CapeCodMermaid RN

Gerontology, Med surg, Home Health

Member

  • Content

    6,092

  • Visitors

    66,254

  • Followers

    4

  • Likes

    290

All Content by CapeCodMermaid

  1. CapeCodMermaid

    Don't You Just Want To Scream?

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

    Polly-we don't send our residents out unless they are critical. We do everything the hospital can except put them on a ventilator. Perhaps my nurses should work where you do where it won't matter if...
  2. CapeCodMermaid

    Abuse Allegations

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

    Yeah....we have a compliance line and one of the corporate nurses told me it goes to her. So much for an unbiased view of things. Although, in her case, she usually is pretty fair
  3. CapeCodMermaid

    IDT Notes

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

    Non-healing or not, the standard of practice is a note AT LEAST weekly on any wound. You should document that you have changed the treatment every 14 days. Get the MD to write a progress note as to...
  4. CapeCodMermaid

    Why do most of the SNF/ LTC facilities not put their classified Ads on the internet?

    CapeCodMermaid replied to 50kn's topic in Geriatric, LTC

    Wow...we're not all old school. My facility advertises on: craigslist, Monster, Career Builder, and our own web site. We get 10-15 walk ins a week. Honestly, I don't have time to stop what I'm doing...
  5. CapeCodMermaid

    After the Fall LTC/SNF Nursing Know-how 101

    CapeCodMermaid replied to Let's help out's topic in Geriatric, LTC

    We send them to the hospital if there is a reason...suspected head injury and they're on Coumadin. The hospital usually does a CT scan because we call them and tell them "Mr Jones has had a fall with...
  6. CapeCodMermaid

    appropriate behaviors

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

    There is no reg which states your doc has to okay what the hospital doc wants. We use different meds than the local hospital so our docs tell us to us what we have. Never heard of guar gum as a...
  7. CapeCodMermaid

    appropriate behaviors

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

    We use PRN antipsychotics IF there is a standing order for the same medication. We use a lot of Depakote as a mood stabilizer and standing orders for po Haldol. If someone is a short term resident, we...
  8. CapeCodMermaid

    When staff knows more then the DON

    CapeCodMermaid replied to RNbeachmom's topic in Geriatric, LTC

    How about when the DON knows more than the Corporate clinical nurse? I tried to tell her the way she wanted to do the POC wasn't right, but she wouldn't
  9. CapeCodMermaid

    New grad in LTC - frustrated

    CapeCodMermaid replied to SunshineAnytime's topic in Geriatric, LTC

    10 days is 7 days more than most orientations. I know it's absurd. We give our new grads at least 2 weeks on the shift we hired them for and a few days on the other shifts. Don't take short cuts...
  10. CapeCodMermaid

    DNS advice

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

    OKAY---YOU didn't fail. Surveys are a snapshot of the 3 or 5 or 21 days the state is in the building. We just got our 2567 (SOD) today and we were all dumbfounded. Last year we got 2 tags. This year,...
  11. CapeCodMermaid

    RN going from HH to SNF/LTC, advice?

    CapeCodMermaid replied to HannahLeah's topic in Geriatric, LTC

    You don't know what job you've been hired to do? Hmmmmm. I hope the old dog doesn't get fleas:D. Let us know how (and what) you're
  12. CapeCodMermaid

    advice on if mds position is a right fit

    CapeCodMermaid replied to softball's topic in MDS Coordinator Information

    OCD?? Type A?? Sounds like a good fit for the world of MDS. You need to be detail oriented and be able to work under a
  13. CapeCodMermaid

    State~!

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

    It is my understanding that the QIS surveyors must review a certain percentage of the charts. If you have a large number of beds they will have to be there longer to review the
  14. CapeCodMermaid

    Has Mr Peabody been here with his Way Back Machine?

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    A bunch of suits from corporate came into my building today. Here's their 'new' plan: all the RNs have to wear one color scrub, the LPNs another, the CNAs a third, rehab something else. I was...
  15. CapeCodMermaid

    State~!

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

    We are going to start using the program soon. Massachusetts is one of the last states which will have QIS. I've spoken to many people who have used the ABIQIS program and absolutely think it's worth...
  16. CapeCodMermaid

    Help

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    I've been a nurse for 25 years and been in management for about 20 of those. I am amazed at the new nurses these days. We had to counsel a nurse for not doing her nursing summaries on time. I heard...
  17. CapeCodMermaid

    Physician Orders

    CapeCodMermaid replied to miccay's topic in MDS Coordinator Information

    Kindred. If there was a way to make a nickel, they would have done it. We never counted admission
  18. CapeCodMermaid

    Who's giving report, anyway?

    CapeCodMermaid replied to Old and New's topic in Geriatric, LTC

    Can you get a cheap tape recorder and tape report for them? You will have passed on the information they needed and they can jabber away during report without holding you
  19. CapeCodMermaid

    Physician Orders

    CapeCodMermaid replied to miccay's topic in MDS Coordinator Information

    I never counted day of admission orders. And I worked for the big
  20. CapeCodMermaid

    Frequent Faller

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

    Some facilities consider alarms to be noise pollution and annoying to the residents. Personally, I don't know what we'd do without our alarms. For you action plan...count the number of falls. Arrange...
  21. CapeCodMermaid

    Am I freak for charting meds as I pull them?

    CapeCodMermaid replied to Izzy11's topic in Geriatric, LTC

    Again, I only know the Massachusetts regs but there are two accepted ways of giving meds: Pop, chart, give OR Pop, give, chart. The surveyors allow either way. If you pop chart give, it is expected...
  22. CapeCodMermaid

    Green House

    CapeCodMermaid replied to bethann27's topic in Geriatric, LTC

    I start a new job as the DON at a 'green house' facility next month. I can't wait. The philosophy is intriguing and the care is unbelievably
  23. CapeCodMermaid

    Hiding meds in food: illegal?

    CapeCodMermaid replied to gilmet's topic in General Nursing

    I had a guardian once order me to shove antipsychotics down his uncle's throat. Um, sorry buster, not going to happen. This is a difficult question. Legally (I'm not an attorney so don't quote me)...
  24. CapeCodMermaid

    UPHD's

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

    I'll post it tomorrow...don't have a copy at
  25. CapeCodMermaid

    PPS-Triple check tool

    CapeCodMermaid replied to lisalake's topic in MDS Coordinator Information

    If you can download it, feel free to use