CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Administrators

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

    Unless you're an RN as well as an administrator keep your clinical opinions to yourself. MY job is to oversee all things clinical. Your job is the financial. Please don't disrespect the other...
  2. CapeCodMermaid

    Skin Sweeps

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

    There is a way on CareTracker to differentiate between a bed bath and a shower. You have to give 2 showers before the hospice aide can help? Never heard of such a thing. Our shower days are what they...
  3. CapeCodMermaid

    Blood transfusions??? just say no...

    CapeCodMermaid replied to macgirl's topic in General Nursing

    I hate giving injections. Years ago my boss came and told me 3 of us would be giving flu shots to all the patients in the building. With all the seriousness I could manage I said, "I can't give flu...
  4. CapeCodMermaid

    Great LTC Clinical and Advice, Please.

    CapeCodMermaid replied to Hygiene Queen's topic in Geriatric, LTC

    I've had nursing students in many of my buildings. I always speak to them as a group and let them know that if they are looking to make a career in long term care, we'd be glad to have them apply...
  5. CapeCodMermaid

    Skin Sweeps

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

    My nurses are supposed to do a head to toe skin assessment weekly on shower day and document in the treatment record. The nurses' aides check skin daily and if there are any new areas they document it...
  6. CapeCodMermaid

    Difference between rest home and nursing home?

    CapeCodMermaid replied to LGD2011's topic in Geriatric, LTC

    In Massachusetts there is a huge difference between a rest home and a nursing home. Nursing homes have nurses 24/7, rest homes do not. Nursing homes have CNAs, rest homes do not. Rest homes around...
  7. CapeCodMermaid

    Medpass at mealtime a dignity issue?

    CapeCodMermaid replied to GLORIAmunchkin72's topic in Geriatric, LTC

    We just finished state survey. The surveyor was 'aghast and appalled' that the nurse had given ONE resident meds in the dining room. Come on...one guy? He didn't care. He got the right meds. The...
  8. CapeCodMermaid

    Missing Narc.....but for how long?

    CapeCodMermaid replied to SE_BSN_RN's topic in Geriatric, LTC

    Our liquid Morphine used to be tinted an orangey pink color with a very distinctive odor. For some reason, the manufacturer stopped tinting and making it smell so now it looks just like water, except...
  9. CapeCodMermaid

    At what point are employers asking TMI?

    CapeCodMermaid replied to KayRN910's topic in General Nursing

    I disagree with that last comment. If I go to MY NP for a physical, it is, indeed, her job to inquire about my use of birth control and safe sex. If I'm applying for a job as an RN, it's none of her...
  10. CapeCodMermaid

    3-11 RN Supervisor and state survey question

    CapeCodMermaid replied to Lucky724's topic in LTC: Directors, Assistant

    Some places have charge nurses who are responsible for their specific unit. The 3-11 supervisor is usually responsible for the entire facility. Having been in this field for years and years, I don't...
  11. CapeCodMermaid

    At what point are employers asking TMI?

    CapeCodMermaid replied to KayRN910's topic in General Nursing

    I had my last employment physical last year: blood pressure, lung sounds, and 'can you touch your toes without bending your knees'? Um, hmmm, where in my job would I have to do that? It's all just...
  12. CapeCodMermaid

    P&P for Infection Control

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    Does anyone have a P&P on infection control specifically about mice? Please don't laugh. I'm in the middle of survey. We are a really old building and have an issue with mice. The surveyor wants...
  13. CapeCodMermaid

    P&P for Infection Control

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

    We have the toughest surveyors in Massachusetts. Mice...jeez...they're little and don't bite. What's the big deal? Since half of my residents used to live on the streets or in the
  14. CapeCodMermaid

    P&P for Infection Control

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

    Thanks...we found one from a sister
  15. CapeCodMermaid

    narc count question, I need advice...

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

    Yikes. We do count at every shift change and the carts are locked unless in the nurse's line of vision. Don't sign your name to anything until you count it. Speak to the DON or your pharmacy...
  16. CapeCodMermaid

    How many residents is too many for one nurse?

    CapeCodMermaid replied to arabstarRN's topic in Geriatric, LTC

    EMTs/Paramedics are NOT obligated to perform CPR or anything else if the resident has a valid DNR. They can transport to the hospital and not do CPR or insert an airway...at least in Massachusetts. We...
  17. CapeCodMermaid

    New Grad Charge Nurse for Rehab to Home Unit

    CapeCodMermaid replied to Keila's topic in Geriatric, LTC

    Rehab to home is just what it says. Person is in the hospital for whatever reason. They are too healthy to stay in the hospital but too sick to go home....so....they come to rehab. They have physical,...
  18. CapeCodMermaid

    is it Legal for DSD to give information

    CapeCodMermaid replied to bummer83's topic in LTC: Directors, Assistant

    We call them SDC-Staff Development
  19. CapeCodMermaid

    Morning Standup

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

    Our morning meeting starts at 9. Department heads mention anything out of the ordinary for their day. Then we do clinical. Each of the three unit managers comes to the meeting with any incident...
  20. CapeCodMermaid

    is it Legal for DSD to give information

    CapeCodMermaid replied to bummer83's topic in LTC: Directors, Assistant

    What is a DSD other than a dry sterile dressing? Your post is very hard to follow since you don't use punctuation or capitalization
  21. CapeCodMermaid

    how many of you are sick of.......

    CapeCodMermaid replied to FreshNewNurse's topic in Geriatric, LTC

    If any nurse in my building put her initials on the inside of a dressing, I might fire her. The ink can soak through the bandage and contaminate the wound and it's just being passive/aggressive. Too...
  22. CapeCodMermaid

    Why is LTC so hated

    CapeCodMermaid replied to MadameFreckles's topic in Geriatric, LTC

    I'm done with this issue. Obviously DNS On the Go...should go away. Far far away. I'm all for spirited discussion, but the woman called me a liar, and I will not tolerate that. We who work in the...
  23. CapeCodMermaid

    How to help my CNAs

    CapeCodMermaid replied to SneakySnake's topic in Geriatric, LTC

    I didn't intend to hijack this post and turn it into a discussion of what people call pee or urine. It's about how we can help the CNAS. The potty thing is a pet peeve of mine. So whatever you call it...
  24. CapeCodMermaid

    Why is LTC so hated

    CapeCodMermaid replied to MadameFreckles's topic in Geriatric, LTC

    I would appreciate if you didn't insinuate I was a liar. I am the DNS at my facility. Giving a month of orientation not only makes for a better, happier nurse, it makes for a nurse who is comfortable...
  25. CapeCodMermaid

    Why is LTC so hated

    CapeCodMermaid replied to MadameFreckles's topic in Geriatric, LTC

    My facility gives new grads at least a month of orientation. When I worked in the hospital, I got ONE day of orientation and then was put in charge of a floor despite the fact that I was a brand new...