CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Rant About the Administrator

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

    After bringing the facility from 2 stars to 5 stars and after being the driving force behind the only two perfect surveys the building ever had, I have been fired. I'm in shock and very angry. One...
  2. CapeCodMermaid

    Admissions Nurse

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    There is talk in my facility about creating a new position..an admissions nurse position. I am not sure I think it'd be a good thing. I already have problems with my team nurses thinking their job is...
  3. CapeCodMermaid

    anxiety vs. agitation; Ativan vs. Haldol

    CapeCodMermaid replied to aging1's topic in Hospice, Palliative

    I think much of what we think is right or regulation is based on old ideas. Sure, Haldol is an antipsychotic but it has far fewer side effects for short term use than Seroquel or Risperdal. We only...
  4. CapeCodMermaid

    Social Media

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    Do any of your facilities have a social media policy? I know posting on Facebook is protected speech but it seems to cause trouble. I have staff members complain to me that their co-workers posted...
  5. CapeCodMermaid

    State reportables

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

    I report any resident to resident if there is physical contact whether there is injury or not. I had one woman involved in 6 'altercations' in the course of one year..no injuries at all. DPH came in...
  6. CapeCodMermaid

    Another chapter for the book

    CapeCodMermaid posted a topic in Geriatric, LTC

    As some of you know, I'm writing a book about my years in long term care.... Here's another chapter: A nurse came to work with a runny nose...ok so I get you might have allergies. He thought it was...
  7. CapeCodMermaid

    Should I take a job in Nursing home

    CapeCodMermaid replied to Sanhect1's topic in Geriatric, LTC

    Despite the name of my post acute unit, there is nothing post about most of the patients we're getting. In the last two months, we've had 24 people admitted as part of the medicare waiver....half of...
  8. CapeCodMermaid

    IV push meds

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    With the new Medicare regs that will penalize hospitals for patients who are re-admitted in 30 days of discharge for certain diseases...CHF being one of them, the push (no pun intended) will be on for...
  9. CapeCodMermaid

    Should I take a job in Nursing home

    CapeCodMermaid replied to Sanhect1's topic in Geriatric, LTC

    I don't know where all y'all work, but I have RNs as staff nurses and as managers. Most of the facilities around here are hiring more RNs because of the 5 star rating system. Our new grad orientation...
  10. CapeCodMermaid

    New grad LTC? Any tips?

    CapeCodMermaid replied to uniquern2015's topic in Geriatric, LTC

    There must be 150 threads on here covering this. Time management is key to your success as is listening to what the CNAs tell you about the residents. Try not the think the med pass is the be all and...
  11. CapeCodMermaid

    My first dump and run

    CapeCodMermaid replied to JBMmom's topic in Geriatric, LTC

    I was sitting in the lobby one afternoon. An elderly man came in with an elderly woman, threw a suitcase in, said "I can't take care of her any more." and ran off. Luckily I was wearing my Keds and...
  12. CapeCodMermaid

    Thanks to the Internet, the Past is Always Present

    CapeCodMermaid replied to tnbutterfly - Mary's topic in Geriatric, LTC

    We have one computer for everyone's use. Residents are free to bring in their own computers since we have Wi-Fi throughout the building. Some residents have Facebook accounts so they can connect with...
  13. CapeCodMermaid

    The LPN as ADON myths and misconceptions,

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

    Regulations vary from state to
  14. CapeCodMermaid

    indefinite suspension because of med error

    CapeCodMermaid replied to bunbao's topic in Geriatric, LTC

    I don't have a fake name. My mother named me
  15. CapeCodMermaid

    In the old days, 10 patients on med/surg?

    CapeCodMermaid replied to dudette10's topic in Medical-Surgical

    I work in a skilled nursing facility...y'all would call it a nursing home. We participate in the Medicare waiver so we get patients straight from the ER. My nurses on the post acute (HA! nothing post...
  16. CapeCodMermaid

    HELP DON offer in Longterm Care

    CapeCodMermaid replied to couponfan's topic in Geriatric, LTC

    Don't you wonder why they'd offer the DON job to someone with no LTC experience? Did you take the
  17. CapeCodMermaid

    Major Dilemma

    CapeCodMermaid replied to armygirl2013's topic in First Year After Licensure

    In Massachusetts, you have to be certified to be a school nurse so I don't think you'd get hired with so little experience, but stranger things have happened. PS. If this is a "major dilemma" in your...
  18. CapeCodMermaid

    anxiety vs. agitation; Ativan vs. Haldol

    CapeCodMermaid replied to aging1's topic in Hospice, Palliative

    We're not allowed to give ANY medical advice
  19. CapeCodMermaid

    Can I make a difference?

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

    You can make a difference in someone's life every day. That's what has kept me in the business for more than 30 years. You don't always know the effect you're having on someone but know that you
  20. CapeCodMermaid

    Pressure ulcers urgh

    CapeCodMermaid replied to baygrl11's topic in Geriatric, LTC

    Cape Cod,is this something you would implement?I agree with you about writing on the briefs,not a good idea...I like this tag idea. I wouldn't implement this system. I find it demeaning and makes the...
  21. CapeCodMermaid

    EEK! Any tips before I start my LTC job?

    CapeCodMermaid replied to LoriRNCM's topic in Geriatric, LTC

    What state are you in that allows you to work as a graduate nurse for 90 days? We used to be able to work as GNs in Massachusetts but that was way before computerized
  22. CapeCodMermaid

    "State's Here!": Demystifying the Long-Term Care Survey

    CapeCodMermaid replied to VivaLasViejas's topic in Geriatric, LTC

    Momo---you need a
  23. CapeCodMermaid

    Elopement and LTC

    CapeCodMermaid replied to acuriousLPN's topic in Geriatric, LTC

    HERON--I believe you meant to write SENTINEL event...not seminal....a seminal event would be one in which there was sex between residents . And, I've had residents with working wander guards who knew...
  24. CapeCodMermaid

    Elopement and LTC

    CapeCodMermaid replied to acuriousLPN's topic in Geriatric, LTC

    I've worked in buildings where residents eloped on a regular basis. NO ONE ever lost her license --- even in one case (I wasn't working there at the time) where the resident was harmed. Your...
  25. CapeCodMermaid

    can your DON tell you to completly change how you chart?

    CapeCodMermaid replied to Animal House R.N.'s topic in Geriatric, LTC

    I'm completely baffled by this. Been doing this for more than 30 years and this is a new one for me AND I have a degree in English and am a member of the Grammar Police so I know it can't be that. Has...