CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Redefining "Abuse"

    CapeCodMermaid replied to steven007's topic in General Nursing

    For abuse to occur there needs to be be intent. A person with dementia has no intent to harm. I suggest you redefine your
  2. CapeCodMermaid

    Rant About the Administrator

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

    I've spoken to him on numerous occasions. It doesn't help. He is not at all self aware and getting worse by the
  3. CapeCodMermaid

    Nurses who can't give out narcotics

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    :roflmao:ask the MDS nurses to help! Really? Mine are so busy they can't even get their own work done. It's a miracle if they help feed a resident when we're short. Plenty of LTC residents don't take...
  4. CapeCodMermaid

    How often do you get called?

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    I have a 152 bed facility. every weekend there is a nurse on call, a supervisor, and for the night shift a nurse who is theoretically in charge. So why is it that they feel the need to constantly call...
  5. CapeCodMermaid

    Favorite Cheat Sheets, Resources, Tools

    CapeCodMermaid replied to LessValuableNinja's topic in Geriatric, LTC

    If you look through the posts on this site, you'll find lots of cheat sheet ideas. Who needs Google? We have
  6. CapeCodMermaid

    Rant About the Administrator

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

    I was thinking of hiring some half naked women to occupy his
  7. CapeCodMermaid

    50 Things New Nurses Need to Know About Calling Doctors and Other Providers

    CapeCodMermaid replied to Lynda Lampert, RN's topic in First Year After Licensure

    Use the SBAR and know what you want from the provider who is on the other end of the phone. Don't call Nancy NP and tell her Mrs. Jone's BP is 86/50 without telling her that the highest Mrs Jones ever...
  8. CapeCodMermaid

    The Differences between Nursing Home in the United States and Nigeria

    CapeCodMermaid replied to ubaike's topic in Geriatric, LTC

    We have a Manager on Duty on the weekends plus a nursing supervisor. The MODs don't pretend to be nurses(except for those of us who are nurses). They provide extra help for calling in staff if needed,...
  9. CapeCodMermaid

    To Say or Not to Say Hospice?

    CapeCodMermaid replied to jeastridge's topic in Hospice, Palliative

    We have several residents on Hospice at my SNF. Only one understands what hospice actually is. The others have end stage dementia and are probably not capable of understanding. It bothers me if the...
  10. CapeCodMermaid

    State Surveyors

    CapeCodMermaid replied to jessicaRN32's topic in Geriatric, LTC

    Does the Kentucky Department of Public Health have a web site? If so you can review regulations there....just be ready for your head to explode! Your pharmacy should be able to help you out with any...
  11. CapeCodMermaid

    The Differences between Nursing Home in the United States and Nigeria

    CapeCodMermaid replied to ubaike's topic in Geriatric, LTC

    Is there a point to this? I admit I did not read every word so perhaps you covered this, but it's been my experience in the 30+ years I've been in the business that most people living in a nursing...
  12. CapeCodMermaid

    Any advice would be Appreciated

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

    I have quite a few patients in my facility who are very accusatory. Our solution is to always have two staff members go in the room whether it's 2 CNAs or 2 licensed people. It's a PITA, but better...
  13. CapeCodMermaid

    4 Point Restraints in the ER. Is that Abuse?

    CapeCodMermaid replied to Vickymay's topic in Emergency

    Maybe the OP received those degrees and didn't update her profile? Check the policy manual where you work. Even in a SNF we can use a restraint if it's clinically warranted. Putting an abdominal...
  14. CapeCodMermaid

    Remaining professional with rude, disrespectful family members

    CapeCodMermaid replied to litbitblack's topic in Geriatric, LTC

    I calmly tell families or patients, "I cannot listen whilst being yelled at." Most of them look puzzled at the word 'whilst' but it shuts them up. Do not yell at me or my staff. We do the best we can...
  15. CapeCodMermaid

    Sliding scale insulin...give or hold?

    CapeCodMermaid replied to Annie Wilkes RN's topic in Long Term Acute Care

    A low blood sugar is more worrisme than a high blood sugar in someone who is in his eighties. Hypoglycemia contibutes to falls and increased confusion. 70-110 might be an acceptable range for a...
  16. CapeCodMermaid

    State Surveyors

    CapeCodMermaid replied to jessicaRN32's topic in Geriatric, LTC

    In Massachusetts there is a process by which you can complain about a surveyor or a whole bunch of them. You call their boss. We complained about a complaint surveyor who said something about a "G_d...
  17. CapeCodMermaid

    Unhappy Family

    CapeCodMermaid replied to ladibug787878's topic in LTC: Directors, Assistant

    We are very proactive at my facility and I've always had a good relationship with my Ombudsman. We've included him/her in a number of family issues. I've always found the ones I've dealt with to be...
  18. CapeCodMermaid

    Unhappy Family

    CapeCodMermaid replied to ladibug787878's topic in LTC: Directors, Assistant

    I've run into these kinds of families more than once. Call your Ombudsman and have her/him attend a family meeting. That way YOUR side of the story is clearly spelled out and everyone --especially...
  19. CapeCodMermaid

    MDS Coordinator Skills-organization

    CapeCodMermaid replied to crnacc's topic in Geriatric, LTC

    160 beds and you're the only MDS nurse? Doesn't seem like anyone could get all their work done organized or
  20. CapeCodMermaid

    Is hospice on the down swing?

    CapeCodMermaid replied to Nash3222's topic in Hospice, Palliative

    We have contracts with several different hospice providers. It is the family's choice which hospice they use and despite the regulations, there is a difference in the quality of services they provide....
  21. CapeCodMermaid

    How Often Do You Check...?

    CapeCodMermaid replied to flashpoint's topic in Geriatric, LTC

    I've spent hours looking through the emar to check how many times a blood pressure med was held. If the med wasn't held in the past 90 days, I ask the docs to dc the parameters. It is an intrusion to...
  22. CapeCodMermaid

    Is hospice on the down swing?

    CapeCodMermaid replied to Nash3222's topic in Hospice, Palliative

    Anything is available for a price but most of the people I know who are on Hospice at the SNF are there because their families couldn't possibly afford 24 hour care at
  23. CapeCodMermaid

    Is hospice on the down swing?

    CapeCodMermaid replied to Nash3222's topic in Hospice, Palliative

    It's a matter of personal choice. We should all be able to decide where, and if I might, add HOW we decide to
  24. CapeCodMermaid

    Is hospice on the down swing?

    CapeCodMermaid replied to Nash3222's topic in Hospice, Palliative

    Hospice does not provide 24 hour care. Many people are far too sick for their families to be able to care for them at home. If you are an elder on Hospice, your spouse is most likely an elder too who...
  25. CapeCodMermaid

    Maternity nursing with a GED?

    CapeCodMermaid replied to haleyward's topic in Ob/Gyn

    Not to be disagreeable, but it does make a difference to me when looking at applications where the person went to nursing school. No offense to any one's educational background but all other things...