LADAY YBARRA
Addison,TX
Summary
Dedicated Rehabilitation Nurse with expertise in patient assessment, individualized care plan development, and pain management. Communicates effectively and fosters empathy to enhance patient recovery following injuries and surgeries. Collaborates within multidisciplinary teams to meet rehabilitation goals and ensure quality patient care.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Skilled Rehabilitation Nurse/Nursing Supervisor
Presbyterian Village North
02.2024 - Current
- Skilled Rehabilitation Registered Nurse (RN) providing specialized care to patients recovering from injuries, surgeries, or chronic illness, focusing on maximizing independence and function.
- Supervised nursing operations by coordinating nursing staff, provided guidance to nursing staff in making independent nursing judgment, compiled clinical data for medical coverage appeals, and responded to resident/family concerns.
- Oversaw care delivery by CNAs and CMAs, ensuring timely and appropriate care for all residents.
- As a staff nurse, performed comprehensive assessments, which included all body systems, admissions and discharges, maintained residents’ medical care under the direction of our medical providers.
- Audited charts of new admissions for accuracy and created nursing care plans promptly to ensure effective patient care from the outset.
- Responded to medical emergencies promptly to address critical patient needs.
- Delivered care to residents as a Registered Nurse, offering education, connecting them with their providers, and advocating for their needs with other healthcare disciplines.
- Staff education on Point Click Care (PCC) EMR charting, creating user profiles, and troubleshooting software glitches if they occurred.
Nursing Supervisor
Texas Health Resources-Seay Center Behavioral Health
Plano, Texas
01.2020 - 01.2024
- Nursing Supervisor for the SEAY center that manages adolescents, adults, and geriatric population behavioral and detoxing needs.
- As a nursing supervisor, I managed 12 RN and 12 MHT on a 12-hour rotation shift.
- Managed patient flow on unit, engaged staff in evidence-based practices, and provided bedside leadership to enhance quality of patient care.
- I also reviewed patient acuity and assigned both RN’s and MHT’s assignments for a 12-hour shift, so all patients will have an assigned staff member to care for them.
- Assessed patient care outcomes and collaborated with care team to adjust nursing interventions as needed.
- Performed proactive risk assessments to evaluate assessment to identify potential issues.
- Implemented High Reliability Organization (HRO) tools to enhance team adherence and safety practices.
- Assist with development and serve as a resource to others for new system and entity-based initiatives so, too, support ongoing sustainment of these changes.
- Plano, Texas
Addiction/Drug Rehabilitation Nursing
Riverwalk Ranch
12.2018 - 02.2020
- Addiction/Drug rehabilitation nursing that provides clients with one or more addictions both medical and psychotherapeutic tools needed to gain control of their addiction.
- Managed care for dual diagnosis clients at Riverwalk Ranch by providing tailored nursing interventions.
- Provided care to medically complex clients requiring frequent monitoring, assessment, and interventions during acute phase of detoxing.
- Managed mixed homestyle unit of active detoxing and stable residential clients, supporting partial hospitalization to sustain sobriety post-individualized detox treatment.
- Applied nursing processes for each client to deliver high-quality care and facilitate proper responses to support sobriety with achievable long-term goals after treatment.
- Maintained detailed records of vitals, urine drug screens, and medication inventory, promptly communicating changes to medical and psychiatry providers to ensure quality care.
- Ensured compliance with JACO standards for detoxification center by collaborating with interdisciplinary team of case managers, recovery coaches, and medical/psychiatry providers.
Registered Psychiatric Nurse
Dallas Behavioral Hospital
De Soto, Texas
08.2015 - 01.2020
- Chaired nursing group sessions to develop care plans for patients with Alzheimer’s, dementia, major depression, anxiety, aggression, schizophrenia, substance use disorders, and eating disorders.
- Employed verbal de-escalation and SAMA techniques, along with emergency medications, to effectively stabilize unit during crises.
- Assess overall health and mental state upon admission to floor; note variances from intake and recommend modifications to assigned psychiatrist.
- Obtain and monitor blood chemistry and therapeutic drug levels, vital signs, and weight of patients.
- Administer IV, IM, PR, oral, transdermal, and subq medications.
- Expedited admissions of mentally ill patients in collaboration with local law enforcement.
- Delivered educational material and resources to patients and families, enhancing understanding of mental health disorders.
- Intake assessor-completed psychosocial assessments, entered orders to telehealth MD to admit patients for admission, assigned beds for new patients/MOT’s/police drop off’s and maintained bed board.
Correctional Health Nurse
Parkland Hospital & Healthcare Systems
Dallas, Texas
10.2017 - 12.2018
- Provided care to inmate patients, promoting overall health through nursing process in triage, professional training, and resources in compliance with regulatory agencies and guidelines.
- Administer medications (PO, IM, IV, SL, PR, Transdermal, SubQ), therapeutic agents, wound care, first aid and kite (triage) services.
- Performed hospital-style admissions and daily nursing assessments with care plans in a medical infirmary, ensuring comprehensive patient care.
- Educated inmate patients on medications, disease processes, STDs, and treatment plans to enhance understanding and adherence to care.
- Collaborate with primary care providers and other healthcare providers to ensure continuity of care.
- EMR style documentation of daily care which included: Vital signs, care plans, communication with other members and documentation of new or existing conditions.
- Pre and Post drug and alcohol detoxing assessment and care.
Registered Psychiatric Nurse
Timberlawn Mental Health Systems
Dallas, Texas
10.2014 - 07.2015
- Administered prescribed medications; observed and charted patient condition.
- Enhanced patient safety by implementing and enforcing comprehensive safety protocols and guidelines.
- Collaborated with interdisciplinary teams of physicians, therapists, and support staff to stabilize patients with complex medical and mental health issues.
