Alexis Miranda
Red Oak,TX
Summary
Motivated professional offering seven year's of Oncology certified registered nurse experience. Adds value to any organization in need of great collaboration, interpersonal and multitasking abilities. Meets tight deadlines. Detail oriented team player with excellent interpersonal skills, compassion and dedication.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Oncology Staff Registered Nurse
Ut Southwestern Medical Center
Dallas, TX
12.2017 - Current
- Utilized evidence based practice guidelines to provide quality patient outcomes.
- Provided emotional support to family members during times of crisis or stress due to their loved one's illness or death.
- Maintained accurate records of patient assessments, interventions and treatments provided and evaluations of care rendered.
- Participated in continuing education programs related to oncology nursing practices.
- Monitored laboratory values closely for any abnormal results that may require immediate action by the physician.
- Identified potential problems before they escalated into serious complications utilizing critical thinking skills.
- Collaborated with multidisciplinary teams in order to coordinate high quality care for every patient.
- Evaluated effectiveness of treatments regularly through assessment of vital signs and lab data results.
- Developed and implemented plans of care for individualized patient needs.
- Assessed, monitored, and documented all changes in patient condition.
- Educated patients and families regarding disease processes, medications, nutrition, and lifestyle modifications.
- Coordinated with physicians, pharmacists, social workers, dietitians, physical therapists, occupational therapists and other health care providers to ensure the best possible outcome for each patient.
- Actively participated in interdisciplinary rounds with the healthcare team to discuss patient progress and plan of care.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Referred patients to specialized health resources or community agencies to furnish additional assistance.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Prepared medical equipment and tools to aid physician during examination and treatment of patients.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
Registered Nurse, Cardiac Telemetry
Methodist Dallas Medical Center
Dallas, TX
05.2012 - 08.2015
- Provided patient care and education to patients with chronic illnesses.
- Assessed, planned, implemented and evaluated nursing care for assigned patients.
- Administered medications and treatments according to physician orders.
- Monitored vital signs, administered injections, and provided assistance with medical procedures.
- Documented patient progress notes accurately and efficiently in the electronic medical record system.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Instructed patients on proper self-care techniques at home following discharge from the hospital.
- Participated in multidisciplinary team meetings to discuss patient care plans.
- Ensured compliance with standards of professional practice as well as state and federal regulations related to health care delivery services.
- Demonstrated knowledge of current trends in nursing practices by attending continuing education classes or seminars.
- Utilized critical thinking skills to assess clinical situations quickly and accurately.
- Maintained a safe environment for all patients by adhering to infection control policies and procedures.
- Provided emotional support and comfort to families during difficult times.
- Counseled patients regarding medication side effects or lifestyle changes necessary for improved health outcomes.
- Assisted physicians during examinations or surgical procedures.
- Developed educational materials for use in teaching sessions with patients or their families.
- Coordinated discharge planning activities including arranging follow up appointments or referrals for additional services.
- Administered medications and treatments, monitoring patients for reactions and side effects.
- Adhered to infection control procedures to facilitate safe, clean patient environment.
- Evaluated patients, recognized and addressed complications and coordinated treatment with other members of critical care team.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Acted as patient advocate and implemented total patient care through team nursing process.
- Recorded patient condition, vital signs, recovery progress and medication side effects.
- Administered medications, tracked dosages and documented patient conditions.
- Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
- Conducted intake assessments with patients and relatives to gather case history.
- Collaborated with doctors to plan post-treatment home care and prevent return hospitalization.
- Monitored patients after surgery, answered questions and provided home care strategies.
Long-Term Care Registered Nurse
Select Specialty Hospital LTAC
DeSoto, TX
07.2011 - 05.2012
- Provided direct nursing care to long-term care residents including medication administration, wound dressing changes, and patient education.
- Conducted resident assessments and developed appropriate treatment plans in collaboration with physicians.
- Monitored vital signs such as temperature, blood pressure, pulse rate, and respiration rate.
