Caroline T. Miranda
Providence Mission Hospital Laguna Beach
Lake Forest,CA
1
Certification
18
years of professional experience
Dedicated Registered Nurse with over 16 years of progressive acute care experience, specializing in diverse settings including Acute Medical Surgical Telemetry, Medical Surgical Geropsychiatric, Acute Chemical Dependency and Home Health settings. Proven expertise in delivering high-quality patient care while effectively collaborating with multidisciplinary teams to enhance outcomes.
Work History
Acute RN (MED-SURG-TELEMETRY)
4 Years 7 Months- Achieved high-quality patient care by maintaining an average caseload of 4 telemetry patients and 5 medical surgical patients. Promoted strict adherence to telemetry monitoring protocols and compliance. Analyzed data trends to drive improvements in patient care outcomes.
- Executed medication administration in Pyxis medication station, maintaining strict adherence to protocols to ensure 100% accuracy.
- Ensured compliance with infection control standards to enhance patient safety and reduce surgical site infections.
- Addressed cardiac emergency warning signs swiftly to enhance patient safety and minimize code blue occurrences.
- Achieved effective patient outcomes through precise administration of TPN and PPN during critical care assessments. Facilitated safe blood transfusions of RBCs, platelets, and plasma while ensuring proper central line care. Delivered high-quality medication management and wound care interventions, including the application of wound vacs.
- Monitored early warning signs of Modified Early Warning Score (MEWS) to facilitate timely emergency interventions.
- Analyzed telemetry data from 12-lead EKGs to support accurate cardiac assessments.
- Expertly operated and maintained Kangaroo pumps, Alaris IV pumps, Infusomat space pumps, IV sets, PCA pumps, and enteral feeding pumps.
Charge Nurse (MED-SURG-GEROPSYCHIATRIC UNIT)
14 Years 6 Months- Collaborated with medical doctors, psychiatrists, social workers, psychologists, and higher management to ensure cohesive patient care across the multidisciplinary team.
- Guided and mentored new charge nurses and trained nurses on safe handling, restraint protocols, and effective geriatric communication techniques.
- Led interventions for acute confused/delirium, wandering or aggression common in older psychiatric and med-surg populations.
- Guided, mentored and preceptor new charge nurses and guided new nurses on safe handling, restrained protocols, and geriatric communication technique.
- Implemented 5 M’s framework to enhance patient care and decision-making.
- Managed patient flow and assignments, overseeing admissions, discharges, and bed transfers to optimize unit operations.
- Tracked key metrics, monitored for falls, pressure injuries, catheter-associated urinary tract infections. Updated practices, and used data to fix clinical workflows and removed unsafe workarounds.
Acute RN (CHEMICAL DEPENDENCY UNIT)
7 Years- Monitored acute withdrawal symptoms, vital signs, and physical stability during intensive substance detoxifications.
- Monitored CIWA/COWS withdrawal scoring, administering medications, implemented detoxification protocols, evaluated, checked the efficacy of the medications and or treatment.
- Recognized and managed assaultive behaviors, co-occurring mental health disorders (dual diagnosis) and executed strict detoxification protocols.
- Educated patients and families on addiction treatment options and relapse prevention, facilitating outpatient rehabilitation programs and referrals.
- Covering Charge Nurse and strictly adhering to unit rules and policies, preceptor and mentored new nurses.
- Closed the unit for operational purposes.
House Supervisor (Acute Skilled Nursing)
6 Years- Implemented patient care for up to 74 patients with post surgeries requiring extensive acute skilled physical therapy, and short or long-term requiring acute skills nursing care.
- Managed admissions, patient care, discharges, referrals, and other related care.
- Delivered direct nursing care, administered medications, and assessed patient conditions for transfer to higher levels of care when necessary.
- Provided leadership training that includes the administrative and supervisory principles essential for all Charge Nurses.
Education
Bachelor Science - Nursing
High School Diploma
Elementary Graduate - Bachelor of Science in Nursing
Skills
Skilled in Cardiac Monitoring/12 leads EKG
telemetry data interpretation.
Critical care management
Surgical care expertise
Infection prevention practices
IV pump operation
Epic EMR
Pyxis medication dispensing
Barcode medication administration
Tele-sitters and smart beds
Charge Nurse duties
Shared Governance and Quality Improvement.
Preceptorship and New Grad Mentorship
Clinical:
Floats to several units such as Acute Oncology
Acute Orthopedic
and Tele Sepsis
Certification
- Registered Nurse(RN) - California License - Active
- ACLS(Advance Cardiac Life Support) - expire 2027
- BLS(Basic Life Support) - expire 2027
- NIH Stroke Scale Certified - active
- AVADE De Escalation Certified - active
- Peritoneal Dialysis Certified - active.
Timeline
Acute RN (MED-SURG-TELEMETRY)
Providence Mission Hospital Laguna Beach
01.2022 - CurrentRead More
Acute RN (CHEMICAL DEPENDENCY UNIT)
Providence Mission Hospital Laguna Beach
01.2015 - 01.2022Read More
Charge Nurse (MED-SURG-GEROPSYCHIATRIC UNIT)
Huntington Beach Hospital
01.2012 - 07.2026Read More
House Supervisor (Acute Skilled Nursing)
Victoria Healthcare Center Costa Mesa
01.2009 - 01.2015Read More
Golden Elementary School
Elementary Graduate from Bachelor of Science in Nursing
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University of Pangasinan
Bachelor Science from Nursing
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Mapandan Academy
High School Diploma
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