James R Beltran
Los Angeles,CA
Summary
A+Stroke Certified (SCRN) professional with 1 1/2 years of experience as an RN clinical nurse at Cedars Sinai Medical Center's Neuro ICU unit. Extensive complex wound care experience as a Wound Care Certified LVN for over 25 years, including managing negative pressure wound therapy. Committed to delivering high-quality healthcare and making a positive impact in patients' lives.
Overview
25
25
years of professional experience
1
1
Certification
Work History
RN CLINICAL NURSE II – NEURO ICU
Cedars Sinai Medical Center
08.2023 - Current
- Specialized in caring for patients with severe neurological conditions like strokes, traumatic brain injuries, seizures, brain tumors, and other autoimmune neurological disorders.
- Direct patient care includes a comprehensive neurological assessment, including level of consciousness (GCS), pupil response, motor and sensory function, cranial nerve assessment, respiratory pattern and effort, cardiovascular status, pain assessment, and review of vital signs, hemodynamic monitoring data, and trends.
- Continuous monitoring of vital signs, intracranial pressures (ICP), and neurological status.
- Assists with bedside procedures like intubations, tracheostomy care, central or arterial line placement, bolt placement, and lumbar punctures.
- Titrate medications for hemodynamic management and sedation.
- Collaborates with providers, including neurologists, neurosurgeons, and NPs, to communicate patient status and condition changes.
RN INPATIENT CASE MANAGER
Regal Medical Group
07.2024 - 02.2025
- Conduct comprehensive assessments of patients upon admission, including medical history, current condition, and care needs.
- Coordinate all patient care aspects, including medical treatments, therapies, and support services.
- Monitor the utilization of healthcare services to ensure that they are appropriate and cost-effective.
- Review patient records to determine the medical necessity of treatments and procedures.
RN SUPERVISOR/ MDS COORDINATOR ASSISTANT
Pasadena Grove Care Center
03.2022 - 12.2024
- Supervise and manage the nursing staff, including RNs, LVNs, and CNAs.
- Oversee the development and implementation of individual care plans for residents and update them regularly based on residents’ changing needs and conditions.
- Monitor and evaluate the quality of care provided to residents and ensure protocols and standards maintain a high quality of care.
- Work closely with other healthcare professionals, including physicians, therapists, and social workers. Participate in interdisciplinary team meetings to discuss and coordinate resident care.
- Communicate with residents and their families regarding care plans, treatments, and any changes in condition. Provide support and education to families about the care process and resident needs.
Treatment Nurse/ LVN WOUND CARE Nurse
Alvarado Care Center
03.2021 - 09.2023
- Perform daily wound care on patients with pressure injuries, vascular, diabetic, surgical and minor wounds.
- Assess and document wound progress weekly, and for any change in wound condition, notify MD and carry out a new treatment plan if orders are made, then update the wound’s plan of care.
- Supervise CNAs during patient ADLs and showers to properly handle patients’ fragile skin. Encourage reporting of early signs of skin breakdown. Re-educate CNAs, if needed, on the importance of proper incontinent care techniques.
- Assist wound MD with weekly skin rounds.
- Submit wound progress report to DON and Administrator weekly.
- Assess patient’s skin from head to toe upon admission and discharge.
Assistant LVN Wound Care Coordinator
California Hospital Medical Center
09.2018 - 03.2021
- Perform daily hospital-wide wound consults to a variety of complex wounds including trauma, surgical, diabetic, vascular and pressure injuries. Provide appropriate wound care recommendations.
- Communicate with doctors regarding treatment plans and carry out detailed orders for the floor nurses to implement.
- Assist and educate nurses in applying negative pressure wound therapy placement and troubleshooting techniques.
- Submit weekly reports to all nursing directors weekly on wound care progress.
- Identify patients at risk of developing pressure injuries and create a treatment plan for prevention.
- Assist nurses in identifying proper wound classification for appropriate implementation of treatment plans.
- Educate nurses, patients, and families on other measures to aid in Wound healing.
Treatment Nurse/ WOUND CARE Nurse
York Healthcare and Wellness Centre
04.2017 - 09.2018
- Perform daily wound care on patients with pressure injuries, vascular, diabetic, surgical, and minor wounds.
- Assess and document wound progress weekly, and for any change in wound condition, notify MD and carry out a new treatment plan if orders are made, then update the wound’s plan of care.
- Supervise CNAs during patient ADLs and showers to properly handle patients’ fragile skin. Encourage reporting of early signs of skin breakdown. Re-educate CNAs, if needed, on the importance of proper incontinent care techniques.
- Assist wound MD with weekly skin rounds.
- Submit wound progress report to DON and Administrator weekly.
- Assess patient’s skin from head to toe upon admission and discharge.
WOUND CARE DIRECTOR
Pacific Alliance Medical Center
07.2004 - 01.2017
- Managed surgical wound care program and outpatient hyperbaric oxygen clinic.
- Monitor clinic census and productivity.
- Resolve issues and concerns promptly to maintain customer satisfaction.
- Submit monthly progress reports on patients that had surgery and several hyperbaric oxygen dives.
