Miriam Espinoza
Miami,FL
Summary
Healthcare professional with strong background in patient care and medical support. Known for collaborative work with medical teams to deliver high-quality care and adapt to evolving patient needs. Expertise in patient assessment and medication administration, along with compassionate care and reliability.
Overview
30
30
years of professional experience
Work History
Registered Nurse- Medical Surgical Neurology Unit
Physician's Regional Hospital
Naples, Fl
12.2024 - Current
- Conducting comprehensive patient assessments
- Performing YALE swallow tests
- Monitoring pain and telemetry patients
- Closely monitoring patients' conditions
- Reporting changes in patient status to providers
- Alerting physicians to abnormal lab results and pertinent changes
- Assisting with Activities of Daily Living (ADLs)
- Assisting with patient therapies
- Administering medications (oral, IV, IM, etc.)
- Administering intravenous fluids, antibiotics, and IV push pain medications
- Administering blood transfusions
- Caring for post operative spinal and neck surgery patients
- Obtaining appropriate consents (e.g., for MRIs)
- Providing patient and family education
- Explaining the importance of compliance with physician orders
- Educating patients on post-surgical care: Importance of ambulation, Nutrition, Use of incentive spirometer
- Answering patient and family questions
- Completing patient admissions
- Completing patient discharges
- Delegating and supervising nursing assistants
- Utilizing nursing judgement to maintain patient safety and stability
School Nurse
Orange Tree Staffing
Miami, Fl
01.2024 - 06.2024
- Contracted with OTS as a MDCPS nurse, my responsibilities include caring for sick, disabled and chronically ill students
- The majority of my cases consist of children who have diabetes mellitus type I and seizures are common
- Also children with gastrointestinal issues that require NG or Peg tube feedings
- Duties are diverse and included insulin administration, monitoring for signs and symptoms of hypoglycemia or hyperglycemia
- Carbohydrate counting and supervision of food intake
- Monitoring for signs and symptoms of seizures
- Administration of medication as per physician's orders
- Communication with staff, administration and parents or my supervisor
- Maintaining my patient's safety and daily documentation
- Was initially hired as an LPN and once I obtained my RN license my credentials and pay changed to reflect my current credentials
Continuous Care Nurse
Catholic Hospice
Miami Lakes, Fl
08.2023 - 12.2023
- Hired on a per diem basis, my position as an LPN was to provide skilled and compassionate nursing care to patients who were terminally ill
- Allowing them to maintain their dignity
- Promoting and maintaining patient quality of life under the guidance of a registered nurse and physician
- Provided necessary education to patients, caregivers and family
- Education was of the upmost importance in providing appropriate care for the hospice patient
- Participation in the nursing process of assessing, planning, implementing and evaluating patient care, under the direction of the supervising registered nurse
- Provided accurate and appropriate documentation that was to be submitted daily
- Administration of medication as per physician's orders
- Therapeutic measures provided to patient's in order to maintain the patient as comfortable and as pain free as possible
- Performed ADL's based on patient's abilities an needs
- Was also responsible of preparing the deceased body to be picked up and calling the funeral home
- Also providing the families and patient's emotional support was imperative
Corrections Nurse
Centurion Health
Doral, Fl
01.2021 - 05.2022
- Corrections LPN at South Florida Reception Center, this position offered me lots of autonomy and gave me experience in emergency situations
- I was able to use and expand my critical thinking skills in a quick and precise way
- Among my responsibilities were assessments and evaluation of adult patients
- Examination of patients, administration of medications, wound care, psychiatric care, phlebotomy, electrocardiograms, obtaining and executing orders and emergency care
- Also, education of health maintenance, disease management, assisting physician as needed
- Self-directed with astute clinical judgement skills along with following the State of Florida corrections protocols
School Nurse
Nicklaus Children's Hospital
Miami, Fl
02.2016 - 11.2019
- Employed by Nicklaus Children's Hospital as a MDCPS nurse
- Job duties entailed, providing first aid, emergency assistance, health assessment, screenings, medication management, health counseling, and community resource referrals
- Maintenance of detailed reports, medication, immunization records, HIPPA compliance and documentation of all student's interactions
- Monitoring of student's health and collaboration with healthcare providers and administration to obtain appropriate treatment plans
- Maintain up-to-date cumulative heath records and individual student treatment records
- Conducting annual BMI, vision, dental screenings, immunizations and reporting any communicable diseases to the Florida Department of Health, school administrators and nursing supervisor
- Also, responsible for ordering supplies for medical clinic
School Nurse
Integrity Healthcare
Miami, Fl
08.2014 - 02.2016
- Assigned to different MDCPS from Elementary through High School
- Cared for chronically ill pediatric patients
- Duties included administration of appropriate medications and or treatments
- Patient-education, staff education and parent education
- Adherence to all of MDCPS nurse contractor protocols
- Psychosocial support as needed
