CapeCodMermaid RN

Gerontology, Med surg, Home Health

Member

  • Content

    6,092

  • Visitors

    66,051

  • Followers

    4

  • Likes

    290

All Content by CapeCodMermaid

  1. CapeCodMermaid

    Am I Being Too Sensitive

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    I'm the DNS at my building. I am everywhere....helping, watching, investigating...same as many of you. So today I was in the Admissions office looking at an old referral. The phone rang so of course I...
  2. CapeCodMermaid

    Cdiff and med A- would you skill?

    CapeCodMermaid replied to TigerxLiLy's topic in MDS Coordinator Information

    We wouldn't skill this resident. PO antibiotics aren't enough to skill someone. We had one resident have CDiff for 6 months. She had the GIFT....first 2 times it didn't work. Finally the 3rd time it...
  3. CapeCodMermaid

    anxiety vs. agitation; Ativan vs. Haldol

    CapeCodMermaid replied to aging1's topic in Hospice, Palliative

    Eastside....we use Benadryl, Haldol, Ativan, and Reglan gel and suppositories for end stage
  4. CapeCodMermaid

    anxiety vs. agitation; Ativan vs. Haldol

    CapeCodMermaid replied to aging1's topic in Hospice, Palliative

    On our hospice residents in my SNF we usually use a combination of Ativan, Benadryl, Haldol, and Reglan for end stage agitation. It comes in suppository form and gel form. It has worked really well...
  5. CapeCodMermaid

    Am I Being Too Sensitive

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

    anne---no need to be rude. Maybe you're her? I am sensitive to the needs of my staff and I for one would be happy to have someone answer my phone and do some of my
  6. CapeCodMermaid

    Lessons on why not to "Assume" things.

    CapeCodMermaid replied to TigerxLiLy's topic in Geriatric, LTC

    Yikes...my lab would have called to say they were coming out to do a redraw...I've never seen a BUN that high. We have alerts built in to our electronic medical record system....vital signs out of...
  7. CapeCodMermaid

    recaps/changeover

    CapeCodMermaid replied to aortas's topic in Geriatric, LTC

    When I was a nurse manager, I used to take all the new and old MARs into a room, shut the door and bang them out in a day and a half for a 40 bed short term unit. Now, thank God, we are computerized...
  8. CapeCodMermaid

    another new nurse swimming in ltc

    CapeCodMermaid replied to rj2011's topic in Geriatric, LTC

    You don't really need to know someone's entire history to take care of them. 20-40 on an 11-7 is very doable. You do, however, need to make sure your CNAs are awake and doing what they are being paid...
  9. CapeCodMermaid

    MVI tablet

    CapeCodMermaid replied to NurseAgatha's topic in Geriatric, LTC

    Doing "something" can be harmful and annoying to the resident. If a family really wants to do something, they should come in and spend time with their loved one. Giving a multivitamin thinking it will...
  10. CapeCodMermaid

    Am I Being Too Sensitive

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

    She is NOT the director of anything. She is a liaison between MY building and the hospitals. And, yes, since I am held responsible for everything that happens, it IS MY
  11. CapeCodMermaid

    Charting Help!!!

    CapeCodMermaid replied to Del07's topic in Geriatric, LTC

    You're not going to lose your license because of a charting error...and, since the person has a colostomy, technically they are
  12. CapeCodMermaid

    MVI tablet

    CapeCodMermaid replied to NurseAgatha's topic in Geriatric, LTC

    No one living in a nursing home even needs a multivitamin. The solution is ---get it
  13. CapeCodMermaid

    Salary for RN's working in Nursing Home

    CapeCodMermaid replied to flowerly's topic in Geriatric, LTC

    Not in Texas but here in Massachusetts I start new grad RNs at $25. We pay 50 cents an hour more for BSN grads. More experience of course will get you more pay. To put things in perspective....my...
  14. CapeCodMermaid

    Help new lvn in ltf

    CapeCodMermaid replied to Nurse glam's topic in Geriatric, LTC

    Are you a new nurse? It's always a shock to go from school to real life. We have LPN students in my building and they are amazed at what nurses in SNFs are expected to know and how much work there is....
  15. CapeCodMermaid

    State Calls Floor Nurse at Home?

    CapeCodMermaid replied to bluegeegoo2's topic in Geriatric, LTC

    The DPH in Massachusetts frequently calls people at home. When they come out to do an investigation, we make every effort to find all the staff members they need to speak to. I make several...
  16. CapeCodMermaid

    Best time to remove an Indwelling catheter.

    CapeCodMermaid replied to RehabMelbourne's topic in Rehabilitation

    We pull ours at 630AM....the orders are "remove foley catheter at 630AM. Due to void in 8 hours. If no void, scan bladder. If more than______ml, reinsert foley and call MD." Each doc has a different...
  17. CapeCodMermaid

    How to handle a verbally abusive MD

    CapeCodMermaid replied to lauriepanther's topic in Geriatric, LTC

    I've worked with doctors like that. I tell them politely that they will not speak to me (and now any of the nurses in my facility) in any other than a professional manner. If they continue, they get...
  18. CapeCodMermaid

    Care plans in the LTC setting

    CapeCodMermaid replied to sheebs_'s topic in Geriatric, LTC

    You're the DON and you're expected to do care plans? How big is your facility? Is the hypertension a problem or merely a diagnosis? I carry the diagnosis but it is NOT a problem for me so I wouldn't...
  19. CapeCodMermaid

    Orientation for a new grad

    CapeCodMermaid posted a topic in Geriatric, LTC

    We have been having many discussions at my facility about the orientation process for new graduate nurses...RNs and LPNs. I think we're missing something. I, when a new grad, had 3 days of orientation...
  20. CapeCodMermaid

    Credentials

    CapeCodMermaid posted a topic in Geriatric, LTC

    So I see the link where I can add my credentials but only the RN shows up after my name. My credentials are as important to me as someone's BSN is to them. I have a BA and the rest of my initials...
  21. CapeCodMermaid

    LTC weekend on call

    CapeCodMermaid replied to organicnurse24's topic in Geriatric, LTC

    I have on call nurses who very rarely get called. The staff usually calls me with any big issue. The on call nurse occasionally has to go in to fill a shift if they can't get anyone else to go
  22. CapeCodMermaid

    What does "On Call" mean to you?

    CapeCodMermaid replied to NurseQT's topic in Geriatric, LTC

    At my building, I am on call 24/7 and get called for all sorts of important and not so important things. I have on-call nurses every weekend, in addition to the supervisors. These nurses are either...
  23. CapeCodMermaid

    No meds on 11-7

    CapeCodMermaid replied to TigerxLiLy's topic in Geriatric, LTC

    They dream it up and it becomes the stuff of our
  24. CapeCodMermaid

    No meds on 11-7

    CapeCodMermaid replied to TigerxLiLy's topic in Geriatric, LTC

    It is possible but it will be a huge project. You can't just change med times. Unfortunately, manufacturers state some meds must be given on an empty stomach....Synthroid for example. So if you can't...
  25. CapeCodMermaid

    Newer RN working in SNF/Rehab with low ratings.

    CapeCodMermaid replied to Cynnie24's topic in Geriatric, LTC

    F and G tags are not good but that doesn't mean your license in in jeopardy. Don't believe everything you hear. Go to work, do the best you can and help make the place better. The survey process is...