- Assessed the need for medical equipment such as wheelchairs or walkers in order to ensure safety of residents.
- Reviewed laboratory results and other diagnostic tests to evaluate the health condition of residents.
- Performed daily rounds on assigned patients to assess their overall health status and well-being.
- Facilitated interdisciplinary team meetings with other healthcare professionals to discuss patient progress and plan further interventions.
- Provided emotional support to residents and their families during difficult times.
- Maintained accurate documentation of all nursing activities in accordance with established standards of practice.
- Reported any abnormalities or changes in a resident's condition promptly to physician and supervisor.
- Administered intravenous fluids when necessary according to physician orders.
- Evaluated the effectiveness of treatments provided and adjusted accordingly.
- Assisted with admissions process including orientation to facility services and programs.
- Implemented infection control measures within the facility setting according to established protocols.
- Responded quickly and appropriately in emergency situations involving medical crises or accidents.
- Responded promptly to changes in conditions and emergency situations to deliver expert care in line with good practices and patients' wishes.
- Managed medication passes and treatment schedules to verify proper administration.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Conducted specified laboratory tests to help detect conditions and determine diagnosis.
- Administered local, inhalation or intravenous anesthetics to patients undergoing procedures.
Home Health Registered Nurse
Thompson Home Health
Marksville, LA
07.2009 - 05.2011
- Assessed and evaluated patient's condition, including physical and psychological status, to develop individualized care plans.
- Provided direct nursing care by administering medications, treatments, wound care, injections, and other skilled procedures as ordered by the physician.
- Collaborated with physicians and other health team members to plan, implement and evaluate patient care plans.
- Monitored vital signs such as blood pressure, temperature, pulse rate and respiration.
- Instructed patients in proper self-care techniques such as medication administration or wound dressing changes.
- Conducted home visits to assess safety of living environment for elderly or disabled clients.
- Performed delegated medical tasks such as monitoring glucose levels for diabetic patients or catheterizations when necessary.
- Developed discharge plans that included follow-up arrangements for all discharged patients.
- Identified problems related to patient's mental health issues such as depression or anxiety disorder and referred them for appropriate therapy services.
- Provided emotional support to patients dealing with chronic illness or end of life situations.
- Participated in multidisciplinary case conferences regarding complex cases requiring special attention or input from various healthcare professionals.
- Developed a trusting relationship with each client through open communication while respecting cultural differences.
- Implemented infection control measures according to established protocols in order to prevent spread of disease within the community.
- Evaluated effectiveness of nursing interventions based on outcomes achieved relative to goals established in the care plan.
- Continually monitored changing needs of clients while adapting treatment plans accordingly.
- Attended professional development seminars and workshops in order to stay up-to-date on best practices within the field.
- Notified physicians of changes in patients' conditions.
- Utilized learned nursing skills for wound care, vital sign checking and medication assistance.
- Provided home health aide care providers with training, guidance, support and supervision to achieve objectives.
- Asked open-ended questions and delivered high level of attention to reliably assess patients' conditions.
- Completed initial assessments of patients and family to determine and address individual home care needs.
- Conducted regular re-evaluations to address changes in needs and conditions, and introduced revisions to care plans.
- Addressed patient care needs, collected vitals, dressed wounds and managed catheters.
- Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
Home Health Licensed Practical Nurse
Thompson Home Health
Marksville, LA
08.2006 - 10.2008
- Provided direct nursing care to patients in their homes, including wound care and medication administration.
- Assessed patient's condition by observing physical and mental status, measuring vital signs, and reviewing medical records.
- Educated patients on disease prevention and health maintenance strategies.
- Monitored patient progress toward goals set in the plan of care, adjusting as needed.
- Instructed patients and family members about proper home healthcare techniques such as bandaging, administering injections, using assistive devices.
- Ensured that all documentation was accurate and up-to-date regarding patient assessments and interventions provided.
- Reported changes in patients' conditions to primary care providers or other specialists as required.
- Implemented infection control protocols within the home environment to maintain safety standards.
