Pamela Micheaux-Muniz

• Performs various nursing interventions such as wound dressing, vital sign monitoring, venipunctures for lab monitoring, pain control and care of the post operative patient in Day Surgery setting.
• Implements medication and IV administration, catheter insertion, and airway management.
• Monitors patients' conditions and reports changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
• Administers medications via oral, IV, and intramuscular injections and monitored responses.
• Effectively prioritizes assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
• Implemented medication and IV administration, catheter insertion, and airway management.
• Confers with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Coordinated patient discharge planning to provide post-discharge patient care, promoting healing and recovery.

Nurse Clinician III/Charge Nurse supervising up to six LVNs, 4-5 Medication Aides; worked under supervision of Cluster Nurse Manager, in ED, Clinic, HUB Facility and Hospice on 3500+ Maximum Security Correctional Facility. Collaborated care with and Assisted Providers, Regional Physician with various procedures, triage, wound care,..Hub/Medical Facility; interview, care and triage of offenders on other facilities via Digital Medical Services -Tele Health ; Received special recognition “STAR” issued only to employees recognized for going above and beyond); in this case regarding an offender on an Facility near Tyler, Tx complaining of MI s/s though slight; medical personnel expected to arrive on facility in approximately 25-30 minutes; instructed security staff to proceed and call 911 immediately and have offender transported to nearest ED. Offender went into cardiopulmonary arrest as soon as entered ED doors.

Clinical RN in ER-care of emergencies, performing labs including Troponin testing, Chemistry/electrolyte testing, 12 lead EKGs, IV therapy including antibiotic therapy (specifically Vancomycin), PICC Line infusion and care, trauma, physical and sexual assaults etc. Computer experience including Oracle, Microsoft Word; PEARL, Forvus, etc

Management of care of the homebound patient, collaborated care with physicians, Physical Therapy, Occupational Therapy, PICC Line care/infusions, IV therapy, wound care including wound VAC, QI/QA, Venipuncture for lab collections

Neuro/Med Surg overflow- 4 Ornelas. Care of patients with neurological defects and/disease e.g. acute CVA, Seizure Disorders. Monitoring of seizures patients in coordination with technicians who used monitors to assess seizure activity. F/U and assessment during and following seizure activity. NIHSS Certified. Care of medical surgical overflow patients with various disease processes. Care of patients with chest tubes; blood administration, coordination of care regarding patients requiring dialysis. etc

• Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
• Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies, and methods to improve health and meet recovery goals.

Care of patients in Intensive Care Unit

Accomplishments

Update skills, work toward CCRN re-certification

Skills Used

Care of ventilator patients, titrate cardiac drips, care of post catch path patients. Patients with +CV compromise, pacemaker patients, orthopedic and other post op patients. hemodynamic monitoring

• Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
• Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
• Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
• Developed and implemented individualized patient care plans for optimal outcomes.

Case Management, supervisor of 3 RNs, 2 LVNs, 2 Home Health Aides. Coordination of care with Social Worker, PT/OT, and other healthcare disciplines. QI/QA, chart audit, patient care, venipuncture, wound care, wound VAC.

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Managed care from admission to discharge.
• Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.

• Developed and implemented comprehensive case management plans to address client needs and goals.
• Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
• Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
• Monitored clients' progress and tracked client services to provide crisis interventions.
• Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
• Developed comprehensive discharge plans to transition clients to appropriate service providers in community.
• Developed and implemented safety plans for clients at risk of harm to provide protection.
• Provided evidence-based therapeutic interventions and crisis management to clients to lessen negative on physical, mental and emotional wellbeing.
• Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Implemented medication and IV administration, catheter insertion, and airway management.
• Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
• Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
• Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
• Monitored nursing care, patient assessment processes, and treatment implementations.
• Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.

