Shell5

Shell5

Med Surg/Tele/Ortho/Psych

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All Content by Shell5

  1. 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,...

  2. 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...

  3. Assited Living: The new skilled care

    Shell5 replied to NJayne17's topic in Geriatric, LTC

    They regulate in

  4. POLL LTC Nurses... please answer

    Shell5 replied to Finallydidit's topic in Geriatric, LTC

    nurse to patient

  5. Plan of correction: Pressure, infection, falls

    Shell5 replied to Shell5's topic in Geriatric, LTC

    Thank

  6. 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

  7. 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...

  8. 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...

  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 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...

  12. 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...

  13. 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...

  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

    Shell5 posted a topic in LTC: Directors, Assistant

    I am confused. When the don goes out of town they expect me to take call in's and, of course, if a nurse calls in guess who gets to come in and work? Me. I am the only other rn, but they have not...

  16. On call with no pay

    Shell5 replied to crystal106's topic in General Nursing

    Thanks

  17. On call with no pay

    Shell5 replied to crystal106's topic in General Nursing

    I am confused. When the don goes out of town they expect me to take call in's and, of course, if a nurse calls in guess who gets to come in and work? Me. I am the only other rn, but they have not...

  18. blood sugar on a possible stroke patient?

    Shell5 posted a topic in Neurological

    Getting back into med surg area again and I have an idea why we would do a one time BS on a possible stroke patient, but I am wondering if they are not diabetic do you usually still take bs as part of...

  19. Hospice with Physical Therapy together??

    Shell5 posted a topic in Hospice, Palliative

    I work at an assisted living center. Most of our patients are self pay. We have a patient on hopspice services and has an order for PT to eval and treat. Can a patient be on PT/OT and hospice at...

  20. IV therapy/certification/teaching in Texas

    Shell5 replied to nursedj09's topic in Texas Nursing

    The actual charge was about 1300.00 for a group of 10 nurses, not an individual. That was a quote from the pharmacy we have a contract with. Of course, I would like to find a better deal. Thanks...

  21. IV therapy/certification/teaching in Texas

    Shell5 replied to nursedj09's topic in Texas Nursing

    Wondering if anyone found out an exact answer for this. I work at an assisted living community and we are going skilled soon. We have some LVN's that need to be refreshed on IV's, but the course...

  22. hidden cameras in patient's rooms allowed?

    Shell5 posted a topic in General Nursing

    Does anyone know if it is legal for patient's families to have hidden cameras in patient's rooms? What are the legal implications there? At our facility there is a sign posted in the front lobby that...

  23. What is the nurses priority in a trauma (new to ER)

    Shell5 posted a topic in Emergency

    I am new in the ER, but not a new nurse. I am wondering what do you all think is the most important thing in a trauma after oxygen, IV, fluids? I have seen a few traumas already and have watched the...

  24. What is the nurses priority in a trauma (new to ER)

    Shell5 replied to Shell5's topic in Emergency

    Thanks everyone. Gave me lots to think about and

  25. Fired. Will I ever work again?

    Shell5 replied to Jack43's topic in General Nursing

    I am sorry this happened to you. There are some hateful people out there. Some don't think about damage they can cause you by being vengeful and snobbish at that moment. They just want their moment...