ERIKA RAQUEL ESPINOZA

Four-plus years of experience as a critical care nurse primarily in medical ICU settings. Skilled at collaborating with interdisciplinary medical teams and mentoring students and new nurses in evidence-based patient care delivery. Committed to advocating for patients and ensuring safety through personalized care plans for families and individuals.

-Advanced Hemodynamic Monitoring
Managed over 500 critically ill patients with arterial lines, central lines, and non-invasive cardiac output systems. Used data trends to direct care in 100+ cases of shock or multi-organ failure annually.
-Vasoactive Drip Titration & Hemodynamic Optimization
Titrated pressors and inotropes in 300+ patients with septic shock, guided by MAP targets, lactate clearance, and end-organ perfusion indicators.
-Autonomous ABG Sampling & Interpretation
Independently drew and interpreted over 1,000 ABGs to guide ventilation, correct acid-base imbalances, and optimize oxygenation strategies.
-Analgesia & Sedation Management
Managed continuous sedation in 1,000+ ventilator days using propofol, dexmedetomidine, fentanyl, and midazolam. Adjusted based on RASS, CPOT, and neuro status.

-Participated in daily ventilator weaning protocols and spontaneous breathing trials, contributing to successful extubations and reduced ventilator days.
-Renal Replacement Therapy
Cared for 100+ patients on CRRT or IHD; monitored fluid balance and collaborated with nephrology to optimize outcomes.
-Sepsis & Multi-Organ Failure
Managed 250+ cases of sepsis/septic shock using EGDT, vasopressors, and dynamic fluid resuscitation.
-Code Blue & Airway Emergencies
Responded to 100+ Code Blues/RRTs; assisted with intubation, medication administration, and post-airway stabilization.
-Ultrasound-Guided IV Placement
Placed 200+ ultrasound-guided IVs in patients with limited vascular access.
-Interdisciplinary Communication & Leadership
Precepted 5+ new ICU nurses and contributed to over 800 interdisciplinary rounds to enhance care quality.
-Professional Development
CCRN certified; shadowed CRNAs in Operating room setting for 20+ hours

Fill-In Charge Nurse, Clovis Community Medical Center, Coordinated patient flow, bed and staff assignments for current and upcoming shifts. Prioritized ICU admissions and transfers based on acuity and resource availability. Acted as an on-unit resource, resolving clinical and interpersonal issues. Responded to all medical emergencies and Codes on the unit and hospital-wide. Facilitated conflict resolution to maintain a safe, professional working environment.

Northwest Church, Fresno, CA, May 2025 to Present

Position: Greeter, Refreshment table, Social media content creator

• Used interpersonal communication skills to convey information to other church memebers or newcomers.
• Assisted with special events and programs.
• Maintained clean, neat, and operational facilities to serve program needs.
• Captured and shared meaningful moments of worship, fellowship, and community life to inspire and connect members both near and far.

Saint Agnes Medical Center Operating Room:no: Observed oral surgeon perform tooth extractions while CRNA administered Remifentanil and Propofol for monitored anesthesia care (MAC). CRNAs in this setting are scarce but considered a vital resource to the surgeon, as they can provide emergency interventions when deemed necessary. The CRNA reassured patients with calm encouragement, and as they woke up, gently told them they had done a great job and that everything had gone well.

Renaissance Outpatient Surgery Center, Fresno: Observed CRNA-administered anesthesia for pain management and podiatry procedures, including use of MAC and LMA insertion when appropriate. Gained exposure to postoperative medication planning for pain and nausea, and witnessed effective interdisciplinary communication with patients and nursing staff post-procedure.

• Julianne Williams, ICU Clinical Supervisor, Clovis Community, (559) 392-6679
• Breann Sencion, ICU Clinical Supervisor, Clovis Community, (559) 740-2055
• Corry Bennink, ICU Manager, Clovis Community, (559) 493-9225

• Gerald & Nanette Lyles Nursing Student Scholarship, Clovis Community Medical Center, 2019
• President’s List, CSU Fresno, Spring 2014
• Dean’s List, CSU Fresno Fall 2011, Fall 2014, Spring 2015, and Fall 2015

• Registered Nurse (RN), California, 95242114, 07/26
• CCRN, Adult Critical Care Certification, 06/27
• Advanced Cardiovascular Life Support (ACLS), AHA, 01/27
• Basic Life Support (BLS), AHA, 01/27
• Pediatric Advanced Life Support (PALS), AHA, 6/27