurse II
Kaiser Home Health
07.2023 - Current
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Administered medications via oral, IV, PICC, MIDLINE, PORT-A-CATH, and sub/intramuscular injections and monitored responses.
- Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Providing SOC admission, revisits including discharge and Implemented care plans for patient treatment after assessing physician medical regimens.
Clinical Nurse II
UC Davis Health - Ambulatory Float Pool
03.2021 - Current
- Collaborated with multidisciplinary team to evaluate patient data and determine patient care plans.
- Evaluated nursing practices and processes and made changes.
- Stayed current with health system initiatives and incorporated evidence-based practice and research into care routine.
- Demonstrated knowledge of technical procedures and proper equipment use.
- Treated patients by administering medication and performing specific procedures.
- Evaluated patient histories, complaints and current symptoms.
- Developed and maintained departmental policies, procedures and patient care standards based on evidence-based practice guidelines and expert opinions.
- Interviewed patients to obtain medical information, weight and height measurements and vital signs.
- Explained side effects from medications and provided in-depth education to patients on diabetes, asthma, cancer and other diseases.
- Assessed patient conditions by performing thorough examinations and asking appropriate medical questions.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
Staff Nurse, Urgent Care / Respiratory Clinic
Dignity Health Medical Foundation
01.2018 - Current
- Interviewed patients to obtain medical information, weight and height measurements and vital signs.
- Trained new staff on quality control procedures.
- Assisted doctors with non-invasive procedures.
- Organized and administered immunizations to patients.
- Established and maintained effective communication with physicians, patients, family members, hospital staff, administration, and management.
- Prepared procedure trays, sterile fields and supplies.
- Closely monitored acute conditions.
- Conducted telephone triage to patient, family and significant others using nursing judgment according to protocol.
- Evaluated patient histories, complaints and current symptoms.
- Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
Registered Nurse Case Manager
ProHealth Home Health Inc.
05.2016 - 01.2018
- Performed initial client assessment and analysis to begin research process.
- Used EMR to maintain a database of relevant information for practitioners to access and coordinate patient care.
- Evaluated the healthcare needs, goals for treatment and available resources of each patient and connected them with optimal providers and care.
- Educated and worked with patients to help them navigate the healthcare system and adhere to their care plan.
- Advocated for patients by communicating their care preferences to practitioners, ensuring interventions met their goals for treatment and identifying insurance coverage.
- Responsible for primary care, case management, and medication management.
- Managed caseload of 20 clients, providing education, treatments, IV therapy, venipuncture and wound care.
Registered Nurse Case Manager
Premier Home Health And Hospice
08.2014 - 05.2016
- Advocated for patients by communicating their care preferences to practitioners, ensuring interventions met their goals for treatment and identifying insurance coverage. Performed initial client assessment and analysis to begin research process.
- Used EMR to maintain a database of relevant information for practitioners to access and coordinate patient care.
- Evaluated the healthcare needs, goals for treatment and available resources of each patient and connected them with optimal providers and care.
- Educated and worked with patients to help them navigate the healthcare system and adhere to their care plan.
- Responsible for primary care, case management, and medication management.
Hospice Nurse
VITAS Healthcare Corporation
09.2013 - 04.2014
- Provided a high level of quality, compassionate care to patients and their caregivers during each nursing shift.
- Developed and implemented an individualized care plan for each hospice patient while following physician instructions.
- Taught family members and caregivers various ways to manage patients' pain, how to check for vital signs and the proper methods for dressing changes.
- Offered a listening ear to both patients and their loved ones to ensure that their emotional and mental, as well as physical needs were met.
Charge Nurse II
Pine Creek Care Center Sub-Acute Rehab
04.2012 - 09.2013
- Monitored nursing care, including process assessment and implementation.
- Collaborated with doctors and staff members to ensure quality care.
- Maintained in-depth understanding of individual patient care plans.
- Built rapport with patients and family members in an effort to deliver exceptional care.
- Completed clinical tasks in accordance with facility policy.
- Administered wound care, medications, and any necessary treatments.
- Ensured top-level care by focusing on patient safety and dignity.
- Instructed patients and family members on proper discharge care.
- Managed caseload of 30 clients, providing education, treatments, IV therapy, venipuncture and wound care.
Education
Bachelor of Science - In Nursing
Dr. Carlos S. Lanting College
Quezon City, Philippines2007
Skills
- IV setup, Venipuncture, Blood Draws, including IV administration, PICC line/Central line care, Wound vac, Catheter care insertion/care, EKG/ECG's assessment
- Advice and Phone Triage
- Evaluations, Vital monitoring, Physical assessments
- Proficient in iOS,MS Windows Office /Matrix, CPI, Kinnser, Devero, EPIC, Cerner and other EMR systems
- Medication distribution and Medical evaluation
- Emergency procedures and Critical care
- Hospice and palliative care
- Maintain sterile fields and application of dressings, and wound care and treatment
- POCT including COVID testing
- MONOCLONAL infusions
- Staff Management
- Infection Control
- Treatment Planning
- Wound care management
- Tracheostomy care
- Vaccine administration
- Respiratory support
Certification
- Current License as Registered Nurse in California since 2009
- Advanced Cardiac Life Support (ACLS)
- BLS certified - AHA/ARC
Languages
English
Full Professional
Timeline
Staff Nurse II
Kaiser Home Health
07.2023 - Current
Clinical Nurse II
UC Davis Health - Ambulatory Float Pool
03.2021 - Current
Staff Nurse, Urgent Care / Respiratory Clinic
Dignity Health Medical Foundation
01.2018 - Current
Registered Nurse Case Manager
ProHealth Home Health Inc.
05.2016 - 01.2018
Registered Nurse Case Manager
Premier Home Health And Hospice
08.2014 - 05.2016
Hospice Nurse
VITAS Healthcare Corporation
09.2013 - 04.2014
Charge Nurse II
Pine Creek Care Center Sub-Acute Rehab
04.2012 - 09.2013
Bachelor of Science - In Nursing
Dr. Carlos S. Lanting College