Hi, I’m
Ruby Gracia
Registered Nurse
Tolleson,AZ
Summary
Registered Nurse with 5+ years extensive clinical experience in acute and home health settings. Highly skilled in medical documentation, interdisciplinary collaboration, discharge coordination, and regulatory compliance. Strong clinical judgment and analytical skills with a growing focus on medical necessity review and utilization management. Seeking to transition into Inpatient Utilization Management to support appropriate level-of-care determinations and quality, cost-effective patient outcomes.
Overview
5
years of professional experience
Work History
Home Sweet Home CareTempe, AZ
Home Health RN
03.2025 - Current
Job overview
- Delivered safe and compassionate care in a fast-paced environment.
- Coordinated with interdisciplinary teams to optimize patient outcomes.
- Ensured accurate documentation in EMR systems and adherence to safety protocols.
- Assisted with wound care, specimen collection, IV insertion, and mobility support.
- Monitored patient progress and adjusted treatment plans to enhance recovery outcomes.
- Coordinated with interdisciplinary teams to ensure comprehensive care delivery for clients.
- Educated patients and families on health management strategies and medication adherence.
- Supervised junior nursing staff, providing mentorship and guidance in best practices.
- Implemented quality improvement initiatives that enhanced patient satisfaction scores.
- Utilized electronic health records for accurate documentation and streamlined communication among staff.
- Educated patients and families on disease management, prevention strategies, and self-care techniques.
- Assessed patient conditions regularly, promptly reporting changes in status to healthcare providers for timely intervention.
- Provided physical assessments, medication, and chronic disease management to home health patients.
- Coordinated with physicians, therapists, social workers, and other healthcare professionals to ensure seamless continuity of care for patients.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Developed strong rapport with patients and families, fostering trust and open communication during the care process.
- Trained, guided, supported and supervised home health aide care providers.
- Educated patients on use and benefits of equipment such as home blood pressure cuffs and glucose meters.
- Implemented effective pain management strategies to promote comfort and improve overall well-being for patients experiencing chronic or acute pain symptoms.
- Improved patient quality of life by delivering compassionate and empathetic support during home visits.
- Maintained accurate documentation of patient progress, treatments administered, and other pertinent information for thorough recordkeeping.
- Reduced hospital readmissions by closely monitoring patients'' conditions and addressing potential complications early on.
- Informed physicians of any changes to patients' health or concerns observed during home visits.
- Incorporated therapeutic, rehabilitative and nursing goals into detailed, individualized care plans based on diagnoses.
- Assessed patients' health conditions and asked appropriate questions to better understand current feelings.
- Ensured regulatory compliance in all aspects of home health nursing practice, maintaining current licensure and staying abreast of the latest industry standards.
- Efficiently managed time-sensitive tasks such as wound dressing changes and administering medications at appropriate intervals.
- Utilized evidence-based practices to deliver high-quality nursing care in accordance with established guidelines and protocols.
- Performed skilled nursing procedures such as IV insertion, catheterization, blood draw, tracheostomy care efficiently while maintaining strict infection control measures.
- Demonstrated excellent clinical judgment when evaluating complex situations in order to make informed decisions regarding patient safety.
- Administered medication safely and accurately, ensuring proper dosage and adherence to physician orders.
Honor HealthScottsdale, AZ
Registered Nurse III
09.2020 - Current
Job overview
- Provide direct patient care for diverse populations including medical-surgical, telemetry, and post-operative patients.
- Perform assessments, administer medications, document care, and communicate effectively with providers.
- Monitor vital signs, respond to changes in patient condition, and escalate concerns promptly.
- Educate patients and families on treatment plans, medications, and discharge instructions.
- Maintain compliance with facility, state, and federal guidelines.
- Investigated and resolved issues affecting hospital operations and patient care.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Served as a preceptor for nursing students during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.
- Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
- Demonstrated expertise in wound management techniques resulting in accelerated healing times for patients with complex wounds or pressure injuries.
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
- Evaluated patient histories, complaints, and current symptoms.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
Central AZ Endoscopy CenterMesa, AZ
Pre-Op/PACU RN
11.2023 - 07.2024
Job overview
- Perform pre-procedure admissions and recovery of pt undergoing GI endoscopy procedures.
- Provide direct patient care in pre and post operative areas and endoscopy procedure room in a fast-paced endoscopy center.
- Start IV's
- Performs all duties within the department interacting professionally with physicians, anesthesia staff, patients, families and other team members.
Education
Arizona State University
Bachelors from Nursing
12.2020
University Overview
Innovative inter-professional health skills, clinical reasoning, problem management, evidence-based practice skills, community health, and public health familiarity.
Phoenix College of Nursing
Associates from Nursing
05.2019
University Overview
Specialty topics in patient care simulation, leadership conflict management, and self-awareness.
Skills
- Patient Assessment & Care Planning
- Medication Administration
- Wound Care & Treatment
- IV Ultrasound Therapy/ Blood draws
- Electronic Medical Records (Epic, Cerner and Kinnser)
- Patient and Family Education
- Infection Control
- Vital Signs Monitoring
- Emergency Response
- Team Collaboration
- Mental Health First Aid Training
- BLS
- Documentation and charting
- Strong clinical judgment
- Clinical judgment
- Wound care
- Patient care
- Team coordination
- EMR systems
- Complex Problem-solving
- EMR / EHR
Languages
Bilingual (Spanish & English)
License
RN, AZ, #241068
Personal Information
- RN license: State of AZ (#241068)
- National Association of Hispanic Nurses
Awards
Daisy Awards (4)
Bilingual Nursing Fellowship Program Award
Timeline
Home Health RN
Home Sweet Home Care
03.2025 - Current
Pre-Op/PACU RN
Central AZ Endoscopy Center
11.2023 - 07.2024
Registered Nurse III
Honor Health
09.2020 - Current
Arizona State University
Bachelors from Nursing
Phoenix College of Nursing
Associates from Nursing