fiorela l guevara

Oversaw daily operations and throughput of a 101-bed Emergency Department, managing three internal disciplines and 267 staff. Led scheduling, staffing, budget, hiring, and enforcement of policies to optimize patient flow and care delivery.

Supervised all critical care units, managed staffing escalations and patient care concerns, and coordinated admissions, transfers, and patient movement from the ED to inpatient units. Reported safety events and delays to support organizational safety and continuity of care.

Managed ED daily operations and patient throughput, ensured safety for staff, patients, and visitors, and maintained workflows from arrival to discharge. Administered fair staffing schedules and conducted annual staff evaluations to meet organizational goals.

Provided interfacility critical care transport with EMT partners, performing advanced assessments and maintaining continuity of care for devices such as IABP, Swan-Ganz catheters, and intubated patients on multiple drips. Stabilized patients during transfer to higher-level care facilities.

Cared for ED patients on a five-patient assignment, performing assessments, implementing care plans, and evaluating patient outcomes to support timely disposition. Collaborated with interdisciplinary teams to manage acute presentations.

Cared for six- to nine-patient ED assignments, assessing complaints and implementing care plans; as Trauma RN, stabilized critically injured patients with the surgical team prior to ED disposition or OR transfer. Ensured continuity of care in high-acuity situations.

Managed five- to six-patient ED assignments, conducting assessments, implementing interventions, and following nursing processes to evaluate outcomes. Coordinated care with providers to address acute patient needs.

Supported RNs on a medical-surgical geriatrics unit performing EKGs, phlebotomy, and assisting patients with activities of daily living under RN supervision. Contributed to routine clinical tasks to support patient care.

Master of Science in Nursing with a focus in Healthcare Administration from William Paterson University, completed July 2025.

Bachelor of Science in Nursing from Fairleigh Dickinson University, completed May 2018.

High school diploma from Passaic Valley Regional High School, completed June 2012.