CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    legal mandation length (illinois)?

    CapeCodMermaid replied to Oswin's topic in Geriatric, LTC

    I'm pretty sure in Massachusetts you can't be mandated to stay any longer than 16 hours total unless the governor has declared a state of emergency such as in a hurricane or
  2. CapeCodMermaid

    Do you have to call your nurse manager before you call the doctor?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    We have a very busy post acute unit with very sick people. If my nurses had to call me before they called the doctor or after they called the doctor, I'd get even less sleep than I do now! I hired...
  3. CapeCodMermaid

    Do you have to call your nurse manager before you call the doctor?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    I've worked at places like that too. It's ridiculous. You are there with the patient. Why call someone else who isn't there to do an assessment? I encourage my nurses to call the supervisor in the...
  4. CapeCodMermaid

    Statements post fall

    CapeCodMermaid posted a topic in Geriatric, LTC

    Hi. I'm trying to come up with a form that will guide people writing postfall statements to give me information I can use....you know, was the person wearing shoes? Were they incontinent? Last time...
  5. CapeCodMermaid

    Staffing requirements

    CapeCodMermaid replied to Kaysmom8's topic in Long Term Acute Care

    We aren't allowed to count 'administrative nurses' in the daily staffing posting...strictly the number of RNs, LPNs, and CNAs by
  6. CapeCodMermaid

    Statements post fall

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I like the "was the care plan being followed" since that's one of the first things I want to know. Thanks...I'll check out
  7. CapeCodMermaid

    fim testing

    CapeCodMermaid replied to jklein04's topic in Rehabilitation

    FIM.....haven't heard that in years. I had to be certified as a FIM something but it was so long ago, I can't remember the
  8. CapeCodMermaid

    Staffing requirements

    CapeCodMermaid replied to Kaysmom8's topic in Long Term Acute Care

    In Massachusetts, we MUST post our daily staffing in a public
  9. CapeCodMermaid

    GT continuous feeding with malfunctioning pump

    CapeCodMermaid replied to manda691's topic in Geriatric, LTC

    I had a nurse tell me once that G-tube feedings didn't work without a pump. I had to explain gravity to her. That said, I probably would have called the MD and ask to split the remaining feeding into...
  10. CapeCodMermaid

    Tips on taking vitals on the elderly

    CapeCodMermaid replied to negatron's topic in Geriatric, LTC

    You might want to question WHY you're getting vitals on an elder. We are getting away from routine, weekly vitals on many of our
  11. CapeCodMermaid

    Employee abuse?

    CapeCodMermaid replied to Cnappy's topic in Geriatric, LTC

    1. My job does not entail getting the crap being beaten out of me. 2. I am a customer. What do I tell another customer if this person beats THEIR family member? 3. If her daughter doesn't want us to...
  12. CapeCodMermaid

    Terrible Medication Error

    CapeCodMermaid replied to rekea526's topic in Patient Medications

    Don't you have a double check system? We use am EMR but when one nurse enters an order, a second nurse must verify it. There are a few of us for some stupid reason who don't have to have our orders...
  13. CapeCodMermaid

    Am I Being Too Sensitive

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

    I should add she is always
  14. CapeCodMermaid

    Weight Variance Meetings and EHR

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

    We do monthly weight variance meetings..dietician, nurse managers, and DNS attend. We use Matrix which calculates for us the percentage gained or lost....worst meeting of the
  15. CapeCodMermaid

    Employee abuse?

    CapeCodMermaid replied to Cnappy's topic in Geriatric, LTC

    Wow....that resident would have been sectioned in a minute. We really try to figure out the whys of behaviors, but if someone is violent, they buy themselves a trip to the local
  16. CapeCodMermaid

    How Many Night Nurses Attend Meetings?

    CapeCodMermaid replied to NurseQT's topic in Geriatric, LTC

    We have multiple meetings if they are mandatory....OR...I get up in the middle of the night, drive to the facility and meet with the night
  17. CapeCodMermaid

    Murphy's law

    CapeCodMermaid replied to garciadiego's topic in Geriatric, LTC

    Please tell me I read your post wrong. You apply cream to someone's coccyx in the dining room or
  18. CapeCodMermaid

    The Right to Die

    CapeCodMermaid replied to BabyGirl1979's topic in Geriatric, LTC

    That's been my experience of state appointed guardians here in Massachusetts, too. They are afraid to act lest some cousin from Arkansas finally shows up and sues them. I have known them to go back to...
  19. CapeCodMermaid

    The Right to Die

    CapeCodMermaid replied to BabyGirl1979's topic in Geriatric, LTC

    I think it's quite selfish for people not to discuss end of life wishes with their family members. I have two kids....one of each kind. My son would never let anyone unplug me. My daughter will do...
  20. CapeCodMermaid

    The Right to Die

    CapeCodMermaid replied to BabyGirl1979's topic in Geriatric, LTC

    Families don't discuss end of life wishes very often. It does no good to wait until Grandma is on her way to the ER to discuss what she would want. Have your social services department host a family...
  21. CapeCodMermaid

    ltc and a lawsuit.

    CapeCodMermaid replied to psychgeribuff's topic in Geriatric, LTC

    I've been in the business for more years than I'd care to admit. Someone is always suing someone for whatever they think they can get. Don't say anything to anyone. If you get deposed, tell the truth....
  22. CapeCodMermaid

    Recruitment

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

    We were extremely staff challenged this summer...3 nurses out on maternity leave (don't drink the water) and 4 LPNs who all went back to school to be RNs. We tried an open house, Craigslist ads,...
  23. CapeCodMermaid

    It's Wrong! (A night shift perspective)

    CapeCodMermaid replied to Sixtyseven's topic in Geriatric, LTC

    Of course we accept Medicaid. It's the philosophy of the company that everyone deserves the best care and the best life regardless of the payer source. We are a very small, family owned corporation so...
  24. CapeCodMermaid

    Alarms

    CapeCodMermaid posted a topic in Geriatric, LTC

    Does anyone know of a toilet seat alarm that sounds when the resident sits DOWN? I've been searching but so far all I've seen are alarms that sound when the resident stands up. Thanks in advance....
  25. CapeCodMermaid

    Alarms

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    We're checking a PSA and started him on Flomax. Again, this is NOT new behavior....years of doing this at home before he was admitted and he's not looking for alone time because he has a private