Nurse Clinician III/Charge Nurse-duties also include care of offender patients with various chronic and acute illnesses, emergency situations; includes care Diabetic, Asthmatic, CV/CP emergencies, mental health/crisis management assessment, and assaultive injury/emergency care; Wound Care; Ensure all guidelines and regulations are adhered to in accordance to variance agencies e.g. American Correctional Association (ACA), DADS, DHS, Supervision of CMA's, CCA's, medical aides, LVN's, RN I, II. Assist physicians, nurse practitioners, physician assistants in medical clinic. Night Shift Supervisor- requires competency in nursing assessment, decision making, and emergency/clinical skills.

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
• Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
• Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
• Collected blood, tissue, and other laboratory specimens and prepared for lab testing
• Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
• Gathered patient health data through interviews and observation, documenting data in electronic records.

* Week-end RN Supervisor- duties include supervision of LVNs, CNAs, CMAs, and other facility employee performance, patient care, staff assignments; ensuring adequate staffing; ensuring employee and facility functions in accordance with regulatory statutes; assisting/performing other duties as assigned included interim DON, resident care, medication administration, activities, activity coordination, coordination of care with other disciplines including physicians; communication with families, etc.

Lab Information System Manager/Skills Lab Coordinator- duties included assisting nursing First, Second, and Third Level Faculty in Health Assessment and Nursing Skills Laboratories with e.g. head-to-toe assessments, Mock Codes/ACLS, dysrrhythmia recognition and treatment, urinary cath insertions, IV therapy, care of PICC Lines, Implanted Ports, central line catheters, performing sterile/aseptic wound care, trach care, suctioning, medication administration, injections, and all other First through Third Level nursing skills; performed skills check-offs, as well as one-on-one training and remediations; coordinated student orientation with area hospitals (Palestine, Tyler, Athens, Crockett and other contracted facilities); set-up and operation/management of laboratory equipment e.g. manikins specifically for Wound Care, Implanted Ports, Trach Care, Enemas, Injections, NGT Insertions, Foley Insertions, Suture/Staple Removal, etc. Supply inventory/ordering; review/order new media for faculty review/program implementation; set-up computer/AV equipment; develop and present programs/PowerPoint presentations to meet need of area community services e.g. Long Term Care Facilities to meet State requests/requirements for continuing education. Coordinate recruiting opportunities/luncheon with area facilities/hospitals. Participate in Faculty Meetings, Nursing Christian Association, Student Nurses Association meetings. Accepted to Masters Degree Nursing Program at UT at Tyler.

UTMB Correctional Managed Care Department of Education and Professional Development, Tennessee Colony, Texas/Northern and Western Region February 1999- July 2006 (Three month break in service for employment with Internal Medicine Associates of Palestine)

* RN, CCRN/Training Specialist II; supervisor 5-6 employees, including distance employees in Northern and Western Regions of Texas; program scheduling; program development to include Continuing Nursing Education (CNE) programs for RNs/LVNs; Director CNE program development; Obtained CNE Provider status through Texas Nurses Association for UTMB Correctional Managed Care- Department of Education and Professional Development; Patient Interviewing and Examination (PIE) Program Director and instructor; Certified Medication Aide Program Director and instructor; Basic Life Support (BLS) certified; BLS Instructor; BLS Instructor Trainer; develop medical related programs for classroom, on-line, voice-over, CD-based, and video; develop patient/offender education programs, flyers, pamphlets; program proof-reading and editing; chairperson New Employee Orientation (NEO) program; assist with Emergency Medical Services (EMS) Workshop in accordance with UTMB/CMC and Texas Department of Human Services guidelines; provide training on CPR, First Aide, and Infectious Diseases to correctional staff. Provide training on documentation, legal issues in nursing, the electronic medical record; and the use of the Electronic Medical Record. See Publications Below.

responsibilities included working with physicians re patient care; patient preparation for appointments; assisting physician with procedures; venipunctures, injections, physical assessments, patient education, call-in prescription refills to pharmacies, returning patient calls, dictation reviews; application and reading of Holter monitors; pulmonary function testing; assist with in-office stress test; coordinate patient care with other office/clinic departments e.g. lab, radiology; consult with physician regarding patient care, test results, patient phone calls/concerns; coordinate patient care with hospital departments e.g. radiology, nuclear medicine, etc; as well as with other physicians/physician offices; clerical duties e.g. filing, pulling patient charts for appts., use of copier/fax; other office/nursing duties as assigned.

• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
• Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
• Audited charts and reviewed clinical documents to verify accuracy.
• Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.

patient care/assessment of patients with various illnesses/disease processes; Intravenous therapy; PICC Line Insertion Care/Certified; venipunctures; wound care; ventilator dependent patient care; patient/caregiver education; case management; case/patient recertification/admission; coordination of care with other disciplines/professionals e.g. PT, OT, ST, Veterans Affairs, Mental Health, Social Services

Quality Improvement/Quality Assurance; Wound Assessment/Staging/Care; staffing; Assess for resident admissions; TILES Certified

Administered medications via oral, IV, and intramuscular injections and monitored responses.

• Administered medications and treatment to residents and monitored responses while working with healthcare teams to adjust care plans.
• Educated residents, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.

RN/Charge RN/CCRN in medical clinic/infirmary/emergency department; Chart review; Peer Review Committee Member; In-service Educator; Basic Life Support Instructor; HIV pre and post counseling certified

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Provided direct patient care, stabilized patients, and determined next course of action.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
• Implemented medication and IV administration, catheter insertion, and airway management.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
• Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
• Audited charts and reviewed clinical documents to verify accuracy.
• Orchestrated quality-driven, cost-effective care in high-volume trauma setting.

In six (6) bed combination unit Critical Care Unit; PRN staff; included care of patients with CV compromise requiring hemodynamic monitoring, support, mechanical ventilation, blood/auto transfusions, TPA and other intravenous CV medications; trauma/MVA, CVA; unstable post-op patients

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.

CCRN in CCU/ICU, Step Down Unit. Care of patients with various acute illness, diseases, injuries including MI, CVA, Head injury. Pediatric ICU. Care of patients on ventilator, various IV drip medications requiring titration.

• Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
• Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies, and methods to improve health and meet recovery goals.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
• Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
• Developed and implemented individualized patient care plans for optimal outcomes.

Eight (8) bed combination ICU/CCU including care of ventilator patient, post op patient requiring intensive care, CVA, MI, post MVA, drug overdose, IV drip medications/titration, telemetry, drawing ABGs, interpretation of 12 Lead EKGs.

• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
• Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.

• Cared for wounds, provided treatments, and assisted with procedures.
• Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
• Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
• Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.

providing care to offender-patients with terminal, chronic and acute illness/disease/injuries, including patients with cancer, end stage AIDS, hepatitis; care of offender-patients in high security/administrative segregation areas; medication administration; cast application/removal, suturing/suture removal. Regional mental health facility; suicide attempts/ideations

• Performed basic procedures and care activities to treat patient physical ailments and emotional needs and fostered collaborative relationship to identify causes, symptoms or explanations resulting in proper diagnosis and appropriate treatments.
• Obtained information from patient interview and observation and documented vital signs, weights and heights to facilitate patient care activities.
• Instructed and counseled patient and family in meeting nursing and related needs to support plan of care.
• Conferred with RN to identify patient care needs and support and prepare patient admission, transfer or discharge.

in eight (8) bed combination Intensive Care Unit, included care of patients requiring hemodynamic monitoring, patients requiring mechanical ventilation, MVA, suicide attempts/drug overdoses, MI, CVA, patients with e.g. chest tubes; neonatal/pedi/young adult/adult/elderly patients

• Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
• Confirmed appointments, communicated with clients, and updated client records.
• Answered central telephone system and directed calls accordingly.
• Organized electronic and hard copy filing systems for easy retrieval of documents and information.
• Restocked supplies and placed purchase orders to maintain adequate stock levels.
• Managed multi-line telephone system and greeted claimants during office visits.
• Assisted with onboarding new clients and securing paperwork completion.