CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Will an Incident Report get me Fired?

    CapeCodMermaid replied to mndlng97's topic in Geriatric, LTC

    The burn must be reported to the Department of Public Health. You might be asked questions if they come out to the facility after the report is sent in. I've seen residents spill hot liquid on...
  2. CapeCodMermaid

    Obese Nurses

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

    I had an administrator who wouldn't let us hire anyone who he deemed to be overweight. He thought their weight would put them at risk for back injury. He also had problems with us hiring anyone of...
  3. CapeCodMermaid

    Irrational patients

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

    I am not an LOL either. My MD refuses to prescribe Ambien because of the myriad of side effects. Plus it's on the BEERS list. Trazodone is a much better
  4. CapeCodMermaid

    Irrational patients

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

    Sounds like delirium or sepsis or a UTI or a myriad of physical things that have nothing to do with being a nasty old
  5. CapeCodMermaid

    CMS 802

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    Can someone steer me in the direction of what constitutes a 'mental illness' on the CMS form 802? I know some of them are obvious, but does anyone know if depression is considered a mental illness?...
  6. CapeCodMermaid

    Lied to in Interview

    CapeCodMermaid replied to westieluv's topic in General Nursing

    A few points- I've made 'demands' during an interview. I was given the job. Better to be up front at the start. My second point-I don't know any facility who is short staffed by design. It is...
  7. CapeCodMermaid

    LTC challenges with Hospice providers?

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

    I'm a DNS in the SNF world. I am a huge proponent of hospice care. I can't speak to what ALFs allow or don't. They operate under a different set of regulations. I usually have a great relationship...
  8. CapeCodMermaid

    New DON LTC

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

    Weekly skin checks by a licensed staff member are the norm here. CNAs are expected to pay attention to any changes and report them to the nurse. Anything-meds, treatments, skin checks- done on the...
  9. CapeCodMermaid

    My husband doesn't want me on ALLNURSES

    CapeCodMermaid replied to Kitiger's topic in General Nursing

    I thought the same thing, and I'm not quite sure poetic license can be used for making up words willy nilly:geek: I've been on this site for years. I'm very careful when I post to generalize as much...
  10. CapeCodMermaid

    Leg wraps delegation

    CapeCodMermaid replied to GLORIAmunchkin72's topic in Geriatric, LTC

    I've never worked in a place where CNAs were allowed to do leg
  11. CapeCodMermaid

    New Grad - Do hospitals consider LTC as "experience" needed to obtain hospital job?

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

    All the hospitals around here consider a year's experience in a SNF as experience. We take care of patients with chest tubes, insert PICC lines in house and all sorts of other things that translate...
  12. CapeCodMermaid

    Really?!? That's what you think is important?

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

    We don't do that silly q shift vs any more...that's from the days of old when the flu vaccine was a live
  13. CapeCodMermaid

    Really?!? That's what you think is important?

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    So I'm doing an interim gig at a facility in my state. The building is owned by a company from another state. The facility is in a huge mess...assessments not done, nurses not being held accountable,...
  14. CapeCodMermaid

    Facility refuses to give raises

    CapeCodMermaid replied to baygrl11's topic in Geriatric, LTC

    What is a penal rate? I'm stopping myself from typing an off color
  15. CapeCodMermaid

    Resident's family wanted to discharge AMA at 10:00 PM Sunday night!

    CapeCodMermaid replied to smartypants22's topic in Geriatric, LTC

    OK...it's 2016-people don't get shipped off to a nursing home or rehab without someone's permission. Can the man speak for himself? If so, the daughters didn't need to give their permission. Rehab...
  16. CapeCodMermaid

    Coumadin protocol

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    Do any of you use a Coumadin protocol? I used one at one facility but when I mention it I'm told it's not possible. Am I living in a dream world? I've used one...orthos liked it, docs liked it, much...
  17. CapeCodMermaid

    False advertising or are the really this unorganized

    CapeCodMermaid posted a topic in Travel

    I recently started doing interim assignments as a DNS in a SNF. The first time I answered an ad I had a 40 minute conversation with the 'placement specialist' only to be told that the city they had...
  18. CapeCodMermaid

    False advertising or are the really this unorganized

    CapeCodMermaid replied to CapeCodMermaid's topic in Travel

    Indeed.com and I spoke to people who work for the agency
  19. CapeCodMermaid

    Did I make the wrong decision

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

    First off....take a breath. You won't be perfect...no one is. But as long as you do the best you can and care about the residents, you'll be fine. Wounds....it's all about documentation and care...
  20. CapeCodMermaid

    Sending res to hospital- did I make the right call?

    CapeCodMermaid replied to suzw's topic in Geriatric, LTC

    Not being there to assess the resident myself....YOU were the nurse who was there. YOU were the one who was responsible for this man's life. YOU made the call you thought appropriate at the time. I...
  21. CapeCodMermaid

    One hour before and one hour after

    CapeCodMermaid replied to Manofstone's topic in Geriatric, LTC

    That one hour before/after has been around since the residents got a colace and an aspirin and it was possible for one nurse to medicate 30-45 residents. Now it is impossible. Talk to your pharmacy...
  22. CapeCodMermaid

    New to nursing field - got fired after 2 months

    CapeCodMermaid replied to lifeisgood2012's topic in First Year After Licensure

    It's never easy being fired. I've been working since I was 13 and I recently got fired for basically no reason except I wouldn't play the kiss a** game with the administrator. Took the facility from 2...
  23. CapeCodMermaid

    New DON, seeking advice

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

    Wow....good for you! The good thing is the facility is small. I would first look at last year's survey to make sure any issues were fixed and are still being taken care of. I make rounds on all the...
  24. CapeCodMermaid

    Really?!? That's what you think is important?

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

    lol... I have two baseball caps....one is a YANKEES hat, the other one says "It's all about the
  25. CapeCodMermaid

    Really?!? That's what you think is important?

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

    I'll be out of here at the end of the month. Not soon