CapeCodMermaid RN

CapeCodMermaid has 30 years experience as a RN and specializes in Gerontology, Med surg, Home Health.

Latest Activity

1. 

   New to LTC - Charting Question

   CapeCodMermaid replied to NJ2010RN's topic in LTAC

   I do but I'll have to look for it. I'm sure I posted it before. If you search forDaily Skilled Nursing Documentation you should find it DAILY SKILLED DOCUMENTATION GUIDELINE (3).pdf
2. 

   So hard for new nurse

   CapeCodMermaid replied to jenny102235's topic in General Nursing

   What is an IEN? I'm guessing DOC is director if clinical but in my 40+ years never heard it called that. I was hollered at by a doctor during my 1st shift in the hospital as a new grad. I knew I was right so I politely explained it to him again....
3. 

   Can RN works as a floor nurse in Nursing home/LTC?

   CapeCodMermaid replied to MsiK's topic in Rehabilitation

   Of course RNs can work the floor in a nursing home. The last 6 places I ran (I travel) preferred to have RNs since it boosts the 5 Star rating.
4. 

   New DON help with survey

   CapeCodMermaid replied to meljam's topic in LTC Directors

   You shouldn’t have lost your job over this. DNSs are leaving the industry in droves and being treated in this way certainly isn’t going to help
5. 

   Competencies

   CapeCodMermaid replied to CapeCodMermaid's topic in LTC Directors

   ??
6. 

   Can we have a punching bag in the break room?

   CapeCodMermaid replied to Joe V's topic in Humor

   I had one of those in my dorm room during nursing school. Great stress reliever
7. 

   Help With New DON Position

   CapeCodMermaid replied to DONJuanOhio's topic in LTC Directors

   From what I’ve heard, the focus for survey this year is everything infection control and immunizations. Make yourself a schedule knowing it will change depending on what goes on. Monday weights and skins, Tuesday Falls, Wednesday psychotropics rev...
8. 

   Manager Audited Narc Drawer Without Witness; Fired Me for ‘Missing’ Norco

   CapeCodMermaid replied to Floridababe's topic in General Nursing

   WHY does she have access to the narc drawer??? Maybe SHE took the med and is blaming you.
9. 

   I got a verbal warning for not greeting the new Director of Care?

   CapeCodMermaid replied to Convoy2022_TrumpSupporter's topic in General Nursing

   My first job as a nurse manager of a subacute unit--second day on the job. I had 4 admissions, 3 discharges, 3 people go out rescue-yes I was doing compressions (they all lived by the way) and at the end of the day, instead of a GOOD JOB I got a "Mrs...
10. 

    Patient complaint - Did I mishandle this situation?

    CapeCodMermaid replied to lily8424's topic in General Nursing

    I’ve been a nurse for almost 40 years. Unless the patient specifically asks to be woken up for medication, I wouldn’t wake them up for pain meds. I’ve also been a patient more times than I’d like. I have wicked insomnia. I always ask the nurses to le...
11. 

    Long term care medical director is a jerk!

    CapeCodMermaid replied to missourinurse2b's topic in LTC Directors

    I've run into a few docs like that-and NPs too. I just tell them I'm following policy, protecting my license, and suggest they protect theirs. Then I ask them to repeat what they said so I can accurately get the quote for my nurse's note.
12. 

    Memory care-Can you pass meds in the dining room?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric

    Is this a SNF? We would get cited for pre-pouring meds
13. 

    Memory care-Can you pass meds in the dining room?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric

    Best way around this: get an MD order and care plan it. Sometimes you get one shot to give someone with dementia their meds.
14. 

    Understaffed and overwhelmed

    CapeCodMermaid replied to WisconsinCheddr's topic in Geriatric

    The work load in LTC, especially for the CNAs won't change until something drastic happens. My facility has good staffing and luckily we've remained Covid free, but I've been in other facilities where the staffing was 2 aides for 40 residents on a de...
15. 

    Memory care-Can you pass meds in the dining room?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric

    1. She is NOT an RN so she can't sign RN 2. No meds should be given in the dining room unless the directions indicate give with food or the resident requests ir