MARGARET A. MILLER
SAN LEON,USA
Summary
Experienced and autonomous Registered Nurse with extensive experience in clinical nursing across multiple specialties. Proven track record of independent decision-making and patient-centered care in high-acuity environments. Proficient in managing emergency situations and complex patient needs.
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
19
19
years of professional experience
1
1
Certification
Work History
School Nurse
Dickinson ISD-Barber Middle School
08.2020 - Current
- Review and ensure all students are compliant and up to date on state mandated immunizations.
- Perform vision, hearing, and scoliosis screenings on students.
- Collaborate with physicians on students with health conditions and prescribed medication required to be taken at school.
- Administer prescribed medication per physicians’ orders.
- Create individual care plans for students with health conditions.
- Partner with administrators to develop individual care plans for students.
- Educate students and staff on emergency situations and interventions.
- Assess students sent to the clinic and provide basic first aid.
- Manage schedules and documents using Google Workspace and Microsoft 365.
- Demonstrate professional-level skills in Excel, Word, and PowerPoint.
- Maintain and update health records.
Nurse Clinician III – UTMB Health Surgery and Cancer Clinics
University of Texas Medical Branch
01.2018 - 08.2020
- Solely responsible for the Nurse Clinic, performing sterile urine cultures, complex catheter exchanges, bladder instillations, and testosterone injections.
- Expert in the integrity and transport of specimen samples to pathology/lab following strict safety protocols.
- Advanced skill in the setup and breakdown of sterile surgical environments to ensure patient safety and TJC compliance.
- Lead triage for patient calls, utilizing clinical judgment to prioritize urgency and schedule appointments.
- Efficiently manages surgical in-baskets, including medication refills, prior authorizations (PAs), and form processing.
- Partners with urology providers to review diagnostic test results and communicate findings/treatment plans to patients.
- Maintains practice standards in strict accordance with the Texas Nurse Practice Act and ANA Standards of Professional Practice.
- Serves as a primary clinical resource and mentor for Nurse Clinician I and II staff.
- Delivers comprehensive disease-process education to patients, ensuring adherence to The Joint Commission (TJC) standards.
- Skilled in managing unexpected clinical contingencies and emergency situations common to urological populations.
Nurse Clinician III - Pulmonary and Sleep Medicine
University of Texas Medical Branch
05.2017 - 01.2018
- Managed complex respiratory equipment, including oxygen, ventilators, CPAP, and BiPAP.
- Provided disease-process education that aligns with Texas Joint Commission.
- Telephone triage, medication refills, and prior authorizations for specialized medication.
- Partner with pulmonary and sleep medicine providers to interpret test results and coordinate long-term care plans with the interdisciplinary team.
- Clinical resource and leader for new nurses and staff, fulfilling the leadership expectations for advanced clinical tiers.
Nurse Clinician III – Post Anesthesia Care Unit
University of Texas Medical Branch
06.2016 - 05.2017
- Delivered care in post-anesthesia settings, participated in competency evaluations.
- Provided a safe environment for patients to recover.
- Educated patient and family members on post-operative care.
- Collaborated with physicians to create individual care plans for patients.
- Fully assessed patients and administered post-operative pain medications as needed.
Registered Nurse-Post Anesthesia Care Unit
Clear Lake Regional
08.2015 - 06.2016
- Delivered care in post-anesthesia settings, participated in competency evaluations.
- Provided a safe environment for patients to recover.
- Educated patient and family members on post-operative care.
- Collaborated with physicians to create individual care plans for patients.
- Fully assessed patients and administered post-operative pain medications as needed.
Transplant Coordinator – Transplant Services
University of Texas Medical Branch
01.2011 - 08.2015
- Acted as the primary liaison between the patient and interdisciplinary team, including surgeons, dieticians, social workers, and pharmacists to ensure cohesive treatment plans.
- Developed and conducted educational programs for patients and families regarding surgical risks, medication adherence, and proper discharge care.
- Maintained real-time accuracy in the Transplant Computer Database to ensure patient listing status and clinical data meet federal UNOS requirements.
NC III - Surgical Intensive Care Unit
University of Texas Medical Branch
06.2007 - 01.2011
- Dedicated Critical Care Registered Nurse with expertise in managing complex patient populations within a 16-bed ICU. Proven track record of executing advanced clinical interventions, leading nursing teams as a Charge Nurse, and fostering professional growth through preceptorship.
- Committed to patient advocacy, evidence-based practice, and rigorous adherence to institutional safety and quality standards.
- Assess, plan, and implement individualized care for critically ill patients, utilizing advanced nursing diagnoses to adapt treatment plans in real-time based on patient hemodynamic status.
- Administer high-risk medications and complex treatments following strict physician orders and UTMB clinical policies to ensure patient safety and optimal outcomes.
- Perform advanced technical procedures and assist providers with sterile bedside interventions, including central line insertions, intubations, and chest tube placements.
- Serve as Charge Nurse for a 16-bed ICU, overseeing unit flow, resource allocation, and staff assignments. Act as a preceptor and mentor to onboard and develop new nursing staff.
- Deliver comprehensive healthcare teaching to patients and families, ensuring a clear understanding of diagnoses and care plans while promoting a culture of respect for patient rights.
- Participate in unit-based quality improvement (QI) initiatives and maintain strict adherence to internal controls and cost-containment strategies to optimize unit performance.
- Engage in departmental meetings and multidisciplinary rounds to align nursing care with the overarching goals and philosophy of the organization.
Education
Associate Degree of Applied Science -
Galveston College
Galveston, TX05-2007
Skills
- Immunization documentation review
- Health assessment
- Tailored medical care plans
- Assessment of acute illnesses
Certification
- American Heart Association
- Basic Life Support for Healthcare Providers
Timeline
School Nurse
Dickinson ISD-Barber Middle School
08.2020 - Current
Nurse Clinician III – UTMB Health Surgery and Cancer Clinics
University of Texas Medical Branch
01.2018 - 08.2020
Nurse Clinician III - Pulmonary and Sleep Medicine
University of Texas Medical Branch
05.2017 - 01.2018
Nurse Clinician III – Post Anesthesia Care Unit
University of Texas Medical Branch
06.2016 - 05.2017
Registered Nurse-Post Anesthesia Care Unit
Clear Lake Regional
08.2015 - 06.2016
Transplant Coordinator – Transplant Services
University of Texas Medical Branch
01.2011 - 08.2015
NC III - Surgical Intensive Care Unit
University of Texas Medical Branch
06.2007 - 01.2011
Associate Degree of Applied Science -
Galveston College