- Directed 1 LVN and 2 MHT tasked with caring for patients in specialized 20-bed geriatric unit.
- Facilitated communication with patients' families and staff while enforcing safety precautions.
- Empowered patients with techniques for identifying triggers and objectively evaluating situations.
- Encouraged use of relaxation strategies to support patients in managing panic symptoms.
- Established nursing group sessions to address challenges in caring for specialized geriatric patients with Alzheimer's, dementia, depression, schizophrenia, substance abuse, and eating disorders.
- Dallas, Texas
Registered Nurse
Lynwood Nursing & Rehabilitation
Levelland, Texas
03.2010 - 09.2014
- Supervised 1 medication aide and 2 CNAs in providing care for 25 long-term care residents and 7 post-operative patients at skilled nursing facility (SNF).
- Provided complex nursing care by providing wound care, medication administration via IV, IM, PR, oral, nebulizer and gastric tube administration.
- Coordinated with physical therapy department to facilitate patient readiness for home discharge.
- Educated patients on diet, activity, wound care, infection signs, and importance of follow-up with physicians.
- Levelland, Texas
Charge Nurse/Staff Nurse
Covenant Medical Center of Levelland
Levelland, Texas
03.2011 - 03.2012
- Scheduled and coordinated staffing for 1 RN, 3 LVNs, and 1 CNA, audited charts for compliance, accompanied physicians on rounds to ensure continuity of care, and prepared medications for pharmacy after hours.
- Outlined and communicated diagnosis, treatment plans, medications, and discharge care for diverse patient populations, from newborns to geriatrics, ensuring comprehensive care management.
- Provided exemplary patient care according to physician orders and the patient's plan of care.
- Maintained accurate patient histories and medication lists.
- Verified accuracy of medical charts and required signatures for physician orders.
- Trained and supervised LPNs and CNAs in sterile techniques, universal precautions, and infection control policies to enhance patient safety and adherence to best practices.
- Charted hourly on patients in acute care setting in adherence to core measure standards set forth by JCAHO.
- Observed patients for changes during administration of treatment plans, reported status to medical doctors.
- Provided services in Levelland, Texas
Registered Nurse
Southern Specialty Nursing and Rehab
Lubbock, Texas
08.2009 - 03.2010
- Delivered complex nursing care to six tracheostomy patients, including four who required LTV 1150 ventilator support.
- Conducted daily tracheostomy maintenance to ensure patient airway safety.
- Administered medications via high pressure nebulizer to respiratory compromised patients, ensuring thorough hourly focus charting on respiratory assessments.
- Collaborated with medication aide, respiratory therapist, and two CNAs to deliver optimum care for up to 18 residents, including geriatric and adult patients on unit 2.
- Dressed and monitored wounds; used negative wound vac.
- Provided verbal and written instructions on new tracheostomy care to patients and families to promote understanding and adherence.
- Lubbock, Texas
Education
Correctional Health Nursing - Internship course
Parkland Hospital and Health systems
DallasBachelor of Science in Nursing (BSN) -
Texas Tech University Health Sciences Center
LubbockAssociate of Science (AS) -
South Plains College
LevellandSkills
- Emergency response
- Care plan development
- Intake assessment
- Medication administration
- Admissions and discharges
- Medication management
- Dementia care expertise
- Rehabilitation program development
- Eating disorder treatment (anorexia/bulimia)
- Substance abuse intervention (drug & alcohol)
- Detoxification procedures
- Crisis management
- Crisis prevention intervention (CPI)
- Psychiatric and medical emergency response
- Quality assurance processes
- Performance improvement strategies
- Staff development initiatives
- Clinical education
- ANA policies compliance
- Nursing practice regulations
- Nutritional counseling
- Behavioral health management
- Patient stabilization techniques
- Medicaid and Medicare
- Senior living support
- Complex care coordination
Affiliations
American Nursing Association, 01/01/10, Present
Certification
BLS for Health Care Providers
Key Qualifications
- Psychiatric & Medical Emergency Response
- Crisis Management
- Intake-Assessor
- Care Plan Development
- Nursing Admissions and Discharges
- Medication Administration
- Group Education
- Senior Living
- Rehab
- Medical Devices
- Clinical Education
- Performance Improvement
- Staff Development
- Quality Assurance
- ANA Policies
- Nursing Practice Act
- Dementia
- Alzheimer’s
- CPI
- Wound Care
- Anorexia/Bulimia
- Drug & Alcohol Abuse
- Detox
- Medicaid and Medicare Charting
- KIPU-EMR
- Medically Complex Care
Timeline
Skilled Rehabilitation Nurse/Nursing Supervisor
Presbyterian Village North
02.2024 - Current
Nursing Supervisor
Texas Health Resources-Seay Center Behavioral Health
01.2020 - 01.2024
Addiction/Drug Rehabilitation Nursing
Riverwalk Ranch
12.2018 - 02.2020
Correctional Health Nurse
Parkland Hospital & Healthcare Systems
10.2017 - 12.2018
Registered Psychiatric Nurse
Dallas Behavioral Hospital
08.2015 - 01.2020
Registered Psychiatric Nurse
Timberlawn Mental Health Systems
10.2014 - 07.2015
Charge Nurse/Staff Nurse
Covenant Medical Center of Levelland
03.2011 - 03.2012
Registered Nurse
Lynwood Nursing & Rehabilitation
03.2010 - 09.2014
Registered Nurse
Southern Specialty Nursing and Rehab
08.2009 - 03.2010
Correctional Health Nursing - Internship course
Parkland Hospital and Health systems
Bachelor of Science in Nursing (BSN) -
Texas Tech University Health Sciences Center
Associate of Science (AS) -
South Plains College