CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Nurses forced to stop med pass

    CapeCodMermaid replied to Kinzie21's topic in Geriatric, LTC

    I worked in one building where admin. demanded there be a nurse in the main dining room for all meals. They started a restaurant dining thing so one meal could last more than 2 hours. I asked them to...
  2. CapeCodMermaid

    CMS 802

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

    Thanks...I found that too. I just have a hard time calling depression a mental illness. Why are we still doing these stupid forms? It takes hours and hours. I could be spending that time doing...
  3. CapeCodMermaid

    Reasons patients turn on their call light

    CapeCodMermaid replied to diamondp17's topic in Patient, Colleague Relations

    She didn't push the call light, but she did call 911. I was at the nurses' station doing care plans or whatever when 4 fire fighters and one EMT appeared. One of them said they had gotten a 911 call...
  4. CapeCodMermaid

    Norovirus - Help me calm my fears!!

    CapeCodMermaid replied to justanurse95's topic in Geriatric, LTC

    I wish there were a don't like button...you'd call off if you weren't sick? Glad you don't work for
  5. CapeCodMermaid

    Negligent CNA?

    CapeCodMermaid replied to halerac88's topic in Geriatric, LTC

    I wouldn't report this unless it was done with malice. People make
  6. CapeCodMermaid

    black blood vessels under tongue

    CapeCodMermaid posted a topic in Geriatric, LTC

    Has anyone ever seen someone with black blood vessels under their tongue? This patient was reciently treated for Parotitis with abx. The sides of her tongue are red...denies pain. Yeah, I know, no...
  7. CapeCodMermaid

    Refusing to take a resident bac

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    Maybe some one in Massachusetts can help me out. I was told years ago there was a regulation that stated we didn't have to readmit a resident if we were not able to care for them. I can't find the reg...
  8. CapeCodMermaid

    Refusing to take a resident bac

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

    We don't have a risk management department. We have a corporate attorney whose legal opinion is we do not have to take him back since he presents as a danger to
  9. CapeCodMermaid

    Question-Please answer!

    CapeCodMermaid replied to Anisa.Lee's topic in Geriatric, LTC

    Boring? Chest tubes, PICC lines, Mid Lines, BIPAPs and CPAPS, clysis, flash pulmonary edema...and that's all on one shift. No time to be bored. Soak up all you can, ask questions and help the staff....
  10. CapeCodMermaid

    Speedy med pass

    CapeCodMermaid replied to sbostonRN's topic in Geriatric, LTC

    It is NOT good practice to wait until the end of your med pass to sign out narcotics. It's an invitation to be off on count and in my buildings, you would receive progressive discipline for continuing...
  11. CapeCodMermaid

    Change in status

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

    Most SNFs don't do IV steroids...not many do IV lasix. Too many residents to watch to spend that much time with one sick
  12. CapeCodMermaid

    Speedy med pass

    CapeCodMermaid replied to sbostonRN's topic in Geriatric, LTC

    1. NEVER prepour. It's dangerous. 2. Writing on the blister packs is against regulations 3. Ask your pharmacy consultant to look at med times to consolidate the pass....don't have 8,9, and 10 o'clock...
  13. CapeCodMermaid

    Admission personal belongings

    CapeCodMermaid replied to punkdmm's topic in Geriatric, LTC

    So if a patient says they had an iPad when they were admitted and now it's missing and want your facility to pay for a new one, how will you prove they didn't bring one in? It's a PIA but
  14. CapeCodMermaid

    Directors--what do you wear?

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    What do all you DNSs wear to work? I dress in a professional manner--dresses or skirts or business like pants and blouse. Now the administrator is telling me and all my managers we're supposed to be...
  15. CapeCodMermaid

    Administering Tylenol to a friend

    CapeCodMermaid replied to Em31200's topic in General Nursing

    A more prudent nurse would do a thorough respiratory assessment and not just rely on a piece of equipment. I've heard a nurse in LTC lost her license for giving a co-worker a couple of Tylenol in...
  16. CapeCodMermaid

    In house INR testing

    CapeCodMermaid posted a topic in Geriatric, LTC

    Do any of you do your own INR testing in house? My docs are all for it but I am having trouble finding an appropriate machine....any
  17. CapeCodMermaid

    Scheduling nurses to work as CNAs?

    CapeCodMermaid replied to RNfromMN's topic in Geriatric, LTC

    Have any of you actually tried to hire CNAs? Depending on where you live, it is NOT an easy task. Do you think the management team likes to pay a nurse to do a CNA's job? Of course not. Instead of so...
  18. CapeCodMermaid

    med errors

    CapeCodMermaid replied to LPNinjanurse's topic in Patient Medications

    The MAIN thing should be: is the patient okay or did they suffer any harm? We all make mistakes and it can be a systems' problem. One dose of Coumadin probably had no effect at all. BUT, we have to...
  19. CapeCodMermaid

    Former Med Surg RN to LTC

    CapeCodMermaid replied to RegisteredNuisance's topic in Geriatric, LTC

    Sorry still laughing about the acuity being less than it is in the hospital. If you're working on a post acute unit, you will, indeed, have acutely ill patients with a lot less staff than in the...
  20. CapeCodMermaid

    Transcription Error- was I also in the wrong?

    CapeCodMermaid replied to Bestmaf1's topic in Patient Medications

    Doesn't matter if you didn't check it or checked 10 times. You administered the medication. Any time you have a question about a medication whether it be the dose or an interaction with another med,...
  21. CapeCodMermaid

    Being Asked By DON to Resubmit Incident Reports

    CapeCodMermaid replied to kendrasuey's topic in Geriatric, LTC

    I've had nurses tell me they left something in my mail box when in reality, they never did the form at all. Ive also had things taken out of my mailbox so give your DON some
  22. CapeCodMermaid

    Pressure ulcers in "sensitive" areas?

    CapeCodMermaid replied to ceebeeRN's topic in Geriatric, LTC

    We would get cited by the DPH for using Dakin's Solution, hospice or
  23. CapeCodMermaid

    How many times will you ask me to stay over??

    CapeCodMermaid replied to WorriedNurse25's topic in Geriatric, LTC

    What 'book' are you referring
  24. CapeCodMermaid

    Worst SNF ever!

    CapeCodMermaid replied to snfnurse's topic in Geriatric, LTC

    There are good SNFs and rotten ones. Find one you're comfortable with. I've been at my current place for a month....quit already. They cut staffing 4 times in 4 weeks. I've been in the business for...
  25. CapeCodMermaid

    Pressure ulcers in "sensitive" areas?

    CapeCodMermaid replied to ceebeeRN's topic in Geriatric, LTC

    Dakins solution is bleach.....not a good idea to be putting bleach on any skin never mind a