Shell5

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

Latest Activity

1. Need help!! First week in assisted living

   Shell5 posted a topic in Geriatric, LTC

   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...

2. Assited Living: The new skilled care

   Shell5 replied to NJayne17's topic in Geriatric, LTC

   They regulate in

3. POLL LTC Nurses... please answer

   Shell5 replied to Finallydidit's topic in Geriatric, LTC

   nurse to patient

4. Plan of correction: Pressure, infection, falls

   Shell5 replied to Shell5's topic in Geriatric, LTC

   Thank

5. Plan of correction: Pressure, infection, falls

   Shell5 replied to Shell5's topic in Geriatric, LTC

   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

6. Plan of correction: Pressure, infection, falls

   Shell5 replied to Shell5's topic in Geriatric, LTC

   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...

7. Losing my mind!

   Shell5 replied to pielęgniarka's topic in LTC: Directors, Assistant

   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...

8. Plan of correction: Pressure, infection, falls

   Shell5 posted a topic in Geriatric, LTC

   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,...

9. Please, someone tell me how to stay out of trouble and keep my job.

   Shell5 replied to NurseCard's topic in Geriatric, LTC

   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...

10. How does working for Assisted Living Facility Differ from LTC/SNF for LVN/LPNs?

    Shell5 replied to Let's help out's topic in Geriatric, LTC

    It's

11. B3 Action Plan for psychoactives

    Shell5 replied to Shell5's topic in LTC: Directors, Assistant

    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...

12. B3 Action Plan for psychoactives

    Shell5 replied to Shell5's topic in LTC: Directors, Assistant

    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...

13. B3 Action Plan for psychoactives

    Shell5 posted a topic in LTC: Directors, Assistant

    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...

14. Dr. Order for band aid?????

    Shell5 posted a topic in Wound, Ostomy, Continence

    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...

15. On call with no pay

    Shell5 replied to crystal106's topic in General Nursing

    Thanks