CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Do you scrub the hub of a PICC between each medication?

    CapeCodMermaid replied to Kara Hoffman's topic in General Nursing

    Who said the INS is of questionable reliability? Many policies at many facilities are based on their
  2. CapeCodMermaid

    Do you scrub the hub of a PICC between each medication?

    CapeCodMermaid replied to Kara Hoffman's topic in General Nursing

    Scrub the hub every time. It takes only 15 seconds and could help prevent an
  3. CapeCodMermaid

    DON on cart

    CapeCodMermaid replied to arainh20's topic in LTC: Directors, Assistant

    Interesting that the PP is an admin. I think the DNS should be the LAST person to take the
  4. CapeCodMermaid

    WHY?

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    So that’s NOT the trend around here having DNSs supervise and take a cart overnight. if I were near the beginning or even middle of my career, I do something else. But I will only be working 5 or so...
  5. CapeCodMermaid

    WHY?

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I make time to enjoy myself at work. I don’t feel the need to supervise every minute of every
  6. CapeCodMermaid

    Non-diapering nursing home patients

    CapeCodMermaid replied to ASSEDO's topic in Geriatric, LTC

    ????
  7. CapeCodMermaid

    Non-diapering nursing home patients

    CapeCodMermaid replied to ASSEDO's topic in Geriatric, LTC

    I’m sorry about your experience in the SNF-horrible to say the least. We do the best we can. We have 5 CNAs for 41 residents so our staffing is better than the region’s average, but even with...
  8. CapeCodMermaid

    Another Nursing Facility Closes

    CapeCodMermaid posted a topic in Geriatric, LTC

    A nursing home— another one— on the South Coast of Massachusetts is closing. It’s an old captain’s house. The company can’t afford to bring it up to code. So instead of grandfathering them...
  9. CapeCodMermaid

    Reportables

    CapeCodMermaid posted a topic in Geriatric, LTC

    My predecessor reported everything to the DPH. Fall with a bruise- report. Fall with a tiny cut- report. Now they expect me to report all this. I’m sure the regs says report falls with...
  10. CapeCodMermaid

    How often do you wash your scrubs? :)

    CapeCodMermaid replied to RNinheart's topic in General Nursing

    I would come in from work through the basement and put my scrubs in the washing machine before I went up to the house. I didn’t want to expose my kids to God knows
  11. CapeCodMermaid

    Reportables

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Lol. I ALWAYS put a time limit on my POC stuff. I have 10 more days of ridiculous audits left with the POC we
  12. CapeCodMermaid

    Reportables

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Thanks. I don’t know why she did anything she
  13. CapeCodMermaid

    If I say "how stupid are you" will they take it as a challenge??

    CapeCodMermaid posted a topic in Geriatric, LTC

    I'm am the DNS of a beautiful SNF....20:1 staffing with no clinically complex patients. WHY can't the nurses remember to do the basics like , oh, signing out meds when they give them???? Getting an...
  14. CapeCodMermaid

    A new allegation every day

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    We have a resident who constantly makes allegations against the staff--they were rough, they through me in bed, they yelled at me. She is care planned to always have two staff members and has a care...
  15. CapeCodMermaid

    Infection Preventionist

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    Have any of you found a reasonably priced course that fits the CMS regs for an Infection Preventionist? NADONA offers one for $200. APIC offers one for $500...I don't want to take a class and then not...
  16. CapeCodMermaid

    New Director of nursing

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

    Welcome! You can only do what you can do and you only have a certain amount of time in which to get it all done. Look at the tags. The plan of correction has to: speak to how you're going to fix it...
  17. CapeCodMermaid

    Tags! New ADON here

    CapeCodMermaid replied to cna_2_nurse's topic in LTC: Directors, Assistant

    IJ does mean immediate jeopardy. Your facility can be closed to admissions if you get an IJ. A G tag means there is actual harm to a resident or group of residents...not something you want to get. Go...
  18. CapeCodMermaid

    If I say "how stupid are you" will they take it as a challenge??

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    of course it’s been explained to them several times in the few months I’ve been there. They also fail to complete the admission paperwork- please don’t tell me that’s not their
  19. CapeCodMermaid

    If I say "how stupid are you" will they take it as a challenge??

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I’ve been a floor nurse so I know what y’all do. These nurses have plenty of time to sit around the nurses’ station The point isn’t about what the consent says. The point is they’ve been...
  20. CapeCodMermaid

    If I say "how stupid are you" will they take it as a challenge??

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    It’s happening when I’m in charge. If it doesn’t happen and the DPH finds it, they cite
  21. CapeCodMermaid

    If I say "how stupid are you" will they take it as a challenge??

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Then Oldmahubbard, lucky for you you don’t work in a SNF in Massachusetts The regs are ridiculous- if someone is taking gabapentin as a psych med, a consent is required. If they’re taking it for...
  22. CapeCodMermaid

    If I say "how stupid are you" will they take it as a challenge??

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    We’ve been required to get informed consent for at least the past 6 years... and God help you if you change the form the Massachusetts DPH sent
  23. CapeCodMermaid

    If I say "how stupid are you" will they take it as a challenge??

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I’m not a troll and of course nurses are supposed to get consents signed for psychotropic
  24. CapeCodMermaid

    New grad @ LTC/SNF/Rehab Facility. Hating it

    CapeCodMermaid replied to FromMNtoCA's topic in Geriatric, LTC

    Instead of protesting shoes, maybe the sports stars who are making millions of dollars should use their perceived influence to get more funding for nursing facilities. in Massachusetts we use MMQs to...
  25. CapeCodMermaid

    GTube feeds at home

    CapeCodMermaid posted a topic in Home Health

    What method do all y'all teach for determining placement to patients going home with a GTube? I have a guy going home soon who has a trache and a gtube. He sails through trache care but is worried...