Miranda Santellan

• Streamlined communication between departments for improved patient flow and satisfaction.
• Coordinated staffing needs during emergency situations, ensuring adequate resources were available for patient care.
• Managed calls from outlying facilities to facilitate direct admits from smaller rural clinics and hospitals, as well as transfer out patients needing other services or higher level of care. Worked with physicians to accept and place patients.
• During night shift, acted as Pharmacy and worked closely with remote 24 hour Pharmacist. Mixed drips, reconstituted pediatric oral medication and filled other medications that were not readily available in the pyxis.

• Delegated tasks and provided leadership for all nurses and support personnel.
• Maintained proper staff levels within budget parameters to deliver high levels of care to every patient.
• Investigated and reported all incidents per hospital policies.
• Confidently directed overall operation of nursing services and patient care.
• Interacted effectively with department managers to promptly correct problems and improve services.
• Collaborated with physicians and interdisciplinary teams to devise and manage individualized plans of care.
• Supervised professional and paraprofessional nursing staff and delegated tasks to maintain continuum of care.
• Oversaw admissions and discharges and scheduling of nursing staff.

• Monitored patient reactions after administering medications and IV therapies such as moderate sedation.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions during procedures.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.

• Coordinated with registration staff, medics, ER staff and ER physicians to cut time between admission and treatment, improving patient outcomes and delivery of care.
• Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Answered codes quickly and orchestrated efficient, skilled medical care.

• Head critical care nurse responding to all codes and rapid responses in the facility and works very closely with physicians to facilitate care.
• Provide skilled, timely and organized emergency response to critically-ill patients.
• Investigated and resolved issues affecting hospital operations and patient care.
• Filled in as ICU charge nurse as needed.

• Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
• Coordinated with healthcare staff from various disciplines to devise, carry out and manage personalized care plans to benefit patient health and recovery.
• Complied with infectious disease measures to reduce spread of COVID-19 between patients, families, and medical personnel.
• Educated patients and families about COVID-19 related illnesses, recommended protective measures, and treatments.
• Participated in development of Patient Care Plans for patients experiencing COVID-19.

• Delivered age-appropriate medical care for adult, adolescent and geriatric ICU patients.
• Developed and implemented patient care plans based on physicians' instructions and generally accepted nursing practices.
• Coordinated with healthcare staff from various disciplines to devise, carry out and manage personalized care plans to benefit patient health and recovery.
• Educated patients and families about COVID-19 related illnesses, recommended protective measures, and treatments.
• Administered medications, assessed changes, and reported results to doctors.

• Delivered outstanding patient care in various critical care units. As a part of the Critical Care Resource staff, worked in the Emergency Department, ICU and PCU units. Acted as fill in charge for ICU and PCU when needed.
• Assessed and managed various patient treatments for numerous patient diagnoses from sepsis to acute respiratory distress.
• Coordinated with healthcare staff from various disciplines to devise, carry out and manage personalized care plans to benefit patient health and recovery.
• Filled in as ICU and PCU charge nurse as needed.

• Administered medications, assessed changes, and reported results to doctors.
• Complied with infectious disease measures to reduce spread of COVID-19 between patients, families, and medical personnel.
• Educated patients and families about COVID-19 related illnesses, recommended protective measures, and treatments.
• Participated in development of Patient Care Plans for patients experiencing COVID-19.

• Defined and articulated goal learning outcomes, performance metrics and changes to improve student learning.
• Assigned students to patients based on students' learning objectives and patient needs.
• Supervised students when administering medications to maintain patient safety.
• Collaborated with fellow instructors to implement best practices to enhance student learning.
• Instructed and coached students to help overcome academic issues and personal challenges.

• Neuro Trauma ICU.Work with interdisciplinary team to treat and care for patients with diagnoses such as MVC, MCC, SAH, SDH and IPH.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.

Delivered compassionate care to a variety of different diagnoses in a 18 bed ICU.

Managed life support equipment and IV administration of fluids and medications.

Consulted and coordinated with health care team members to assess, plan,implement and evaluate patient care plans in a dynamic critical care environment.

Common diagnoses: Septic shock, Stroke, Congestive Heart Failure, Cardiogenic shock, Acute kidney injury, Pneumonia, ARDS, Respiratory Failure, Subdural hematoma, Subarachnoid hematoma, Coronary artery bypass graft surgery, post arrest

Titratable drips experience with: Levophed, Vasopressin, Epinephrine, Dobutamine, Dopamine, Propofol, Versed, Precidex, Vecuronium, Cardene, Cardizem, Amiodorone. RSI drugs: Etomidate, Vecuronium, Succinylcholine, Rocuronium.

Clinical experince with CRRT, Arctic Sun, Impella, Intra aortic balloon pump, external ventricular drain, ventilators, cardioversion at the bedside and Coronary Artery bypass graft patients straight from OR .

ICU Charge Nurse Roles and responsibilities are to manage 18 bed ICU and 9 ICU nurses as well as all Rapid responses and codes in the ICU and on all inpatient floors. As well as aid at the bedside as a mentor and direct patient care.

Provided compassionate care for ill patients in their final stage of life

Head to toe assessments, foley catheter changes, mediport flushes and wound care

Maintained comfort and quality of life for patients and their families 

Alerted physician of changes in condition

Provided complete care and assessment of patients from acuity levels progressive care, telemetry and medical surgical

Monitor, record and report symptoms and detrimental changes in patient status and plan of care

Provide admission and discharge teaching, plan of care implementation and collaboration