Myrna Ramirez

Highly dedicated and experienced Licensed Vocational Nurse (LVN) with a robust background in providing advanced patient care, specializing in home health and complex wound management. Seeking a challenging and rewarding position to leverage proven clinical skills in pediatric and adult care, including ventilator management, tracheostomy care, medication administration, and comprehensive patient assessment, while contributing to exceptional patient outcomes in a home health or specialized wound care setting. Also have a background in bilingual Spanish.

Psychiatric Nurse / Behavioral Health Nurse - Denton State Supported Living Center

(2025-06)

• Provided nursing care to individuals with intellectual disabilities, developmental disabilities, and behavioral health needs.
• Completed physical, mental health, and behavioral assessments.
• Administered psychiatric and routine medications according to physician orders.
• Monitored patients for medication effectiveness, side effects, and adverse reactions.
• Used crisis-intervention and de-escalation techniques to manage behavioral emergencies safely.
• Recognized and reported changes in patients' physical condition, behavior, and mental health status.
• Developed and followed individualized nursing and behavioral support plans.
• Responded to medical emergencies, injuries, seizures, and behavioral crises.
• Maintained patient safety while promoting dignity, independence, and personal choice.
• Collaborated with physicians, psychiatrists, psychologists, direct-care staff, and other healthcare professionals.
• Documented assessments, medications, incidents, treatments, and patient progress accurately.
• Educated patients and staff about medications, health conditions, and safety procedures.
• Completed detailed incident reports following behavioral events, injuries, medication errors, and other safety concerns.
• Documented patient assessments, treatments, behavioral changes, and nursing interventions using the SOAP-note format.

Neurology Nurse - Children's hospital of the King's Daughters Norfolk VA - Norfolk, VA

(2025-05 - 2026-02)

• Coordinated referrals to specialists and other healthcare providers for pediatric patients.
• Communicated with pharmacies to verify seizure medications, prescriptions, dosages, and availability.
• Worked with physicians, families, pharmacies, and insurance companies to prevent interruptions in medication therapy.
• Completed prior authorizations and communicated with insurance companies to obtain approval for medically necessary services, medications, and equipment.
• Prepared and processed paperwork for disability parking placards and license plates.
• Maintained accurate patient records and ensured that forms and supporting medical documentation were completed correctly.
• Educated and supported families in English and Spanish regarding referrals, medications, insurance requirements, and follow-up care.
• Protected patient confidentiality and followed HIPAA requirements.
• Collaborated with multidisciplinary healthcare teams to coordinate pediatric patient care.

Nurse / Licensed Vocational Nurse - Fluvanna Correctional Facility

(2024-10 - 2025-04)

Provided direct patient care to an inmate population within a correctional facility setting.

• Assisted with medical screening and initial assessment of new intakes.
• Administered medications in compliance with correctional policies, including "pill line" duties.
• Responded to medical emergencies and assisted RNs and physicians with sick call procedures.
• Maintained security and accountability of medical supplies and tools.

License Vocational Nurse - Endeavors Government Services

(2023-04 - 2024-09)

• Continuously monitored medical clearance lists, emails, and special cases as requested by Case Managers, focusing on efficient reunification of UCs in a medically responsible way.
• Safely transported pediatric patients to medical procedures and healthcare facilities
• Monitored vital signs and patient condition before, during, and after transport
• Administered medications according to physician orders
• Prepared patients and required medical equipment for transportation
• Responded quickly to changes in a patient's condition.

IME Chart Auditor - Loyal Source

(2022-02 - 2023-03)

• Collaborated with Medical liaisons to continuously monitor cases for medical clearance.
• Verified daily inspections and investigated to identify errors and inconsistencies in medical charts.
• Ensured ORR guidelines were being followed and implemented correctly.
• Verified medical records clerks and medical transcriptionists entered data correctly in UC Portal/Vision Link (Site Specific EMR).
• Transcribed medical visits as needed.
• Reported necessary updates or remediations for staff to management.

Nursing Lead - Loyal Source

(2021-03 - 2022-02)

• Assisted staff with the intake process of unaccompanied minors.
• Assigned daily duties to medical staff.
• Trained medical staff on policies and procedures in accordance with ORR guidelines.
• Collaborated with different departments to ensure completion of medical projects.
• Traveled with special population minors during transfers to higher care facilities.

License Vocational Nurse - Outreach Home Health - El Paso, TX

(2016-04 - 2020-12)

Provided pediatric home health care, including management of trach care, ventilators, and Mic-key tubes.

• Provided one-on-one nursing care for a ventilator-dependent patient in the home.
• Monitored ventilator settings, alarms, and the patient's respiratory status.
• Performed tracheostomy care and maintained a clear airway.
• Monitored oxygen saturation and administered supplemental oxygen as ordered.
• Performed suctioning and provided airway management when necessary.
• Assessed breath sounds, respiratory rate, skin color, and signs of respiratory distress.
• Completed routine ventilator circuit and respiratory-equipment checks.
• Provided emergency tracheostomy and ventilator care according to the patient's car plan.
• Administered medications and treatments as prescribed.
• Monitored vital signs and documented the patient's condition and nursing interventions.
• Communicated changes in the patient's condition to physicians, supervisors, and family members.
• Educated and supported caregivers regarding ventilator, tracheostomy, and oxygen safety.
• Followed infection-control procedures and maintained a clean, safe home environment.
• Coordinated care with respiratory therapists, physicians, pharmacies, and medical-equipment providers.

Medication Aid - Sun Ridge Assistant Living - El Paso, TX

(2014-06 - 2015-06)

• Assisted Physician in consults, performed wound care, administered insulin injections, medications, and nursing skills.

Diploma - Vocational Nursing - Vista College (2016-05)

Certification - Phlebotomist Certification - Texas State Community College (2008-12)

Certification - CNA Certification - San Benito (2003-08)