CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Why is LTC so hated

    CapeCodMermaid replied to MadameFreckles's topic in Geriatric, LTC

    Just so you know, the residents in MY facility get excellent care and I am management. The staff is supported and respected for the work they do. When push comes to shove, the other managers and I...
  2. CapeCodMermaid

    Why is LTC so hated

    CapeCodMermaid replied to MadameFreckles's topic in Geriatric, LTC

    I think many people look down on nurses who work in skilled facilities because they still have in their little minds the picture of a nursing home from the 60's and 70's when the nurses basically did...
  3. CapeCodMermaid

    a state resurvey for an F tag?

    CapeCodMermaid replied to aiker31's topic in LTC: Directors, Assistant

    Here seems to be as good a place as any. Or IM me. I'm one of those odd balls who likes to do
  4. CapeCodMermaid

    has anyone ever discharged a patient with their IV still in?

    CapeCodMermaid replied to TracyVaRN's topic in General Nursing

    I run a SNF. We are always getting patients from the hospital with IVs still in even though there are no meds to be given. We just take them out during our admission assessment. What irks me is when...
  5. CapeCodMermaid

    How to help my CNAs

    CapeCodMermaid replied to SneakySnake's topic in Geriatric, LTC

    I've been in long term care since the 70's....was a nurses' aide before there was such a thing as a state run class or certification. Not once in all those years did any of my residents use the term...
  6. CapeCodMermaid

    Frisky Residents! Some Questions

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

    Just what is behavior management? Having sex is not a behavior. For most people it is a physical need. Remember the Supreme Court Justice whose husband was in a facility carrying on with another...
  7. CapeCodMermaid

    How to help my CNAs

    CapeCodMermaid replied to SneakySnake's topic in Geriatric, LTC

    Honestly, ANY help you can give the CNAs they will appreciate. I'm the DON...if I walk down the hall and there is a call light on, I answer it. Why walk all the way down the hall to find someone else...
  8. CapeCodMermaid

    Blood transfusions??? just say no...

    CapeCodMermaid replied to macgirl's topic in General Nursing

    Would you refuse to give someone contraception because it interfered with your beliefs? I don't believe in giving Methadone as a substitute for Heroin since it's just trading one addiction for...
  9. CapeCodMermaid

    Excel Spreadsheet to schedule OBRA MDS

    CapeCodMermaid replied to CapeCodMermaid's topic in MDS Coordinator Information

    I've got one - thanks to Talino and a few of the Geek Squad
  10. CapeCodMermaid

    Excel Spreadsheet to schedule OBRA MDS

    CapeCodMermaid posted a topic in MDS Coordinator Information

    I am computer literate but never learned how to do much in Excel. My MDS software isn't user friendly for scheduling MDSs and I don't have an MDS person at the moment. Does anyone have an excel...
  11. CapeCodMermaid

    Abuse Allegations

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

    Our reportables aren't listed anywhere. CMS is a FEDERAL
  12. CapeCodMermaid

    Abuse Allegations

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

    If you have a corporate compliance hot line, call it the next time you go to work. If what you're saying is true, things are not right at the facility. Of course a fall with a fracture must be...
  13. CapeCodMermaid

    New nurse in ltc/nervous about inspection

    CapeCodMermaid replied to AvasMom11's topic in Geriatric, LTC

    Even surveyors don't expect you to be perfect. Everyone makes mistakes and accidents/incidents happen. What matters is: did you assess for the risk, did you have a plan, did you modify the plan if...
  14. CapeCodMermaid

    Excel Spreadsheet to schedule OBRA MDS

    CapeCodMermaid replied to CapeCodMermaid's topic in MDS Coordinator Information

    Thanks!
  15. CapeCodMermaid

    New nurse in ltc/nervous about inspection

    CapeCodMermaid replied to AvasMom11's topic in Geriatric, LTC

    I am NOT a new nurse and still get nervous over inspections. Just do what you do every day. I tell my staff it's just 4 or 5 visitors in the building. We do the right thing and follow the regs every...
  16. CapeCodMermaid

    Setting Priorities...need help

    CapeCodMermaid replied to CeliaLPN2009's topic in Geriatric, LTC

    If the new admission is stable, excuse yourself, give the other person pain meds and then go back to the admission. The fact that the resident in pain has a family who brings in medication is not a...
  17. CapeCodMermaid

    Reducing ED transfers from SNF

    CapeCodMermaid replied to HelenaHandbasket's topic in Geriatric, LTC

    Our form is very basic...columns and rows: Pt Name and Payor Source Admission date and dx MD who gave order to send RN who assessed resident before sending Symptoms res. was having Interventions tried...
  18. CapeCodMermaid

    Reducing ED transfers from SNF

    CapeCodMermaid replied to HelenaHandbasket's topic in Geriatric, LTC

    I agree with everything except clysis. I have NEVER used or seen it used and I've been doing this since the
  19. CapeCodMermaid

    Reducing ED transfers from SNF

    CapeCodMermaid replied to HelenaHandbasket's topic in Geriatric, LTC

    Every week I have to send the 'unplanned discharge' report to corporate. One of the things on the report is "what interventions did/have you tried before sending the resident out?" That box used to be...
  20. CapeCodMermaid

    Nursing home administrator

    CapeCodMermaid replied to Milijs's topic in Geriatric, LTC

    Being a DNS in long term care is all consuming. You can't really pick it as a career...you either grow into it or you don't. My advice: work your way up the ladder...have all the positions you can...
  21. CapeCodMermaid

    How do you handle staffing?

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

    You should look at which floor has the heavier residents. Whoever needs the help should get it. Honestly, I've been at places where the RNs and LPNs had to work as CNAs. It never works. You might be...
  22. CapeCodMermaid

    IM Morphine

    CapeCodMermaid posted a topic in Geriatric, LTC

    Do any of you use IM Morphine for routine pain control? We have a new doc and he's ordered IM Morphine for a resident. I asked why not MS Contin for long acting with MSIR or roxanol for break...
  23. CapeCodMermaid

    IM Morphine

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    LOL...yah....never a dull moment. Oh, and I had to call his parole officer today. The things we don't get told before we admit
  24. CapeCodMermaid

    Nursing home administrator

    CapeCodMermaid replied to Milijs's topic in Geriatric, LTC

    Requirements vary from state to state. In Massachusetts if you have a Master's Degree you need to do a 3 month Administrator In Training with and administrator who's been licensed for at least 5...
  25. CapeCodMermaid

    Signing a nurses note for another nurse

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

    I worked in a place once where they had what they called documentation parties. The DON and ADON would bring the CNA flow sheets, treatment sheets and med sheets into the conference room and expect...