Myron Laraya
SAINT AGNES MEDICAL CENTER
Fresno
1
Certification
15
years of professional experience
Dedicated Registered Nurse with 15 years of acute care experience, specializing in Medical-Surgical, Telemetry, and Oncology across diverse healthcare systems in the United States, Qatar, and the Philippines. Demonstrates exceptional clinical judgment and expertise in high-acuity patient management, including pre- and post-surgical care, chemotherapy administration, and telemetry monitoring. Recognized for leadership and mentorship abilities, with a strong focus on infection prevention to ensure safety, compliance, and optimal patient outcomes. Proficient in Epic, Cerner, and Meditech systems, with a proven ability to thrive in fast-paced hospital environments while delivering safe, patient-centered care.
Work History
Clinical Nurse III Medical Oncology Unit
3 Months- Ensure the performance of a comprehensive assessment of the patient's physical and psychosocial condition on an ongoing basis throughout the continuum of care.
- Collaborate with the multi-disciplinary team in the development of a written plan of care specific to each patient, including clinical, teaching and discharge components.
- Implement the patient plan of care in collaboration with the health care team.
- Evaluate patient outcomes, effectiveness of plan of care, readiness for discharge.
- Communicate patient's plan of care and significant changes to all members of the interdisciplinary team and to the patient, family, and significant others.
- Provide education as indicated after assessing the learning needs of the patient, family, staff members and students.
- Utilize manual and automated information systems to improve efficiency and effect productivity.
- Demonstrate a current working knowledge of equipment, instrumentation and medications.
- Unit Capacity: 30 beds
- Patient Ratio: 1:5
Internal Travel Nurse – Medical-Surgical/Telemetry Unit (Oncology)
1 Year 9 Months- Delivered high-quality nursing care for medical-surgical, oncology and telemetry patients in a high-acuity acute care setting.
- Traveled to assigned locations to fill staffing shortages and provide patient care.
- Performed comprehensive patient assessments and monitored clinical status changes to support timely interventions.
- Administered medications, blood products, immunotherapies, and chemotherapy treatments following strict safety protocols.
- Managed pain using patient-controlled analgesia (PCA).
- Collaborated with interdisciplinary teams to develop and implement individualized patient care plans.
- Cared for patients pre and post-op ensuring close monitoring for complications.
- Perform comprehensive physical assessments and continuous cardiac telemetry monitoring for critical patients.
- Managed PICCs, Chest Ports and central lines, ensuring adherence to CLABSI prevention protocols.
- PleurX catheter management.
- Worked independently as well as be part of the team, while accomplishing multiple interventions in an ever-changing environment.
- Ensured the privacy of each patient’s protected health information (PHI).
- Maintained accurate and timely documentation using Epic EMR.
- Supported patient education, discharge planning, and continuity of care.
- Assigned as shift Charge Nurse, delegating assignments, mentoring staff, and overseeing unit workflow efficiency.
- Supported nursing staff in code blue and rapid response events ensuring patient stabilization.
- Conducted thorough patient assessments, established priorities and coordinated patient care in constantly changing and fast-paced environments.
- Maintain confidentiality and ensure documentation accuracy under HIPAA.
- Heparin IV and IV insulin drip titration and management.
- Handled patients under Hospice, providing quality of care and ensuring comfort at the end of life. It includes physical, emotional, social, and spiritual support for patients and their families.
- Unit Capacity: 26 beds
- Patient Ratio: 1:5-6
External Travel Nurse – Medical-Surgical/Telemetry Unit
6 Months- Provided direct nursing care for high-acuity medical-surgical and oncology patients in a fast-paced hospital environment.
- Managed telemetry monitoring, medication administration, and ongoing patient evaluations.
- Coordinated care with physicians, pharmacists, and multidisciplinary healthcare teams.
- Displayed knowledge of the healthcare industry, safety precaution policies, best practices regarding patient care and privacy.
- Delivered patient-centered education regarding treatments, medications, and discharge instructions.
- Tracheostomy care and management.
- PEG tube and Nasogastric tube feeding, care and management.
- Demonstrated adaptability and efficiency in rapidly changing clinical assignments. Showed ability to communicate and engage team members, patients and families in a variety of stressful situations.
