Open To Work
Miranda Alleman
Raeford
Work Preference
Summary
Accomplished healthcare provider with expertise in advanced assessment, diagnostic testing, and treatment planning in cardiology. Leverages strong clinical judgment and effective communication to educate patients, enhance care coordination, and implement evidence-based interventions for optimal health outcomes.
Overview
21
21
years of professional experience
Work History
Adult Gerontology Acute Care Nurse Practitioner
Pinehurst Medical Clinic Cardiology
Pinehurst
06.2025 - Current
- Demonstrated advanced clinical competency in the assessment, planning, implementation and evaluation of patient care needs.
- Performed thorough physical assessments, identified problems and concerns and implemented appropriate interventions as needed.
- Evaluated laboratory values and diagnostic results; reported abnormal findings to attending physician promptly.
- Collaborated with patients to plan for future health care needs and to coordinate transitions and referrals.
- Assessed urgent and emergent health conditions, using both physiologically, and technologically derived data.
- Performed emergency medical procedures, such as basic cardiac life support (BLS), advanced cardiac life support (ACLS) and other condition-stabilizing interventions.
- Conducted and interpreted stress tests such as treadmill testing or pharmacologic stress testing with nuclear medicine imaging techniques.
- Utilized evidence-based practice guidelines to develop treatment plans that are tailored to the individual needs of each patient.
- Provided expert cardiology care to patients in an outpatient setting, utilizing advanced diagnostic and therapeutic procedures.
Adult-Gerontology Acute Care Nurse Practitioner
UNC Cardiology of Lumberton
Lumberton
09.2022 - 06.2025
- Provided advanced practice nursing care to diverse patients with cardiovascular disease and associated morbidities in a busy adult cardiology practice serving an underserved community.
- Developed a comprehensive plan of care for each patient based on medical history, physical exam and laboratory results.
- Collaborated with physicians to develop and implement treatment plans for acutely ill patients.
- Assessed patients' conditions and adjusted treatments.
- Monitored patient progress following cardiac surgeries such as pacemaker/ICD insertions, cardiac catheterizations, CABG, TAVR, SAVR and other surgical valvular repairs/replacements.
- Ordered medical tests, such as laboratory testing, echocardiograms, electrocardiograms, CTs, X-rays, cardiac catheterizations, ultrasounds and angiograms.
- Prescribed heart medication to treat and prevent heart problems.
- Functions independently and in collaboration with the main Cardiologist to develop treatment plans for patients, including those suffering from heart failure and arrhythmias.
- Developed individualized plans of care for each patient based on physician orders and nursing assessment.
- Assessed impact of illnesses and injuries on patients' health, function, and quality of life.
- Analyze and interpret patients' histories, symptoms, physical findings or diagnostic information to develop treatment plans based on scientific rationale, standards of care and professional practice guidelines; Formulate differential diagnoses and provide treatment after analysis of collected data, initiate referrals and consultations to other services or appropriate physicians.
- Perform comprehensive physical health assessments, review of prior medical records, order preventative and diagnostic testing while maintaining complete and detailed records of patient's health care plans using electronic medical records.
- Educated patients on diagnoses and recommended lifestyle modifications to prevent future cardiac events.
- Provide education to patients and families regarding cardiac/medical procedures, healthy behavioral/lifestyle changes and community resources.
- Functioned as a clinical resource for nursing staff, offering guidance on intricate medical challenges.
- Prescribed medications according to established protocols while monitoring side effects and drug interactions.
Adult-Gerontology Acute Care Nurse Practitioner
Carolina Heart and Leg Center
Fayetteville
06.2021 - 06.2022
- Facilitated specialist referrals and coordinated care with healthcare providers to enhance patient outcomes.
- Diagnosed and treated complex and emergency conditions in collaboration with other health care providers.
- Provided comprehensive healthcare services, including health assessments, hospital follow-ups, and management of acute cardiac and vascular conditions through ordering and interpreting diagnostic tests and prescribing appropriate treatments.
