Registered Nurse, Community Based Disability Services Resume

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Registered Nurse, Community Based Disability Services Resume Yui Kirby Registered Nurse, Community Based Disability Services (210) 555-6842 yui.kirby@example.com linkedin.com/example/yuikirby San Antonio, TX 78229 STRENGTHS Person Centered Care Connects clinical decisions with individual goals and support needs. Families and caregivers gained clearer guidance during follow up. Medication Safety Reviews orders and administration records closely. Staff often sought practical guidance when documentation or protocol questions surfaced. Staff Education Turns medical instructions into usable training. New staff received clear demonstrations, practice checks, and confidence before independent care. Clinical Documentation Keeps recurring records organized and readable. That steady habit made provider follow up and licensing preparation smoother. Interdisciplinary Coordination Brings individuals, families, physicians, and program teams into shared plans. Conversations became more focused after clinical findings were clarified. SKILLS Nursing assessment Medication administration Medication management Community based nursing Intellectual disabilities Nursing process Physician orders ISP planning PCP planning Staff training Delegation Competency validation Supervisory visits Incident reporting Regulatory compliance LANGUAGES English Native 40 Spanish Intermediate 20 MY CAREER 4.8 Years Community Registered Nurse at Bluebonnet Community Living (2.7 Years) IDD Registered Nurse at Hill Country Ability Services (1.4 Years) Registered Nurse at Alamo Rehabilitation Center (8 Months) SUMMARY Registered Nurse with four years of nursing experience, including more than three years supporting adults with intellectual and developmental disabilities in community based residential and day service settings. Applies assessment, planning, intervention, implementation, and evaluation across person centered care , medication management, physician ordered treatments , referrals, health teaching, and clinical follow up. Maintains accurate Individual Support Plans , Person Centered Plans, medication administration records, physician order transcriptions, incident reports, and recurring nursing documentation. Provides medication delegation training, new hire education, annual recertification, competency validation, supervisory visits, care plan review, and documentation audits. Communicates clearly with individuals, families, caregivers, physicians, interdisciplinary teams, program leaders, and regulatory personnel while supporting safe, compliant continuity of care. EXPERIENCE Community Registered Nurse Bluebonnet Community Living January 2024 - Present San Antonio, Texas Leads community nursing support for adults with intellectual and developmental disabilities across residential programs. Guides health interventions, medication safety, staff competency, supervisory visits, clinical documentation, referrals, and regulatory readiness while coordinating with individuals, families, caregivers, physicians, and program leaders. Guided person centered health interventions across community residences using assessments and individual goals. Reviewed medication administration records and physician orders , resolving discrepancies before continuity of care suffered. Coordinated appointments, referrals, and follow up, translating provider recommendations into updated plan documentation. Delivered delegation training , annual recertification , and medical education with observed competency validation. Completed supervisory visits covering care plan review , caregiver assessment, health evaluation, and documentation audits. Prepared incident and recurring nursing reports for licensing reviews, inquiries, and clinical record requests. IDD Registered Nurse Hill Country Ability Services July 2022 - December 2023 New Braunfels, Texas Provided community based nursing for adults with intellectual and developmental disabilities . Managed assessments, treatments, medication safety, person centered planning , staff education, health teaching, referrals, and recurring records while supporting interdisciplinary decisions and continuity of care. Identified health changes during nursing visits, directing physician contact, urgent evaluation , or routine referral. Administered medications and ordered treatments, documenting patient response for interdisciplinary review. Updated Individual Support Plans and Person Centered Plans with observations, goals, and recommendations. Taught self care, medication safety , symptom reporting, and injury prevention using accessible instruction. Prepared new staff for independent service through medical condition, precaution, and escalation training. Maintained daily, monthly, quarterly, and annual records used during team meetings and provider follow up. Registered Nurse Alamo Rehabilitation Center October 2021 - June 2022 San Antonio, Texas Delivered direct nursing care for adults with varied functional needs in a rehabilitation setting. Completed assessments, medication administration, treatments, education, referrals, transition coordination, and clinical documentation while applying nursing standards and facility requirements. Completed focused assessments, medication administration , treatments, and reassessments for rehabilitation patients. Used physician orders and nursing standards to identify changes requiring medical evaluation . Reconciled medication and treatment records during shift transitions, supporting consistent care delivery. Educated patients and families about medication routines, safety precautions, self care, and follow up. Coordinated discharge appointments and referrals with providers and families before facility transition. Maintained clinical notes and incident records while following infection prevention and nursing regulations. PROJECTS Community Health Documentation Review 2024 Reviewed recurring nursing records, medication documentation, care plans, and supervisory visit findings to support reliable follow up and regulatory readiness across community programs. Staff Medication Competency Program 2023 Supported medication delegation training, individual medical education, annual recertification, and observed competency checks for direct support staff serving adults with disabilities. LEADERSHIP & AWARDS Recognized by community program leadership for dependable nursing support across residential services. Selected as a trusted clinical resource for medication safety, staff education, and documentation questions. Supported licensing readiness through organized records, timely reports, and responsive clinical communication. EDUCATION Bachelor's Degree in Nursing University of Texas at San Antonio GPA: 3.5 2021 San Antonio, Texas Coursework: Nursing assessment, community health, pharmacology, leadership, clinical care CERTIFICATIONS Texas Registered Nurse License 2026 Basic Life Support, American Heart Association 2026 Texas Driver's License 2026 TECHNICAL SKILLS Nursing Care: Assessment, planning, intervention Medication Systems: Medication administration, MAR review, medication protocols Care Planning: ISP, PCP, interdisciplinary planning Clinical Documentation: Daily records, monthly records, quarterly records Provider Coordination: Physician orders, referrals, appointment follow up Staff Education: Delegation training, recertification, competency validation Supervisory Review: Care plan review, caregiver assessment, documentation audits Health Teaching: Self care, medication safety, symptom reporting Compliance Records: Incident reporting, regulatory records, licensing support Clinical Communication: Health reports, team meetings, provider communication Safety Screening: Background checks, registry checks, drug screening SKILLS Nursing assessment Medication administration Medication management Community based nursing Intellectual disabilities Nursing process Physician orders ISP planning PCP planning Staff training Delegation Competency validation Supervisory visits Incident reporting Regulatory compliance PROFESSIONAL AFFILIATIONS Texas Board of Nursing, active Registered Nurse license holder. American Heart Association, Basic Life Support provider. LANGUAGES English (Native) Spanish (Intermediate) ADDITIONAL INFORMATION Work Status : Authorized to work in United States. No sponsorship required. ADDITIONAL INFORMATION Work Status : Authorized to work in United States. No sponsorship required. REFERENCES AVAILABLE ON REQUEST

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