CapeCodMermaid RN

Gerontology, Med surg, Home Health

Member

  • Content

    6,092

  • Visitors

    66,035

  • Followers

    4

  • Likes

    290

All Content by CapeCodMermaid

  1. CapeCodMermaid

    Public Schools and transgender bathrooms.

    CapeCodMermaid replied to imintrouble's topic in School

    Cisgendered.....In other words
  2. CapeCodMermaid

    Irrational patients

    CapeCodMermaid replied to Smilie0809RN's topic in Patient, Colleague Relations

    Since I live in a place with hundreds of seagulls, I can only guess being seagulled means getting pooped on. Just a guess. I've dealt with all sorts of patients as we all have. Sometimes there is a...
  3. CapeCodMermaid

    Public Schools and transgender bathrooms.

    CapeCodMermaid replied to imintrouble's topic in School

    What does 'cisgendered' mean? I've never heard that
  4. CapeCodMermaid

    Any Ideas on Increasing Hand Washing Compliance?

    CapeCodMermaid replied to flashpoint's topic in Geriatric, LTC

    I was just in the hospital as a patient. Every room has a big sticker which reads GEL IN GEL OUT. Without fail, every provider used the gel on the way in and on the way out. I think it this case, it...
  5. CapeCodMermaid

    A Tribute to Nurses Through Time

    CapeCodMermaid replied to tnbutterfly - Mary's topic in General Nursing

    Can someone identify the song and the singer? Quite
  6. CapeCodMermaid

    another question about ending my travel contract

    CapeCodMermaid replied to pookashellz's topic in Travel

    I think we may have worked at the same place! Call the company that sent you there. Review the contract and if you have no penalty for leaving, give a notice and get out the door. I've gotten a call 5...
  7. CapeCodMermaid

    Any Ideas on Increasing Hand Washing Compliance?

    CapeCodMermaid replied to flashpoint's topic in Geriatric, LTC

    My lab has some powder which is invisible but reacts under black light (like the posters we had in the 1960s!). I've sprinkled it around the units then done surprise viewings with the light. People...
  8. CapeCodMermaid

    Med pass 55+ residents and med error

    CapeCodMermaid replied to Newnursey86's topic in Geriatric, LTC

    Speak to your pharmacy consultant about changing times of the medications so you can safely administer meds within the time frame. Many facilities have gone to 'give meds in the morning'....morning is...
  9. CapeCodMermaid

    Excessive use of Omeprazole or Protonix

    CapeCodMermaid replied to GRAB1's topic in Geriatric, LTC

    The manufacturer of Omeprazole indicates it should be given before a meal on an empty stomach. DPH will tag anyone who gives it outside that parameter. We all know, the real world is quite different...
  10. CapeCodMermaid

    Infection control + gloves

    CapeCodMermaid replied to eiwneon's topic in General Nursing

    I wear gloves any time there is a chance I will come in contact with any bodily fluids. Unless I know the patient puts their hands in their briefs (I work in LTC) I wouldn't put a pair of gloves on to...
  11. CapeCodMermaid

    Excessive use of Omeprazole or Protonix

    CapeCodMermaid replied to GRAB1's topic in Geriatric, LTC

    llg, I don't mean to be fresh, but honey you need to get yourself a better fantasy than weaning yourself off a
  12. CapeCodMermaid

    Excessive use of Omeprazole or Protonix

    CapeCodMermaid replied to GRAB1's topic in Geriatric, LTC

    Those lawyers will sue anyone for anything even if the potential side effect is clearly listed. I just found out 30 minutes ago from my new doctor that omeprazole can interfere with vitamin d...
  13. CapeCodMermaid

    How long was your new employee training?

    CapeCodMermaid replied to Marisette's topic in General Nursing

    Licensed in 1982. Has one day of orientation to work med-surg and 6 of the 8 hours was learning how to use the 'new' IV pumps. We were expected to be able to hit the floor running. On my second day I...
  14. CapeCodMermaid

    contract cancellation, renegotiation

    CapeCodMermaid replied to nrcnurse's topic in Travel

    Oz as in I didn't really want to say the name of the real
  15. CapeCodMermaid

    contract cancellation, renegotiation

    CapeCodMermaid replied to nrcnurse's topic in Travel

    I'm new to the world of interim/travel assignments. I've already had 3 contracts cancelled two days before I was due to start. One company did a bait and switch..said there was a position in...
  16. CapeCodMermaid

    Anxiety and Ativan

    CapeCodMermaid replied to owlcitygirl's topic in Health, Stress Management

    I am not a fan of medications for many things, especially when working. We are not allowed to give medical advice, but could I suggest you learn to meditate? Even 5 minutes of deep breathing can calm...
  17. CapeCodMermaid

    Doc calls nurse coworkers monkeys...

    CapeCodMermaid replied to Cola89's topic in Patient, Colleague Relations

    I'd bring in a bunch of bananas and hand them to him. If his behavior continued I'd call HR in a heart
  18. CapeCodMermaid

    Nurses smoking weed?

    CapeCodMermaid replied to bunnynurse's topic in General Nursing

    What a thoughtfully written post. I commend
  19. CapeCodMermaid

    Excessive use of Omeprazole or Protonix

    CapeCodMermaid replied to GRAB1's topic in Geriatric, LTC

    I'm assuming you aren't 80+ years old and don't live in a facility. I took a PPI for a while- had no side effects but I'm not 80+ and don't live in a facility. I don't go anywhere without a bottle of...
  20. CapeCodMermaid

    Inpatient Hospice Ethical Dilemma?

    CapeCodMermaid replied to CNSnurse's topic in Hospice, Palliative

    We have a house doc in our SNF who is also the medical director for a local hospice. He was forever writing orders for "Review and admit to XYZ hospice'. I had to tell him at least once a month that...
  21. CapeCodMermaid

    Nurse to Patient Ratio

    CapeCodMermaid replied to Qui_BSN16's topic in Long Term Acute Care

    All long term care facilities in Massachusetts must post the daily staffing ratios daily in a public place. The form must contain the number of residents in the building, the number of RNs per shift,...
  22. CapeCodMermaid

    Nurse to Patient Ratio

    CapeCodMermaid replied to Qui_BSN16's topic in Long Term Acute Care

    Do you work in LTC/SNF or in an LTAC? The ratio should be different since in theory, patients in LTACs have much higher acuity. We had a 60 bed long term unit in our SNF. Night shift had one nurse and...
  23. CapeCodMermaid

    Obese Nurses

    CapeCodMermaid replied to Goldentreasure's topic in Health, Stress Management

    Years ago while doing home care, I was told by the patient's wife that I was "way too skinny" to take care of her hulking brute of a husband. She said it was because I was a Yankee because Southern...
  24. CapeCodMermaid

    Obese Nurses

    CapeCodMermaid replied to Goldentreasure's topic in Health, Stress Management

    If
  25. CapeCodMermaid

    Excessive use of Omeprazole or Protonix

    CapeCodMermaid replied to GRAB1's topic in Geriatric, LTC

    Overuse of these medications can lead to CDiff. We get almost 100% of patients from the hospital on a PPI. Unless they have an active diagnosis of GI bleed, we ask the PCP to discontinue the med....