Joyce T. Miranda, APRN, FNP-C
**-**** ******** ****** *** Beach, HI 96706
I am an experienced medical professional nurse with years of diverse and comprehensive array of knowledge, skills, and competence. I am dedicated to my profession and my philosophy is to provide the highest quality and safest medical care to all my patients. WORK EXPERIENCES AS A FNP
*Family Nurse Practitioner, Minute Clinic; Wahiawa, HI* Full time, 30-40 hrs week
May 2015 to Present
CVS, A retail based convenient care medical service to patients 18 months and older:
We provide evaluation, diagnosis, and treatment of minor illnesses/injuries
Promote preventative health and maintenance, updating vaccinations, TB clearances
Conduct DOT physical clearances as well as school, sports, and administrative physicals
*Nurse Practitioner, ATIMAP*
December 2015 to December 2017
An online tele-medical base managed weight loss program
Prescribed appropriate medications and counseling on a monthly basis
*Family Nurse Practitioner, Kalihi Kai Urgent Care; Honolulu, HI* Part time: Less than 20 hrs
January 2016-May 2016
Provide urgent care needs to those presenting with illnesses and injuries of all ages.
Provide IV fluids for hydration and medications as needed, minor lacerations, updating vaccinations
Perform EKG and X-rays as well as blood and urine tests
Refer as appropriate when indicated
*Nurse Practitioner, Work*star Injury Recovery Center; Ewa Beach, HI* Full time 40 hours week, M-F
December 2014 to December 2015
Provide an individualized and comprehensive treatment plan to those who are injured on the job, on the road, or at play.
Addressing and providing chronic management issues to include traditional, non-surgical, and complimentary alternative medicine.
Initiate and follow through with appropriate referrals to other disciplines to promote continuing and safe care (PT/MT/Chiropractic/Pain management specialists/surgeons, and etc.) WORK EXPERIENCES AS A RN
*RN House Supervisor, Pali Momi Medical Center; Aiea, HI* Full time night 12 hour positions /36-48 hours/week September 2008 to October 2014
Responsible for the nightly operations of a 116 bed acute care facility in Honolulu, over seeing approximately 80 employees and their departments during a 12 hour shift for 6 years.
As part of a healthcare delivery team, my participation includes; attending Rapid Response calls and Code Blue situations.
Bed control and screening of all admitted patients or transfers from other facilities. Ensuring all patients are admitted to the appropriate units.
Collaborating with other disciplines to ensure that all patients receive the best and safest care possible. Implementing and maintaining hospital policies/protocols.
Delegation of duties as appropriate.
Assisting with bedside procedures to include difficult intravenous insertions, assessing patients when called regarding a change in level of care.
Providing as a resource for staff, clinically and or administratively.
*ED Staff RN, Pali Momi Medical Center; Aiea, HI*
Part time/Per Diem 12-36 hours/week rotating shifts July 2007 to September 2008
*ED Staff RN/CN Relief, Hawaii Medical Center West; Ewa Beach, HI* Full time/part time 24-36 hours/week rotating shifts March 2001 to January 2009
Triage, assess, implement, and initiate safe and standardized care to all patients from newborns to the elderly requiring medical screening and treatment of acute and chronic conditions presenting to the emergency room.
Prioritize management and care of patients depending on acuity.
Provide overall staff support, act as a resource, and precept new staff.
*Labor/Delivery Staff RN, Kapiolani Medical Center FBC; Honolulu, HI* Full-time/part time 12-36 hours/week rotating shifts August 1997 to January 2004
Triage, assess, implement, and initiate obstetrical issues presenting to the Family Birth Center.
Addressing the immediate needs of expectant mothers greater than 20 weeks gestation.
Communicate and collaborate with the attending physicians and resident with regards to management and implementing treatment plans.
My job duties include triage, labor and delivery management for normal and high risk patients to include preterm labor, teenagers, advanced maternal age, diabetics, Pre-eclampsia/eclampsia, pregnancy induced hypertension, and etc.
Following delivery, I am able to perform postpartum and immediate newborn care and assessments, circulate in the OR for emergent c-sections, and provide post anesthesia recovery care.
*RN Donation Coordinator, Organ Donor Center of Hi; Honolulu, Hi* Part-time requiring to take call 24/7 every other week November 1995 to August 1997
Screening of all death expirations and potential brain death patients from acute and non-acute facilities statewide.
Set up hospital site visits and provide educational in services about federal laws regarding death notifications.
When appropriate, site visits are conducted to obtain additional information and re-assessment of patients regarding candidacy.
Conducting chart reviews and audits to ensure compliancy with state and federal regulations.
When appropriate, the donor family is approached by me the option to donate their loved ones
“gift of life” in need of a transplant.
I obtain next of kin consent and arrange with the team, surgeons and donor hospital time set for procurement. I
Perform post recovery follow up with the hospital staff, donor families and offer additional resources and support.
Waipahu High School, Diploma *Cum Laude* June 1991 Waipahu, Hi
Hawaii Pacific University, Bachelors of Science in Nursing May 1995 Kaneohe, Hi
Hawaii Pacific University, Masters of Science in Nursing-Family Nurse Practitioner August 2008 *With Distinction* Kaneohe, Hi
CURRENT LICENSURE & CERTIFICATION
Hawaii State Board of Nursing RN-42871
Hawaii State Board of Nursing APRN-1127
NPI # 118*******
State of Hawaii NED Registration # E11856
DEA # MM3389649
American Academy of Nurse Practitioners-Certified FNP #F1209059
DOT Medical Examiner National Registry # 793-***-****
AHA BLS Provider
American Association of Nurse Practitioners (AANP)