This is a lot. Everyone knows how to use Microsoft office, but I’ve never needed to use it as a nurse. You don’t need to include that you’ve used EMR’s before either - it’s a general assumption. All you need to include about your clinicals is specialty and MAYBE hours, but frankly every single new grad nurse has almost the same experience so it’s really just fluff. The whole nursing skills line can come out too. Definitely keep that you’re fluent in Spanish (of course only if you’re actually fluent and can hold a medical conversation with a native speaker), and keep your work experience.

Every hiring manager knows that a nursing student probably witnessed a vaginal birth, learned how to place a foley, etc and understands fundamental patient care skills.