Shell5

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...

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...

They regulate in Texas.

nurse to patient ratio

Thank you

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.

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...

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 ...

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...

It's not.

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...

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...

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 ...

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...

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 named me an adon. They don't technically say i'm o...

Thanks Dixie.

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 named me an adon. They don't technically say i'm o...

I think it is very sad when some nurses are rude as hell. I feel for you. I think many people are so insecure about themselves that the only power then have is at work. It is probable that there is some problems they are having at home and the onl...

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 the stroke scale every hour? Also, why isn't pupi...

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 the same time?

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 for the information. I am in central Texas area, ju...

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 from the pharmacy is over 1,000.00. Can't the RN's j...

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 states you could be recorded. I was just curious....

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 nurse assessing the eyes, hips, arms, pedal pulse...

Thanks everyone. Gave me lots to think about and do.