Joyce Blanca Miranda
Orange,CA
Summary
Passionate and hard-working Registered Nurse with 10 years of experience in fast-paced and efficient clinical environments. Distinguished understanding of perioperative facility procedures and providing patient and family education.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Pre/Post Care RN
University of California, Irvine Medical Center
08.2024 - Current
- Managed care from admission to discharge
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols
- Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care
- Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care
- Organized and managed care of patients undergoing various therapies and procedures
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
- Implemented medication and IV administration, catheter insertion, and airway management
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans
- Educated family members and caregivers on patient care instructions
Pre-op RN
Foothill Regional Medical Center
03.2023 - 08.2024
- Administers patient medications, treatments and procedures in a safe, effective and age-appropriate manner
- Recognizes change in patient conditions, taking appropriate action and documenting intervention
- Ensures patient is appropriately prepped for procedure
- Performs a complete health history, physical assessment, including vital signs
- Ensures accurate completion of preop checklist and informed consent
- Evaluates and documents patient's response to care
- Consistently ensures nursing practice is evidence based and within scope of licensure
- Ensures Infection Control procedures and HIPAA compliance
- Empathizes with patient, expresses compassion and understanding for the situation and demonstrates care which is appropriate for the age, and cultural, religious, or ethnic background
- Actively engages in caring behaviors, taking conscious ownership for work and takes deliberate/thoughtful actions regarding how to best carry out relationships with the patient and co-workers
- Collaborates with staff and members of the healthcare team, ensuring the coordination of care between other disciplines and support staff
- Delegates patient care activities to appropriate members of the health care team, provides effective leadership and ensures that care is safe and of high quality
- Develops and implements a plan of care for patients that considers patient age, cultural and religious preferences
- Supports the patient’s participation in planning for their care and acts as a source of information, articulately responding to questions and providing resources/education
Pre-op RN
La Veta Surgical Center
09.2021 - 03.2023
- Admit, assess and prepare ambulatory care patients for surgery in accordance with surgery center policies, and individual patient needs
- Initiate IV lines as well as administer IV medications and fluids while monitoring reactions, side effects and adverse effects
- Promote patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems
- Accurately document and assess while prioritizing patient safety
- Collaborate with all members of the surgical teams in driving successful patient outcomes by prioritizing standard of care and best practices
GI Lab RN
North Orange County Surgery Center
05.2015 - 08.2021
- Conduct and document a thorough assessment for each patient’s medical status upon admission and throughout the patient’s course of treatment
- Insert peripheral IV’s and monitor vital signs
- Prepare for procedures as appropriate and operate instruments, supplies and equipment in a manner that is cost effective without compromising quality of care
- Perform conscious sedation, assist in OR procedures, and maintain scopes
- Recover patients in post-anesthesia period
- Complete required documentation in an accurate and timely manner while complying in evaluation, treatment and documentation guidelines prescribed
- Maintain patient paperwork including history and physicals, physician orders, vital signs, progress notes, patients consent, and discharge documents
Registered Nurse
West Anaheim Extended Care
05.2015 - 01.2017
- Directs all nursing staff on assigned shift for all units
- Assigns personnel to units when and as needed
- Monitor staffing/schedule needs for all shifts and as needed to cover call-in, time-offs, etc
- Continually assesses resident status, including care, treatment, medication, conditions, etc
- Reviews clinical records on daily basis to assure follow up of all physician’s order, care plans, goals, and approaches, nursing order, treatments, etc
- Communicates resident care issues to the Director of Nursing and Assistant Director of nursing through shift report and/or morning report
- Coordinates nursing care with outside resources
- Communicates with residents’ families to update them on residents’ status
- Supervises all personnel on assigned shift
- Addresses all issues that arise
- Responds to all emergency situations when they arise
- Initiates necessary action as emergency dictates
Registered Nurse
Mesa Verde Post Acute Care Center
07.2014 - 04.2015
- Supervises all personnel on assigned shift
- Addresses all issues that arise
- To understand, use, and follow restorative nursing principles and practices
- Responds to all emergency situations when they arise
- Initiates necessary action as emergency dictates
- Available to staff in other departments for injury evaluation and first-aid related to work-related incidents
- Communicates policy and procedures to staff
- Follows all safety, security, infection control, universal precaution and hazardous material policies and procedures
- Supervise and assure all tasks performed assure resident and personnel safety and the protection of co-workers and nursing home property
Education
Bachelor of Science - Nursing
Angeles University Foundation
Philippines04.2007
Skills
- Discharge Planning
- Compassion and Empathy
- Community health
- Clinical judgment
- Advanced cardiac life support
Certification
- ACLS Certification, American Heart Association
- PALS Certification, American Heart Association
- BLS Certification, American Heart Association
References
- Aurora Vitug, Charge Nurse, Foothill Regional Medical Center, auvitug@icloud.com
- Elizabeth Carmona, Charge Nurse, La Veta Surgical Center, elizabeth.ramirez-carmona@scasurgery.com
- Karen LaBonte, Nurse Manager, North Orange County Surgery Center, klabonte@nocsc.com
Degree
BSN, RN
Timeline
Pre/Post Care RN
University of California, Irvine Medical Center
08.2024 - Current
Pre-op RN
Foothill Regional Medical Center
03.2023 - 08.2024
Pre-op RN
La Veta Surgical Center
09.2021 - 03.2023
GI Lab RN
North Orange County Surgery Center
05.2015 - 08.2021
Registered Nurse
West Anaheim Extended Care
05.2015 - 01.2017
Registered Nurse
Mesa Verde Post Acute Care Center
07.2014 - 04.2015
Bachelor of Science - Nursing
Angeles University Foundation
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