CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    A/O patients throwing things

    I explain to them that Respect Street goes both ways and I won't tolerate any one treating me with disrespect. I say it quietly making eye contact the entire time. Usually they start behaving
  2. CapeCodMermaid

    What does Generate BM list and give MOM mean?

    This is a joke,
  3. CapeCodMermaid

    Why cant I get an interview or at least a job?

    At the risk of getting flamed, again.... With the market so tight, you need to stand out. Using the word like when it's not needed and using theirs when it should be there's could be the difference...
  4. The DPH is
  5. CapeCodMermaid

    What is in your opinion the best shift for new nurses to work?

    The best shift to work as a new grad, is the shift they'll hire you
  6. CapeCodMermaid

    Anyone ever ask for more orientation?

    A good LTC will realize that new grads are ill prepared to handle a patient load of more than 3. We offer at least a month to six weeks for new grads. It does them no good to be thrown into a...
  7. CapeCodMermaid

    slower paced nursing in long term care?

    At the risk of getting flamed, please don't apply at my facility. I need nurses who can think on their feet, multiple task, do a head to toe assessment in a few minutes, handle a code almost single...
  8. CapeCodMermaid

    Narcotic Descrepency!!!

    If people don't want differing opinions, perhaps they should post their issues in a blog, not in a forum where discussion is encouraged. I've read many posts on AN and it seems that if someone doesn't...
  9. CapeCodMermaid

    Narcotic Descrepency!!!

    OK...I just have to say it....it's DISCREPANCY not descrepency or discrepency ... I feel better
  10. CapeCodMermaid

    2 step TB skin testing every year?

    Serves me right for trying to compose a post on 1.5 hours of sleep! Two step on hire...one step every year after that. Unless.....positive test=chest xray once. After that it's a form with questions...
  11. CapeCodMermaid

    for assessing a senior's competency?

    The nurse should notify the doctor. Most of our docs don't do specific testing before invoking a health care proxy and they all seem to have different parameters for doing so. If there is no health...
  12. CapeCodMermaid

    Narcotic Descrepency!!!

    If our narcotic count was off by 12 anything, no one would be allowed to leave the building. The police and the DEA would be notified. We don't have Pyxis machines. Just locked drawers in our med...
  13. CapeCodMermaid

    What is with a second interview? What that all about?

    Think of it this way: they are considering hiring you for what, they hope, will be long term. Chances are they will have to spend a sizable amount of money to train/orient you. Your 1.5 hours, or 3...
  14. CapeCodMermaid

    2 step TB skin testing every year?

    We do the two-step on hire and then yearly
  15. CapeCodMermaid

    Mandated Flu vaccine?

    Most every medication we take involves a risk vs a benefit. The risk of a bad outcome from a flu vac is smaller than the risk of becoming quite ill from the
  16. CapeCodMermaid

    Two med errors... I'm sick!

    It's good to hear your DON was supportive and not punitive. Many times med errors are SYSTEM errors so it's important to report them all. We've all made med errors and those who give meds every day...
  17. CapeCodMermaid

    Your Most Heartwarming Moments in Nursing

    So many moments, but one of the ones I'll always remember: I was the supervisor of a skilled facility. I spent a lot of time on the short term unit so I knew most of the residents and their families....
  18. CapeCodMermaid

    Nurses writing Scripts for Doctors

    The last time I went to the doctor I needed a script for pain medicine. Instead of writing it himself, he went to the secretary's desk. He asked her for the prescription pad. She took it out of the...
  19. CapeCodMermaid

    New RN working Rehab/LTC Im overwhelmed. HELP!

    I used to think pretty much the same way Pixie did. Then I started asking new grads how much actual time on a floor they got. It's not as much as in the old days (yes, when dinosaurs roamed the earth...
  20. CapeCodMermaid

    911-ing a resident out, requires an order?

    I've had docs refuse to give orders to send people out, especially psychotic people having a breakdown. There is a regulation, at least in this state, that you don't need an MD order if " a person...
  21. CapeCodMermaid

    Patients' "home remedies"? What have you seen

    Toothpaste on a cold sore....gone overnight as long as it's the paste kind not the gel. My grandmother swore by this. I'm thinking it has something to do with the
  22. CapeCodMermaid

    Breast Cancer Pumpkin

    Can you find a bra to fit the
  23. CapeCodMermaid

    Q.I.S.

    :yeah::clown:
  24. CapeCodMermaid

    apparently, peri care is optional

    We no longer routinely change catheters. If it's patent and not icky (technical term) we leave them
  25. CapeCodMermaid

    Anything wrong with this order?

    Sure, it can be made sense if, by an intelligent nurse. But an order should never be subject to interpretation. It should be