CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Penalized for scheduling error?

    Does the scheduling coordinator have the ability to penalize
  2. CapeCodMermaid

    Unhappy in Job

    Do you think four months is adequate time to decide? Most of us felt lost during the first months or even years. Try giving yourself some time. If you really hate it, tell the next employer that it...
  3. CapeCodMermaid

    med error or flawed entry

    If you're not giving what's on the MAR or EMar, you could get cited. APAP 325 mg tabs, give two tabs to = 650 mg every four hours by mouth as needed for pain. Do not exceed 4000 mg in 24 hours. if you...
  4. CapeCodMermaid

    DNR means what???

    I find the term "gomer" to be unbelievably insensitive and highly
  5. CapeCodMermaid

    DNR means what???

    We are obligated to follow the wishes of the family and the resident despite our personal or professional opinions. DNR means Do Not Resuscitate. If I find you without a pulse I will not start CPR. If...
  6. CapeCodMermaid

    HIPPA VIOLATION???

    Get over yourself. It's a medical office. The receptionist needs to know what kind of appointment you need. An attorney? Puhleeze...where is the
  7. CapeCodMermaid

    First interview went great...and then this happened.

    A B.O.B. A bottle of vodka (I've seen this happen)' and What's wrong with
  8. CapeCodMermaid

    What does your hospital do for halloween?

    We encourage the staff to dress in costume....nothing violent or inappropriate. The residents love it and many of them dress up,
  9. CapeCodMermaid

    2 PRN jobs?

    Years ago I worked for two different nursing agencies since there was no full time work at that time. I really didn't li,e not knowing from week to week where I'd be
  10. CapeCodMermaid

    I need help deciding

    Not to sound mean, but why are you relying on the opinions of a bunch of strangers to make a major life
  11. CapeCodMermaid

    Question re proffesionalism

    Send your resume' and ask questions IF you get called for an
  12. CapeCodMermaid

    Do you clap for your patients?

    I've clapped, cheered, whooped and hollered, and carried on for some patients who were making gains or who walked after weeks in bed. I've thrown parties for patients who've "graduated" and were going...
  13. CapeCodMermaid

    Offensive or not??

    I ask my patients what they prefer to be called. Last time I was a patient, the nurse in the recovery room kept caliimg me "dear heart". It was SO annoying and abouth the o ly thing I remember. I was...
  14. CapeCodMermaid

    For what can you lose your license?

    There are, unfortunately, many nurses who steal narcs and still have a license. I think one sure way is to abandon your patients....throwing the keys at your manger and walking out the
  15. CapeCodMermaid

    How do you handle this?

    Sometimes they don't call back during the day shift, either. If you need an answer or an order, call the medical director. He/she will have to give an answer/order and then most likely speak to the...
  16. CapeCodMermaid

    Medicare/Medicaide Documentation help

    Never mind.....see below DAILY SKILLED DOCUMENTATION
  17. CapeCodMermaid

    Medicare/Medicaide Documentation help

    Look back in the MDS Coordinator section under Looking for Medicare Charting Templates. Go to post #22 or 23 and the templates are there. Good
  18. CapeCodMermaid

    Talking to MD

    As with most everything else, talking to the doc will get easier the more you do it. We use a different tool than SBAR, but it helps organize the information before you make the call. I've talked to...
  19. CapeCodMermaid

    Mic-Key low profile GTUBE

    Does anyone have a policy for replacing a MIC-KEY low profile gtube? We have a resident who has this tube and it often comes out. We can't replace it because we don't have a policy. Can it only be...
  20. CapeCodMermaid

    Would you be insulted if.....

    The docs I asked did not look or act insulted. They did say "You must be a
  21. CapeCodMermaid

    Would you be insulted if.....

    I've asked nurses and doctors before they touch me if they've washed their hands. What's to ne insulted
  22. CapeCodMermaid

    Mic-Key low profile GTUBE

    Yep---I got all that. My consultant wants to make sure it's not just an RN thing. It's simple to do...you really couldn't hurt anyone but putting one back in. Thanks for the info. Maybe I'll have to...
  23. CapeCodMermaid

    snf question

    Sure, why not. As long as it's in a locked
  24. CapeCodMermaid

    Don't You Just Want To Scream?

    We have a lot of ortho patients who come in on Coumadin & Lovenox. When their INR is greater than 2, we dc the Lovenox and continue the
  25. CapeCodMermaid

    Don't You Just Want To Scream?

    Today we had 3 discharges. OKAY so there were 3 nurses on the unit plus the unit manager. The nurse sent Mr. Jones' meds home with Mrs. Smith. Can't you even read English you silly twit. That's what I...