Adilene Paneda

A certified critical care registered nurse with eight years of experience in the intensive care unit, seeking a nurse practitioner position as a new graduate, where she can apply her strong clinical foundation and expand her scope of practice.

• Registered Nurse License
• Critical Care Registered Nurse certification
• BLS certified
• ACLS certified
• NIH Stroke Scale certification

05/2025 to 08/2025 ACNP Practicum I, Medical: Bayhealth Kent General Hospital, Medical-Surgical & Progressive Care Unit

346 clinical hours

• Managed care for up to six patients daily in collaboration with the interdisciplinary team
• Independently conducted comprehensive patient evaluations, including history, physical exams, and clinical assessments
• Developed differential diagnoses and evidence-based management plans
• Authored admission histories and physicals (H&Ps) and daily progress notes
• Interpreted laboratory and diagnostic results to guide clinical decision-making
• Collaborated and communicated effectively with interdisciplinary healthcare teams to coordinate patient care
• Presented patient cases and clinical findings to preceptors and providers

08/2025 to 12/2025 ACNP Practicum II, Surgical: Bayhealth Kent General Hospital, Neurosurgery 

291 clinical hours 

• Performed comprehensive neurologic assessments independently, including cranial nerve, motor, sensory, cerebellar, and mental status exams, as well as Glasgow Coma Scale (GCS) and NIH Stroke Scale evaluations
• Assessed dermatomal patterns to evaluate spinal cord injuries and neurologic deficits
• Conducted full history and physical examinations to determine surgical candidacy and guide treatment planning
• Interpreted laboratory data (CBC, coagulation panels, microbiology) and diagnostic studies (EKG and TTE) to assess pre-operative readiness
• Collaborated with the interdisciplinary team( neurology, radiology, oncology, and critical care) to manage complex acute and chronic neurologic conditions
• Interpreted neuroimaging (CT head/spine, MRI brain/spine, spinal X-rays) with preceptor to diagnose conditions including vertebral fractures, spinal stenosis, herniated discs, intracranial hemorrhages, subdural/epidural hematomas, cerebral edema, and brain tumors
• Assessed patients with external ventricular drains and lumbar drains, monitoring for neurologic changes and complications
• Monitored post-operative patients for complications, including infection, paralytic ileus, and neurologic deterioration, using clinical assessment and diagnostic data
• Authored admission histories and physicals and daily progress notes; presented patient cases using SOAP format to preceptors and neurosurgeons
• Participated in both inpatient and outpatient care, including post-operative follow-up and assessment of neurologic recovery
• Educated patients on bracing (TLSO/LSO), post-surgical care, multimodal pain management, activity restrictions, and rehabilitation planning
• Coordinated care with interdisciplinary teams, including physical and occupational therapy, to support functional recovery
• Developed and delivered an evidence-based clinical presentation on glioblastoma pathophysiology, symptoms, and diagnostic imaging to clinical professors and peers, highlighting surgical and chemotherapy treatment

01/2026 to 04/2026 ACNP Practicum III, Critical Care/Trauma: Christiana Care Hospital, Neuro Critical Care

283 clinical hours

• Performed comprehensive neurologic assessments independently, including detailed history and physical exams in a high acuity setting, and monitored for changes in patient mental status
• Formulated differential diagnoses and developed evidence-based treatment plans for patients with acute neurologic conditions
• Developed treatment plans for complex patients with multi-organ involvement, including ARDs, sepsis, cardiac arrhythmias, diabetes ketoacidosis, acute alcohol or opioid withdrawal, and neurologic emergencies
• Interpreted laboratory data and neuroimaging, including CT head and brain MRI, to diagnose conditions such as subarachnoid, intraparenchymal, and intraventricular hemorrhages, subdural and epidural hematomas, ischemic stroke, brain mass, cerebral edema, hydrocephalus, and brain herniation
• Evaluated comprehensive stroke workups, including EKG, TTE, lipid panels, and coagulation studies, to determine the etiology of ischemic strokes and guide treatment plans
• Monitored hemodynamic parameters (ICP, CPP, BP) and followed neuro-imaging (MRA, CT perfusion, transcranial doppler ultrasounds) to detect cerebral vasospasms and delayed cerebral ischemia
• Managed patients with external ventricular drains, monitoring intracranial pressure and cerebral perfusion pressure to guide clinical decision-making
• Recognized neurological emergencies such as increased intracranial pressure with delayed cerebral perfusion pressure, brain herniation, status epilepticus, and acute neurologic deterioration
• Monitored continuous EEG and vital signs in the ICU to guide real-time titration of antiepileptic medications to achieve cessation of status epilepticus
• Participated in bedside procedures, including central line and arterial line placement; assisted with intrathecal medication administration and observed external ventricular drain and endotracheal tube placement
• Collaborated with specialty teams such as neurosurgery, neurointerventional surgery, physical/occupational therapy, and speech language pathology to formulate treatment plans for complex neurological cases
• Authored admission histories and physicals and daily progress notes independently
• Presented final diagnoses and treatment plans of patients with complex neurological conditions to neurocritical care nurse practitioners
• Created and presented a comprehensive, evidence-based clinical presentation on the pathophysiology, treatment, and complications of subarachnoid hemorrhages to clinical professors and classmates

• 2018 Bayhealth Nurse of the Year Award Nominee
• 2017 Department of Nursing Highest GPA Award

• American Association of Critical Care Nurses

• ACNP Practicum I: Pulmonary Embolism
• ACNP Practicum II: Gliobastoma
• ACNP Practicum III: Subarachnoid hemorrhage