CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Why do LPNs only make $40K per year?

    CapeCodMermaid replied to Nurse Beth's topic in Career Advice Column

    That is incorrect unless you work in a facility with very few beds. I've been a DON for 15 years and NEVER was the person signing the MDSs- unless I did them. One building had 40 beds and it still...
  2. CapeCodMermaid

    Come On People, How Stupid Are You??

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    We changed to less than or greater than. Hasn't made a difference yet. Another good reason to have nurses swap carts, sides, units-- if the residents are new to them they might pay more
  3. CapeCodMermaid

    case management vs adon

    CapeCodMermaid replied to stella789's topic in LTC: Directors, Assistant

    Here's some unsolicited advice: make sure you know about the corporate structure if you're going to be the DON. I just started working for a company with layer upon layer of corporate people. They...
  4. CapeCodMermaid

    Come On People, How Stupid Are You??

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    If only there were nurses around here to hire . The 2 nurse managers and I am constantly on call and are expected to take the cart if there is a call
  5. CapeCodMermaid

    First nursing job LTC facility need advice on how to survive !!!

    CapeCodMermaid replied to arose26's topic in Geriatric, LTC

    Years ago when I was a new nurse working in the hospital, I had 6 hours of orientation...all on IV pumps. Got to the floor and was told I was in charge because I was the RN. They didn't care that the...
  6. CapeCodMermaid

    Come On People, How Stupid Are You??

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I told the NP to consider a thorough review of blood pressures for 3-5 days and then changing the Ned to something that doesn't require PRN dosing every 8 hours, and discontinuing the med on the guy...
  7. CapeCodMermaid

    Come On People, How Stupid Are You??

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Nope. We use an EMAR. An x indicates not given. A check mark indicates it was given. The blood pressure is attached to the order so when the order reads: give if BP is greater than 160 and the blood...
  8. CapeCodMermaid

    Come On People, How Stupid Are You??

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I could excuse one time but today I had to do an investigation....one woman got the medication 23 times outside the ordered parameters! One guy had 104 chances to get the medication. IF it had been...
  9. CapeCodMermaid

    Come On People, How Stupid Are You??

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    It was more than one
  10. CapeCodMermaid

    New grad RN, See problems how to make changes. HELP

    CapeCodMermaid replied to Valcorie34's topic in Geriatric, LTC

    I don't have lots of tips. Only this one: Do what you know is the correct way to do things. I am from the old days where we didn't wear gloves for many things but I've changed my practice to fit the...
  11. CapeCodMermaid

    Internal Posting

    CapeCodMermaid replied to Fray's topic in Geriatric, LTC

    Toot your own horn. No one else will toot it for you. Briefly explain why you think you have the skills necessary to be the day supervisor. What kind of unwanted tension? Are there many people...
  12. CapeCodMermaid

    Office position available-overqualified for

    CapeCodMermaid replied to litbitblack's topic in Geriatric, LTC

    If you're an RN they might want to let you listed as staff to improve their 5 star
  13. CapeCodMermaid

    Rumors and who's in charge??

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I've been a charge nurse (I've been in the business so long, I've been everything, including an aide). I always made it clear to the CNAs that I was responsible for the unit, or my side of the hall....
  14. CapeCodMermaid

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

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    I've been in the business since the '80s. Limited duty was only offered to employees who were injured on the job, never for post op people or those who were injured on their own
  15. CapeCodMermaid

    Rumors and who's in charge??

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I expect my charge nurses to be in charge of their half of the floor. Waiting until I come up on the floor undermines their
  16. CapeCodMermaid

    What happened to common sense?

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I AM the DON and I can't take it any
  17. CapeCodMermaid

    You've Got To Be Kidding Me

    CapeCodMermaid posted a topic in Geriatric, LTC

    We got a new admission the other day. A very sick 82 year old woman. I reviewed her chart and was surprised to see these questions: 1.Have you been sexually active in the last 6 months? She answered...
  18. CapeCodMermaid

    What happened to common sense?

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Smoking in my facility is a privilege not a right. There are rules and these particular patients all know the rules and break them regularly. If it were up to me no one would be allowed to smoke. If...
  19. CapeCodMermaid

    You've Got To Be Kidding Me

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Edie- I ran a building in a town where everyone was accepted for who they are. It's been that way there for 40 years...don't need a class in sexual minorities. Don't need to take one on ageism....I AM...
  20. CapeCodMermaid

    You've Got To Be Kidding Me

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Every time I go to the doctor I wait for them to ask "Are you sexually active?" so I can say, "No, I usually just lie there!!" I ran a SNF in a community that was LGBTQ friendly before there were so...
  21. CapeCodMermaid

    Dispensing meds from a punch card?

    CapeCodMermaid replied to Brady29's topic in Geriatric, LTC

    Things vary state to state. We are not allowed to write anything on the card...not a check mark, not an initial, nothing. Nothing in this state is available for repackaging. The unused medications are...
  22. CapeCodMermaid

    Can a confused resident refuse care?

    CapeCodMermaid replied to pumpkinspice's topic in Canada

    Any one can refuse any treatment at any time. You can cajole, encourage, educate but you cannot force any one to do
  23. CapeCodMermaid

    Bait and Switch?

    CapeCodMermaid replied to Natkat's topic in Case Management

    Yes. In this day of ACOs wanting shorter stays in the hospitals and in the SNFS, people with case management experience are in high demand. Given the (in my opinion overly optimistic) notion that most...
  24. CapeCodMermaid

    Liar liar pants on fire

    CapeCodMermaid posted a topic in Geriatric, LTC

    I interviewed for a position as a DON in a medium sized facility. I was told that I'd be on call every 5 weeks and might on occasion have to come in and take the med cart for 'maybe 2 hours.' So I...
  25. CapeCodMermaid

    WHAT TO DO...Nurse is refusing to give PRN medication

    CapeCodMermaid replied to purplenurse1's topic in Geriatric, LTC

    Why are people so quick to report another nurse to the BON? Call the on call doctor to go around the PCP? Talk to the DON and the PCP to get this