- Blood glucose monitoring, carbohydrate counting and insulin administration
- Seizure precautions and medication administration depending on disease or emergency
- Documentation of events and communication to nurse supervisor as needed
Phlebotomy & CNA Instructor
Vintex Quality Care
Miami, Fl
04.2008 - 05.2014
- Cared for the sick, injured, convalescent, and disabled adults under the direction of a physician and registered nurse
- Responsible for evaluating and assessing patient's in order to maintain physical and emotional wellbeing as well as, patient safety
- Provided comprehensive care including vital signs
- Administration of medications or treatments, assisted with ADL's
- Educated patient's and their family members
- This nursing agency also provided me with the opportunity to teach phlebotomy and nursing assistant instructor in their school
Multi-Specialty Licensed Practical Nurse
Jackson Health System
Miami, Fl
05.2007 - 06.2008
- Clinic ACC-West
- I was exposed to a variety of Specialties from neurology, Cardiology, endocrinology, pediatrics, oncology, dermatology, orthopedics, urology and nephrology to name a few
- My duties included patient assessments, medication revisions and or medication reconcilliations
- Obtaining vital signs, assisting the physicians, administration of medications, vaccinations, labs, IV infusions, injections, post-visit instructions and patient education
- After 3 months was promoted to lead nurse for my hard work and dedication to excellent patient care and leadership abilities
- I was responsible for the supervision of the patient care technicians as well as, the nightly closing of the clinic
Patient Finance & Registration Associate
Jackson Main Hospital
Miami, Fl
03.2002 - 04.2008
- Promoted to Lead Employee for competence, cooperation with others, and skills
- Communicated effectively with patients and their families regarding medical costs, procedures, and resources
- Applied extensive knowledge in working with Worker's compensation, Medicare, and Medicaid in order to facilitate patient payment
- Utilized knowledge of ICD 9 and CPT codes to determine diagnoses and coverage of services
- Determined insurance verification and eligibility, with emphasis on deciphering between covered and non-covered services
- Completed census reports, inpatient and outpatient reports as well as, conducted admission's review and coordinated post-discharge calls and discharge planning
Hospital Insurance Verifier & Registrar
Larkin Community Hospital
Miami, Fl
06.1998 - 12.2000
- Promoted to Lead Employee for compassionate service, adherence to the policies, and excellent patient communication
- Greeted patients and families and initiating medical record, both written and electronic
- Responsible for quality patient registrations by obtaining thorough and accurate information in a timely and efficient manner as well as, entering the data correctly
- Answered telephones, ascertained purpose of call and directed calls to appropriate staff
- Transmitted correspondence or medical records by mail, e-mail, or fax
- Operated office equipment, such as voice mail, messaging systems and worked using word processing, spreadsheet, medical records EMR or other software applications to prepare reports, invoices, financial statements, letters or case histories
Medicare Verification Associate & Member Services Associate
United Healthcare
Miami, Fl
04.1995 - 09.1998
- Obtained personal data as well as payment information and verified medical insurance
- Received and routed messages or documents, such as laboratory results, to appropriately
- Responsible for the timely verification of medical insurance benefits
- Liaise with Medicare to obtain benefit information, determining insurance compatibility with healthcare provider program
- Responsible for updating and refiling claims to keep records current
- Coordinated with patients regarding their insurance benefits and medical providers programs, re-verifying existing patient insurance coverage, and determined if insurance benefit plan considered selected products appropriate based on patient need
- Also responsible for coordination the case manager of post-discharge planning
- Made sure patient had the proper DME and assistance necessary
Education
Basic Life Support -
American Heart Association
06.2024
Associate in Science - Nursing | Registered Nurse
Larkin School of Nursing
Miami, Fl12.2023
Licensed Practical Nurse -
Robert Morgan Educational Center
Miami, Fl01.2007
Skills
- Nursing Experience
- Patient Care
- Compassionate
- Excellent Work ethic
- Honesty
- Integrity
- Patient Centered Care
- IV placement
- Fluent in Spanish
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Registered Nurse- Medical Surgical Neurology Unit
Physician's Regional Hospital
12.2024 - Current
School Nurse
Orange Tree Staffing
01.2024 - 06.2024
Continuous Care Nurse
Catholic Hospice
08.2023 - 12.2023
Corrections Nurse
Centurion Health
01.2021 - 05.2022
School Nurse
Nicklaus Children's Hospital
02.2016 - 11.2019
School Nurse
Integrity Healthcare
08.2014 - 02.2016
Phlebotomy & CNA Instructor
Vintex Quality Care
04.2008 - 05.2014
Multi-Specialty Licensed Practical Nurse
Jackson Health System
05.2007 - 06.2008
Patient Finance & Registration Associate
Jackson Main Hospital
03.2002 - 04.2008
Hospital Insurance Verifier & Registrar
Larkin Community Hospital
06.1998 - 12.2000
Medicare Verification Associate & Member Services Associate
United Healthcare
04.1995 - 09.1998
Licensed Practical Nurse -
Robert Morgan Educational Center
Basic Life Support -
American Heart Association
Associate in Science - Nursing | Registered Nurse
Larkin School of Nursing
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