- Functions independently and in collaboration with Cardiologists to provide a full spectrum of cardiac care in the adult outpatient cardiac population (CAD, HTN, CHF, Valvular Heart Disease, Anticoagulation, Arrhythmias, and cholesterol management) in an extremely busy cardiology office (20-26 patients daily).
- Diagnosed and treated chronic health care problems, such as high blood pressure and diabetes.
- Prescribed and administered medications to patients based on symptoms and conditions.
- Prescribed medications according to established protocols while monitoring side effects and drug interactions.
- Performed, and interpreted results of diagnostic tests, such as complete blood counts (CBCs), electrocardiograms (EKGs) and radiographs (x-rays).
- Provide patient education and counseling regarding medications, disease processes, diet and lifestyle changes.
- Coordinated hospital transfers in response to changes in patient acuity or specialty care needs to ensure continuity of care.
Registered Nurse, PACU
Cape Fear Valley Hospital
Fayetteville
09.2015 - 06.2021
- Implement patient care in newborns to the elderly recovering from anesthesia, to include general, regional and local surgical procedures.
- Monitored vital signs, including ECG, during perioperative period, recognized and addressed cardiac abnormalities, maintained dressing integrity, administered medications, assessed recovery, and prepared patients for subsequent recovery phases.
- Identified potential complications related to anesthesia or surgery, initiating preventive measures to enhance patient safety.
- Evaluated pain levels and administered pharmacological interventions for comfort management.
- Assist with pre and postoperative nerve blocks as well as procedures using conscious sedation.
- Procedures ranging from outpatient procedures to major surgeries on critically ill/ trauma patients.
- Utilized strong assessment skills to identify changes in patient status and intervene appropriately.
- Exhibited excellent communication skills when interacting with patients, families, physicians and other healthcare personnel.
- Maintained compliance with hospital policies and procedures related to PACU patient care.
- Demonstrated expert knowledge of cardiac monitoring equipment and interpretation of rhythms.
- Collaborated with surgery team to anticipate the possibility of complications.
- Identified anesthesia side effects to address accordingly.
- Performed accurate documentation of critical data including vital signs, medications, treatments, and assessments.
- Provided clear updates on patient conditions to comfort loved ones.
Registered Nurse, Emergency Department
Cape Fear Valley Hospital
Fayetteville
03.2009 - 09.2015
- Rapidly triage, assess and treat multi trauma victims, acute STEMI patients to include cardiac stabilization and preparation for emergent revascularizations, psychiatric patients and patients with nonspecific minor emergencies ranging from young adult to geriatrics to include obstetrics.
- Provided emergency care to critically ill patients in a fast-paced environment.
- Stabilize and continue care while facilitating the transfer of patients to tertiary care facilities.
- Coordinated timely transfers of critically ill patients from Emergency Department to intensive care units, ensuring continuity of care.
- Assist with suturing, conscious sedation, gynecological exams and wound care.
- Functioned as interim lead charge nurse (2011-2013) while managing operations in a high-volume 78-bed ED.
- Charge nurse duties included delegating patient assignments, management of patient flow and acting as resource nurse.
- Managed patient concerns and coordinated interventions to enhance care delivery.
- Performed laboratory tests such as blood glucose checks, urinalysis, wound cultures.
Registered Nurse, Emergency Department
Betsy Johnson Regional Hospital
Dunn
05.2007 - 10.2009
- Administered intravenous medications, fluids, blood products, antibiotics and other treatments as ordered by physicians.
- Executed advanced life support interventions during code blue situations.
- Utilized advanced cardiac life support certification for management of cardiac emergencies.
- Responded quickly and appropriately to changes in vital signs or symptoms of illness and injury.
- Demonstrated strong clinical judgment and critical thinking skills.
- Maintained accurate documentation of patient information in the electronic medical record system.
- Prioritized workload efficiently based on acuity level of each patient.
- Educated families on post-discharge instructions and follow-up care to enhance patient recovery.
