JESSICA FISCH, RN CALIFORNIA

I have a lot
of “whys.”

Why is this patient’s condition changing? What is this medication doing? How do the pieces fit together? Those questions are what drew me to critical care.

I’m Jessica, a new graduate RN. I felt most like myself during my ICU and ED rotations: paying attention, asking questions, and beginning to connect what I’d learned with the person in front of me.

Felton, California · San Francisco Bay Area
RN California registered nurseACLS Advanced Cardiovascular Life SupportNIHSS NIH Stroke ScaleBSN Expected October 2026 · WGU

01 / MY STORY

Nursing runs
in my family.

My mom is a retired RN. My sister is an LVN. I grew up with nurses in my family, but I needed my own reason to become one.

I wanted work that mattered to someone in a real, tangible way. Nursing brought that together with the things I enjoy: science, problem-solving, and getting to know people. I want to understand what’s happening with a patient and help them and their family feel a little less afraid.

Why critical care?

ICU was my favorite rotation. At first, I was excited to try skills I’d practiced in lab. Then I found myself getting more interested in the questions behind them. Why did that lab value change? Why this medication? What was happening physiologically?

Critical care theory was where things I’d learned separately began connecting. In clinicals, I could see those connections in actual patients. I have an enormous amount left to learn, and that’s part of what draws me to this work.

A moment from my first day in the ED

We had barely started the quarter, and I was very aware of how much I didn’t know. I was helping care for a patient receiving breathing support when I noticed she was sweating, becoming more restless, and saying something didn’t feel right.

I stayed close and watched her more carefully. Her blood pressure was falling. The first readings were still within an acceptable range, but the trend concerned me, so I brought it to my nurse’s attention. When it continued to fall, I spoke up again.

My nurse asked me to take a manual blood pressure. It was much lower. I remember looking over my shoulder and making eye contact with him. He immediately went to get the physician.

I couldn’t explain everything that was happening, and diagnosing it wasn’t my role as a student. What I could do was listen to the patient, notice a change, reassess, and speak up. That experience has stayed with me.

You don’t have to know everything to recognize that something isn’t right.

02 / CLINICAL EXPERIENCE

Clinical
experience.

My ICU and ED rotations gave me a direction. My telemetry preceptorship gave me more time to practice assessment, follow changing rhythms, and learn with a preceptor beside me.

SENIOR PRECEPTORSHIP168 hours

FEBRUARY 3 – MARCH 19, 2026

Telemetry preceptorship

Good Samaritan Hospital San Jose, CA

With my preceptor’s guidance, I cared for a four-patient telemetry assignment. I practiced interpreting rhythms each day, followed changes in my patients, and used feedback to improve my care.

  • Continuous cardiac monitoring and daily rhythm interpretation, including PR, QRS, and QT intervals.
  • Recognition of dysrhythmias and conduction abnormalities, with findings communicated to the RN and telemetry technician.
  • Cardiac and IV medication administration; participation in infusion titration and monitoring.
  • SBAR escalation, reassessment, and documentation in MEDITECH.
PREVIOUS EMPLOYMENTPatient services experience

MAY 2018 – OCTOBER 2020

Family Medicine Samaritan

Patient Services Representative · Los Gatos

Before nursing school, I helped patients with scheduling, referrals, and insurance authorizations, often handling 80–100+ calls a day. I also worked with physicians on scheduling guidelines and used Epic for registration and appointments.

SEPTEMBER 2016 – MAY 2018

Menlo Medical Clinic

Patient Services Representative · Menlo Park

I helped patients arrange appointments across specialties, navigate referrals, and verify insurance. This was part of my introduction to healthcare, before I began learning bedside care.

VOLUNTEER WORK · APRIL 22, 2026

De Anza College Health Fair

Volunteer · Cupertino, California

I volunteered at De Anza College’s community health fair in April 2026.

03 / EDUCATION & DEVELOPMENT

Education &
certifications.

The deeper we went into pathophysiology and medications in nursing school, the more interested I became. I earned my ADN at De Anza in March 2026 and am continuing at WGU, with BSN completion expected in October 2026.

WGU Excellence Awards

WGU recognized two of my assignments with Excellence Awards: Comprehensive Health Assessment and Interprofessional Communication and Leadership in Healthcare.

EXPECTED OCTOBER 2026 IN PROGRESS

Bachelor of Science in Nursing

Western Governors University

RN-to-BSN program

EXPECTED OCTOBER 2026 IN PROGRESS

Public Health Nurse Certificate (PHN)

Expected with BSN completion

MARCH 2026 COMPLETED

Associate Degree in Nursing

De Anza College · Cupertino, California

GPA 3.96 · Graduated March 27, 2026
Licensure & core certifications
  • California Registered NurseIssued May 2026 · Expires February 2028
  • Advanced Cardiovascular Life Support (ACLS)
  • Basic Life Support (BLS)American Heart Association · Expires August 2027
  • NIH Stroke ScaleCompleted March 2026
  • ACS Stop the BleedAmerican College of Surgeons · March 2026
  • Bloodborne Pathogens TrainingMarch 2026
  • Mandated Reporter TrainingMedical professionals
Continuing professional learning
  • IHI Basic Certificate in Quality and Safety2026
  • ELNEC Core Curriculum2026
  • Genetics, Genomics, Genethics2026
  • Research Ethics TrainingCITI Program

04 / SELECTED ACADEMIC WORK

Selected
coursework.

My questions carry into my coursework, too: how can we prevent infections, reduce falls, and make everyday care safer? These are three assignments I’ve worked on at WGU.

Academic projects completed as part of RN-to-BSN coursework.

05 / RECOMMENDATIONS

“Jessica actively sought feedback and consistently applied it to improve her practice.”

Mia Regala-Orante, RN II, BSNSenior Preceptor, Good Samaritan Hospital · August 2026

Read full letter

LET’S CONNECT

Get in touch.

I’m looking for a nurse residency where I can ask questions, learn from experienced nurses, and build toward a career in intensive care. If that sounds like your team, I’d love to talk.

Jessica Fisch, RN
Felton, California