Ralph Zambra

Compassionate Registered Nurse accustomed to treating diverse patient needs while managing dynamic conditions. Offering excellent clinical knowledge and judgment combined with strong management skills, detailed documentation, and problem-solving abilities. Well-versed in managing emergent cases with grace and efficiency.

Hospital Services Administrator at US Renal Care (2024-09 – Present)

Manages hospital services across multiple facilities (SJHMC, SJWMC, Reunion Rehab)

Clinical Coordinator at US Renal Care (2023-03 – 2024-09)

Registered Nurse at Fortus Group - Travel Acute Dialysis RN (2022-03 – 2023-03)

USRC East Valley Acutes

Registered Nurse at Aya Healthcare - Travel Acute Dialysis RN (2021-11 – 2022-02)

St. Bernards Medical Center

Registered Nurse (2021-08 – 2021-11)

Methodist University Hospital - Acute Dialysis RN

• Provides practice excellence through specialized nursing assessment, care, evaluation and education to patients and families in accordance with established policy and procedures.
• Promotes evidence-based practice by using research to develop, implement and evaluate process standards, such as plans of care, protocols and guidelines.
• Provides leadership excellence in clinical practice area.
• Demonstrates commitment to learning excellence through professional development and clinical expertise.
• Promotes cultural excellence with recognition and appreciation for cultural, ethnic, and generational diversity.

Registered Nurse at Fresenius Kidney Care (2020-08 – 2021-08)

Chronic Dialysis RN

• Collected and analyzed patient data before, during and after treatments and documented all information in patient medical records.
• Monitored patient status during treatment and reported variances and adverse reactions to care teams.
• Developed and maintained quality care systems and standards, including creating and improving medical protocols and guidelines.
• Administered oral, intramuscular and IV medications to patients and monitored responses.
• Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.

Certified Dialysis Technician at Fresenius Kidney Care (2017-08 – 2020-08)

• Inspected equipment and conducted safety checks on equipment and instruments to maintain high-quality control standards.
• Took and documented patients' vital statistics, including temperature, blood pressure and pulse and respiration rates, before and after dialysis treatment.
• Initiated and terminated reverse osmosis water system and performed water quality monitoring tests prior to dialysis initiation.
• Followed infection control measures when cleaning and attaching hemodialysis machine to access sites like fistulas, catheters, and grafts.
• Performed routine sterilization, cleaning, and maintenance of hemodialysis machines and equipment.
• Eased patients' anxiety by explaining dialysis procedures and dialysis machine operations.

Associate of Science in Nursing – Southwest Tennessee Community College (2020-05)