Carmel Ann Mirarchi

Performed comprehensive audits and clinical documentation reviews for a Healthcare Information Management and clinical consulting firm.

Advanced Practice Nurse assisting with all aspects of patient care for multiple dialysis outpatient clinics.

Skilled at working independently and collaboratively in a team environment with the ability to provide support and guidance as needed.

Advanced Practice Nurse responsible for Chronic Disease Management of End Stage Renal Disease in an outpatient setting. Skilled at working independently and collaboratively with physicians and support staff. Committed to continual improvement of patient outcomes, and standard of care.

Provided medical management for a patient population requiring Acute Rehabilitation post-hospitalization. Effectively managed high acuity cases while maintaining a strong focus on positive patient outcomes. Educated patients on disease management techniques empowering them to take control of their health outcomes thereby reducing hospital readmissions.

Conducted thorough assessments, identifying underlying health issues and making appropriate referrals when necessary. Conducted screenings, diagnostic treatment, and rehabilitative services on the primary health care team.

Coordinated care with other healthcare professionals, promoting optimal patient outcomes while collaborating with physicians to develop treatment plans tailored to each patient's needs.

Reviewed complaints of deviation from the standard of care and egregiousness as reported to the New Jersey Board of Nursing.Reviewed and summarized medical records and summarized care. Researched related literature regarding the complaint. Attended monthly agenda meetings with attorneys and board members to determine their final recommendations.

Utilized strong clinical judgment in prioritizing patient needs during high-stress situations, ensuring optimal outcomes. Performed accurate documentation of patient assessments, interventions, and outcomes in compliance with regulatory standards. Assisted physicians in performing diagnostic tests and procedures to facilitate prompt diagnosis and treatment. Delivered a high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.

Provided skilled, timely, and level-headed emergency response to critically ill patients. Collaborated with interdisciplinary teams for optimized patient treatment plans and outcomes. Monitored patient reactions after administering medications and IV therapies. Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions. Provided skilled, timely, and level-headed emergency response to critically ill patients. Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.

Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.

Implemented care for the critically ill patient population of a Level Two Trauma Center. Managed post-stabilization of medical and trauma emergencies. Assessed vital signs, collected detailed patient history, and noted other signs of patient health to make rapid, informed decisions regarding the next steps in patient care. Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing diagnostic tests and assisted with medical procedures.Administered different therapies and medications in line with physician orders and treatment plans. Followed facility policies, OSHA safety rules, and HIPAA regulations to maintain legal compliance. Educated patients and families answered codes quickly and orchestrated efficient and skilled medical care.

Optimized outcomes in critical care situations through advanced life-saving techniques.

Served as charge nurse managing staffing issues and evaluation of core measures, with recommendations for improved outcomes. Built rapport with patients and families to increase the comfort level and enhance the quality of medical history and relevant personal information. Educated patients and families on diagnosis and treatment. Coached and mentored junior staff to uplift department capabilities. Educated family members and caregivers on patient care instructions.