Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Specialized skills and projects
Affiliations
References
Timeline
Generic

Joshua Tiongson

1415 N. Edgemont St Los Angeles,CA

Summary

Dynamic Registered Nurse with extensive experience at Veterans Affairs Medical Center, excelling in dialysis management and patient education. Proven ability to enhance patient outcomes through effective care planning and teamwork. Recognized for leadership in infection control and equipment troubleshooting, ensuring safety and quality in high-pressure environments.

Overview

32
32
years of professional experience
1
1
Certification

Work History

Registered Nurse (PRN)

Kindred Hospital (CURA)
Denver, CO
06.2018 - Current
  • Delivered acute care for critically ill patients in the ICU and Step-Down Unit, particularly focusing on dialysis for complex conditions.
  • Administered intravenous treatments, blood transfusions, and other life-saving procedures.
  • Managed dialysis machines for intermittent or continuous dialysis treatments.
  • Educated patients and families on dialysis procedures and long-term kidney health.
  • Ensured strict infection control practices and performed troubleshooting of dialysis equipment.

Registered Nurse, Hemodialysis Unit (Level 2, Step 11)

Veterans Affairs Medical Center (RMR VA)
Denver, CO
12.2013 - Current
  • Deliver comprehensive, patient-centered care to veterans undergoing dialysis for both acute and chronic renal failure.
  • Apply the nursing process at the unit, team, and workgroup levels to optimize patient outcomes, improve care processes, and elevate quality of service.
  • Manage all aspects of hemodialysis, including assessment, patient education, treatment administration, and post-dialysis care.
  • Lead patient care initiatives to enhance the quality of dialysis, preventing complications such as infection, catheter-related issues, and thrombosis in dialysis access sites.
  • Monitor patient conditions, ensuring safe and effective use of dialysis machines, including troubleshooting equipment issues when needed.
  • Implement safety protocols to ensure proper infection control, reducing dialysis-related infections and promoting a sterile environment for all procedures.
  • Work collaboratively with nephrologists, social workers, dietitians, and other healthcare professionals to create personalized care plans for complex patients.
  • Facilitate patient advocacy, helping veterans understand their treatment options and ensuring their concerns are addressed by the care team.
  • Provide leadership in patient safety, including reviewing and reinforcing unit protocols on hand hygiene, PPE use, and infection control measures.
  • Participate in monthly multidisciplinary rounds to assess the efficacy of dialysis treatment and make adjustments as needed.
  • Mentor new staff and serve as a resource for ongoing education, including training new nurses in dialysis techniques and safety protocols.
  • Specialized Leadership Projects and Responsibilities:
  • Super user of CYBERREN Network: Provide advanced support, troubleshooting, and system optimization for the CYBERREN network, ensuring the smooth management and tracking of patient data, dialysis treatments, and patient outcomes.
  • ACLS Certification & Emergency Response: Maintained ACLS certification and applied advanced critical care knowledge to effectively manage emergency situations, ensuring the highest standard of care during code blue or emergency interventions.
  • Safety Officer: Led efforts to maintain a safe working environment by monitoring staff adherence to safety protocols, conducting safety drills, and identifying areas for improvement to safeguard both patients and healthcare personnel.
  • Veteran Patient Safety: Prioritized veteran patient safety during dialysis treatments, continuously monitoring vital signs, recognizing and responding to adverse events, and adhering to safety guidelines.
  • Infection Control: Enforced infection control protocols, utilizing aseptic techniques to disinfect dialysis equipment and maintain sterile conditions.
  • DAISY Award Nomination: Nominated for the DAISY Award for outstanding patient care, compassion, professionalism, and excellence in nursing practice.
  • Mentorship & Staff Development: Mentored new employees, guiding them through the training process and integrating them into the unit’s protocols.
  • Laboratory Coordination & Monitoring: Managed preparation and timely coordination of laboratory orders, ensuring proper specimen handling and testing for optimal patient care.
  • Hepatitis Monitoring & Vaccination: Monitored hepatitis status for ESRD patients, administering Hepatitis B vaccines and boosters to patients without detectable antibodies.
  • Super user in BLS & Staff Training: Assisted in quarterly BLS renewals for staff, ensuring certifications are up to date and promoting safe patient care.
  • Collaboration with Nephrologists: Worked closely with nephrologists during daily rounds to adjust dialysis prescriptions and optimize patient care.
  • AVF Fistula Monitoring & Evaluation: Regularly monitored AVF access flow and communicated findings to nephrologists, ensuring timely intervention when necessary.
  • Preceptor & Nurse Development: Acted as a Preceptor for newly graduated nurses, providing hands-on training, guidance, and mentorship.
  • Cannulation of New Fistulas: Proficiently performed cannulation of new AV fistulas, ensuring safe and effective dialysis access.
  • ICU Training & SLED/SCUF Procedures: Trained ICU staff on the use of hemodialysis machines, enhancing their ability to manage critically ill patients.
  • Cross-Unit Coverage: GI, Cross-trained and provided coverage in various units, ensuring continuity of care during staffing shortages.
  • Comprehensive Veteran Care: Delivered high-quality care, ensuring the safety and comfort of veteran patients undergoing dialysis treatments.

