CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Showers in nursing home

    CapeCodMermaid replied to Vonique's topic in Geriatric, LTC

    I don't know if every state has a regulation about the number of showers. We used to give them once a week but since the population is changing and residents tend to be younger, they are now scheduled...
  2. CapeCodMermaid

    So long, farewell, adieu

    CapeCodMermaid posted a topic in Geriatric, LTC

    Well kids, finally time to say goodbye to the world of LTC/SNF nursing. I took a new job at a place I was told was non-profit. Great right? The management company is FOR profit. We're not allowed to...
  3. CapeCodMermaid

    Rumors and who's in charge??

    CapeCodMermaid posted a topic in Geriatric, LTC

    The day started with a nurse telling me a CNA refused to float. She said they never listen to her. Of course they don't because when I walked on the floor, she announced "Oh, CapeCodMermaid is here so...
  4. CapeCodMermaid

    What are some issues with younger residents you are having?

    CapeCodMermaid replied to Ltcrn81's topic in LTC: Directors, Assistant

    I'm with your Administrator. Anyone who is well enough to leave the building whenever they want, walk into town, and buy alcohol does NOT need to be in a long term care
  5. CapeCodMermaid

    *how to survive as a nurse?*

    CapeCodMermaid replied to nohseungjin's topic in General Nursing

    I don't believe there was ever a 120:1 ratio. That is
  6. CapeCodMermaid

    Full Code patients in Long term care

    CapeCodMermaid replied to beatrice1's topic in Geriatric, LTC

    In Massachusetts if there is obvious rigor we don't have to do CPR. This is relatively new. Oh yeah... They added if they've been decapitated we don't have to do
  7. CapeCodMermaid

    So long, farewell, adieu

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I was going to include that, but I knew I'd never spell it
  8. CapeCodMermaid

    So long, farewell, adieu

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Depends on your
  9. CapeCodMermaid

    So long, farewell, adieu

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    So....I have received more positive comments (any comments really) from total strangers than I did the people at work. I made the right decision. LOL...stripping...they'd holler PUT IT
  10. CapeCodMermaid

    Hi! New ADON here!

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

    Do you have a job description? When I was the ADON I was in charge of the wound team, the falls team, the pain team...we had a lot of teams but not much team spirit. Ask your DON what she expects of...
  11. CapeCodMermaid

    Staff Development - Need Help

    CapeCodMermaid replied to pd013's topic in LTC: Directors, Assistant

    Does your facility have any on line training options? It's the latest thing around here. All the mandatories are on the computer - personally I think the courses have all been dumbed down but it's the...
  12. CapeCodMermaid

    What happened to common sense?

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I am appalled at some of what I see. Policy is to inform MD/NP of any and all abnormal labs. HA1C=10.2 (highest I've ever seen) No documentation that anyone was notified. I asked the nurse and was...
  13. CapeCodMermaid

    What happened to common sense?

    CapeCodMermaid posted a topic in Geriatric, LTC

    Well.....we have an on call rotation where I'm the DON. It's not really working out because the staff nurses are either as dumb as rocks or play dumb hoping someone else will do their work for them....
  14. CapeCodMermaid

    What Is the Problem???

    CapeCodMermaid posted a topic in Geriatric, LTC

    42 bed post-acute unit. 3 nurses on carts; one secretary, one unit manager. The 3 nurses ONLY do meds and treatments. For them to actually put an order in the computer or follow up on a lab is beyond...
  15. CapeCodMermaid

    How important is it to get a BSN?

    CapeCodMermaid replied to matcha-cat's topic in General Students

    I have a Bachelor's degree in English. I went to a hospital school of nursing where I learned how to be a nurse. I make $120k+ a year. Just
  16. CapeCodMermaid

    Can you refuse to give care to a resident in LTC?

    CapeCodMermaid replied to CNA2016:)'s topic in Medical Assistant, CNA/MA

    And exactly just what would a union do? They can't go against the regulations of the federal government or the state
  17. CapeCodMermaid

    Can you refuse to give care to a resident in LTC?

    CapeCodMermaid replied to CNA2016:)'s topic in Medical Assistant, CNA/MA

    Easier said than done. Where would he go? The MA DPH would be all over us if we discharged someone for being difficult. There are very few times we can issue a discharge
  18. CapeCodMermaid

    Rumors and who's in charge??

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    The latest rumor is that I have NO license and one of the nurses is going to call DPH and report me! If only these nurses spent as much time on patient care as they did trying to besmirch my...
  19. CapeCodMermaid

    Doctor's lying about telephone order

    CapeCodMermaid replied to Irabee's topic in General Nursing

    EPS take a while to manifest. I've never heard of an EPS on day 2 or 3 of an
  20. CapeCodMermaid

    Sliding up bariatric residents

    CapeCodMermaid replied to notanumber's topic in Geriatric, LTC

    I would insist they use a slip sheet. Your staff is at huge risk for injury. Patients can't refuse everything...well okay technically they can but we have to pay attention to our staff's health as...
  21. CapeCodMermaid

    Investigating Falls/ Accidents

    CapeCodMermaid replied to CoffeeRTC's topic in Geriatric, LTC

    Forms won't help. Most nurses don't bother to complete a falls investigation. I have nurses who always add "Remind resident to use call ball" even if the patient is too demented...and they always add...
  22. CapeCodMermaid

    Curious if your facility has a wound nurse

    CapeCodMermaid replied to bionicgirlie's topic in Geriatric, LTC

    I worked in a place that had a wound nurse 32 hours a week. She did the weekly wound measurements and the rounds with the wound doctor. Then one day, the admin decided we didn't have the $ in the...
  23. CapeCodMermaid

    Can you refuse to give care to a resident in LTC?

    CapeCodMermaid replied to CNA2016:)'s topic in Medical Assistant, CNA/MA

    And sometimes it means the person is just mean and abusive. Have you worked in a SNF or LTC? The CNAs often have 10-12 people to care for and one nurse can have as many as 30 people to medicate. The...
  24. CapeCodMermaid

    LTC's no longer accept "limited duty" or just my LTC?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    One place I worked a nurse was on modified duty for 3 years!!! At another place, a nurse who broke her ankle on company property was seen dancing in town- it was a very small town. She was out on...
  25. CapeCodMermaid

    Come On People, How Stupid Are You??

    CapeCodMermaid posted a topic in Geriatric, LTC

    Doing chart/MAR/ nurses' note review. Order for Hydralazine 5 mg, hold for SBP Huh??? You held it for a HIGH blood pressure? I almost want to change the orders to read: "Hold if the top number is...