CapeCodMermaid RN

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

CapeCodMermaid's Latest Activity

1. 

   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

2. • KatRN_246
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   • CapeCodMermaid

   Hi! I searched CDONA and your name popped up in a feed and you're still an active member so I really need some guidance! I just registered for my CDONA and I am freaking out big time! I have so many questions about how to study outside of the field guide I purchased. When and where is it offered? The NADONA website is giving me very little to go on and now I'm worried I gave them $350 for nothing! Help if you can!

   • Jul 23, 2021

   1. 

      CapeCodMermaid, RN

      Hi. I didn’t use a study guide. I found the test remarkably easy, but I’d been a DNS for 5 years and had been in the business  forever. The only tricky questions that I can remember had to do with labor laws. I went by what I knew from the laws in Massachusetts- which favor the employee. Much if it is common sense and I hate to say getting certified didn’t add anything except extra initials.

      Good luck with it.

      • Jul 23, 2021
3. 

   Competencies

   CapeCodMermaid replied to CapeCodMermaid's topic in LTC Directors

   ??
4. 

   Can we have a punching bag in the break room?

   CapeCodMermaid replied to Joe V's topic in Rock

   I had one of those in my dorm room during nursing school. Great stress reliever
5. 

   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...
6. 

   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.
7. 

   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...
8. 

   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...

9. • sandik
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   • CapeCodMermaid

   I am a new manager to a LTC unit saw a message from a long time ago hoping maybe you still have your chart audit or new updated one. If you do can you share with me?  SandraKolinsky224@gmail.com

   • Jan 23, 2021
10. 

    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.
11. 

    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
12. 

    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.
13. 

    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...
14. 

    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
15. 

    New to LTC - Charting Question

    CapeCodMermaid replied to NJ2010RN's topic in LTAC

    Sure- when I get home from work I’ll attach it