Registered Nurse, Blood Disorder Unit Labs (Part-Time)

UC Health Colorado Hospital
Aurora, CO
03.2022 - 04.2025
  • Specialized in IV insertion and phlebotomy, performing routine and specialized blood draws for diagnostic testing.
  • Administered IM injections for anemia and coordinated bone marrow biopsy specimen collection.
  • Collaborated with hematologists and physicians to prioritize lab tests for blood disorders.
  • Maintained high infection control standards and provided patient care during procedures.

Registered Nurse, Chronic Dialysis Unit

University of Colorado Hospital
Denver, CO
01.2006 - 12.2013
  • Provided direct nursing care to chronic kidney disease patients, focusing on hemodialysis and post-treatment follow-up.
  • Managed patient immunization schedules and assisted in policy development.
  • Served as Safety Officer for the dialysis unit and participated in quality improvement initiatives.
  • Contributed to the development of patient education materials and dialysis-related procedures.
  • Managed dialysis schedules and served as Relief Charge Nurse, overseeing unit operations and patient care.

Registered Nurse, ICU and Progressive Care Unit

Mount Auburn Hospital
Cambridge, MA
01.2005 - 10.2006
  • Provided care for medically complex patients, including post-surgical care and wound management.
  • Administered blood transfusions and critical treatments, ensuring safe administration.
  • Collaborated with interdisciplinary teams to develop individualized care plans.

Registered Nurse, Coronary Care Unit

Wexham Park Hospital
Berkshire, UK
04.2002 - 12.2004
  • Provided critical care to cardiac patients, including post-MI and heart failure patients.
  • Assisted with telemetry/EKG monitoring and participated in patient rehabilitation.

Registered Nurse, Medical Assessment Unit

Wexham Park Hospital
Berkshire, UK
10.2000 - 04.2002
  • Managed patient flow, ensuring efficient care delivery in a high-acuity environment.
  • Supervised staff and ensured effective delegation based on patient needs.

Registered Nurse, Intensive Care Unit

Roman Catholic Church
Windhoek, Namibia
04.1997 - 10.2000
  • Provided intensive care for critically ill patients, including those with multi-organ failure and respiratory distress.
  • Participated in the development of ICU unit standards and goals.

Registered Nurse, Private Duty Nursing Unit

Manila Doctors Hospital
Manila, Philippines
01.1996 - 04.1997
  • Provided post-ICU care, including patient monitoring, medication administration, and coordination of interventions.

Registered Nurse, ICU/CCU

Manila Doctors Hospital
Manila, Philippines
07.1993 - 12.1995
  • Delivered critical care in the ICU and CCU, including post-surgical and post-cardiac care.
  • Conducted telemetry/EKG monitoring and administered medications as per physicians’ orders.

