EMR-Wireless Access for Health
KARISHA CINCO GONZALES
Registered Nurse
Catbalogan City,WSA
Summary
Registered Nurse with 3 years of clinical bedside nursing experience; 4 years of track record in public health nursing; and 5 years background in teaching and school nursing. 2 years of Current Medical-Surgical bedside experience
Overview
13
13
years of professional experience
26
26
Certifications
3
3
Languages
Work History
Staff Nurse
Catbalogan Doctors Hospital
07.2025 - Current
- Staff Nurse: Medical-Surgical
- # Beds in Unit: ~40–50 beds
- Patient Ratio: 1:20
- Documentation: Paper-based
- Cases Handled: General Surgical Cases
- Primary Surgical Diagnoses
- Acute appendicitis
- Acute abdomen
- Hernias
- Hemorrhoidal disease
- Soft tissue masses
- Infected, necrotic, and non-healing wounds
- Diabetic foot with gangrene
- Cholelithiasis / cholecystitis
- Pleural effusion / pneumothorax
- Intestinal obstruction and colorectal conditions requiring diversion
- Ascites secondary to liver disease
- Surgical and Invasive Procedures Managed (Pre- and Post-Operative Nursing Care)
- Appendectomy (open and laparoscopic)
- Exploratory laparotomy
- Diagnostic laparoscopy
- Emergency abdominal surgery depending on etiology
- Herniorrhaphy and hernioplasty (with mesh repair)
- Hemorrhoidectomy
- Surgical excision or biopsy of soft tissue masses
- Surgical wound debridement
- Incision and drainage
- Cholecystectomy (open and laparoscopic)
- Chest tube thoracostomy
- Pigtail catheter insertion
- Bowel resection
- Colostomy creation (temporary or permanent)
- Stoma formation and revision
- Abdominal paracentesis
- Patients with Tubes, Drains, and Airway Devices
- Chest Tube Thoracostomy
- Pigtail catheter
- Jackson-Pratt drain insertion and management
- T-tube
- Colostomy creation and post-operative stoma care
- Internal jugular catheter insertion for hemodialysis access
- Abdominal paracentesis
- Endotracheal tube (ward-based monitoring and care)
- Tracheostomy tube care and suctioning
- ENT / Head and Neck Surgical Cases
- Diagnoses and Conditions
- Tonsillar hypertrophy and recurrent tonsillitis
- Upper airway obstruction
- Procedures Managed (Pre- and Post-Operative Nursing Care)
- Tonsillectomy
- Tracheostomy (post-procedure airway and stoma care)
- Orthopedic Cases
- Diagnoses and Conditions
- Traumatic and degenerative fractures
- Open and closed fractures
- Post-operative orthopedic patients
- Diabetic foot complications requiring amputation
- Procedures Managed (Pre- and Post-Operative Nursing Care)
- Care of patients with lower-extremity amputations, including below-knee amputation (BKA)
- Casting and splinting care, including neurovascular monitoring
- Pain management and mobility assistance
- Prevention of complications (compartment syndrome, pressure injury, infection)
- Medical Conditions
- Pneumonia
- Pulmonary Tuberculosis
- Liver cirrhosis
- Cellulitis
- Diabetes mellitus
- Hypertension
- Seizure Disorders
- Cerebrovascular Accident
- Comatose Patients
- Chronic Kidney Disease / Renal Failure
- Heart Failure
- Systemic Lupus Erythematosus
- Psoriasis
- Thyroid disorders
- Cancer (breast, lung, brain, metastatic malignancies)
- Responsibilities/Interventions Provided:
- Performed comprehensive head-to-toe assessments and ongoing reassessment of adult and pediatric medical–surgical patients across varying acuity levels
- Delivered safe, evidence-based nursing care to patients with complex medical, surgical, orthopedic, and ENT conditions
- Monitored and documented vital signs, cardiac rhythm, respiratory status, neurologic status, and pain levels, promptly recognizing and escalating clinical deterioration
- Administered prescribed oral, IM, subcutaneous, and IV medications safely and accurately, including high-risk and titrated infusions per physician order and institutional protocol
- Initiated and maintained IV access, managed IV fluids and infusion therapies, and ensured proper line care and infection prevention
- Completed, reviewed, and followed up laboratory and diagnostic results, promptly reporting abnormal findings and collaborating with physicians for timely interventions
- Coordinated interdisciplinary care by facilitating consultations and referrals (e.g., Internal Medicine, Surgery, Orthopedics, ENT, Anesthesiology) for medical optimization and surgical planning
- Provided comprehensive pre-procedure preparation, intra-procedure monitoring as assigned, and post-procedure nursing care, including patient preparation (verification of patient identity, informed consent, NPO status, completion of pre-operative checklists, and required diagnostics), vital signs monitoring, wound and drain care, fluid balance monitoring, infection prevention, pain management, and early detection of complications
- Communicated and coordinated with the Operating Room (OR) and Anesthesia teams to ensure patient readiness and continuity of care
- Safely endorsed patients to and from the Operating Room using structured handoff communication
- Delivered vigilant post-operative nursing care following surgical procedures.
