Ralph Tristan Gabuya
Rialto
Summary
Experienced Neuro-Spine Clinical Nurse skilled in conducting neurological assessments and managing complex post-operative care. Advocates for patients through education and tailored care plans, enhancing recovery and satisfaction. Collaborates with healthcare teams to implement best practices and improve operational efficiency. Focused on patient outcomes by ensuring safety compliance and fostering a supportive environment.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Neuro-Spine Clinical Nurse II
Cedars-Sinai Medical Center
Los Angeles
11.2022 - Current
Clinical & Technical Skills
- Neurological assessment (e.g., level of consciousness, motor/sensory function, pupil response)
- Spine-specific assessment (mobility, pain levels, spinal alignment)
- Monitoring for complications (e.g., nerve damage, infection, bleeding)
- Post-operative care for spinal surgeries (laminectomy, spinal fusion, etc.)
- Medication administration (pain management, steroids, anticoagulants)
- Wound care and surgical site management
- Use of specialized equipment (traction devices, braces, ICP monitors)
- Assisting with mobility while maintaining spinal precautions
- Managing acute and chronic pain effectively
- Supporting patients with paralysis or limited mobility
- Preventing pressure ulcers and complications from immobility
- Monitored patient behavior and condition to identify neurological deterioration.
- Prioritizing care in emergencies
- Interpreting diagnostic results (MRI, CT scans, X-rays)
- Collaborating with neurosurgeons and interdisciplinary teams
- Educating patients and families about conditions and recovery
- Coordinating care with healthcare teams
- Maintaining spinal precautions (log rolling, proper positioning)
- Infection control and sterile techniques
- Adhering to hospital protocols and safety guidelines
- Risk assessment for falls and injury
- Assisting in rehabilitation plans and physiotherapy coordination
- Encouraging gradual mobility and independence
- Monitoring long-term recovery progress
- Teaching use of assistive devices (walkers, braces)
- Prioritized tasks in high-acuity settings, ensuring timely patient care and maintaining safety standards.
- Ability to work under pressure (ICU, emergency situations)
- Continuous learning in neurology and spinal care
- Provided emotional support to patients facing challenging health issues, enhancing their coping and recovery experience.
Infusion Nurse
Hydration Room
Rancho Cucamonga
08.2025 - Current
- Administered IV hydration therapies to patients in a clinical setting.
- Monitored patient vital signs during infusion treatments for safety.
- Educated patients on infusion processes and aftercare instructions.
- Collaborated with healthcare teams to optimize patient treatment plans.
- Ensured compliance with health regulations and safety protocols consistently.
- Utilized electronic health records systems to manage patient information efficiently.
- Collaborated with interdisciplinary team members to ensure optimal patient outcomes.
- Assisted with setting up new IV access devices including venous cutdowns, PICC lines, midlines, ports and Hickman catheters.
- Responded quickly and efficiently to emergency situations that occurred during an infusion procedure.
Registered Nurse Perdiem
Aya Healthcare
San Diego
04.2022 - 05.2023
- Secured Perdiem shifts from agency based on RN demand, providing nursing support across multiple hospitals.
- Assisted in ER, Rehab, and Med-Surg units, supporting patient care and operational needs.
- Collaborated with team members to meet patient care objectives and enhance team efficiency.
- Provided compassionate support to patients and families during care interactions.
- Assisted patients with admittance and release procedures
- Ensured worklogs were meticulously organized for easy reference.
- Continually maintained a clean and sanitary environment for patients
Registered Nurse 1
Rancho Los Amigos National Rehabilitations Center
Downey
05.2019 - 11.2022
- Works on a Medical-Surgical unit that specializes in care for patients with Spinal Cord Injury, and SCI-related fatal pressure ulcer wounds
- Delivered meticulous care for SCI patients with fatal pressure ulcer wounds post-myocutaneous flap closure surgical repair
- Administered prompt nursing interventions for SCI patients experiencing autonomic dysreflexia
- Acted as a certified clinical preceptor, guiding and mentoring new nurses in clinical practices
- Assisted with duties in the ER, Rehab, and Med-Surg units
- Treated patients with the utmost care and respect
- Supported nursing team with daily patient care tasks
- Communicated information and guidelines to patients and the families of patients
Home Health RN
Grace Home Health
Long Beach
03.2018 - 06.2021
- Demonstrated compassion and sensitivity towards patients and families in all interactions.
- Facilitated patient admittance and release, enhancing overall patient experience
- Sustained a clean and sanitary environment, promoting patient safety and comfort
- Organized and updated worklogs to ensure accurate patient records
- Adhered to directions precisely and proactively addressed issues to ensure smooth operations.
Registered Nurse
Kindred Hospital
Westminster
05.2018 - 05.2019
- Demonstrated compassion and sensitivity to enhance patient and family experience
- Continually maintained a clean and sanitary environment for patients
- Assisted patients with admittance and release procedures
- Collaborated effectively with team members and worked independently to achieve project goals.
- Adhered to instructions closely while also demonstrating initiative in completing tasks.
- Ensured worklogs were consistently neat and organized for easy reference and tracking.
Education
BSN - Completion degree for International Graduates of Bachelors of Science in Nursing
American University of Health Sciences
Long Beach09-2022
BSN -
Manila Doctors College
Pasay City, Philippines04-2011
Skills
- Neurological assessment
- Neuro-spine assessment
- Neuro-spine emergencies
- Patient examination
- Diagnosis, treatment
- Pain management
- Wound care
- IV therapy administration
- Patient testing
- Health assessment
- Patient consultation
- Patient advocacy
- Care planning
- Treatment coordination
- Care coordination
- Intake and discharge
- Patient education
- Family education
- Disease prevention
- Health promotion
- Infection control
- Emergency response
- Direct patient care
- Inpatient care
- Medical condition monitoring
- Clinical judgment
- Quality assurance
- Quality improvement
- Quality assessments
- Resource utilization
- Electronic health records
- Medical recordkeeping
- Phlebotomy
- Advanced life support
- Basic life support
- Catheter monitoring
- Cardiac monitors
- Safety measures
- Nursing leadership
- Interdisciplinary collaboration
- Team collaboration
- Conflict resolution
- Interpersonal communication
- Critical decision making
- Complex decision making
- Practice evaluations
- Staff evaluation
- Evidence-based practice
- Chronic management
- Patient relations
- Patient management
- Vital signs documentation
- Problem-solving aptitude
- Ethical practice
- Geriatric care
- Cardiac care
- Clinical protocol development
- Interpersonal skills
- English and Tagalog fluency
- Complex decision making
- Clinical protocol development
Certification
- Certified Med-Surg Nurse
- Registered Nurse in CA, 95157407
- Basic Life Support (BLS) Certification, 2024-2026
- Certified Clinical Preceptor for LA County
Personal Information
Title: Registered Nurse
Languages
- English
- Tagalog
Timeline
Infusion Nurse
Hydration Room
08.2025 - Current
Neuro-Spine Clinical Nurse II
Cedars-Sinai Medical Center
11.2022 - Current
Registered Nurse Perdiem
Aya Healthcare
04.2022 - 05.2023
Registered Nurse 1
Rancho Los Amigos National Rehabilitations Center
05.2019 - 11.2022
Registered Nurse
Kindred Hospital
05.2018 - 05.2019
Home Health RN
Grace Home Health
03.2018 - 06.2021
BSN - Completion degree for International Graduates of Bachelors of Science in Nursing
American University of Health Sciences
BSN -
Manila Doctors College