Mirian Rapalo

Clinical Charge Nurse

• Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
• Optimized patient satisfaction through timely response to concerns and effective communication among staff members.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Coordinated discharge planning efforts with case managers, social workers, and other professionals to ensure smooth transitions for patients leaving the facility.
• Promoted a safe working environment by adhering to infection control policies and regularly reviewing safety protocols.
• Championed patient safety initiatives by participating in regular safety huddles, audits, and training sessions.
• Managed staffing schedules, ensuring adequate coverage while minimizing overtime expenses.
• Promoted a positive work environment through effective communication and teamwork among staff members.

Senior Registered Nurse

Manage Behavioral Patients

• Provided crisis intervention and stabilization for acute behavioral health situations, ensuring patient safety and proper treatment implementation.
• Collaborated with psychiatrists to adjust medication regimens, optimizing therapeutic effectiveness while minimizing side effects.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Enhance patient safety by conducting regular environmental assessment to identify and mitigate potential risks within the behavioral health unit.

Manage Patient on Ventilators

• Monitored ventilator settings, ensuring patient safety, and providing holistic care, including airway management, vitals sign assessment, and communication with the health care team.
• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.

• Collaborated with interdisciplinary teams to ensure consistent delivery of high-quality care and a positive patient experience.
• Enhanced patient satisfaction by implementing effective communication strategies and addressing concerns promptly.
• Participating in Value Based Purchasing in regards to improving HCAHPS (Hospital Consumer Assessment of Health Care Providers and System) scores.
• Reporting Concerns to Nursing Director/ Team Leaders Focus on Patient satisfaction and Hospital Experience.
• Reduced hospital readmissions by providing thorough discharge planning and follow-up support for patients transitioning to outpatient care.

• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Served as a preceptor for nursing students during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.