- Closely monitored post-operative patients for pain, bleeding, airway compromise, infection, hemodynamic instability, and other complications
- Performed and assisted with wound care and surgical site management, maintaining aseptic technique and promoting optimal healing
- Provided orthopedic nursing care, including care of patients with casts, splints, and post-amputation wounds
- Managed and monitored tubes, drains, and airway devices, including:
- Jackson-Pratt drains
- Chest tubes and pigtail catheters
- T-tubes
- Colostomies and ostomy sites
- Tracheostomy tubes and endotracheal tubes (ward-based monitoring and care)
- Provided airway and respiratory support nursing care, including suctioning, oxygen therapy, and monitoring of patients requiring advanced airway devices, with collaboration during procedures involving laryngoscope-assisted airway management
- Assisted in nursing care for patients undergoing abdominal paracentesis and other bedside invasive procedures, ensuring patient safety and comfort
- Maintained strict infection prevention and isolation precautions, including care of patients with pneumonia and tuberculosis
- Implemented fluid balance monitoring, intake and output measurement, and early identification of renal or hemodynamic compromise
- Provided patient- and family-centered education regarding disease processes, surgical recovery, airway and ostomy care, medications, mobility, and discharge planning
- Ensured accurate, timely, and complete nursing documentation and shift endorsements in accordance with hospital policies and professional standards
- Collaborated effectively with physicians, nurses, and allied health professionals to promote patient safety, quality outcomes, and continuity of care, with early detection and reporting of complications
- Special Equipment
- IV Infusion pumps
- Cardiac monitors
- Nebulizers
- Suction Machines
- Oxygen delivery devices
- Glucometer
- Basic ECG machine
- Sphygmomanometer
- Stethoscope
- Pulse oximeter
- Thermometer
- Chest tube drainage systems
- Jackson-Pratt (JP) drain systems
- Colostomy and ostomy care equipment
- Dialysis catheter care kits
- Wound care equipment
- Patient mobility and safety equipment
- Common Medications Administered
- IV antibiotics (Ceftriaxone, Piperacillin-Tazobactam, Meropenem, Co-Amoxiclav, Cefazolin, Cefuroxime, Ciprofloxacin – administered per protocol)
- Analgesics (Tramadol, Ketorolac, Paracetamol IV, Nalbuphine, morphine)
- IV Antihypertensives/vasodilators (IV Nicardipine – as ordered and monitored)
- Cardiac glycosides (digoxin – administered with monitoring of heart rate, rhythm, and signs of toxicity, as ordered)
- Vasoactive IV drips (Norepinephrine infusion, Dopamine infusion – administered and titrated per physician order and institutional protocol)
- IV sedative medications (midazolam, diazepam – administered and monitored as ordered)
- IV antiemetics (ondansetron, metoclopramide)
- Neuroprotective agents (citicoline)
- Electrolyte replacements via IV (potassium, magnesium, calcium)
- IV corticosteroids (hydrocortisone, dexamethasone)
- IV osmotic diuretics (mannitol – administered and monitored for neurologic indications, as ordered)
- IV diuretics (furosemide)
- Subcutaneous insulin therapies (Regular insulin, Isophane insulin, Insulin glargine)
- Emergency hypoglycemia management (Dextrose 50% (D50) IV)
- IV anticonvulsants (phenytoin – administered and monitored per seizure management protocol)
- Erythropoiesis-stimulating agents (epoetin alfa for CKD-related anemia)
- Endocrine medications (Levothyroxine administered for patients with thyroid disorders, including Graves’ disease, with monitoring for therapeutic response and adverse effects)
- Blood products (packed red blood cells, whole blood)
- Catbalogan Doctors Hospital is a Level 1 private general hospital located at Diversion Road, Barangay Canlapwas, Catbalogan City, Samar, Philippines. It serves the local community by providing inpatient and outpatient medical services for patients requiring acute medical and surgical care, including medical–surgical admissions, post-operative management, and emergency treatment. The hospital provides general diagnostic and therapeutic services for residents of Catbalogan City and surrounding municipalities. The facility is Philippine Health Insurance Corporation (PhilHealth) accredited as a Level 1 hospital, with an authorized bed capacity of approximately 100 beds.