- Cared for Hemodialysis patients, closely monitored electrolyte imbalances and watched out for other nursing considerations.
- Unit Capacity: 36 beds
- Patient Ratio: 1:6
External Travel Nurse – Medical-Surgical/Telemetry Unit
3 Months- Delivered comprehensive nursing care for telemetry and medical-surgical patients during short-term travel assignments.
- Assessed patient conditions, prioritized nursing interventions, and responded to acute clinical changes.
- Peripheral IV, Nasogastric tube and foley catheter insertion and management.
- Collaborated with healthcare teams to create and implement patient care plans. Built relationships with peers and other healthcare providers to achieve departmental and corporate objectives.
- Maintained accurate electronic documentation and medication administration records using Cerner EMR.
- Promoted patient safety through adherence to evidence-based clinical practices.
- Floated to different units to fulfill staffing needs.
- Unit Capacity: 27 beds
- Patient Ratio: 1:6
Staff Nurse – Medical-Surgical/Telemetry Unit (Oncology)
1 Year 11 Months- Provides direct nursing care for specified patients, including appropriate supportive care and administration of chemotherapy, blood components, fluid and electrolyte replacements, and other oncology treatments as prescribed.
- Provides family support as required, including applicable referrals and bereavement counseling.
- Post-surgical drain monitoring and management.
- Wound dressing changes and wound-vac management.
- Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards.
- Blood products, immunotherapy, and chemotherapy treatments following strict safety protocols.
- Patient-controlled analgesia initiation and management.
- Accessing and deaccession of Chest Ports following institution protocols.
- PICC line care and management, ensuring adherence to CLABSI prevention protocols.
- Foley catheter insertion and management strictly following CAUTI prevention protocols.
- Served as shift Charge Nurse, overseeing unit workflow efficiency and did documentation auditing.
- Conducted thorough patient assessments, established priorities and coordinated patient care in constantly changing and fast-paced environments.
- Collaborated with oncology specialists and interdisciplinary teams to improve patient outcomes.
- Maintained high standards of patient safety, infection prevention, and quality care. Prioritized assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines.
- Unit Capacity: 26 beds
- Patient Ratio: 1:6
Registered Nurse – Medical-Surgical Telemetry Unit
3 Years 11 Months- Maintained high standards of patient safety, infection prevention, and quality care.
- Provides skilled safe, holistic and culturally competent, person-centered nursing care to patients, families, community and society, in collaboration with the multidisciplinary team irrespective of healthcare setting.
- Provides direct care for patients and their families in a variety of settings to include the hospital, home, clinics, primary health care units and the community.
- Administered IV fluids, blood products and medications via peripheral IV and central lines.
- Total Parenteral Nutrition administration.
- Evaluates the quality and appropriateness of care.
- Chest tube care and management.
- Tracheostomy tube management and care.
- Management of different types of post-surgical drains such as JP, hemovac and penrose drains.
- Maintains and demonstrates clinical competence in all aspects of care provided to patients on a specific unit/healthcare setting.
- Administers medications and therapies in a safe, timely and effective manner in accordance with HMC policy.
- Uses communication skills to ensure that other members of health care team, the patient and their family are and remain fully informed.
- Exhibits leadership qualities and manages nursing care safely, efficiently and ethically.
- Unit Capacity: 24 beds
- Patient Ratio: 1:4
Registered Nurse – Medical/Surgical Unit
4 Years 4 Months- Renders holistic quality nursing care to patients in the Medical-Surgical Unit utilizing the nursing process.
- Assesses patient’s condition through nursing history, physical examination, identification of objective and subjective signs and symptoms and review of medical records.
- Managed 1:10 staffing ratios serving as Charge Nurse and bedside nurse on different occasions.
- Develops plan of care and prioritizes individualized patients’ needs and problems.
- Carries out doctors’ order on admission, medication treatment, diagnostic procedures, surgery, transfer and discharge.
- Carries out plan of care from admission until discharge of patient and refers to physician accordingly.
- Prepares and administers medications and other treatments as indicated (Oral, Subcutaneous, Intramuscular, Intradermal, Intravenous, Eye/Ear/Nose Drops and Ointments, Vaginal and Rectal Suppositories).
- Prepares patients for diagnostic and therapeutic procedures.
