CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    When Is OUR Parade?

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    We will sing our own songs
  2. CapeCodMermaid

    In house INR testing

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Thanks for your responses. I used one at one facility but just can't remember the name of the unit or the company I got it from. I bet if I looked in the box in the back of the closet that houses all...
  3. CapeCodMermaid

    "Light Duty" staffing

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

    We do EVERYTHING we can to prevent lost time, so we have a variety of jobs for light duty people depending on the limitations set by their doctors. We also try to make it unpleasant if we can so they...
  4. CapeCodMermaid

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

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

    Not true. I stayed for 72 hours straight during a blizzard as the
  5. CapeCodMermaid

    huber needle

    CapeCodMermaid replied to spma1234's topic in Geriatric, LTC

    Nurses make mistakes as does everyone who is human....but, WE hold people's lives in our hands and shouldn't be so cavalier about the mistakes we make. An 80 year old dying of cancer does NOT need IV...
  6. CapeCodMermaid

    Influenza Precautions

    CapeCodMermaid replied to NurseQT's topic in Geriatric, LTC

    In Massachusetts, having the flu is not a reason to deny someone admission. While we don't like taking people positive for the flu, Tamiflu or not, we do because we like to fill the beds because we...
  7. CapeCodMermaid

    New roommate on precautions

    CapeCodMermaid replied to JBMmom's topic in Geriatric, LTC

    It's not the bubonic plague. More than half of our admissions come in with a diagnosis of VRE in the rectum...it's extremely hard to contract VRE from someone else. It's extremely hard to catch MRSA...
  8. CapeCodMermaid

    No shift differential

    CapeCodMermaid replied to KSjo88's topic in Geriatric, LTC

    We still have shift diffs, holiday pay and get raises. It all depends on your facility and the competition for staff. We start new grads out with a higher salary than either of the local hospitals...
  9. CapeCodMermaid

    Alarms? Do they work?

    CapeCodMermaid replied to Sixtyseven's topic in Geriatric, LTC

    My facility got rid of alarms almost 3 and a half years ago. The number of falls did not go up. Read the studies on alarm fatigue. Alarms also tend to agitate demented
  10. CapeCodMermaid

    Nadona

    CapeCodMermaid replied to LTCRN4LIFE's topic in LTC: Directors, Assistant

    I am...or maybe was...can't remember if I renewed my membership. I think it's expensive for what you get as a
  11. CapeCodMermaid

    Foot Care

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    We'd cited for using olive oil on someone. It takes less than 2 minutes to put lotion on someone's feet so I don't think time is the reason...I think they know that know one was paying attention. I...
  12. CapeCodMermaid

    Bonuses

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    How many of you DNSs have a bonus incentive? My facility went from 2 stars to 5 stars in the 2years, 8 months I have been there....no thank you, no bonus. All other staff, including the administrator...
  13. CapeCodMermaid

    Bonuses

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

    Thanks for the advice but I already make more than most of the DNSs in the
  14. CapeCodMermaid

    672/802

    CapeCodMermaid replied to crnacc's topic in Geriatric, LTC

    My MDS nurses do NOT do the 672 or 802 forms. Each nurse manager is responsible for doing her
  15. CapeCodMermaid

    medicare A nurse/documentation nurse

    CapeCodMermaid replied to TigerxLiLy's topic in MDS Coordinator Information

    In all my years in the business, I've never heard of a documentation nurse. The nurse caring for the resident is supposed to document on them, not some random nurse with a funky
  16. CapeCodMermaid

    Chf/pneumonia and antipsychotics.

    CapeCodMermaid replied to TigerxLiLy's topic in Geriatric, LTC

    I am not a fan of most any kind of medication and think our residents take far too many. What 95 year old needs a statin and 5 vitamins? No one. BUT, I have residents with psychoses. They are in...
  17. CapeCodMermaid

    Chf/pneumonia and antipsychotics.

    CapeCodMermaid replied to TigerxLiLy's topic in Geriatric, LTC

    Most facilities do NOT have psychiatrists who come in to assess the residents. We rely on the PCP and our psych services NP to recommend
  18. CapeCodMermaid

    As if I am not busy enough!

    CapeCodMermaid replied to NJstudent2012's topic in Geriatric, LTC

    Tell her to check out the video on YOUTUBE on arm knitting. At least that'd keep her busy for a
  19. CapeCodMermaid

    Salary expectations

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

    No experience in long term care and you've applied to be the DON???? Get yourself to the psych section of allnurses! I've been a DNS for10 years....started out making $78,000 on Cape...
  20. CapeCodMermaid

    Thank you

    CapeCodMermaid replied to HikingEDRN's topic in Geriatric, LTC

    Thank you for that. I've been in the business for years and most nurses who work in long term care are under
  21. CapeCodMermaid

    ADON position

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

    The Assistant Director position varies greatly from one facility to the next. Get a job description and a clear picture of expectations before you take the position. I've been an ADON in 2 buildings...
  22. CapeCodMermaid

    Wanting to come back to ltc

    CapeCodMermaid replied to mommywifenurse29's topic in Geriatric, LTC

    I left long term care for home care....I lasted less than 6 months. Once you find where you belong, stay there. Welcome
  23. CapeCodMermaid

    How to go about asking for a raise

    CapeCodMermaid replied to maddyfan4's topic in Home Health

    Does your agency do yearly evaluations? If they are certified by the Joint Commission they should be doing that. Write down a list of your skills, your attendance, any positive feed back you've...
  24. CapeCodMermaid

    Nursing Home Med A Eligibility?

    CapeCodMermaid replied to g8torlpn69's topic in Geriatric, LTC

    Daily wound care is enough of a skill to keep the person on Med A...unless, of course, they have run out of days or haven't had a qualifying stay in the
  25. CapeCodMermaid

    Cdiff and med A- would you skill?

    CapeCodMermaid replied to TigerxLiLy's topic in MDS Coordinator Information

    It's a Fecal Transplant. People donate their poop which is then placed inside someone who has CDiff that hasn't responded to medications. The GI docs around here are having good success with the...