Dedicated Nephrology Nurse specializing in dialysis management and patient education. Collaborates with interdisciplinary teams to implement individualized care plans that enhance patient outcomes and promote renal health. Utilizes advanced nephrological techniques to improve patient comfort and overall health.
Overview
40
40
years of professional experience
Work History
APRN, Family Nurse Practitioner, FNP-BC
Central Texas Nephrology Associates
Waco, Texas
02.2017 - Current
Provide advanced nephrology care and personalized education for patients with advanced kidney disease, including chronic kidney disease management, nutrition and preservation strategies, transplantation, dialysis, and home therapy options.
Order and interpret diagnostic tests, including kidney function labs, urinalysis, A1C, and renal imaging, to guide treatment planning.
Perform patient assessments, physical examinations, renal-focused evaluations, and review health histories and clinical findings.
Develop and implement individualized patient management plans, including medication monitoring, lifestyle education, dialysis support, and transplant-related care coordination.
Educate patients and families on chronic kidney disease, diet, medication adherence, dialysis options, home therapies, and strategies to preserve kidney function.
Coordinated care among nephrologists, dietitians, pharmacists, dialysis teams, and other specialists to address complex kidney-care needs.
Delivered healthcare services to patients, ensuring adherence to supervising physician's directives and enhancing patient care.
Maintained accurate documentation and monitored treatment responses to support quality improvement initiatives and evidence-based nephrology practice.
Registered Nurse, Family Nurse Practitioner, Nephrology Physician Facilitator/Extender
Fresenius Medical Care–North America / Greenway Kidney Center
Waco, Texas
08.1998 - Current
Led special projects on vascular access procedures, enhancing patient care through collaboration with the Empowered Self Care Team.
Provide healthcare services to patients under the direction and responsibility of a supervising physician.
Perform patient physical examinations and compile medical data, including health histories and examination findings.
Order diagnostic tests, assist with interpretation of results, and perform therapeutic procedures.
Develop and implement patient management plans while thoroughly documenting observations and progress notes.
Coordinated data for vascular access programs, ensuring compliance with local guidelines and optimizing program effectiveness.
Prepared accurate, timely reports for vascular access programs, facilitating informed decision-making and program improvements.
Clinical Preceptor, Advanced Practice MSN-FNP Program
University of Texas at Arlington College of Nursing and Health Innovation
02.2026 - 08.2026
Mentored and supervised Advanced Practice MSN-FNP students in patient assessment, diagnosis, treatment planning, documentation, and education, enhancing their clinical competencies.
Facilitated student development in history-taking, physical examination, clinical decision-making, and professional communication, fostering evidence-based advanced practice nursing skills.
Supervised nursing students during clinical rotations in diverse healthcare settings.
Guided students in developing essential nursing skills through hands-on support. to develop critical thinking and clinical decision-making skills.
Evaluated student performance through direct observation and feedback sessions.
Registered Nurse, Family Nurse Practitioner, FNP-BC
Treat N Go Clinic
Waco, Texas
03.2012 - 12.2013
Diagnosed and treated common family illnesses for patients 24 months and older, enhancing patient health outcomes.
Determined and implemented appropriate treatment options based on clinical expertise, improving patient care.
Supported patient wellness through physicals, wellness screenings, patient education, and weight-loss counseling.
Documented patient visits in electronic medical records and practice management systems, ensuring accurate and efficient patient data management.
Acted as a single point of contact for patients throughout each visit.
Registered Nurse, Family Nurse Practitioner, FNP-BC
Treat N Go Clinic
Waco, Texas
04.2008 - 12.2010
Diagnosed and treated common family illnesses for patients aged 24 months and older, enhancing patient health outcomes.
Determined appropriate treatment options with clinical expertise to optimize patient care.
Supported patient wellness through physicals, wellness screenings, patient education, and weight-loss counseling.
Documented patient visits in electronic medical records and practice management systems, ensuring accurate patient information and continuity of care.