Education

Bachelor of Science - Nursing

De Ocampo Memorial College
Philippines
01.1992

Skills

  • Intravenous therapy and medication administration
  • Dialysis management
  • Patient education and assessment
  • Infection control protocols
  • Critical care practices
  • Equipment troubleshooting and safety
  • Team collaboration and training
  • Care planning and documentation

Certification

  • Registered Nurse (RN) License – State of Colorado, Issued: 2006
  • Basic Life Support (BLS) – Certification with yearly renewal
  • Advanced Cardiovascular Life Support (ACLS) – Certified
  • Certified Dialysis Nurse (CDN) – Certification in Dialysis Nursing

Accomplishments

Voted for DAISY awards

Specialized skills and projects

Specialized Leadership Projects and Responsibilities:
• Super user of CYBERREN Network: Provide advanced support, troubleshooting, and system optimization for the CYBERREN network, ensuring the smooth management and tracking of patient data, dialysis treatments, and patient outcomes.
ACLS Certification & Emergency Response: Maintained ACLS certification and applied advanced critical care knowledge to effectively manage emergency situations, ensuring the highest standard of care during code blue or emergency interventions.
Safety Officer: Led efforts to maintain a safe working environment by monitoring staff adherence to safety protocols, conducting safety drills, and identifying areas for improvement to safeguard both patients and healthcare personnel.
Veteran Patient Safety: Prioritized veteran patient safety during dialysis treatments, continuously monitoring vital signs, recognizing and responding to adverse events, and adhering to safety guidelines.
• Infection Control: Enforced infection control protocols, utilizing aseptic techniques to disinfect dialysis equipment and maintain sterile conditions.
DAISY Award Nomination: Nominated for the DAISY Award for outstanding patient care, compassion, professionalism, and excellence in nursing practice.
Mentorship & Staff Development: Mentored new employees, guiding them through the training process and integrating them into the unit’s protocols.
Laboratory Coordination & Monitoring: Managed preparation and timely coordination of laboratory orders, ensuring proper specimen handling and testing for optimal patient care.
Hepatitis Monitoring & Vaccination: Monitored hepatitis status for ESRD patients, administering Hepatitis B vaccines and boosters to patients without detectable antibodies.
Super user in BLS & Staff Training: Assisted in quarterly BLS renewals for staff, ensuring certifications are up to date and promoting safe patient care.
• Collaboration with Nephrologists: Worked closely with nephrologists during daily rounds to adjust dialysis prescriptions and optimize patient care.
AVF Fistula Monitoring & Evaluation: Regularly monitored AVF access flow and communicated findings to nephrologists, ensuring timely intervention when necessary.
Preceptor & Nurse Development: Acted as a Preceptor for newly graduated nurses, providing hands-on training, guidance, and mentorship.
Cannulation of New Fistulas: Proficiently performed cannulation of new AV fistulas, ensuring safe and effective dialysis access.
ICU Training & SLED/SCUF Procedures: Trained ICU staff on the use of hemodialysis machines, enhancing their ability to manage critically ill patients.
Cross-Unit Coverage:  GI,  Cross-trained and provided coverage in various units, ensuring continuity of care during staffing shortages.
• Comprehensive Veteran Care: Delivered high-quality care, ensuring the safety and comfort of veteran patients undergoing dialysis treatments.

Affiliations

  • American Nephrology Nurses Association – Active Member
  • Regularly participates in educational webinars, workshops, and conferences focused on nephrology and dialysis.

References

Vicki Hoffman, MSN, RN, CNN, CNML

Dialysis Nurse Manager

Rocky Mountain Regional

720-723-6689

Timeline

Registered Nurse, Blood Disorder Unit Labs (Part-Time)

UC Health Colorado Hospital
03.2022 - 04.2025

Registered Nurse (PRN)

Kindred Hospital (CURA)
06.2018 - Current

Registered Nurse, Hemodialysis Unit (Level 2, Step 11)

Veterans Affairs Medical Center (RMR VA)
12.2013 - Current

Registered Nurse, Chronic Dialysis Unit

University of Colorado Hospital
01.2006 - 12.2013

Registered Nurse, ICU and Progressive Care Unit

Mount Auburn Hospital
01.2005 - 10.2006

Registered Nurse, Coronary Care Unit

Wexham Park Hospital
04.2002 - 12.2004

Registered Nurse, Medical Assessment Unit

Wexham Park Hospital
10.2000 - 04.2002

Registered Nurse, Intensive Care Unit

Roman Catholic Church
04.1997 - 10.2000

Registered Nurse, Private Duty Nursing Unit

Manila Doctors Hospital
01.1996 - 04.1997

Registered Nurse, ICU/CCU

Manila Doctors Hospital
07.1993 - 12.1995

Bachelor of Science - Nursing

De Ocampo Memorial College