CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    IM Morphine

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Of course I have pulse oximeters but I don't have the staff to leave one on the resident and check every hour or so. Today he wanted a morphine drip or a PCA...yah....sure. Wheeling yourself around...
  2. CapeCodMermaid

    PPS-Triple check tool

    CapeCodMermaid replied to lisalake's topic in MDS Coordinator Information

    If I can figure out how to post it here, I
  3. CapeCodMermaid

    IM Morphine

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    This is long term care. I don't have the staff to monitor ONE patient that closely ...on the overnight shift, the nurses have 40
  4. CapeCodMermaid

    Signing a nurses note for another nurse

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

    It's fraud at the very least. No one should sign anyone's name but their
  5. CapeCodMermaid

    How to handle suspected med error?

    CapeCodMermaid replied to tokebi's topic in Geriatric, LTC

    Anyone who finds an error or sees a fall or witnesses something can start an investigation. You don't have to wait for the
  6. CapeCodMermaid

    Salary Negotiation

    CapeCodMermaid replied to Jerry99's topic in LTC: Directors, Assistant

    So much depends on where you live. Staff nurses around here make more than
  7. CapeCodMermaid

    LTC Risk Manager

    CapeCodMermaid replied to Marshall1's topic in Geriatric, LTC

    No pay for close to a month????
  8. CapeCodMermaid

    LTC Risk Manager

    CapeCodMermaid replied to Marshall1's topic in Geriatric, LTC

    I've never heard of a Risk Manager at the facility level. Sounds a bit hinkey to me. How many incidents can they have in such a small facility that they would need a risk manager full
  9. CapeCodMermaid

    definition of "treatment"

    CapeCodMermaid replied to sbostonRN's topic in Geriatric, LTC

    In most facilities, the word treatment is used loosely. We put lots of things in the TAR because they need to be documented and there really isn't another place to do it. A few examples:Checking...
  10. CapeCodMermaid

    You're Kidding..........

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    So we got a referral for a 600 pound man. At the hospital they have a special motorized lift and it still takes 3 people every time he moves. My admissions people actually considered admitting him! I...
  11. CapeCodMermaid

    You're Kidding..........

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

    I wish I could leave but I have bills to pay and there aren't too many jobs around here...especially for
  12. CapeCodMermaid

    Abuse Allegations

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

    I report to DPH: * fall with fracture on any resident even if they are independent with everything. *If someone is alert and oriented x3 and is their own person, I usually don't report if they leave...
  13. CapeCodMermaid

    You're Kidding..........

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

    Next time the administrator insists on taking a really troublesome patient, when they act up, I'll bring them to her office....oh....wait...she's never in the
  14. CapeCodMermaid

    Advice Needed

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    I need some advice from a seasoned DON about dealing with an administrator. I don't dare post the whole story here, so if any of you would like to give me some advice, shoot me an IM.
  15. CapeCodMermaid

    Abuse Allegations

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

    I take every allegation of abuse very seriously. First if the accusation is made against a specific individual, I suspend them immediately and start investigating. I interview the resident(s)...
  16. CapeCodMermaid

    Starting at LTAC facility after working at LTC- advice?

    CapeCodMermaid replied to bstewart40's topic in Long Term Acute Care

    AL/IL= Assisted Living/Independent
  17. CapeCodMermaid

    Tattoo cover up

    CapeCodMermaid replied to juniorminty's topic in General Nursing

    I work in long term care and not one of the places I've worked in has ever had a tattoo policy. We have policies for fake nails (not allowed), facial piercings, dangling earrings, and giant rings but...
  18. CapeCodMermaid

    You're Kidding..........

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

    More than half my residents have a psych diagnosis and we are used to dealing with them, but the drunks are another story all
  19. CapeCodMermaid

    You're Kidding..........

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

    Believe me, the thought has crossed my mind. My corporate bosses want to know why we haven't filled all the beds with 'good rehab' customers. Well, let's see. Grandma doesn't want to be on a floor...
  20. CapeCodMermaid

    You're Kidding..........

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

    If the guy you described had Medicare, I'd be forced to take
  21. CapeCodMermaid

    Spouses/Visitors In Patient's Beds

    CapeCodMermaid replied to jpmrt's topic in Patient, Colleague Relations

    When I was very young, I was VERY ill and in the hospital. Apparently nothing would console me. My father, who worked at the hospital I was in, smuggled my rather large boxer in under his coat so I...
  22. CapeCodMermaid

    Hourly rounding logs

    CapeCodMermaid replied to afteralltheseyears's topic in Geriatric, LTC

    First off I find the p that stands for potty demeaning and undignified. They are not children and they do not 'go potty'. Secondly, to those of you who think you wouldn't be able to handle hourly...
  23. CapeCodMermaid

    Learn To Say It Correctly!!

    CapeCodMermaid replied to SheriLynnRN's topic in General Nursing

    Is your mom from Boston? You know the place where they don't pronounce the 'r' in a word like cah (car) or pahk(park) but seem to have the need to use them somewhere else like 'I have an
  24. CapeCodMermaid

    LTC Emergencies - Not prepared!

    CapeCodMermaid replied to croppyRN's topic in Geriatric, LTC

    We use red dots on our charts to mean DNR. However when I asked one of the nurses who'd been there forever what the red dot meant, she thought for a minute and then yelled "It means they're...
  25. CapeCodMermaid

    What does an RN supervisor do?

    CapeCodMermaid replied to MelissaLPN's topic in Geriatric, LTC

    We're in the long term care forum.. we don't push meds. A supervisor should make sure everything is running well...help out when needed...say if one floor got 3 admits...be a mentor to newer staff and...