Acted as a single point of contact for patients throughout each visit.
Registered Nurse, Head Nurse
Bellmead Kidney Disease Center
Waco, Texas
12.1993 - 08.1998
Participated in direct patient care while coordinating and supervising daily patient care and staff activities.
Supervised and coordinated activities of 25–30 employees to ensure quality patient care.
Developed staff work assignments and schedules to optimize patient care operations.
Intervened effectively in crisis situations and promoted patient satisfaction.
Contributed to special projects and collaborated in interviewing patient care staff to enhance team selection.
Registered Nurse, Team Leader, In-Service Coordinator, Vascular Access Coordinator
Brazos Kidney Disease Center
Waco, Texas
03.1993 - 12.1993
Implemented and monitored interdisciplinary plans of care, ensuring alignment with patient goals.
Managed care coordination across multiple disciplines to ensure comprehensive patient support.
Coordinated patient care, continuously assessing patient and family needs to enhance overall care experience.
Directed and supervised care provided by LVNs and Patient Care Technicians, fostering a collaborative care environment.
Licensed Vocational Nurse
Brazos Kidney Disease Center
Waco, Texas
04.1990 - 03.1993
Administered medications orally and intravenously.
Evaluated patient condition before, during, and after hemodialysis.
Led team in physician rounds and reviewed monthly lab results to ensure optimal patient care.
Organized and managed transplant activities over one year, facilitating collaboration among medical staff and patients for successful outcomes.
Licensed Vocational Nurse, Intensive Care Unit
Hillcrest Baptist Medical Center
Waco, Texas
01.1987 - 02.1991
Delivered comprehensive care to critically ill patients, ensuring safety and comfort during critical interventions.
Administered oral, IV, rectal, and topical medications to manage pain and facilitate recovery.
Assisted physicians with special line placements and procedures.
Documented nursing notes and communicated lab results to enhance patient care and inform treatment decisions.
Utilized computer skills to manage clinical documentation accurately.
Education
MSN/Certificate - Family Nurse Practitioner
Texas A&M University–Corpus Christi
Corpus Christi, TX
01-2007
BSN - Nursing
University of Texas at Arlington
Arlington, TX
01-2004
AAS - Nursing
McLennan Community College
Waco, TX
01-1992
Certificate - LVN
McLennan Community College
Waco, TX
01-1986
Diploma -
La Vega High School
Waco, TX
01-1984
Skills
Advanced nephrology care
Chronic disease management
Patient management plans
Diagnostic test interpretation
Clinical documentation
Analytical thinking
Problem-solving
Core competencies
Fields Of Competence
Maternal and child health nursing
Community health nursing
Adult health nursing
Nursing management
Medical-surgical nursing
Research utilization
Professional Memberships Affiliations
Chi Eta Phi Sorority, Inc., Chaplain, 2011–2022
Chi Eta Phi Sorority, Inc., Vice President 2021-2026
Chi eta Phi Sorority, Inc. Charter member since 1998
Central Texas Nurse Practitioners, member, since 2008
Cambridge Who’s Who Among Executives, Professionals and Entrepreneurs
American Association of Nurse Practitioners (AANP), member, since 2022
American Nurses Association (ANA), member, since 2022
Clinical And Professional Practice
02/01/17–Present, APRN, Family Nurse Practitioner, FNP-BC, Central Texas Nephrology Associates, Waco, Texas, Provide advanced nephrology care and personalized education for patients with advanced kidney disease., Perform patient assessments, physical examinations, renal-focused evaluations, and review health histories and clinical findings., Order and interpret diagnostic tests to guide treatment planning., Develop and implement individualized patient management plans., Educate patients and families on chronic kidney disease and related topics., Collaborate with nephrologists and other specialists.
02/01/26–08/01/26, Clinical Preceptor, Advanced Practice MSN-FNP Program, University of Texas at Arlington College of Nursing and Health Innovation, Provided clinical mentorship and supervision for Advanced Practice MSN-FNP students., Supported student growth in history-taking and clinical decision-making.