Nurse II/Instructor
Samar State University – Care & Wellness Services
10.2022 - Current
- Nurse II/Instructor: Care and Wellness Services-Paranas Campus
- # of Patients served: ~10–30 patients per day depending on clinic volume and school activities; Served students, faculty, and staff (adolescents to adults)
- Patient Ratio: Outpatient clinic setting; typically, 1:1 nurse-to-patient during consultation and treatment; Managed multiple patients sequentially during peak clinic hours
- Documentation: Paper-based and electronic clinic records
- Cases Handled:
- Common Medical Cases
- Upper respiratory tract infections
- Fever and flu-like illnesses
- Gastrointestinal complaints
- Headache and dizziness
- Minor injuries (cuts, sprains, contusions)
- Blood pressure and blood sugar monitoring
- Dysmenorrhea and menstrual concerns
- Mild to moderate allergic reactions
- Skin conditions and minor infections
- Public Health–Related Cases
- Communicable disease surveillance
- COVID-like symptom screening and referral
- Vaccination-related concerns
- Pre-enrollment and employment medical clearances
- Responsibilities / Interventions Provided:
- Clinical / Nursing Functions
- Performed triage, initial assessment, and vital signs monitoring
- Provided first aid and basic emergency care
- Administered prescribed oral and parenteral medications as ordered
- Initiated emergency response and coordinated hospital referrals when needed
- Conducted health education and counseling on hygiene, nutrition, and disease prevention
- Implemented campus health promotion and wellness programs
- Assisted in medical-dental missions and university health activities
- Maintained accurate and confidential medical records
- Participated in disease prevention and surveillance programs
- Supported occupational health needs of university staff
- Academic & Leadership Functions
- Delivered classroom instruction and academic guidance to college students
- Taught the following courses:
- Science, Technology, and Society
- Industrial Psychology
- Technology Research
- Prepared lesson plans, instructional materials, and student assessments
- Served as adviser to the Red Cross Youth student organization, supporting health-related activities and student engagement
- Served as panel member during Research Congress, evaluating student research presentations
- Acted as research adviser to undergraduate students, guiding research design, implementation, and manuscript preparation
- Provided academic advising and student consultations
- Special Equipment Used:
- BP apparatus and thermometer
- Pulse oximeter
- Glucometer
- Nebulizer
- Oxygen tank and delivery devices
- First aid and emergency kits
- Sterile dressing sets
- Weighing scale and height tools
- Common Medications Administered
- Antipyretics
- Analgesics / NSAIDs
- Antihistamines
- Oral rehydration solutions
- Nebulization medications
- Antacids
- Topical wound medications
- Prescribed maintenance medications as ordered
- Care & Wellness Services is the official campus health clinic of Samar State University, a public state university in Samar, Philippines. The clinic provides primary healthcare, occupational health services, and emergency first aid to students, faculty, staff, and visitors across the campus. Services include outpatient consultations, basic treatment and medication administration, health assessments, medical clearances, referrals, and health promotion and disease prevention activities. Care & Wellness Services operates as a non-hospital outpatient setting, supporting the university community through routine health services, emergency response, and coordination with local hospitals and health facilities for advanced care when needed.
