Joshua Ruggles
Summary
Dynamic Registered Nurse with a strong track record in enhancing patient care outcomes through innovative management of complex primary care environments. Recognized for effective leadership in emergency settings, consistently achieving high patient satisfaction and operational excellence.
Overview
15
15
years of professional experience
1
1
Certification
Work History
PACT RN
Department of Veterans Affairs
Bend
03.2026 - Current
- Executed leadership responsibilities in management of complex primary care environments.
Provided sex-specific direct care and coordination for veterans within primary care department.
Managed assigned patient panels using registries to ensure proper evaluation and access.
Demonstrated innovative approaches to enhance patient care outcomes.
Registered Nurse, Nurse Advice Line & Medical Respite & Sobering Center
San Francisco Department of Public Health
San Francisco
04.2020 - 03.2026
- Interim Nurse Manager, Nurse Advice Line (2025): Assumed full operational leadership during a transitional period. Managed daily workflows, coordinated scheduling for a team of 20+ RNs, facilitated new hire onboarding, and served as the primary point of contact for clinical and administrative issues, maintaining service quality and team morale.
- Charge Nurse, Nurse Advice Line (2022 - 2025): Promoted to oversee real-time call center operations. Responsibilities included triaging complex patient calls, mentoring staff, performing quality assurance audits, and serving as the senior clinical resource, contributing to sustained high patient satisfaction scores.
- Deliver expert telephonic triage, patient education, and care coordination using clinical protocols to ensure safe and effective remote patient outcomes.
Emergency Department Registered Nurse (Seasonal Contract/PRN)
Vail Health Emergency Department
Vail
11.2019 - 03.2020
- Provided high-acuity emergency care in a Level III Trauma Center serving a diverse alpine community and tourist population.
- Managed a broad spectrum of cases including trauma, cardiac events, and altitude-related illnesses, demonstrating adaptability and sound clinical judgment in a fast-paced, resource-rich setting.
Deputy Director of Nursing; Registered Nurse
BCFS Health & Human Services, Emergency Services Division
San Antonio
01.2016 - 12.2019
- Deployed as member of federal medical response team, providing critical medical support during natural disasters and public health emergencies.
- As Deputy Director of Nursing (2017-2019): Directed medical operations for shelter populations, implementing a sufficiency-of-care model to provide and maintain essential medical services in austere and dynamic environments.
Travel Emergency Department RN (Trusted Health Contract)
MultiCare Good Samaritan Hospital
Puyallup
05.2019 - 10.2019
- Completed a 7-month travel contract in a high-volume Level III Trauma Center.
- Rapidly integrated into the team and adapted to established protocols, EMR systems, and community-specific care needs to provide seamless, high-quality patient care.
Emergency Department Registered Nurse
Methodist Boerne Emergency Department
Boerne
07.2015 - 05.2019
- Delivered comprehensive emergency care across all acuity levels in a 24-bed community ED.
- Proficient in advanced procedures, patient stabilization, and coordination with physicians for timely diagnostics and interventions.
Pre-operative & Endoscopy Nurse
United Surgical Partners International
Houston
08.2014 - 07.2015
- Provided skilled nursing care in an outpatient surgical setting, managing patient preparation, monitoring during procedures, and post-operative recovery.
Emergency Department Registered Nurse
Memorial Hermann Texas Medical Center, Level I Trauma Center
Houston
05.2011 - 07.2014
- Managed critically ill and injured patients in one of the nation's busiest Level I trauma centers, ensuring rapid stabilization and effective treatment.
- Developed specialized expertise in high-volume triage, enhancing patient flow and timely care initiation for diverse cases.
- Received "Excellence in Nursing" award in 2013 and 2014 from Emergency Medicine resident physicians for exceptional clinical judgment and collaboration.
Education
Bachelor of Science - Nursing
Stephen F. Austin State University
Nacogdoches, TX05-2011
Nursing Prerequisites -
Texas Woman's University & Blinn College
01-2009
Skills
- Patient assessment
- Emergency care
- Telehealth services
- Care coordination
- Evidence-based practice
- EMR documentation
- Critical thinking
- Time management
- Team collaboration
- Clinical leadership
- Strong medical ethic
- Effective communication
Certification
- Registered Nurse (RN) License, State of California, Oregon & the Nurse Compact States out of Texas
- Advanced Cardiac Life Support (ACLS)
- Pediatric Advanced Life Support (PALS)
- Basic Life Support (BLS)
Professional Awards
Excellence in Nursing Award, Memorial Hermann Texas Medical Center, 2013, 2014
Timeline
PACT RN
Department of Veterans Affairs
03.2026 - Current
Registered Nurse, Nurse Advice Line & Medical Respite & Sobering Center
San Francisco Department of Public Health
04.2020 - 03.2026
Emergency Department Registered Nurse (Seasonal Contract/PRN)
Vail Health Emergency Department
11.2019 - 03.2020
Travel Emergency Department RN (Trusted Health Contract)
MultiCare Good Samaritan Hospital
05.2019 - 10.2019
Deputy Director of Nursing; Registered Nurse
BCFS Health & Human Services, Emergency Services Division
01.2016 - 12.2019
Emergency Department Registered Nurse
Methodist Boerne Emergency Department
07.2015 - 05.2019
Pre-operative & Endoscopy Nurse
United Surgical Partners International
08.2014 - 07.2015
Emergency Department Registered Nurse
Memorial Hermann Texas Medical Center, Level I Trauma Center
05.2011 - 07.2014
Bachelor of Science - Nursing
Stephen F. Austin State University
Nursing Prerequisites -
Texas Woman's University & Blinn College