Shell5

Shell5

Med Surg/Tele/Ortho/Psych

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All Content by Shell5

  1. Can Assoc. RN cut diabetic toenails?

    I didn't mean to make a big deal about the toes. I have always cut the toes up until just recently. I was told by another nurse that nurses in general could do it until years ago when we were all...
  2. Can Assoc. RN cut diabetic toenails?

    I have emailed the board and have not received a reply yet. It's not like I really am thrilled about trimming the toenails, but some of the patient's really need
  3. What do you do if you don't have time on LTC to finish treatments as a result of not enough staff/short staffing and you have asked for more help many times?
  4. We have 3 nurses that go on-call on a rotating basis: 1 is the DON, 1 is the ADON and the other is the MDS Coordinator/LVN. When we are short, and I mean very short at times, only 1 comes in to help...
  5. We Use 2 Different Hospices. One Is Helpful And Caring And Comes Out When We Call Them. The Other Drops Off A Comfort Pack And Tries To Get Out Of Coming Out And Doing Their Job. Usually, The Nurse...
  6. Is Hospice Helpful In Your Facility?

    Thank you for your input. It has given me some
  7. Someone gave me permission to verify if they passed the boards online. I looked it up and it showed their license#, and said Texas compact: NO. What does this mean? I looked under my license and...
  8. DO YOU ALL DO WEEKLY, BIWEELY VS AT YOUR FACILITY? jUST
  9. Is Hospice Helpful In Your Facility?

    I wish I could dump the other hospice, but I don't have that privalege. I am a floor RN, not the DON. It is so political where I work and it is upsetting to me. It doen't seem that hospice nurses...
  10. Weekly Or Biweekly Vs In Ltc???

    Thanks everyone! We are supposed to do VS every Sun also. I think had been the only nurse doing them until I said something to the other nurses. There are many BP meds that are supposed to have...
  11. State inspectors showed up on Sunday!

    I MOST CERTAINLY WILL. I CONTACTED AN ATTORNEY TODAY. I AM READY TO DO BATTLE IF IT COMES DOWN TO IT. WE WILL SEE HOW IT GOES. EVERYONE PRAY FOR
  12. I Need Advice. May Lose Rn License!!

    yes, I am still working at the facility. State has found many complaints and there are some against the DON herself. Right before state came, a lady choked to death at our facility and they are...
  13. State inspectors showed up on Sunday!

    Wasn't sure where to put this; been seeing lots on state surveyors. State was in bldg. all last week and I know were in atleast yesterday. One called me at home becasue I allowed a LVN grad, (who...
  14. I Need Advice. May Lose Rn License!!

    Texas: I have been stressed and scared not knowing what is going to happen. The board is not a like a regular criminal system and you don't have the same rights. I feel powerless right now. This...
  15. I work weekend doubles, 32hrs a weekend. I work Sat/Sun 7a-11p. This is considered FT in Texas. I make 21.50 an hour. I do not get weekend differential or evening differential. I am wondering if...
  16. Does anyone know how much an ADN RN can expect to earn an hr at a nsg home in Texas? I have been there 3 years. My eval is coming up soon and I feel as though I got jipped last yr. I want to have...
  17. Do these people get bonuses and % of admits? Just curious. There are times that I give tours to possible admits on weekends when I work weekend doubles and some of them become possible admits....
  18. To: [email protected] Subj: short staffing in nursing homes From: your email/name Date: todays date Write your concerns and feeling about the short staffing at your nursing home and how you want...
  19. Go to http://www.cms.hhs.gov/quality/nhqi/NHActionPlan.pdf and view this document. Give it time to download. It is slow. Very interesting. On page 6, first paragraph, there is a lady who gives her...
  20. Two nurses where I work have both waisted meds; 1 dropped a med and waisted without having a witness. The other nurse waisted a med and he didn't have a witness. I have suspicions about both of...
  21. Do You Get Shift Differential?????

    Thank You
  22. I am a RN in a skilled, medicare/medicaid LTC facility in Texas. On my hall there are 50 patients now. I have 1 CMA and anywhere from 3-5 CNAs. There is no minimum-staffing ratio law here in Texas...
  23. Even Where I Work, Skilled, Medicare/medicaide Approved Ltc Facility. I Am Responsible For 50 Patients. I Have 1 Cma And Usually 3-4 Cna's. The Cma Is A Med Aide. She Is Responsible For Giving Out...
  24. AAARRRGGGGHHH!! Stupid cell phones!

    I Specifically Tell My Nursing Assistants No Cell Phones Ringing On The Floor. No Phone Calls On The Floor Unless An Emergency. You Can Take/make Calls On Your Break..period.. I'm Not The Most...
  25. So, Is it really "On Me"?

    I Was In A Monitoring Program For Substance Abuse And Not Allowed To Work More Than 8 Hours Shift And No Overtime At All D/t The Stress. I Was Only Allowed To Work Day And Not Allowed To Give Any...