CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Charting

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

    For any Med A patients you need to chart on the reason they are there for skilled care. For example, if they are there with a total hip replacement you would chart on the incision, the level of pain,...
  2. CapeCodMermaid

    Giving meds crushed in applesauce

    CapeCodMermaid replied to anastasia158's topic in General Nursing

    I am paraphrasing but one poster wrote LTC is horrible because they hold people down to force feed
  3. CapeCodMermaid

    Pain assessments

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    So...I recently started a new job as the DNS of a spectacularly beautiful facility. It's well staffed, great care, wonderful boss. There's one thing that's, in my opinion, not so good. I'm all about...
  4. CapeCodMermaid

    Giving meds crushed in applesauce

    CapeCodMermaid replied to anastasia158's topic in General Nursing

    You must have been a student nurse in the 1960's. This kind of treatment hasn't been allowed in a long long
  5. CapeCodMermaid

    Listing jobs on Application?

    CapeCodMermaid replied to fencikboy's topic in Job Search, Interview, Resume

    There is usually only room for the last three positions on the applications I've seen. I had an Administrator once ask me for my ENTIRE employment history. Really? I started telling him about my first...
  6. CapeCodMermaid

    Giving meds crushed in applesauce

    CapeCodMermaid replied to anastasia158's topic in General Nursing

    We crush them all together and give in a med cup full of apple sauce, pudding, or ice cream. Most anyone get tolerate two little bites. Again, you need to assess the resident and follow your...
  7. CapeCodMermaid

    What kind of staffing do you have?

    CapeCodMermaid replied to TiredRN-momto4's topic in LTC: Directors, Assistant

    Post acute unit: 27 patients day shift 2 licensed, 4 cna's, 1 nurse manager, evenings 2 licensed 4 cnas, nights 2 licensed 2 cnas 2 long term units 39 beds: days 2 nurses + manager, 6 cnas, evenings 2...
  8. CapeCodMermaid

    wondering if a complaint will be filed against me

    CapeCodMermaid replied to weavrvirgorising's topic in General Nursing

    We were cited by the DPH for not notifying the doc of an abnormal lab...there was absolutely no harm to the patient. No one was fired. After that we were checking and double checking every lab. Some...
  9. CapeCodMermaid

    rn taking orders from an lpn?

    CapeCodMermaid replied to tofunurse<3's topic in Geriatric, LTC

    Many hospitals these days do NOT allow screeners in to see the resident. They put what informational they want us to have in an e-discharge report. Basically we see only what they want. This is why...
  10. CapeCodMermaid

    rn taking orders from an lpn?

    CapeCodMermaid replied to tofunurse<3's topic in Geriatric, LTC

    Where to start? I work in Massachusetts which has some of the strictest regs in long term care. In ,y almost 30 years of working in the business, there have been only a handful of times we have...
  11. CapeCodMermaid

    'cattle calls' in ER waiting room?

    CapeCodMermaid replied to BaptistBites's topic in Emergency

    The ER isn't first come first served. My local hospital calls out the last
  12. CapeCodMermaid

    float nurse in LTC

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

    I love to hire new grads but not for per diem or float positions. It's not really a good way to get started, but...... If your facility uses a 24 hour report book, take a look at it when you first...
  13. CapeCodMermaid

    What kind of Stethoscope do you have?

    CapeCodMermaid replied to nycNurse2b's topic in Scrubs, Uniforms, Gear

    I use the same cheap one I've had since school and I graduated almost 30 years ago (yikes!). I hear everything with
  14. CapeCodMermaid

    narcotic from e-kit..

    CapeCodMermaid replied to dadah_vxr's topic in Geriatric, LTC

    It practically takes an act of Congress to change anything in a narcotic e-kit in Massachusetts.....yeah I know we don't have our own Congress. What's in the kit is as regulated as everything
  15. CapeCodMermaid

    narcotic from e-kit..

    CapeCodMermaid replied to dadah_vxr's topic in Geriatric, LTC

    You need an MD order and a script to take any narcs out of the e-kit. It's always been the law but only recently has the DEA started making an issue of it. It's considered dispensing. Honestly all it...
  16. CapeCodMermaid

    Medication Administration through a feeding tube

    CapeCodMermaid replied to lalexa15's topic in General Nursing

    It's always best to follow your facility's policy. Every facility I've worked in uses 30 cc after the
  17. CapeCodMermaid

    Medication Administration through a feeding tube

    CapeCodMermaid replied to lalexa15's topic in General Nursing

    Standard practice in LTC, crush all meds or use liquid. Flush with 30cc water. Give each med separately and flush with 5 cc in between each med. Silly perhaps, but if you don't follow this, the DPH...
  18. CapeCodMermaid

    RN supervisor

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

    A 'stuff nurse' position???? Does that mean you have to do the stuff no one else wants to
  19. CapeCodMermaid

    Pain assessments

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

    At my last building, the doc wrote orders for blood glucose testing on Monday, Wednesday, and Friday with a sliding scale for coverage. Apparently they weren't concerned about the blood sugars the...
  20. CapeCodMermaid

    Deathbed visions **UPDATED**

    CapeCodMermaid replied to ag_man's topic in General Nursing

    Everyone standing in the room was renewed that
  21. CapeCodMermaid

    Discharge times

    CapeCodMermaid replied to mnbrn's topic in Ob/Gyn

    The hospitals around here rarely discharge before 3 or 4 pm so by the time the poor elder gets to the rehab facility, it's close to 5 or 6....the absolute worst time for any one with dementia to be...
  22. CapeCodMermaid

    Deathbed visions **UPDATED**

    CapeCodMermaid replied to ag_man's topic in General Nursing

    I work in long term care and have seen my share of deaths. We were in Helen's room. She was a cranky old Southern woman, but we all liked her. She was getting sicker by the day. One afternoon the aide...
  23. CapeCodMermaid

    MMQ and 15 days

    CapeCodMermaid posted a topic in MDS Coordinator Information

    I am, among other things, the MMQ nurse for my facility. We just had our turnaround. I claimed a skilled procedure because the gentleman had a treatment which,although had many changes, was done for...
  24. CapeCodMermaid

    When a nursing home shuts down.

    CapeCodMermaid replied to oramar's topic in General Nursing

    Wow. I saw this headline and thought it had to do with what happens to the residents when a facility
  25. CapeCodMermaid

    Training with Nurse who apparently doesn't like to train

    CapeCodMermaid replied to beatrice1's topic in Geriatric, LTC

    Not everyone is cut out to help train. Speak to either the manager or the staff development