- Assessed patient's physical and psychosocial status to determine readiness for discharge.
- Determined learning needs of patients and families to develop appropriate teaching strategies.
- Administered medications and monitored patient reactions to ensure safety and effectiveness.
Registered Nurse, Medical Surgical Unit
Betsy Johnson Regional Hospital
Dunn
07.2005 - 05.2007
- Conducted comprehensive patient assessments, administered medications, performed wound care, and documented care plans and admissions to ensure high-quality patient care.
- Demonstrated strong clinical skills in providing direct patient care, including wound care and medication administration.
- Monitored patient progress by assessing symptoms, evaluating treatments and interventions, responding to changes in condition quickly.
- Assessed patients' physical and psychosocial status to determine readiness for discharge.
- Administered medications to patients and monitored for reactions or side effects.
- Supported physicians during examinations and procedures to enhance patient care.
- Communicated effectively with physicians regarding treatment plans for individual patients.
- Collaborated with physicians and other healthcare professionals to coordinate the delivery of quality care to patients.
- Prioritized workload efficiently according to changing needs of patients throughout shift.
- Adapted well under pressure during emergency situations while demonstrating sound decision making skills.
- Delivered advanced life support interventions during code blue situations.
- Treated patients en route to hospitals or at disaster site triage centers.
- Performed detailed assessments of patient's health status, including physical exams, lab results, diagnostic tests, vital signs.
- Charge nurse duties to include delegating patient assignments, resource nurse for current shift and precepting new employees.
- Provided education to individuals and families on health and disease prevention to promote wellness.
Education
Master of Science - Nursing: Adult-Gerontology Acute Care
University of Alabama at Birmingham
Birmingham, Alabama08-2020
Bachelor of Science - Nursing
Grand Canyon University
Phoenix, Arizona12-2016
Associate of Science Degree - Nursing
Fayetteville Technical Community College
Fayetteville, NC06-2007
Diploma - Practical Nursing
Carteret Community College
Morehead City, NC08-2000
Skills
- Patient assessment and examinations
- Interdisciplinary teamwork
- Chronic disease management and prevention
- Diagnostic testing and interpretation
- Advanced cardiac life support
- Health education
- Team collaboration
- Patient advocacy
- Collaborative practice
- Central line management
- Intravenous therapy
- Emergency management
- HIPAA guidelines
- Medication administration
- Acute care expertise
- Direct patient care
- Medical chart management
- Treatment plan development
- Patient referrals
- Emergency care
- Preventive care
- Prescribing medications
- Vascular care
- Clinical decision making using evidence based practices
- Care plan development
- Clinical judgment
- Evidence-based practice
Certifications And Credentials
- AACN Certification, ACNPC-AG, 2/28/31
- Nurse Practitioner, NC, 10/31/26
- Registered Nurse, NC, 10/31/26
- DEA Registration, 06/30/27
- ACLS/BLS, 12/31/27
Timeline
Adult Gerontology Acute Care Nurse Practitioner
Pinehurst Medical Clinic Cardiology
06.2025 - Current
Adult-Gerontology Acute Care Nurse Practitioner
UNC Cardiology of Lumberton
09.2022 - 06.2025
Adult-Gerontology Acute Care Nurse Practitioner
Carolina Heart and Leg Center
06.2021 - 06.2022
Registered Nurse, PACU
Cape Fear Valley Hospital
09.2015 - 06.2021
Registered Nurse, Emergency Department
Cape Fear Valley Hospital
03.2009 - 09.2015
Registered Nurse, Emergency Department
Betsy Johnson Regional Hospital
05.2007 - 10.2009
Registered Nurse, Medical Surgical Unit
Betsy Johnson Regional Hospital
07.2005 - 05.2007
Master of Science - Nursing: Adult-Gerontology Acute Care
University of Alabama at Birmingham
Bachelor of Science - Nursing
Grand Canyon University
Associate of Science Degree - Nursing
Fayetteville Technical Community College
Diploma - Practical Nursing
Carteret Community College