Experience

• 

  Neoplasic diseases national institute

  Mar 1997 - Apr 2002

  Especialista en soporte nutricional

  • Evaluacion nutricional para el inicio del soporte nutricional (enteral o parenteral) de acuerdo a los mas recientes estandares de manejo y según el tratamiento medico. Documenta la evaluación nutricional en el expediente medico y comunica los hallazgos y recomendaciones al medico y demás miembros involucrados.• Proveer monitoreo, reevaluacion y recomendaciones pertinentes de manera escrita para conocimiento del medico y resto del equipo. • Lidera/participa en las reuniones multidisciplinarias/equipo de soporte nutricional y contribuye con información relevante de la condición nutricional del paciente. • Trabaja junto con supervisores/managers del area de nutricion clinica para educar al personal/colegas en temas de terapia nutricional, procedimientos y protocolos de atencion nutricional (participacion en el comite del soporte nutricional). • Ofrece educación tanto a pacientes como a familiares relacionada a la terapia nutricional y modificaciones en la nutricion oral. • Participa en reuniones del servicio de nutrición, en entrenamientos y actividades academicas para mejorar la calidad de atención (dictado de temas como síndrome de realimentación, indicaciones/contraindicaciones de la nutrición parenteral, nueva definición de malnutrición hospitalaria entre otros). • Prepara y educa a pacientes y/o familiares que seran dados de alto con soporte nutricional.• Ofrece educación en soporte nutricional a internos de nutrición, dietistas y resto del equipo del salud.• Participa en congresos/reuniones de organizaciones de soporte nutricional a nivel local y nacional. Show less

• 

  Federico villarreal university biochemistry department of the medical school

  Jan 2000 - Jan 2002

  Professor

  • Undergraduate lecturing in Basic Biochemistry, Nutritional Biochemistry and Advanced Nutrition.

• 

  Clinica sierra vista

  Jul 2002 - Aug 2008

  Community dietitian/management experience

  • Manage and oversee Nutrition Services for WIC and CPSP Programs. (4 sites)• Supervise professional and paraprofessional staff (10-15 people under my charge)• Provide bilingual nutrition counseling to high-risk prenatal and pediatric participants.• Conduct risk assessment and chart review as part of the CPSP health care team.• Provide MNT services for Clinica Sierra Vista Patients.• Provide diverse voluntary nutrition presentations to the community at large via radio.* Administración del programa WIC en las oficinas a cargo.* Educación nutricional a madres gestantes y niños menores de 5 años* Valoración del estado nutricional y estimación de necesidades nutricionales.* Consultoria nutricional a población con enfermedades crónicas no trasmisibles Show less

• 

  Dignity health

  Aug 2008 - now

  • Completes nutrition assessments for nutrition support (enteral o parenteral nutrition) per current accepted standards of nutrition practice, and in accordance with the physician’s treatment plan. Documents the evaluation and assessment in the patient’s medical record and communicates findings to the physician and other pertinent care givers.• Provides ongoing monitoring and assessments and recommends therapeutic interventions as appropriate. Prepares written communication of follow-up nutrition care in the medical record and communicates findings to the physician. • Leads/participates in nutrition support team meetings/patient care conferences and contributes appropriate clinical information. • Works with the clinical department managers to educate internal staff on appropriate nutrition therapy, nutrition policies and procedures. (Participation in sepsis commite, enteral nutrition commite). • Provides patient and care partner education related to nutrition therapy and oral diet modifications as ordered by the physician. • Participates in staff meetings, site in-services and performance improvement activities (In- services education in topics likes Refeeding syndrome, TPN indication/contraindications, New definition of hospital malnutrition). • Participate in education to promote safe, appropriate and cost effective nutrition support techniques.• Prepare patients for discharge on enteral and parenteral nutrition support.• Provide nutrition support education for dietetic interns.• Participates in national and local nutrition organizations. Show less • Reviews nutrition screens per policy. • Evaluate anthropometric, biochemical, clinical, and dietary history to assess patients’ nutritional status. Plan and implement dietary intervention. Monitor patient’s progress and make appropriate modifications.• Estimate patient’s nutrition requirements using predictive equations. Calculate nutritional requirements and necessary diet restrictions or food/drug interactions.• Select appropriate Enteral and Parenteral nutrition regiments, schedule and route for patient requiring nutrition support. • Document results of the nutritional assessment and nutrition care plan using ADIME format with PES diagnostic statements.• Provide nutrition counseling for patient, patient’s family/caregiver. • Completion of test tray evaluations, menu quality assessment, and productivity logs. Show less

  • Nutrition Support Specialist ICU & NeuroICU

    Aug 2008 - now

  • Clinical Dietitian

    Aug 2008 - now
• 

  Kern medical center

  Jan 2010 - Jul 2013

  Clinical dietitian

  • Reviews nutrition screens per policy. • Evaluate anthropometric, biochemical, clinical, and dietary history to assess patients’ nutritional status. Plan and implement dietary intervention. Monitor patient’s progress and make appropriate modifications.• Estimate patient’s nutrition requirements using predictive equations. Calculate nutritional requirements and necessary diet restrictions or food/drug interactions.• Select appropriate Enteral and Parenteral nutrition regiments, schedule and route for patient requiring nutrition support. • Document results of the nutritional assessment and nutrition care plan using ADIME format with PES diagnostic statements.• Provide nutrition counseling for patient, patient’s family/caregiver. • Completion of test tray evaluations, menu quality assessment, and productivity logs. Show less

• 

  Bakersfield dialysis center-davita

  Jan 2010 - Jan 2011

  Renal dietitian experience

  • Provide individualized nutrition education according with monthly labs reports for hemodialysis patients.• Adjust Vit D protocols and give recommendations as needed.• Participate in the nutrition care plan meeting.

• 

  Bakersfield memorial dignity hospital

  Sept 2016 - Jul 2019

  Chief clinical dietitian