CapeCodMermaid RN

Gerontology, Med surg, Home Health

Member

  • Content

    6,092

  • Visitors

    66,254

  • Followers

    4

  • Likes

    290

All Content by CapeCodMermaid

  1. CapeCodMermaid

    ugh what to wear

    CapeCodMermaid replied to LouisVRN's topic in General Nursing

    Back in the days when I wore scrubs ( about the same time dinosaurs roamed the Earth), I had an interview at one facility after my shift ended at another. It was with the clinical regional director....
  2. CapeCodMermaid

    Do you think they/employers are watching what we post?

    CapeCodMermaid replied to suanna's topic in General Nursing

    No, I don't think my boss looks on here to check out what we post. My boss is the most wonderful, intelligent, beautiful, caring, fair, insightful person on the
  3. CapeCodMermaid

    apparently, peri care is optional

    CapeCodMermaid replied to Art_Vandelay's topic in General Nursing

    C.N.A.s in my facility do NOT insert foley catheters indwelling or otherwise. They do, however, do peri care. A bit off topic but....I was the supervisor of a large skilled facility. One day I was...
  4. CapeCodMermaid

    Magnet theme song...

    CapeCodMermaid replied to tswim's topic in General Nursing

    Nothin' could be finah than a little old angina in the mornin' Nothin' else can please ya like a whiff of anesthesia in the mornin' Or Everything's coming up roses (noses for the
  5. CapeCodMermaid

    Problems with prefilled NS syringes?

    CapeCodMermaid replied to LogCabinMom's topic in General Nursing

    I am NOT the least bit high strung. Every time I've had an IV flushed, I can taste something
  6. CapeCodMermaid

    Chart Auditing

    CapeCodMermaid replied to traumaRN1908's topic in Emergency

    I think the focus of the audit would depend on where you practice. My audits of charts in the SNFnwould be of little use to someone who works in an ER or
  7. CapeCodMermaid

    A vet tech as a nurse ?

    CapeCodMermaid replied to Trekfan's topic in General Nursing

    Apparently you haven't worked in many SNFs! Nothing as challenging as trying to start an IV in a demented 96 year old whose sole purpose at the time is to connect her teeth with your
  8. CapeCodMermaid

    Mandated Flu vaccine?

    CapeCodMermaid replied to mol42's topic in Disaster Preparation

    A few years ago, the Massachusetts DPH made it mandatory for anyone who worked in long term care to get a flu vaccine. There was such an outcry they reversed the position even before the vaccine was...
  9. CapeCodMermaid

    Calling EMS to pronounce

    CapeCodMermaid replied to fallinnstyle's topic in Geriatric, LTC

    electronic death registration system? sounds like something out of soylent green or logan's
  10. CapeCodMermaid

    Can an ADN nurse move into supervisory positions with only 4 years experience?

    CapeCodMermaid replied to NenaRK's topic in General Nursing

    that's really quite
  11. CapeCodMermaid

    how much orientation did you receive as a new grad?

    CapeCodMermaid replied to tokmom's topic in First Year After Licensure

    First job in the hospital as a new grad---One 8 hour class on IVs. Then off to the floor where I was informed I was in charge since I was the only RN. That was it. Now that I'm in charge, the new...
  12. CapeCodMermaid

    Coding patient in LTC

    CapeCodMermaid replied to username33's topic in LTC: Directors, Assistant

    Every state has different regulations about CPR in the long term care setting. Two or three years ago, Massachusetts revised the regulation so now we don't have to start CPR if there has been a...
  13. CapeCodMermaid

    Nursing home/LTC getting more acute

    CapeCodMermaid replied to adoglover's topic in Geriatric, LTC

    I've been in long term care since (aaarrrgggghhhh) the 70's and have seen the change from the knitters and sitters to the medically complex resident. So....medicaid in my state caps out at less than...
  14. CapeCodMermaid

    "I just can't help you..."

    CapeCodMermaid replied to BrazoriaLVN's topic in General Nursing

    All great suggestions.....long acting pain meds instead of the PRNs. One statement the OP made is very telling. "He's fine when we're in the room". The man is either bored or perhaps he's afraid....
  15. CapeCodMermaid

    How to handle nurses who make rude comments

    CapeCodMermaid replied to studentnursehelp's topic in General Nursing

    You should probably repost this in the LTC
  16. CapeCodMermaid

    need advise

    CapeCodMermaid replied to RNttu's topic in General Nursing

    If you're going to worry and lose sleep over the potential mistake, ask your supervisor to check it for
  17. CapeCodMermaid

    looking for advice:Recently had a patient to brake a bone from a fall

    CapeCodMermaid replied to epg712003's topic in Geriatric, LTC

    Use nursing process. Assess. What's the person's fall risk. Plan. What can you do to mitigate that risk? Evaluate..is the plan working? We know old people fall. What we try to prevent is injury from a...
  18. CapeCodMermaid

    Penalized for scheduling error?

    CapeCodMermaid replied to April13RN's topic in General Nursing

    We are all about Person Centered Care and that person isn't just the resident. We (try to) support every employee to become the best they can be. Contented, well respected employees usually do a...
  19. CapeCodMermaid

    Behaviors you've learned to lose when at work.

    CapeCodMermaid replied to nola1202's topic in General Nursing

    How about 'The Party's Over'? When I was going through radiation therapy, I would sing during the session...Another one (bad cell) bites the dust. I've been told now my bad behaviors are giving...
  20. CapeCodMermaid

    med error or flawed entry

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

    You have to write the dose you have on hand and how many tablets or combination of two or more doses to equal the ordered amount. Dose on hand 325 mg tabs. How many to = 650 mg ? Two tablets. That's...
  21. CapeCodMermaid

    Q.I.S.

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

    I've read enough of your posts on here to know you are one smart cookie with lots of knowledge and common sense. You'll do
  22. CapeCodMermaid

    Calling EMS to pronounce

    CapeCodMermaid replied to fallinnstyle's topic in Geriatric, LTC

    We don't call the police if someone dies. We call the doc, get an order to pronounce and then call the funeral home. No EMS no
  23. CapeCodMermaid

    Behaviors you've learned to lose when at work.

    CapeCodMermaid replied to nola1202's topic in General Nursing

    I was thinking the same thing as Leslie. I have a tendency to hum or burst out into song, especially when I'm stressed. (no stress for the DNS, right?!?) I do have a good voice....used to sing at...
  24. CapeCodMermaid

    Penalized for scheduling error?

    CapeCodMermaid replied to April13RN's topic in General Nursing

    Not true. I can't treat employees any way I want. We are not a union building. I still have to have just cause to fire someone. We give at least two weeks' notice before changing anyone's
  25. CapeCodMermaid

    Long Term Care Cutbacks

    CapeCodMermaid replied to katoline's topic in Geriatric, LTC

    We all need to become more politically active. The government seems to have enough money for some questionable things. There should be enough to care for people who have worked and paid taxes their...