Staff Nurse
Samar Provincial Hospital
01.2024 - 06.2025
- Staff Nurse: Surgery, Medicine Adult/Pediatrics, Orthopedics, and EENT
- # Beds in Unit: ~40–50 beds
- Patient Ratio: 1:20
- Documentation: Paper-based
- Cases Handled: General Surgical Cases
- Primary Surgical Diagnoses
- Acute appendicitis
- Acute abdomen
- Hernias
- Hemorrhoidal disease
- Soft tissue masses
- Infected, necrotic, and non-healing wounds
- Diabetic foot with gangrene
- Cholelithiasis / cholecystitis
- Pleural effusion / pneumothorax
- Intestinal obstruction and colorectal conditions requiring diversion
- Ascites secondary to liver disease
- Surgical and Invasive Procedures Managed (Pre- and Post-Operative Nursing Care)
- Appendectomy (open)
- Exploratory laparotomy
- Diagnostic laparoscopy
- Emergency abdominal surgery depending on etiology
- Herniorrhaphy and hernioplasty (with mesh repair)
- Hemorrhoidectomy
- Surgical excision or biopsy of soft tissue masses
- Surgical wound debridement
- Incision and drainage (I&D)
- Cholecystectomy (open)
- Chest tube thoracostomy
- Pigtail catheter insertion
- Bowel resection
- Colostomy creation (temporary or permanent)
- Stoma formation and revision
- Abdominal paracentesis
- ENT / Head and Neck Surgical Cases
- Diagnoses and Conditions
- Tonsillar hypertrophy and recurrent tonsillitis
- Congenital craniofacial anomalies (cleft lip and palate)
- Upper airway obstruction
- Cataract
- Procedures Managed (Pre- and Post-Operative Nursing Care)
- Tonsillectomy
- Palatoplasty
- Cleft lip repair
- Tracheostomy (post-procedure airway and stoma care)
- Cataract extraction
- Orthopedic Cases
- Diagnoses and Conditions
- Traumatic and degenerative fractures
- Open and closed fractures
- Post-operative orthopedic patients
- Diabetic foot complications requiring amputation
- Procedures Managed (Pre- and Post-Operative Nursing Care)
- Care of patients with below-knee amputation
- Casting and splinting care, including neurovascular monitoring
- Traction application and maintenance (skin traction), with alignment and weight checks
- Pain management and mobility assistance
- Prevention of complications (compartment syndrome, pressure injury, infection)
- Post-operative care following open reduction and internal fixation
- Patients with Tubes, Drains, and Airway Devices
- Chest Tube Thoracostomy
- Pigtail catheter
- Jackson-Pratt drain insertion and management
- T-tube
- Colostomy creation and post-operative stoma care
- Abdominal paracentesis
- Endotracheal tube (ward-based monitoring and care)
- Tracheostomy tube care and suctioning
- Medical Conditions
- Pneumonia
- Pulmonary Tuberculosis
- Liver cirrhosis
- Cellulitis
- Diabetes mellitus
- Hypertension
- Seizure Disorders
- Cerebrovascular Accident
- Comatose Patients
- Chronic Kidney Disease / Renal Failure
- Heart Failure
- Rabies
- Cancer (breast, lung, brain, metastatic malignancies)
- Responsibilities/Interventions Provided:
- Performed comprehensive head-to-toe assessments and continuous monitoring of adult and pediatric patients admitted for medical, surgical, orthopedic, ENT, and oncologic conditions
- Delivered safe, evidence-based nursing care to patients across varying acuity levels in a busy multi-specialty ward
- Monitored and documented vital signs, neurologic status, respiratory status, cardiac status, oxygen saturation, pain levels, and level of consciousness, promptly recognizing and escalating clinical deterioration
- Administered prescribed oral, IM, subcutaneous, and IV medications, including antibiotics, analgesics, antihypertensives, insulin, anticonvulsants, and other high-risk medications per physician order and hospital protocol
- Initiated and maintained IV access, managed IV fluids and infusions, and ensured strict infection-prevention practices
- Completed, reviewed, and followed up laboratory and diagnostic results, promptly reporting abnormal findings to physicians for timely management
- Pre-Operative Nursing Care
- Verified patient identity, informed consent, and surgical site
- Ensured NPO status and completion of pre-operative checklists
- Prepared patients for surgery including IV line insertion, skin preparation, and pre-op medication administration as ordered