03/01/12–12/01/13, Registered Nurse, Family Nurse Practitioner, FNP-BC, Treat N Go Clinic, Waco, Texas, Diagnosed and treated common family illnesses., Supported patient wellness through physicals and screenings.
04/01/08–12/01/10, Registered Nurse, Family Nurse Practitioner, FNP-BC, Treat N Go Clinic, Waco, Texas, Diagnosed and treated common family illnesses., Supported patient wellness through physicals and screenings.
08/01/98–Present, Registered Nurse, Family Nurse Practitioner, Nephrology Physician Facilitator/Extender, Fresenius Medical Care–North America / Greenway Kidney Center, Waco, Texas, Serve as Special Project Coordinator for vascular access procedures., Provide healthcare services under the direction of a supervising physician.
12/01/93–08/01/98, Registered Nurse, Head Nurse, Bellmead Kidney Disease Center, Waco, Texas, Managed and supervised 25–30 employees., Participated in direct patient care.
03/01/93–12/01/93, Registered Nurse, Team Leader, In-Service Coordinator, Vascular Access Coordinator, Brazos Kidney Disease Center, Waco, Texas, Coordinated patient care and ensured continuous assessment of patient and family needs.
04/01/90–03/01/93, Licensed Vocational Nurse, Brazos Kidney Disease Center, Waco, Texas, Served as Team Leader by rounding with physicians.
01/01/87–02/01/91, Licensed Vocational Nurse, Intensive Care Unit, Hillcrest Baptist Medical Center, Waco, Texas, Provided total patient care to critically ill patients.
Email
rgivens8707@yahoo.com, rgivens@ctna1.com
Awards
Chi Eta Phi Sorority, Inc., Sigma Phi Chapter, "Nursing Excellence Award", May 14, 2026
Chi Eta Phi Sorority, Inc., 58th Middlesouth Regional Conference "Serena Sanford Rising Star", April 13, 2024
Innovation Award, Central Texas Nephrology Associates and Fresenius Medical Care–North America, 05/01/11, For effectively sharing data with clinics
Best Documentary, Central Texas Nephrology Associates and Fresenius Medical Care–North America, 05/01/11, For quality data
Community Service Award, Nursing Administration, Zeta Phi Beta Sorority, Inc., Delta Upsilon Zeta Chapter, 12/10/11
Professional Licensure And Certifications
04/01/08–Present, Family Nurse Practitioner, Texas
03/01/93–Present, Registered Professional Nurse, Texas
07/01/00–Present, Certified Nephrology Nurse
10/01/11–Present, BLS Certified by the American Heart Association
Presentations
Heart Health Month: Understanding, Preventing, and Strengthening Heart Disease, Alpha Kappa Alpha Sorority, Inc., Baylor University, Waco, Texas 02/17/2026
CKD: What NPs Need to Know: Managing Chronic Kidney Disease, Central Texas Nurse Practitioners Annual Update, Waco, Texas, 02/25/2012
Timeline
Clinical Preceptor, Advanced Practice MSN-FNP Program
University of Texas at Arlington College of Nursing and Health Innovation
02.2026 - 08.2026
APRN, Family Nurse Practitioner, FNP-BC
Central Texas Nephrology Associates
02.2017 - Current
Registered Nurse, Family Nurse Practitioner, FNP-BC
Treat N Go Clinic
03.2012 - 12.2013
Registered Nurse, Family Nurse Practitioner, FNP-BC
Treat N Go Clinic
04.2008 - 12.2010
Registered Nurse, Family Nurse Practitioner, Nephrology Physician Facilitator/Extender
Fresenius Medical Care–North America / Greenway Kidney Center
08.1998 - Current
Registered Nurse, Head Nurse
Bellmead Kidney Disease Center
12.1993 - 08.1998
Registered Nurse, Team Leader, In-Service Coordinator, Vascular Access Coordinator