CapeCodMermaid RN

Gerontology, Med surg, Home Health

Member

  • Content

    6,092

  • Visitors

    66,035

  • Followers

    4

  • Likes

    290

All Content by CapeCodMermaid

  1. CapeCodMermaid

    Hospitals Firing Seasoned Nurses: Nurses FIGHT Back!

    CapeCodMermaid replied to allnurses's topic in General Nursing

    It's not just hospital nurses. Many upper management nurses in LTC and SNFs have been fired because they made too much money and didn't make the bottom line appealing. It's horrible and the end isn't...
  2. CapeCodMermaid

    Is it OK to give baking soda and water to LTC patient without a doctor order?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Baking soda might be a foodstuff, but in Massachusetts, we're not even allowed to keep Thick-It which is nothing more than a form of corn starch on the med cart because it's to be only given by MD...
  3. CapeCodMermaid

    Staff Development Woes

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I'm about done...they send me to classes and then tell me it doesn't matter what 'someone else' says...their policies are the best. I go around trying to educate on what's right and get told "that's...
  4. CapeCodMermaid

    Do all LTC facilities have RN's?

    CapeCodMermaid replied to cgb937's topic in Geriatric, LTC

    It's not entirely management. Based on the 5 star rating system, the more RNs the higher star value. Many insurance companies want RNs on staff. And, at least in my state, LPNs can't assess. Most of...
  5. CapeCodMermaid

    Documenting on patient falls or what looks like one in LTC

    CapeCodMermaid replied to lumbarpain's topic in Geriatric, LTC

    --if they want you to remove the part about shirt staffing what else might they want you to be less than honest about? They might want you to falsify pants staffing...sorry for the
  6. CapeCodMermaid

    Documenting on patient falls or what looks like one in LTC

    CapeCodMermaid replied to lumbarpain's topic in Geriatric, LTC

    Most of us are at will employees so we can be fired at any time. I'm not sure why they have a CNA doing an incident report- that usually is a licensed job. If they do root cause analysis of why the...
  7. CapeCodMermaid

    New to LTC - Charting Question

    CapeCodMermaid replied to NJ2010RN's topic in Long Term Acute Care

    Your license isn't in jeopardy if you're doing your job. You can't be held responsible for another nurse's
  8. CapeCodMermaid

    New to LTC - Charting Question

    CapeCodMermaid replied to NJ2010RN's topic in Long Term Acute Care

    Welcome to the world of long term care. You will never have time for a head to toe assessment of every resident you're responsible for. You'll do a focused assessment. If they are there for...
  9. CapeCodMermaid

    Staff Development duties

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Thanks. OIG is Office of the Inspector
  10. CapeCodMermaid

    Staff Development duties

    CapeCodMermaid posted a topic in Geriatric, LTC

    Just curious so asking all the SDCs out the What are you expected to do? I don't mean the 'normal' things like orientation--I mean: Do you have to check the CNA registry? Nursys? OIG The SDC in my...
  11. CapeCodMermaid

    Should I self report?

    CapeCodMermaid replied to Sunnywd's topic in General Nursing

    The BOARD has more important things to do than check on an error like this. Was there patient harm? We all need to cut ourselves a break for being
  12. CapeCodMermaid

    Longterm care horrendous working conditions.

    CapeCodMermaid replied to danij040866's topic in Geriatric, LTC

    I used to say "there are good facilities". I'm not so sure I really believe this any more. Reimbursements aren't keeping up with rising costs of doing business so there is less staff. Good staffing is...
  13. CapeCodMermaid

    "You can't call off!"

    CapeCodMermaid replied to snow22's topic in Geriatric, LTC

    You can't post on a site and expect to get all positive
  14. CapeCodMermaid

    "You can't call off!"

    CapeCodMermaid replied to snow22's topic in Geriatric, LTC

    I'm not sure where you live, but 3 inches isn't what I'd call a snowstorm. Three inches is hardly more than a dusting. One winter we had 4 storms with a foot or more each. If everyone stayed home, the...
  15. CapeCodMermaid

    "You can't call off!"

    CapeCodMermaid replied to snow22's topic in Geriatric, LTC

    Neither rain nor snow nor gloom of night isn't just for postal workers. As nurses we need to make every effort to get to work. If your anxiety is so high that you are considering going to the...
  16. CapeCodMermaid

    Medications from home

    CapeCodMermaid replied to LPN9200's topic in Geriatric, LTC

    We don't take meds from home especially narcotics. All our prescription meds have to be bubble packed ....I don't really know what's in a bottle...could be
  17. CapeCodMermaid

    Can RN works as a floor nurse in Nursing home/LTC?

    CapeCodMermaid replied to MsiK's topic in Rehabilitation

    LPNs are allowed to hang IV meds in Massachusetts...everything varies from state to
  18. CapeCodMermaid

    LTC/GERI psych needs - your thoughts?

    CapeCodMermaid replied to pmhnp35's topic in Geriatric, LTC

    Most SNFs have contracts with mental health providers unless you live in the middle of
  19. CapeCodMermaid

    Re-eval orders

    CapeCodMermaid posted a topic in Geriatric, LTC

    We have lots of docs and NPs who write for example: give Celexa 10 mg by mouth daily. Re-eval in two weeks. For some reason, the re-Evals keep getting missed. We've tried boxing off the re-eval date...
  20. CapeCodMermaid

    Urine Strips

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

    We don't even use urine
  21. CapeCodMermaid

    How do you get into the ICU?

    CapeCodMermaid replied to renae0404's topic in Critical Care

    Get really really sick? I,too,am having one of those
  22. CapeCodMermaid

    Admission Skin Assessments

    CapeCodMermaid replied to NurseQT's topic in Geriatric, LTC

    Welcome to the world of unreasonable expectations. We get most of our admits on 3-11 so the taking the clothes off thing isn't a big deal. I've worked in many places and no one has expected the whole...
  23. CapeCodMermaid

    Could I be sued for neglect or lose my license over this?

    CapeCodMermaid replied to Ccinct's topic in Geriatric, LTC

    Everyone with a license is responsible for his/her own
  24. CapeCodMermaid

    Re-eval orders

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    lol unit secretary... Lol charge nurse... Don't have
  25. CapeCodMermaid

    Re-eval orders

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    How can it be missed on the MAR? Aren't we supposed to look at EVERY box on the MAR? The staff nurses wouldn't look in the calendar