CHARMILEN D. SILVESTRE, RN
123 Madamba St., Brgy. 9,
San Nicolas, Ilocos Norte
09395509383
[email protected]

PROFESSIONAL EXPERIENCE

PHILIPPINE ORTHOPEDIC CENTER
(October 2014- Present)
Maria Clara cor. Banawe St.
Quezon City
A tertiary government hospital with 700 bed capacity known as an orthopedic trauma and rehabilitation medicine center for acute and chronic musculoskeletal disorders especially spinal injuries and other related cases, under the Department of Health

Rotated into different clinical and special areas:
Philhealth Ward, Male Service B, Female Service Ward, Rehabilitation Ward/Spinal Ward, Northeast Ward, Out-Patient Department, Observation Unit, Male Service A Ward

Job Description and Responsibilities:
Orients patients and their relatives on the physical set up and facilities of the area as well as the unit policies, personnel and hospital regulations including proper waste segregation and disposal.
Makes frequent rounds to all patients.
Identifies problems of patients and implements appropriate nursing action according to the priority needs of the patient.
Involves the patient and family in the plan of care.
Gives emotional and spiritual support to patients and relatives.
Provides skillful, safe and effective nursing care to patients.
Makes referrals to other members of the health team.
Observes aseptic technique in preparing and assisting in treatments, examinations and sterilizations of instruments.
Demonstrates principles of infection control.
Provides assistance and guidance to nursing trainees.
Assists in orienting new personnel.
Participates in maintaining the unit’s cleanliness and organize at all times.
Participates in the dissemination of information regarding hospital rules and regulations.
Provides support and care to the preoperative and post-operative patients and their families.
Keeps records of the patients and their family history and other required documents.

Cases Handled:

Fractures( Incomplete and Complete)
Humeral Shaft
Elbow
Radial Head
Radial and Ulnar Shaft
Wrist
Hand
Pelvis
Stable and Unstable Pelvic Fractures
Femur
Femoral Shaft
Patients in Traction
Skeletel Traction
Skin Traction
Bucks Extension Traction
Spica cast/Body cast
Strains/sprains
Spinal Cord Injury (Incomplete and Complete)
Bone Tumors (Benign and Malignant)
Anterior Knee Pain
Arthritis of Hand or Wrist
Arthroplasty, Hip and Knee
BKA(Below Knee Amputation)
AKA( Above Knee Amputation)
Musculoskeletal Congenital Anomalies
Buergers Disease
Carpal Tunnel Syndrome
Cellulitis
Gun Shut Wound
Ganglion Cysts
Herniated Nucleus Pulposus
Recurrent Glenohumeral Joint Dislocation
Ligament injuries
Metastatic Bone Disease
Nerve and tendon Injuries
Septic Infection Arthritis

Pre and Post Spinal Surgery
Laminectomy
Discectomy
Spinal fusion
Tendonitis
Patients with Splints and Braces
Patients with External and Internal Fixator
Post Total Joint Replacement
Post Total Hip Replacement
Post Partial Hip Replacement
Potts Disease
Chronic Osteomyelitis
Osteoporosis
Osteosarcoma

Other Related Cases Handled:

Cerebral Vascular Accident (CVA)
Coma
Diabetes Mellitus
Encephalitis
GI Bleeding
Hepatic Failure
Hepatitis
Post Acute MI
Pulmonary Tuberculosis

Skills:
Admission process
Assists in Brace/Splint and Traction application
Catheter insertion and care
>Bladder irrigation
>Foley catheter (Male, Female)
>Straight catheter (Male, Female)
Cast care
Charge nurse routine
Chemotherapy – Adult Protocols
Chest tube and drainage system (Care, Maintenance, Removal, Setup)
Basic EKG interpretation
>12 Lead placement
Feedings (Continuous tube feeding, Gavage, Intermittent)
Gastric Lavage
Gastric Suction
Halo traction/Cervical Tongs
Incentive spirometer
Interpretation of blood result
>Blood gases
>Blood chemistry
>CBC
>Cultures
>Electrolytes
>Urine
Intravenous Infusion Therapy
>Blood and blood products
(Albumin, FFP, Whole Blood, PRBC)
>Central line site maintenance
(Peripheral IV insertions and maintenance)
>Angiocath
>Butterfly
Isolation procedure
Neurological assessment
Nursing assessment care planning
Administration of oxygen therapy
>Bag and mask
>External CPAP
>Face mask
>Nasal cannula
Physical assessment
Restraints
Specimen Collection
>Blood(Central line, Venous tick)
>Cultures
>Sputum
>Urine (Catheter, 24hour collection)
Suctioning
>Nasal-pharyngeal
>Oral-pharyngeal
>Tracheostomy
Temperature (Oral, Tympanic, Axillary)
Thoracentesis Assist
Traction application
Wound Care
>Decubitus ulcers
>Sterile dressings change
>Surgical wound with drains

Medication Administration:
Oral
Intramuscular
Subcutaneous
Z-track injections
Rectal
Topical
IV push
IV drip
Drops (eyes, nose, ears)
Inhalations
Start peripheral IV
Regulate IV
Mix IV’s using additives
Piggyback infusions

Pain Management
Pain level assessment
Care of patient with
Epidural Analgesia
IV conscious sedation
Patient controlled analgesia (PCA)
Narcotic agents
Non-narcotic agents
Equipment and Machines Handled:
Cardiac monitor
ECG machine
Glucometer
Oxygen flow meter
Pulse oximeter
Suction machine
Ventilator
>CPAP
>BIPAP
>T-piece
>Weaning modes

PROVINCIAL HEALTH OFFICE
Laoag City
Saguip Nars Program 2014
(May 2014- September 2014)

Rotated into Hospital and Rural Health Unit
Emerrgency Room, Outpatient Department, Ward

PROFESSIONAL LICENSURE AND CERTIFICATIONS

2012- PRESENT: Certified IV Therapy Nurse
2014- PRESENT: Registered Nurse, Philippines

EDUCATIONAL BACKGROUND

TERTIARY:
Mariano Marcos State University
College of Health Sciences
Bachelor of Science in Nursing
2009 – 2013

SECONDARY:
San Nicolas National High School
Secondary Education
2005 – 2009

PRIMARY
San Nicolas Elementary School
Primary Education,
1999 – 2005