- Evaluates patient care management in terms of appropriateness, adequacy, effectiveness and efficiency.
- Unit Capacity: 29 beds
- Patient Ratio: 1:10
Registered Nurse – Multidisciplinary Unit Rotations
1 Year 5 Months- Implements patient care for up to 15 patients per section.
- Functioned as a Charge Nurse in Medical-Surgical, Pediatric and OB-Gyne Ward.
- Receives patient from outgoing staff nurse and endorses to incoming staff nurse.
- Assisted with the admission and discharge of patients.
- Assesses clients and identifies nursing needs. Plans, gives and evaluates nursing care.
- Administered prescribed medications safely and accurately, adhering to all medication rights and protocols.
- Unit Capacity: 29 beds
- Patient Ratio: 1:15
Education
Bachelor of Science - Nursing
Skills
Clinical Expertise
Medical-Surgical | Telemetry | Oncology| Infusion Therapy | Chemotherapy | Pain Management | Patient Assessment | Geriatric Nursing | Multi-disciplinary Team Collaboration| Palliative & End-of-Life Care
Leadership & Collaboration
Charge Nurse | Preceptor | Patient Advocacy |Quality & Process Improvement | Infection Prevention | Staff Education & Mentorship
Procedural Skills
Central Line Management | Tracheostomy & Chest Tube Care | Ostomy & PEG/NG Tube Care | Wound Care | IV Therapy | Blood Product Administration
Technical Proficiency
Epic EMR | Cerner EMR | |Meditech EMR| Omnicell| Pyxis| Alaris | B-Braun | Plum| Microsoft Word | Excel | Outlook| Teams
Infection control
Phlebotomy
Care coordination
Certification
Virginia Board of Nursing(Compact/Multistate)
- License No. 0001306079
- Expiration date: 2027-01-31
California Board of Nursing
- License No. 95301485
- Expiration date: 2028-02-29
Basic Life Support Certification
- AHA
- Expiration Date: 2027-12
Advanced Cardiovascular Life Support
- Expiration Date: 2027-01
ONS/ONCC Chemotherapy Immunotherapy Certificate
- ONS
- Expiration date: 2028-03-07
Timeline
Clinical Nurse III Medical Oncology Unit
SAINT AGNES MEDICAL CENTER
04.2026 - CurrentRead More
Internal Travel Nurse – Medical-Surgical/Telemetry Unit (Oncology)
GEISINGER HEALTH SYSTEM
08.2024 - 05.2026Read More
External Travel Nurse – Medical-Surgical/Telemetry Unit
ASCENCION ST. THOMAS HOSPITAL
01.2024 - 07.2024Read More
External Travel Nurse – Medical-Surgical/Telemetry Unit
WEST TENNESSEE HEALTHCARE
10.2023 - 01.2024Read More
Staff Nurse – Medical-Surgical/Telemetry Unit (Oncology)
LEWISGALE MEDICAL CENTER
10.2021 - 09.2023Read More
Registered Nurse – Medical-Surgical Telemetry Unit
HAMAD MEDICAL CORPORATION
08.2017 - 07.2021Read More
Registered Nurse – Medical/Surgical Unit
UNIVERSITY OF SANTO TOMAS HOSPITAL
04.2013 - 08.2017Read More
Registered Nurse – Multidisciplinary Unit Rotations
ST. JUDE HOSPITAL AND MEDICAL CENTER
08.2011 - 01.2013Read More
University of Santo Tomas
Bachelor of Science from Nursing
Read More
HIGHLIGHTS
- 15 years of acute-care experience in medical-surgical, telemetry, postoperative nursing environments and hematology-oncology.
- Strong procedural background in central line care and management.
- Leadership experience as Charge Nurse and Preceptor ensuring high team competency and engagement. Deep commitment to infection control, fall prevention, and evidence-based nursing standards.
- Proficient in Meditech, Epic and Cerner EMR systems, documentation management, and multidisciplinary coordination. Knowledgeable with Microsoft Office Suite.
- Demonstrates ability to thrive in fast-paced hospital environments with superior clinical judgment.
- Strong written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.
- Demonstrates general knowledge and competence with regard to nursing theories, concepts and practices; medical terminology; anatomy; and physiology.