- Coordinated with Surgery, Orthopedics, ENT, Internal Medicine, and Anesthesiology teams for clearance and scheduling
- Provided patient and family education regarding surgical procedures and expectations
- Post-Operative Nursing Care
- Received endorsements from OR and anesthesia teams and provided immediate and ongoing post-op care
- Closely monitored for bleeding, airway compromise, infection, pain, and hemodynamic instability
- Provided wound care and sterile dressing changes, monitoring for signs of infection or delayed healing
- Assisted with early mobilization and recovery support
- Tubes, Drains, and Airway Management
- Managed and monitored:
- Chest tubes and pigtail catheters
- Jackson-Pratt drains
- Colostomies and ostomy sites
- T-tubes
- Tracheostomy and endotracheal tubes (ward-based care and suctioning)
- Measured and documented drain outputs and monitored for complications
- Maintained airway patency and provided suctioning as needed
- Orthopedic Nursing Care
- Provided care for patients with fractures and post-ORIF procedures
- Performed neurovascular assessments for patients with casts and splints
- Assisted in application and maintenance of skin traction, ensuring proper alignment and weight positioning
- Monitored for complications such as compartment syndrome and pressure injuries
- Assisted with mobility and pain management
- Infection Control & Isolation Care
- Implemented strict isolation precautions for patients with PTB, pneumonia, rabies exposure, and infectious conditions
- Practiced proper PPE use and infection-prevention protocols
- Fluid Balance & Chronic Disease Monitoring
- Monitored intake and output, fluid balance, and renal function indicators
- Provided care for patients with CKD, heart failure, diabetes, and liver disease
- Assisted in care of patients undergoing abdominal paracentesis
- Patient Education & Documentation
- Provided patient and family education on medications, wound care, ostomy care, mobility, and discharge instructions
- Maintained accurate, timely nursing documentation and shift endorsements
- Collaborated with physicians and allied health professionals to ensure continuity and safety of care
- Equipment
- Cardiac monitors
- Nebulizers
- Suction Machines
- Oxygen delivery devices
- Glucometer
- Basic ECG machine
- Sphygmomanometer
- Stethoscope
- Pulse oximeter
- Thermometer
- Chest tube drainage systems
- Jackson-Pratt drain systems
- Colostomy and ostomy care equipment
- Wound care equipment
- Patient mobility and safety equipment
- Samar Provincial Hospital is a government-owned Level 1 provincial hospital located in Catbalogan City, Samar, Philippines, with an authorized bed capacity of approximately 100 beds. The hospital provides inpatient, outpatient, and emergency services to adult and pediatric patients from Catbalogan City and surrounding municipalities. It manages a broad range of medical, surgical, orthopedic, obstetric-gynecologic, and ENT/EENT cases, including emergency and referral patients. The facility is PhilHealth-accredited and serves as a major public healthcare provider for the province.
Teacher II/School Nurse Designate/School Health Program Coordinator
Department of Education, Division of Catbalogan City
10.2020 - 10.2022
- Facility Name: Department of Education, Division of Catbalogan City
- Unit Specialty: Antonio G. Tuason National High School
- Role: Teacher II/School Nurse Designate/School Health Program Coordinator
DOH Nurse II-Human Resource for Health
Department of Health
07.2016 - 09.2020
- Facility Name: Department of Health
- Unit Specialty: Rural Health Unit (RHU)-Motiong, Samar; RHU-Paranas, Samar; RHU-Sto. Niño, Samar; and Catbalogan City Health Office
- Nurse role: DOH Nurse II-Human Resource for Health
Online English as Second Language (ESL) Teacher
ACADSOC LIMITED
12.2018 - 07.2019
- Facility Name: ACADSOC LIMITED
- Role: Online English as Second Language (ESL) Teacher
Staff Nurse
Samar Provincial Hospital
07.2014 - 07.2015
- Facility Name: Samar Provincial Hospital
- Unit Specialty: Women’s Health Ward (Obstetrics-Gynecology, Medical-Surgical, Orthopedic, EENT)
- Nurse role: Staff Nurse
Executive Assistant to the President/Pollution Control Officer/Safety Officer
GFTG Property Holdings Corp.
