Miracle Joy Eligino
Marysville
Summary
Registered Nurse with solid experience in critical care step-down/progressive care environments, managing high-acuity patients requiring continuous cardiac monitoring, advanced respiratory support, and complex medication regimens. Proven ability to rapidly assess patient status, identify subtle clinical changes, and initiate timely interventions, including rapid response activation. Experienced in caring for post-ICU patients, supporting ventilator weaning, managing non-invasive ventilation.
Recognized for strong critical thinking, calm performance in high-pressure situations, and effective collaboration with interdisciplinary teams. Committed to evidence-based practice, patient safety, and continuous professional development. Highly motivated to transition into an Intensive Care Unit (ICU) role to expand advanced critical care competencies and contribute to exceptional patient outcomes in a fast-paced, high-acuity setting.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Registered Nurse
Swedish Medical Center First Hill - Critical Care IMCU
07.2024 - Current
- Utilized critical thinking skills to prioritize nursing interventions based on patients acuity levels and individual needs.
- Assessed and managed complex airways including patients with new or chronic tracheostomies, ensuring proper humidification, suctioning, and emergency preparedness.
- Delivered non-invasive ventilation support with BiPAP and CPAP, adjusting settings per patient response and coordinating with respiratory therapy.
- Monitored hemodynamics and interpreted lab results (e.g., lactate levels, ABGs, CBCs) to guide sepsis management.
- Initiated and managed care bundles for sepsis, including fluid resuscitation, blood cultures, and time-sensitive antibiotic administration.
- Collaborated with physicians, RTs, and pharmacists.
- Built rapport with community members to promote trust and cultural sensitivity in care delivery.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Managed patients recovering from medical or surgical procedures.
- Provided skilled, timely and level-headed emergency response to critically-ill patients..
Education
Nursing
Shoreline Community College
Shoreline, WA06-2024
Skills
- Step-down / progressive care nursing (PCU)
- Continuous cardiac monitoring and telemetry
- ACLS
- Intermediate hemodynamic monitoring
- Rapid patient assessment and early deterioration recognition
- Emergency response and rapid response team activation
- Post-ICU patient transition and stabilization
- Medication administration and titrated infusions (per protocol)
- Oxygen therapy and non-invasive ventilation (BiPAP/CPAP, HFNC)
- Infection prevention and patient safety practices
- Evidence-based practice and quality improvement
- Patient assessment and care coordination
- Interdisciplinary team collaboration, care planning, implementation, and evaluation
- Patient and family education
- Pain management and sedation monitoring
- Discharge planning and patient transitions
Professional attributes highly organized and
Detail-oriented, flexible
Dependable, self-motivated with strong initiative, calm
Effective communicator in high-stress situations
Clinical skills and technologies:
Monitoring and devices: telemetry systems, continuous pulse oximetry, non-invasive blood pressure monitoring
Respiratory support: high-flow nasal cannula (HFNC), CPAP, BiPAP, and oxygen delivery systems
Medication and therapy management: cardiac medications, anticoagulants, insulin infusions, pain management protocols, and selected vasoactive drips per step-down guidelines
Clinical equipment: infusion pumps, feeding tubes, wound vacs, and chest tubes, NICOM
Electronic Health Records (EHR):
Epic
Standards and compliance: Joint Commission standards, HIPAA, patient safety goals, infection control guidelines, policy stat
Core Competencies
- Demonstrates strong clinical leadership with comprehensive knowledge of critical care step-down practices and patient safety protocols
- Highly adaptable and responsive in fast-paced, high-acuity clinical environments with rapidly changing patient conditions
- Experienced in patient assessment, clinical monitoring, and use of diagnostic tools to support timely, evidence-based interventions
- Knowledgeable in healthcare regulations, ethical standards, and hospital policies, including HIPAA and Joint Commission requirements
- Demonstrates strong clinical judgment and accurate patient assessment to minimize risk, error, and adverse outcomes
- Skilled in managing complex patient conditions, clinical events, and emergent situations, including rapid response activation
- Ability to develop and refine care workflows that promote effective communication, patient safety, and continuity of care
- Brings initiative and problem-solving skills to enhance unit efficiency while supporting evidence-based practice
- Provides guidance and support to peers, contributing to effective teamwork and smooth unit operations
- Strong written and verbal communication skills for clinical documentation, handoffs, and interdisciplinary collaboration
Certification
- Advanced Cardiovascular Life Support - ACLS
- Basic Life Support - BLS
- NIH Stroke Scale Certification
Volunteer work
Medical Mission Trip - Iloilo, Philippines
January 2025
- Participated in a community-based medical mission providing essential healthcare services to underserved populations in rural and urban areas.
- Performed basic health screenings including blood pressure monitoring, capillary blood glucose testing, and general physical assessments.
- Assisted in the safe administration of prescribed medications and vitamins,.
- Provided individualized health education on chronic disease management (e.g., hypertension, diabetes, stroke), nutrition, and hygiene to promote long-term wellness.
Timeline
Registered Nurse
Swedish Medical Center First Hill - Critical Care IMCU
07.2024 - Current
Nursing
Shoreline Community College