CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    SNF job from HELL

    CapeCodMermaid replied to Glycerine82's topic in Geriatric, LTC

    Wow. I value my good nurses and would have made an accomodation for you to be able to take a leave to be with your dad. Unfortunately, too many places think nurses are plentiful and fire people...
  2. CapeCodMermaid

    Verbal abuse ... what are my rights?

    CapeCodMermaid replied to KHT's topic in General Nursing

    Not to minimize this but at least it's an acute care setting so you know eventually he'll be leaving. Imagine working in a SNF where people like this are there for years. I'd get the doctor involved...
  3. CapeCodMermaid

    Infection Control

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Hospitals are quite different from Skilled Facilities. We are supposed to be resident centered and as home-like as
  4. CapeCodMermaid

    Infection Control

    CapeCodMermaid posted a topic in Geriatric, LTC

    I've always tried to use common sense with infection control matters. Most buildings I've run, the policy is: Contact Precautions...gown and glove if you are going to come in contact with the infected...
  5. CapeCodMermaid

    Infection Control

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I don't think either one of us is wrong....risk and benefit. The risk of contactin MRSA from a covered wound is tiny. The benefit is a more normal life for the
  6. CapeCodMermaid

    What To Expect During State Survey

    CapeCodMermaid replied to RockinNurse2018's topic in Geriatric, LTC

    The surveyors arrived on Monday. They told me they were staying until next Monday. They left today. It was a different survey than I'm used to. They didn't ask about falls. They didn't watch any...
  7. CapeCodMermaid

    Fired for Falsifying Documents. What to expect

    CapeCodMermaid replied to LPNewbie's topic in General Nursing

    You don't become an ED without a license so I highly doubt a regular nurse just got to be the ED. From what you've posted, it doesn't seem to be anything the BON would get involved
  8. CapeCodMermaid

    Getting to know the residents

    CapeCodMermaid posted a topic in Geriatric, LTC

    Does anyone here have a form or tool they can share that helps the staff, especially the CNAs get to know the resident and helps them see the person as a whole person and not just a bunch of tasks to...
  9. CapeCodMermaid

    What To Expect During State Survey

    CapeCodMermaid replied to RockinNurse2018's topic in Geriatric, LTC

    If you have concerns you should share them with management and not the
  10. CapeCodMermaid

    What To Expect During State Survey

    CapeCodMermaid replied to RockinNurse2018's topic in Geriatric, LTC

    The new survey process has been in effect since November 28 of this year. I am waiting for my survey but I hear it's very different from the old survey process. There is less communication between the...
  11. CapeCodMermaid

    Palliative Residents

    CapeCodMermaid replied to Newgurl17's topic in Geriatric, LTC

    Unless you gave an extremely high dose, the patient didn't die from the drug, they died from their illness. There is no timeline. I've seen people last for 3 weeks with no food or fluids and others...
  12. CapeCodMermaid

    Orientation for LTC Nurses

    CapeCodMermaid replied to Newgurl17's topic in Geriatric, LTC

    We give new grads a solid month of orientation with a seasoned nurse before we let them out on their own. Nurses with experience get a week or two. A med pass is a med pass so they don't really need a...
  13. CapeCodMermaid

    Rapid Flu

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    Are all y'all doing rapid flu tests in house if a resident has symptoms of the flu? I priced out the kits today....22 tests are $301 dollars. I think it's worth it if I can diagnose flu within 15...
  14. CapeCodMermaid

    Do your educators take call?

    CapeCodMermaid replied to Kristenlaurenw's topic in LTC: Directors, Assistant

    Yes. The SDC/educator takes call. We ALL have jobs to do and it's not fun having to be on call and getting called in but fair is fair. The only ones not usually on call are the MDS
  15. CapeCodMermaid

    Failed to notify r/p of unwitnessed fall

    CapeCodMermaid replied to Newnurse333's topic in Long Term Acute Care

    Your facility could get tagged for not 'notifying rp in a timely manner' so it's a big deal, but I wouldn't fire anyone over
  16. CapeCodMermaid

    considering applying for DON position

    CapeCodMermaid replied to redreba's topic in Geriatric, LTC

    WOW...I don't know where you're from but I've never met a DNS who wasn't an RN. We have more regulations than the nuclear power industry and every year are expected to do more with less. It's a tough...
  17. CapeCodMermaid

    Bed rails protocol/algorithm?

    CapeCodMermaid replied to Tammy90's topic in Geriatric, LTC

    I'm amazed you were allowed to bring in your own bed and I'm shocked that the facility was still using crank beds. I haven't seen a crank bed in use around here since the late
  18. CapeCodMermaid

    Bed rails protocol/algorithm?

    CapeCodMermaid replied to Tammy90's topic in Geriatric, LTC

    We've used quarter rails for years. You'd really have to set your mind to it to become entraped in
  19. CapeCodMermaid

    Bed rails protocol/algorithm?

    CapeCodMermaid replied to Tammy90's topic in Geriatric, LTC

    New CMS regs consider all bed rails to be restraints. We have a new side rail assessment and consent form. Why do they need the
  20. CapeCodMermaid

    Crushing Oral Medications...New Regulation

    CapeCodMermaid replied to ltcnurse4u's topic in Geriatric, LTC

    If they did that, they would have to mandate increased reimbursement and I don't see that happening any time
  21. CapeCodMermaid

    Mandatory Fun??

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    I work at a family owned facility as the DON. There is a holiday gathering for the DONs and Administrators which is a two hour drive away. I don't want to go. I'm feeling pressured into going. I'm...
  22. CapeCodMermaid

    Crushing Oral Medications...New Regulation

    CapeCodMermaid replied to ltcnurse4u's topic in Geriatric, LTC

    The CMS has already backed off on this regulation. They are now stating it's best practice but not a mandatory way to pass meds. ALL the new regs are ridiculous....we have to have a meeting within 48...
  23. CapeCodMermaid

    Salary

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    So I've been a nurse since 1982 (yikes!) and have been a director for the past 10 years. What do all you directors make? I started out years ago making 78k and have made more with every job. I'm now...
  24. CapeCodMermaid

    A new allegation every day

    CapeCodMermaid replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    She was at the XYZ facility and apparently did the same thing there. If I just had one person like this I could cope but I have
  25. CapeCodMermaid

    How long is the window for state survey?

    CapeCodMermaid replied to guest833402's topic in LTC: Directors, Assistant

    Welcome to my