- Attended professional development workshops to stay abreast of current best practices in Home Health Care.
- Conducted regular re-evaluations to address changes in needs and conditions, and introduced revisions to care plans.
- Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
- Addressed patient care needs, collected vitals, dressed wounds and managed catheters.
- Assisted patients with activities of daily living and functional mobility to increase comfort and quality of life.
- Participated in on-call rotations and delivered after-hours care.
- Collected biological samples for routine laboratory testing to assist diagnostic processes.
- Worked with social workers, physical therapists and speech therapists to assess patient needs, plan and adjust plans of care and actualize nursing interventions to promote and restore patient health.
- Collected blood, urine or sputum from patients to perform routine laboratory tests.
- Provided pre- and post-operative nursing care.
Licensed Practical Nurse, Nursing Home
Colonial Nursing Home
Marksville, LA
08.2003 - 08.2006
- Administered pain control medications according to physician orders and assessed response to treatment.
- Utilized evidence based practice guidelines to provide quality patient outcomes.
- Assisted patients with activities of daily living such as bathing or ambulation as needed.
- Responded quickly and effectively to life threatening situations using advanced cardiac life support techniques when necessary.
- Provided emotional support to family members during times of crisis or stress due to their loved one's illness or death.
- Maintained accurate records of patient assessments, interventions and treatments provided and evaluations of care rendered.
- Identified potential problems before they escalated into serious complications utilizing critical thinking skills.
- Assessed, monitored, and documented all changes in patient condition.
- Coordinated with physicians, pharmacists, social workers, dietitians, physical therapists, occupational therapists and other health care providers to ensure the best possible outcome for each patient.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
Education
Bachelor of Science - Nursing
Northwestern State University of Louisiana
Natchitoches, LA12-2015
Associate of Science - Nursing
Northwestern State University of Louisiana
Natchitoches, LA12-2008
Licensed Practical Nurse - Nurse
Louisiana Technical College
Hessmer, LA12-2002
Skills
- Clinical Documentation
- Emotional Support
- Documentation
- Infection Control
- Treatment Preparation
- Patient Examination
- Wound Care
- Vitals Monitoring
- Direct Patient Care
- Care Coordination
- Case Management
- Patient Condition Monitoring
- Patient and Family Advocacy
- IV Drug Therapy Management
- Diagnostic Test Evaluations
- Immunizations and Vaccinations
- ICD-10
- Microsoft Office
- Medication Administration
- Patient Care Assessment
- Community Program Referrals
- Monitoring Vital Signs
- Medication and IV Administration
- Compassionate and Caring
- Delegation and Motivation
- Collecting Vitals
- Colostomy Care Familiarity
- Attention to Detail
- Preventive Healthcare
- Sanitation
- Critical Thinking
- Catheter Monitoring
- Diagnostic Test Ordering
- Strong Clinical Judgment
- Training Staff
- Blood Draw and Sample Collection
Certification
- Oncology Certified Nurse (2017)
- Advanced Cardiovascular Life Support (2025)
- Pediatric Advanced Life Support (2025)
Timeline
Oncology Staff Registered Nurse
Ut Southwestern Medical Center
12.2017 - Current
Registered Nurse, Cardiac Telemetry
Methodist Dallas Medical Center
05.2012 - 08.2015
Long-Term Care Registered Nurse
Select Specialty Hospital LTAC
07.2011 - 05.2012
Home Health Registered Nurse
Thompson Home Health
07.2009 - 05.2011
Home Health Licensed Practical Nurse
Thompson Home Health
08.2006 - 10.2008
Licensed Practical Nurse, Nursing Home
Colonial Nursing Home
08.2003 - 08.2006
Bachelor of Science - Nursing
Northwestern State University of Louisiana
Associate of Science - Nursing
Northwestern State University of Louisiana
Licensed Practical Nurse - Nurse
Louisiana Technical College
- Oncology Certified Nurse (2017)
- Advanced Cardiovascular Life Support (2025)
- Pediatric Advanced Life Support (2025)
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