CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Annual Skills Fair

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

    I've worked in places where there was a skills' fair every year. It was great. Where I'm at now, getting the SDC to do almost anything is very
  2. CapeCodMermaid

    Drowning in LTC

    CapeCodMermaid replied to lakencassady's topic in Geriatric, LTC

    Discharging a patient home is far different and more time consuming than a celestial discharge. No one has it easy in LTC...not the day shift or the night shift or the CNAs or the housekeepers or the...
  3. CapeCodMermaid

    I'm supposed to what now?

    CapeCodMermaid replied to jojo489's topic in Geriatric, LTC

    Here's a thought....ASK THE PATIENT. Ask them while they are awake if they want you to administer the morphine SL if they are
  4. CapeCodMermaid

    Cut Throat Competition Makes Me Sick

    CapeCodMermaid replied to westieluv's topic in Hospice, Palliative

    I can't condone low life practices like trolling for patients, but everyone needs to make money to survive. You like your paychecks so somehow the Hospice company has to make money. I have contracts...
  5. CapeCodMermaid

    RN Supervisor- Weekend (Massachusetts)

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

    You've only been an RN for 2 years and you've already been an ADON? Hmmmmm. Most places no longer offer incentives for anything. My supervisors have more experience, but we start RNs with 2 years...
  6. CapeCodMermaid

    Smelly nursing home what to do?

    CapeCodMermaid replied to middleagednurse's topic in Geriatric, LTC

    We have heaters/air conditioner units in every room. Maintenance calls them PTACS...and then they're surprised when a resident pees on
  7. CapeCodMermaid

    charting MD aware when you were not the one responsible to call MD as per facility policy

    CapeCodMermaid replied to Yoyo1313's topic in Long Term Acute Care

    May I assume RNS=RN Supervisor? Never saw that
  8. CapeCodMermaid

    charting MD aware when you were not the one responsible to call MD as per facility policy

    CapeCodMermaid replied to Yoyo1313's topic in Long Term Acute Care

    Why does one RN have to tell another RN to call the doctor? When I was a staff nurse, I'd call the docs myself. I wouldn't rely on a supervisor to do it for me. If the doc needs to be called in the...
  9. CapeCodMermaid

    Hear that eerie taunt? "Trick or Treat, smell my feet, give me something good to eat."

    CapeCodMermaid replied to Brian's topic in General Students

    Nothing wrong with eating chocolate. Haven't you read the latest studies that indicate eating chocolate may prevent
  10. CapeCodMermaid

    Smelly nursing home what to do?

    CapeCodMermaid replied to middleagednurse's topic in Geriatric, LTC

    Smelly facilities usually don't enforce the wrapping of wet briefs in plastic. They typically don't empty the trash often enough or change the residents frequently enough. If the residents aren't...
  11. CapeCodMermaid

    Due To Void

    CapeCodMermaid posted a topic in Long Term Acute Care

    Every building I've ever worked in has had basically the same policy for foley removal...take the foley out and the resident is due to void within 8 hours. I am wondering if there is some new, more...
  12. CapeCodMermaid

    No specific training, total disorganization - is this normal?

    CapeCodMermaid replied to JustAdmitToObs's topic in Geriatric, LTC

    We are constantly tweaking our orientation process so we keep the nurses we hire (and let them keep their sanity as well). Two days in the classroom with the mandatories and computer training. Twelve...
  13. CapeCodMermaid

    Impaired nurse - where to go?

    CapeCodMermaid replied to ocean.baby's topic in Geriatric, LTC

    I'm speechless that your DON hasn't acted. I've been in the position of having to have nurses brought to the ER for a blood test. It is not an easy thing to do and not easy to accuse someone, but you...
  14. CapeCodMermaid

    Esme Needs Your Prayers and Well Wishes

    CapeCodMermaid replied to tnbutterfly - Mary's topic in General Nursing

    Get better and get back on here soon. Your posts are always enjoyable. Don't they have a lap top in the ICU you can
  15. CapeCodMermaid

    When entering orders, please remember....

    CapeCodMermaid replied to RNBearColumbus's topic in Geriatric, LTC

    Just to prove to some of you that I can be light hearted..... I had a nurse who charted on the dementia unit: resident has cognitive defecate. I asked her if she meant #*&% for brains. She was a...
  16. CapeCodMermaid

    When entering orders, please remember....

    CapeCodMermaid replied to RNBearColumbus's topic in Geriatric, LTC

    Since my last survey was deficiency free, I will continue to be how I
  17. CapeCodMermaid

    When entering orders, please remember....

    CapeCodMermaid replied to RNBearColumbus's topic in Geriatric, LTC

    Since the DPH never takes a "light hearted" approach to anything, I'll stick with my correct spelling and grammar. Y'all can do what you
  18. CapeCodMermaid

    When entering orders, please remember....

    CapeCodMermaid replied to RNBearColumbus's topic in Geriatric, LTC

    No, proper spelling. There is no word 'n' in the English
  19. CapeCodMermaid

    When entering orders, please remember....

    CapeCodMermaid replied to RNBearColumbus's topic in Geriatric, LTC

    Culture AND Sensitivity. US
  20. CapeCodMermaid

    Do we serve a tray

    CapeCodMermaid posted a topic in Geriatric, LTC

    I have a gentleman who can not eat without choking. One bite and he needs to be suctioned. He is alert and oriented and has signed for DNR, DNI, no IVs, no hospitalization, no artificial feeding. He...
  21. CapeCodMermaid

    Have you ever called Corporate at LTC?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    I called corporate when I was an ADON for a large company. The administrator was very disrespectful to the DON.....very...horribly dismissive. She would never say anything so I did. I did NOT get...
  22. CapeCodMermaid

    "She'll put your butt in a nursing home."

    CapeCodMermaid replied to nurse42long's topic in General Nursing

    When I was a child, I had NURSES threaten me. I fell and bit my tongue so hard my mom couldn't stop the bleeding. The nurse in the ER told me I 'had to hold the gauze tight or I'd have to get stitches...
  23. CapeCodMermaid

    How Many is enough? Patient Ratios

    CapeCodMermaid replied to Cda/Usa's topic in Rehabilitation

    You won't lose your license. That is the way it is in long term care. It is going to have to change eventually. Our patients are getting sicker by the
  24. CapeCodMermaid

    New Rehab nurse

    CapeCodMermaid replied to peramos12gmail.com's topic in Rehabilitation

    A month is not enough time to learn everything. Take your time, learn your residents, and you'll be
  25. CapeCodMermaid

    Do we serve a tray

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I think you all misunderstood. He had a tray of pureed food with honey thick liquids. He could feed himself...we didn't feed him. Luckily, this morning at 530am he got his wish and went to