CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    37.50/hr ( but position is salary).....

    CapeCodMermaid replied to babynurse73's topic in Home Health

    Again, it depends on where you live and how much you think you are worth. I live on the East Coast. I made 31/hr 10 years ago in home care and I was paid more than other new nurses since I was only...
  2. CapeCodMermaid

    Fentanyl patch

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

    The manufacturer of the Duragesic patch will send you clear coverings for the patch. The State can approve or not, but if it's from the manufacturer and in your policy, you're
  3. CapeCodMermaid

    PDN to LTC

    CapeCodMermaid replied to shenanigans_RN's topic in Geriatric, LTC

    I"m not sure what PDN is, but working at a skilled facility will most likely increase your chances. Most of the hospitals in my area will not hire new grads. They will, however, hire nurses with at...
  4. CapeCodMermaid

    Hospice oriented staff position

    CapeCodMermaid replied to JBMmom's topic in Geriatric, LTC

    It sounds like you're proposing a case management position which could be done by a nurse or social worker. If you don't have enough staff to support residents at the end of life, more staff should be...
  5. CapeCodMermaid

    Hostile work environment

    CapeCodMermaid replied to britmansf18's topic in LTC: Directors, Assistant

    I'm stuck on the part that says they brought an RN in in an LPN capacity. What in the world does that
  6. CapeCodMermaid

    patient requests hand mitts

    CapeCodMermaid replied to newone2015's topic in Emergency

    In my world (SNF) hand mitts are definitely a restraint since they prevent full access to one's body. An abdominal binder used to keep a demented resident from pulling out their GTube is a...
  7. CapeCodMermaid

    Does your facility ask you to sleep over when it snows?

    CapeCodMermaid replied to oliveleaf's topic in Medical Assistant, CNA/MA

    I don't mean to start an US vs THEM, but good luck to the hospital or other facility. You can run without doctors....you can't without the
  8. CapeCodMermaid

    Burnt out

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

    I've been in LTC for years and years. There are days when I am so tired of all the regulations and lack of staff who want to work and complaining family members that I feel like chucking it all and...
  9. CapeCodMermaid

    Giving Report

    CapeCodMermaid replied to mugs's topic in Geriatric, LTC

    One thing I always passed along in report was the last time I had given the patient pain meds, when the next IV needed to be hung, any falls, and anything out of the ordinary. I'd try to give as much...
  10. CapeCodMermaid

    Using the E Box for meds

    CapeCodMermaid replied to CoffeeRTC's topic in Geriatric, LTC

    If you have 30 mg tabs you could give 3 to equal the 90.... I would get a one time order for what ever pain med was comparable to what the patient needed. Doesn't your ekit have liquid
  11. CapeCodMermaid

    GIP regulations

    CapeCodMermaid posted a topic in Hospice, Palliative

    I'm hoping one of you hospice experts can answer this for me: What qualifies a hospice patient to be on GIP? I was always told it was symptom management that required the skill of a hospice nurse even...
  12. CapeCodMermaid

    likely headed back to LTC

    CapeCodMermaid replied to NurseCard's topic in Geriatric, LTC

    I love working in long term care. You can make a difference in someone's life every
  13. CapeCodMermaid

    ANCC gerontology exam issue!

    CapeCodMermaid replied to kay laurie's topic in Geriatric, LTC

    Flaunt your certification? LOL....do you think it'll make that much difference in your getting
  14. CapeCodMermaid

    RN - Crushing medications

    CapeCodMermaid replied to DDdove's topic in Geriatric, LTC

    That arguement doesn't hold up. You don.t give uncrushed meds oine at a time so you would know which med the patient was having a reaction to so why would crushing them make a difference? Most...
  15. CapeCodMermaid

    Medication Error - 53 is this for me

    CapeCodMermaid replied to Mindfulone1's topic in Patient Medications

    Would you want your child injected with a pen that could be contaminated by another child? Y'all make it sound like this is nothing. Read the studies on insulin pens....blood can contaminate the pen...
  16. CapeCodMermaid

    RN - Crushing medications

    CapeCodMermaid replied to DDdove's topic in Geriatric, LTC

    Check your facility policy. We dump all the meds in one cup to crush them and administer them that way. We will be going toward the same thing for gtube meds since we get as many liquid ones as we...
  17. CapeCodMermaid

    Newer RN working in SNF/Rehab with low ratings.

    CapeCodMermaid replied to Cynnie24's topic in Geriatric, LTC

    I can only speak for Massachusetts, but even if you're the nurse who gave bad care or didn't do something which caused a tag, chances are you won't lose your license. It's not that easy to have one's...
  18. CapeCodMermaid

    Newer RN working in SNF/Rehab with low ratings.

    CapeCodMermaid replied to Cynnie24's topic in Geriatric, LTC

    If you think managers can 'play' the 5 star system, think again. Most of the information to determine star status does NOT come from annual survey. There are many many components to the rating system...
  19. CapeCodMermaid

    Counting breathing treatment days/min's

    CapeCodMermaid replied to dianediane90's topic in MDS Coordinator Information

    We use Matrix and have the EMAR set up so the nurses have to document the number of minutes and lung sounds pre and post
  20. CapeCodMermaid

    When Is OUR Parade?

    CapeCodMermaid posted a topic in Geriatric, LTC

    First off---I am a huge Patriots' fan...I watched every game, hollered myself hoorifice at the amazing Super Bowl on tv, and yes, even bought a limited edition Tom Brady Super Bowl MVP bobble head...
  21. CapeCodMermaid

    When Is OUR Parade?

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    My team just got our second deficiency free state survey!!! I'll parade around the building with my
  22. CapeCodMermaid

    Oh. My. Goodness. Things. We. Just. Love.

    CapeCodMermaid replied to mamahuff's topic in School

    I do NOT just love sentences with a period after every
  23. CapeCodMermaid

    Do you share the Nebulizer units (machines)?

    CapeCodMermaid replied to ann7's topic in Geriatric, LTC

    Each resident has their own nebulizer. If they get discharged, the machine goes back to the O2
  24. CapeCodMermaid

    Creating a Mock Code

    CapeCodMermaid replied to mikijam03lpn's topic in LTC: Directors, Assistant

    We have mock codes every now and then. We page "Code Blue" to where ever the 'patient' is and wait for the response. I am usually the patient and try not to laugh when I hear my staff say "OH...
  25. CapeCodMermaid

    Anyone else tired of LTC?

    CapeCodMermaid replied to lumbarpain's topic in Geriatric, LTC

    Take a breath, take a vacation, have a drink.....you need to vent before you make yourself