The document is a resume for Marlena Acosta-Reyes, a registered respiratory therapist seeking an entry-level position. She has over 10 years of experience as a certified nursing assistant and respiratory therapist. She has worked at several hospitals in California, most recently at Vibra Hospital in Redding as a respiratory therapist providing patient care in long-term acute care including intubation, monitoring complex health issues, and tracheotomy care. She has multiple certifications including registered respiratory therapist, certified respiratory therapist, and certifications in life support, resuscitation, and arterial blood gases. She has a degree in respiratory care from Butte College.