- Wound consult referrals from contracted hospitals, nursing homes, or home health agencies are seen to evaluate wound condition and offer wound care recommendations which may or may not include possible surgical debridement, skin flaps or grafts, or hyperbaric oxygen therapy.
- Schedule surgery. Coordinate surgeon’s availability, OR room, and patient. Offer transportation arrangements if needed. Verify authorization before surgery if needed.
- Visit MD offices, nursing homes, and home health agencies to maintain contact and to remind them of the services we provide.
- Cover hyperbaric techs when on a scheduled vacation, sick leave, or when short staff.
HOME HEALTH NURSE
Miracle Home Health Services
10.2013 - 09.2016
- Assess patients’ condition during every visit and chart your observations.
- Perform evaluation tasks, including vital signs and medication review.
- Dress or redress open wounds and assess the progress of healing.
- Educate patients and their families on proper home health care strategies and procedures.
- Listen to the patient and respond to concerns or requests.
WOUND CARE DIRECTOR/ HYPERBARIC TECH
Matrix Medical Management
03.2000 - 06.2004
- Company Overview: IN CONTRACT WITH COAST PLAZA DOCTORS HOSPITAL
- HYPERBARIC TECH- from Sept 2003 to Jun 2004.
- Managed surgical wound care program and outpatient hyperbaric oxygen clinic.
- Monitor clinic census and productivity.
- Resolve issues and concerns promptly to maintain customer satisfaction.
- Submit monthly progress reports on patients who had surgery and several hyperbaric oxygen dives.
- Wound consult referrals from contracted hospitals, nursing homes, or home health agencies are seen to evaluate wound condition and offer wound care recommendations, which may or may not include possible surgical debridement, skin flaps or grafts, or hyperbaric oxygen therapy.
- Schedule surgery. Coordinate surgeon’s availability, OR room, and patient. Offer transportation arrangements if needed. Verify authorization before surgery if needed.
- Visit MD offices, nursing homes, and home health agencies to maintain contact and remind them of our services.
- IN CONTRACT WITH COAST PLAZA DOCTORS HOSPITAL
Education
HIGH SCHOOL DIPLOMA -
UNIVERSITY OF SAN CARLOS
CEBU, PHILIPPINES03.1989
LVN DIPLOMA - undefined
PACIFIC COAST COLLEGE
SANTA ANA, CA06.1991
Associate of Applied Science - ADN program
PASADENA CITY COLLEGE
Pasadena, CA05.2023
Bachelor of Science - Nursing
WESTERN GOVERNORS UNIVERSITY
Salt Lake City, UT05.2024
Master of Science - Nursing (PHMNP Program)
NATIONAL UNIVERSITY
San Diego, CASkills
- Able to quickly assess complex situations and prioritize interventions based on the patient's immediate needs
- Skilled in identifying and analyzing problems, developing solutions, and implementing them effectively
- Able to recognize early signs and symptoms of potential complications and implement preventive measures
- Proficient in performing and interpreting comprehensive neurological assessments, including cranial nerve exams, motor and sensory function evaluation, cerebellar testing, and reflex assessment
- Skilled in using standardized neurological scales like the Glasgow Coma Scale (GCS), National Institutes of Health Stroke Scale (NIHSS), Hunt-Hess Scale, and modified Rankin Scale
- Abile to recognize subtle changes in neurological status that may indicate deterioration or improvement
- Skilled in implementing interventions to manage elevated ICP, including positioning, medication administration (eg, mannitol, hypertonic saline), and collaboration with the medical team
- Competent in operating infusion pumps, ventilators, and other critical care equipment
- Compassionate and empathetic communication with patients and their families, providing education, support, and updates on the patient's condition
- Able to work effectively as part of a multidisciplinary team
- Able to assess wounds and perform advanced wound management
Certification
Stroke Certified Registered Nurse (SCRN)
Wound Care Certified (WCC)
Timeline
RN INPATIENT CASE MANAGER
Regal Medical Group
07.2024 - 02.2025
RN CLINICAL NURSE II – NEURO ICU
Cedars Sinai Medical Center
08.2023 - Current
RN SUPERVISOR/ MDS COORDINATOR ASSISTANT
Pasadena Grove Care Center
03.2022 - 12.2024
Treatment Nurse/ LVN WOUND CARE Nurse
Alvarado Care Center
03.2021 - 09.2023
Assistant LVN Wound Care Coordinator
California Hospital Medical Center
09.2018 - 03.2021
Treatment Nurse/ WOUND CARE Nurse
York Healthcare and Wellness Centre
04.2017 - 09.2018
HOME HEALTH NURSE
Miracle Home Health Services
10.2013 - 09.2016
WOUND CARE DIRECTOR
Pacific Alliance Medical Center
07.2004 - 01.2017
WOUND CARE DIRECTOR/ HYPERBARIC TECH
Matrix Medical Management
03.2000 - 06.2004
LVN DIPLOMA - undefined
PACIFIC COAST COLLEGE
HIGH SCHOOL DIPLOMA -
UNIVERSITY OF SAN CARLOS
Associate of Applied Science - ADN program
PASADENA CITY COLLEGE
Bachelor of Science - Nursing
WESTERN GOVERNORS UNIVERSITY
Master of Science - Nursing (PHMNP Program)
NATIONAL UNIVERSITY
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