CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Are mittens a restraint at your facility?

    CapeCodMermaid replied to in2ICU's topic in General Nursing

    I think everyone needs to check their own P&P book. Clearly the rules differ by state and by the type of
  2. CapeCodMermaid

    Are mittens a restraint at your facility?

    CapeCodMermaid replied to in2ICU's topic in General Nursing

    So basically you're saying you don't call them restraints because a SNF might not admit them? Yikes. In Massachusetts in long term care, the DPH considers anything that restricts access to one's body...
  3. CapeCodMermaid

    Personal Info in Cover Letter?

    CapeCodMermaid replied to LoveMyBugs's topic in General Nursing

    Leave the personal information out of the cover letter. It's not relevant. I had open heart surgery but it doesn't make me any more qualified to work on a cardiac unit than someone who doesn't have...
  4. CapeCodMermaid

    Medication Unavailable

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

    Do you have a weekly drug order day? If not, you should have one day a week where the majority of the meds are reordered. Usually it's done on 11-7. Make sure the nurses know it's their
  5. CapeCodMermaid

    Careplans and Quarterlies

    CapeCodMermaid replied to txdon's topic in MDS Coordinator Information

    We don't have a traditional stand up meeting where I work now. If anyone needs information, they have to call the units, email the nurse manager, or get out of their office and go to the unit to get...
  6. CapeCodMermaid

    Careplans and Quarterlies

    CapeCodMermaid replied to txdon's topic in MDS Coordinator Information

    Care plans are supposed to be working documents not something to be updated every 3 months (yeah ok stop laughing). The floor nurses should be instituting/changing/updating the care plans as the...
  7. CapeCodMermaid

    Medication Unavailable

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

    We were just told by our consultant that hold orders are no longer good especially those which say 'hold for 2 weeks and then call MD'. But for holding one dose of a med, I'd still write 'hold x 1...
  8. CapeCodMermaid

    New DON

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

    Make a list of priorities for the day, week, then month. Anything that impacts patient care should be at the top of your list. Do a chart review on every resident. With only 25 charts, it shouldn't...
  9. CapeCodMermaid

    Need Some Help with a stressful situation

    CapeCodMermaid replied to casi's topic in General Nursing

    Contact HR. Supervisor or not, she sounds like a
  10. CapeCodMermaid

    Wound Care

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

    Who ever writes a treatment order to monitor a bruise should have an end date....really there's not much change after the first 72 hours and if there is, they can write an order to continue for...
  11. CapeCodMermaid

    Wound Care

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

    We have 3 residents on wound vacs, each with several stage 3 or 4s. The wound nurse, also the ADON gets it done in one day. As for the nurses not having time to do a weekly head to toe assessment, we...
  12. CapeCodMermaid

    Need advice: walking into a train-wreck?

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

    No. We are all responsible for our own practice. Unless she does something illegal, she wouldn't lose her license either. The facility might get a citation, but your license wouldn't be in
  13. CapeCodMermaid

    Need advice: walking into a train-wreck?

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

    Certainly you can't be expect to fix things in a week or held responsible for things left undone before you got there. Here's my question: Why would a facility want a DON & ADON who have no long...
  14. CapeCodMermaid

    Nursing Home Bad Behavior (vent)

    CapeCodMermaid replied to pixie120's topic in LTC: Directors, Assistant

    Well, you asked for tough love. If you act in real life like you write in your posts, it's no wonder the staff thinks you are having behaviors. It seems like stream of conscience writing and is...
  15. CapeCodMermaid

    Inexperienced DON

    CapeCodMermaid replied to bobbi119's topic in LTC: Directors, Assistant

    YIKES! Why would you take the job without any LTC experience? A nurse is not a nurse and managing one kind of place doesn't mean that you can or are suited to be the DNS of a
  16. CapeCodMermaid

    Injuries r/t toning sneakers

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

    There's a specific form for nursing shoes and
  17. CapeCodMermaid

    Wound Care

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

    Unless you have lots and lots of wounds, being the wound nurse isn't a full time job. I've been the wound nurse before. When I first started I was also the day supervisor and when I got promoted to...
  18. CapeCodMermaid

    Inexperienced DON

    CapeCodMermaid replied to bobbi119's topic in LTC: Directors, Assistant

    Your license isn't in jeopardy. Every DNS has has a bad survey and we all survived it. Get used to it. I've been a DNS for a long time NEVER got any specific training or orientation. That's why it's...
  19. CapeCodMermaid

    Injuries r/t toning sneakers

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

    I don't have any personal knowledge of this, but I did see a late night ad from a law firm about these types of shoes causing
  20. CapeCodMermaid

    Medicare and Medicaid Cuts

    CapeCodMermaid posted a topic in Geriatric, LTC

    So all y'all must have heard that the idiots in Washington are trying to reign in spending. They think one way to do this is to cut Medicare and Medicaid spending. Reimbursement isn't sufficient now...
  21. CapeCodMermaid

    LTC/Sub-Acute Supervisors

    CapeCodMermaid replied to adoglover's topic in Geriatric, LTC

    I was the day supervisor, paid hourly. I had my own projects to do...I was the queen of weights, the wound nurse, attended and updated care plans, dealt with families and doctors. I've unplugged...
  22. CapeCodMermaid

    Advice needed problem nurse

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

    I worked in a union building for a while and was shocked to see some of the disciplinary files. One nurse had been disciplined more than 20 times for basically the same thing but everyone was afraid...
  23. CapeCodMermaid

    Advice needed problem nurse

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

    Is this the 5th grade? The silent
  24. CapeCodMermaid

    BSN or More Experience

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

    Again, the scope of practice all depends on the state one works in, and I don't mean the state of confusion, In Massachusetts, to be an ADON or DON you MUST be an RN....you don't need a BSN,
  25. CapeCodMermaid

    Psych nursing or nursing home/rehab nursing?

    CapeCodMermaid replied to pezz9413's topic in Geriatric, LTC

    Psychotic people frequently have other medical problems and there are more than a few psychotic people in long term care. It all depends on what's best for you and your