Miranda Miehiar

• Lead team of 12 technologists/phlebotomist personnel focused on Core Laboratory/Microbiology.
• Monitor employee tasks to gauge business functions and inefficiencies.
• Formulate plans for improving procedures, training, and processes.
• Calibrate, maintain, and operate equipment for maximum performance.
• Produce QA documentation on latest findings and report corrective action recommendations.
• Authored best laboratory practices documentation for use in new personnel onboarding process.
• Collaborated with hospitalists to transform critical notification requirements to better meet patient care needs.
• Review quality control, calibrations, maintenance records for completeness.
• Maintaining inventory thru ordering, vendor followup/communication, and obtaining substitute materials when necessary.
• Updating staff schedules and adjusting for call ins
• Maintain POC coordination between departments
• Assign API survey material and competencies to staff
• Maintain employee documentation
• Perform and complete validation/verification of new instrumentation or testing materials such as: Biofire Torch, Sysmex coagulation, and i-Stat Troponin/CKMB cartridges
• Available during all hours for troubleshooting or workflow questions
• Keep laboratory standards in compliance with CLIA regulations

• Monitor lab during high volume times for efficient workflow and to ensure turnaround times are met
• Evaluate and troubleshoot advanced instrumentation issues in accordance with escalation procedures
• Construct weekly schedules
• Evaluate PTO requests, performance evaluations, and employee variances
• Support QA during audits by FDA, Grifols, CLIA, and international agencies
• Complete projects for streamlining workflow and elimination of waste
• Training/Educating team members in blood bank, viral marker, and basic lab techniques
• Monitor lab supplies/materials for correct lot usage and inventory

• An expert in gold standard/molecular methods of ID/susceptibility for AFB, Mycology, and Bacteriology
• Proficient in identification of blood parasites and viruses
• Oversaw study/validation for Anoxomat, Etest Daptomycin/Vancomycin, Biofire Body Fluid joint panel, Haemophilus serotyping kit
• Maintaining open communication with other laboratory departments and infectious disease physicians for individualized patient care
• Proficient is ANA, ANCA, DsDNA, TPPA, RPR, VDRL, and DFA Leg
• Manual methods

• For infectious disease studies
• Maintained performance standards on multiple studies for the following companies: Biomerieux (Etest and blood culture), Accelerate (GN susceptibilities), and Curetis (Respiratory panel)
• Performed quality control testing and lead instrumentation troubleshooting
• Maintain documentation related to studies including Reviewing client SOP, keep accessioning/tracking specimen spread sheets, protocol deviations, meeting minutes, and data transfer logs
• Assigning corrective actions for deviations per client protocol
• Kept continuous communication with client thru teleconferenced weekly meetings
• Run testing on accessioned samples/acting as honest broker accessioning specimens
• Prepared audit materials and supported initial site visit/participate in study trainings
• Managed risk mitigation tactics with support of Manager to reduce negative effects to project timeline
• Administer training to technologist for study parameters and instrumentation use
• Archive specimens per study parameters
• Assigned tasks to team members based upon individual strengths and experience, realizing productivity and workflow improvements.
• Properly set up machines at beginning of each shift and verified function.

• Trained in core laboratory testing such as serology, UA, routine Hematology, phlebotomy, Chemistry
• Received additional training on Meditech LIS
• Proficient in receiving/processes samples for testing
• Troubleshooting Vistas Chemistry analyzer

• Analyzed laboratory findings to check accuracy of results.
• Followed laboratory protocols for specimen processing, analysis, and results reporting.
• Maintained required laboratory supplies inventory, and verified viability of supplies prior to use.
• Trained and oriented new medical technologists to perform and interpret tests.
• Completed projects as part of the design team: Blood 1 Workflow Efficiency, Waste Tracking System, and GP Verigene Repeat Consolidation
• Perform QC procedures and conduct weekly review
• Review current SOP in use and edit to Department standards
• Microbial plate reading on the following benches: Tissues, Body Fluid, CSF, Stool, Respiratory, Blood, Urine, and Wound
• Susceptibility set up and resulting using Microscan/Vitek2 instrumentation
• Molecular microbiology by Biomeriux (VitekMS), Cepheid (infinity), and Nanosphere (verigene)
• Competent in rapid testing methods including, C. difficile, Strep/legionella card by Alere, and Giardia
• Malaria screenings with manual Giemsa staining methods

Preceptorship, Completed rotations in the following areas of the laboratory:

• Point of Care Departmental training of healthcare employees
• Microbiology
• Serology/HLA/flow cytometry/electrophoresis
• Hematology and Chemistry methodologies
• Received training on collection of real time bone marrow samples
• Training completed in specimen processing and specimen quality upon arrival of samples to lab

• Created Workflow charts for Cervical Cancer Department
• Patient intake data and determine patient eligibility for funding
• Complete research for nursing staff/nursing aid to obtain physician contracts
• Communicate effectively with other staff/supervisor to meet company standards
• Inform patients in changes made to their paperwork
• Create mammogram CD’s for patient records