Miranda R. Nungester

• Teaching Facility
• Epic Superuser (May 2026)
• Serves as a primary charge nurse in collaboration with the OR charge nurse to coordinate appropriate staffing, minimize disruptions to the workflow of the surgery schedule and ensure effective patient care
• Thoroughly interviewing and assessing patients to verify that they are appropriate to have their surgery
• Notifying anesthesia or surgical team with any concerns or pertinent changes in patient's health history
• Establishing intravenous access, accessing implanted ports
• Precepts new staff to unit, providing information about important policies and procedures
• Monitoring vital signs, level of consciousness, pain score and incision site to verify that patient can safely be discharged home or transferred to their inpatient room
• Providing post operative care to patient's recovering from general, local, spinal and MAC anesthesia, including patient's who have received nerve blocks

• Teaching Facility
• Thoroughly interviewing and assessing patients to verify that they are appropriate to have their surgery
• Notifying anesthesia or surgical team with any concerns or pertinent changes in patient's health history
• Establishing intravenous access, accessing implanted ports
• Monitoring vital signs, level of consciousness, pain score and incision site to verify that patient can safely be discharged home or transferred to their inpatient room
• Providing post operative care to patient's recovering from general, local, spinal and MAC anesthesia, including patient's who have received nerve blocks

• Level 1 trauma; Teaching Facility
• Thoroughly interviewing and assessing patients to verify that they are appropriate to have their surgery
• Notifying anesthesia or surgical team with any concerns or pertinent changes in patient's health history
• Establishing intravenous access
• Monitoring vital signs and assisting pain service with surgical blocks and epidurals

• Teaching Facility
• Thoroughly interviewing and assessing patients to verify that they are appropriate to have their surgery
• Notifying anesthesia or surgical team with any concerns or pertinent changes in patient's health history
• Establishing intravenous access
• Monitoring vital signs, level of consciousness, pain score and incision site to verify that patient can safely be discharged home or transferred to their inpatient room
• Providing post operative care to patient's recovering from general, local, spinal and MAC anesthesia, including patient's who have received nerve blocks

• Serving as the only regional Level 1 Trauma Center providing care for those located in Washington, Alaska, Montana and Idaho; Teaching Facility
• Experience in providing care for critically injured trauma and post surgical patients including motor vehicle accidents, assault, falls, gunshot wound, attempted suicide and skiing accidents
• Experience in providing care for patient's with traction, external fixation, bolts, those who are newly paralyzed and patient's requiring massive transfusion protocol

• Deployed with FEMA to understaffed facilities with limited resources working six 12-hour shifts each week
• Specialized in providing general care to critically ill patients infected with Covid-19 during pandemic
• Specialized in providing general care to critically ill patients with sepsis, shock, GI bleeds, DKA and respiratory failure
• Experience in caring for critically injured trauma and post surgical patients including motor vehicle accidents, assault, falls and gunshot wounds

• Deployed with FEMA to understaffed facilities with limited resources working six 12-hour shifts each week
• Specialized in providing general care to critically ill patients infected with Covid-19 during pandemic
• Experience in caring for critically ill patients suffering from shock, sepsis, substance abuse withdrawal, DKA, GI bleeds, respiratory failure, falls and motor vehicle accidents

• Deployed with FEMA to understaffed facilities with limited resources working six 12-hour shifts each week
• Specialized in providing general care to critically ill patients infected with Covid-19 during pandemic
• Specialized in providing general care to critically ill patients with sepsis, shock, GI bleeds, DKA, substance abuse withdrawal and respiratory failure
• Experience in caring for critically injured trauma and post surgical patients including motor vehicle accidents, falls, and gunshot wounds
• Experience in caring for patient's post thrombectomy, including management of EKOS treatment
• Recovery of patients post cardiac catheterization and interventions

• Deployed with FEMA to understaffed facilities with limited resources working six 12-hour shifts each week
• Specialized in providing general care to critically ill patients infected with Covid-19 during pandemic

• Level 1 Trauma, Teaching Facility
• Specialized in providing general care to critically ill patients infected with Covid-19 during peak of pandemic
• Provided post operative care to patient's recovering from general, local and MAC anesthesia (PACU)
• Served as overflow for trauma/surgical ICU patients including falls, gunshot wounds and motor vehicle accidents

• Level 1 Trauma, Teaching Facility
• Provided post operative care to patient's recovering from general, local and MAC anesthesia, including patients who have received nerve blocks
• Specialized in providing care to patients following orthopedic, colorectal, breast, OBGYN, urology, ocular, neurology, thoracic, ENT, post kidney transplant, cardiac ablations and interventional radiology procedures
• Served as an overflow for surgical/trauma ICU and COVID-19 patients

• Level 1 Trauma, Teaching Facility
• Specialized in providing care to patients following orthopedic, colorectal, breast, OBGYN, urology, ocular and pediatric procedures
• Competent in providing care to patients who have received general, local or MAC anesthesia, including nerve blocks
• Recovery of patients post cardiac catheterization and interventions
• Experience in caring for critically injured trauma and post surgical patients including motor vehicle/scooter accidents, falls, gunshot wounds, pediatric fractures/breaks
• Served as overflow for surgical ICU patients

• Level 1 Trauma, Teaching Facility
• Specialized in providing general care to critically ill patients as described in previous RN positions held (listed below)

• Teaching Facility

• Served as a resource RN by transporting critically ill patients to imperative medical imaging, assisted with admissions/extremely ill patients and provided ongoing assistance to liver team RN’s
• Responded to RRT’s and provided nursing interventions in attempts to correct underlying issues for patients on the floor
• Oriented new staff to generalized ICU policies and procedures
• Specialized in providing general care to critically ill patients as described in previous RN positions held (listed below)

• Level 1 Trauma, Teaching Facility
• Specialized in pre/post op trauma patients, patients experiencing substance abuse withdrawal, neurovascular and spinal patients

• Level 1 Trauma, Teaching Facility
• Specialized in critically ill patients during the perioperative period with an oncology history
• Assessment and implementation of nursing process, managed care of 1-2 patients per shift, and appropriately delegated tasks to unlicensed personnel
• Management of vasopressors, sedation, paralytics, cardiac, insulin and heparin gtts
• Assisted with the management of mechanical ventilators
• Massive transfusions and electrolyte replacement protocols

• Level 1 Trauma, Teaching Facility
• Specialized in post-surgical care and close monitoring of thoracic surgery, surgical oncology and plastic surgery patients; management of patients involved in clinical trials
• Assessment and implementation of nursing process, managing care of 3-5 patients per shift, and appropriately delegated tasks to unlicensed personnel
• Management of Amiodarone, Cardizem, Heparin, Insulin and Octreotide gtts
• Competent with administration of blood products and electrolyte replacements, arterial lines, biliary drains, cardiac monitoring, chest tubes, continuous tube feeding and TPN, dobhoffs, epidural catheters, flexi-seal, foley catheters, gastrostomy tubes, groshong catheters, implantable ports, jackson pratt drains, leech therapy, MOSS tubes, nasogastric tubes, on-Q pumps, percutaneous implantable ports, PCA pumps,
  surgical dressing changes, doppler/vioptix/flap checks, jejunostomy tubes, and tracheostomy care