Shell5

Shell5

Med Surg/Tele/Ortho/Psych

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About Shell5

Shell5 has 13 years experience and specializes in Med Surg/Tele/Ortho/Psych.


Latest Activity

  1. This is my first week in assisted living as RSD. I come from med surg, skilled nursging background. I am coming into a situtation that has no systems in place. I have found numerous meds that have not been given on the MAR, BS that were not written...
  2. Assited Living: The new skilled care

    They regulate in Texas.
  3. POLL LTC Nurses... please answer

    nurse to patient ratio
  4. Plan of correction: Pressure, infection, falls

    Thank you
  5. Plan of correction: Pressure, infection, falls

    That's what we call them where I am at in Texas. If you have any ideas for what I am asking that would be much appreciated.
  6. Plan of correction: Pressure, infection, falls

    plan of correction that is required sometimes by your company for issues that are above company benchmarks like falls over a certain expected number or pressure ulcers over a certain number. Could also be plan of correction that the state asks for w...
  7. Losing my mind!

    The worst thing you can do is threaten the nursing staff with calling the state and feds in when some paperwork is wrong and no narcs missing. That's what happened to me. I had a new DON start and she threatened to call state and feds in because a ...
  8. In my nursing facility (SNF) we continue to be over benchmark with pressure sores, falls, infections, psychotropics. I do everthing in my power to keep all of these down. I do education, skin care, QI, speak with NP's about these issues, etc. I ge...
  9. Keep praying about it. Nurses eat their young is a saying that is true. There are sick people out there. Stick to your guns and believe in yourself and your decisions. Make sure you know the policies and procedures that is what the BON examiners wi...
  10. B3 Action Plan for psychoactives

    A simple staff nurse? Never minimize what you do or how hard you had to work to get to where you are. We all had to start somewhere. Benchmarking is the process of comparing one's business processes and performance metrics to industry bests or b...
  11. B3 Action Plan for psychoactives

    Maybe I did not make myself clear. I realize some of them are needed. I do think that the Dr./NP could try something else first like Trazadone or something else instead of going straight to the antihypnotic. I suppose I need to be addressing this ...
  12. I seem to have the same problem every week at the long term care facility where I work. We only have 2 people on antipsychotices, but our antianxieties and antihypnotics seem to stay the same and cause us to be over benchmark. I have tried everyth...
  13. Dr. Order for band aid?????

    Sounds elementary, but sometimes we have residents in long term care that will need a band aid and a nurse will put one on and not write an order. This happens a lot. I think they need to be writing orders, but they don't. We had a resident come i...
  14. On call with no pay

    Thanks Dixie.