04.2013 - 03.2014
- Facility Name: GFTG Property Holdings Corp.
- Unit Specialty: Grande Island Resort
- Nurse role: Executive Assistant to the President/Pollution Control Officer/Safety Officer
Education
Master of Science in Nursing (MSN) - Nursing Management and Clinical Supervision
Samar State University
Catbalogan City, Philippines06.2025
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St. Mary’s College of Catbalogan
Catbalogan City, Philippines10.2016
Bachelor of Science in Nursing (BSN) - undefined
Samar State University
Catbalogan City, Philippines03.2012
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University of the Philippines Diliman
Quezon City, Philippines10.2004
Skills
Patient education
Care planning
Medication and IV administration
Patient safety
Accomplishments
Awarded with Certificate of Recognition as Finalist of the Outstanding Civil Servant on the 17th day of December 2025 during the Samar State University SULO Awarding Ceremony 2025.
Awarded with Certificate of Recognition as Finalist of the Best Student Services Administrative/Facilitative Staff on the 17th day of December 2025 during the Samar State University SULO Awarding Ceremony 2025.
First Place-Research Final Defense during the Research Colloquium, Samar State University on 06/22/2024
Third Place- Best Presenter on High Impact Research, Innovation & Extension of the International Congress of Innovation-Based Educators and Researchers, Inc.
Best Health Program Implementer during the Department of Education Schools Division of Catbalogan City District X Pagdayaw Awards and Recognition Rites on 12/20/2021
The Rookie Award during the Department of Education Schools Division of Catbalogan City District X Pagdayaw Awards and Recognition Rites on 12/20/2021
Software
EMR-IClinicSys
BizBox Hospital Information System
Certification
Professional Licenses
Personal Information
- ID Type: Registered Nurse - New York, USA
- ID Number: 924886
Additional Information
Registered Nurse and MSN graduate in Nursing Management and Clinical Supervision with experience in clinical practice, teaching, and research. I have been involved in academic instruction, student research guidance, and panel evaluation of research presentations, which strengthened my skills in critical thinking, academic writing, and evidence-based practice. I value accuracy, ethical standards, and well-documented work.
I am also engaged in community health outreach, serving as a volunteer nurse in medical missions with the Operating Room Nurses Association and World Surgical Foundation Philippines, and as a resource speaker for youth programs under Project Risyo4Life at Samar State University.
Languages
English (Proficient), Spanish (Basic), German (Basic), Filipino/Waray (Native)
Interests
Healthcare research, evidence-based practice, academic writing, community health, reading, and singing
Timeline
Staff Nurse
Catbalogan Doctors Hospital
07.2025 - Current
Staff Nurse
Samar Provincial Hospital
01.2024 - 06.2025
Nurse II/Instructor
Samar State University – Care & Wellness Services
10.2022 - Current
Teacher II/School Nurse Designate/School Health Program Coordinator
Department of Education, Division of Catbalogan City
10.2020 - 10.2022
Online English as Second Language (ESL) Teacher
ACADSOC LIMITED
12.2018 - 07.2019
DOH Nurse II-Human Resource for Health
Department of Health
07.2016 - 09.2020
Staff Nurse
Samar Provincial Hospital
07.2014 - 07.2015
Executive Assistant to the President/Pollution Control Officer/Safety Officer
GFTG Property Holdings Corp.
04.2013 - 03.2014
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St. Mary’s College of Catbalogan
Bachelor of Science in Nursing (BSN) - undefined
Samar State University
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University of the Philippines Diliman
Master of Science in Nursing (MSN) - Nursing Management and Clinical Supervision
Samar State University