CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Which one to choose

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    I have two people who have interviewed for a nurse manager position. One is an LPN and has worked as a staff nurse in my building for 5 years. The other is an RN, has 5 years experience in long term...
  2. CapeCodMermaid

    Fentanyl patch

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

    We have two nurses sign off during narcotic count that they observed an intact patch on the resident. We occasionally have them go missing in the linen or in the shower. If the person is very sweaty...
  3. CapeCodMermaid

    DON certification course/which one?

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

    I took the test without taking a course. I think NADONA/LTC offers a course you can
  4. CapeCodMermaid

    Which one to choose

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

    Thanks for all your opinions. After hearing through the grapevine about the new nurse from some of her current co-workers, she is not the one for my facility. When we called to get a reference, "do...
  5. CapeCodMermaid

    The Right to Die

    CapeCodMermaid replied to BabyGirl1979's topic in Geriatric, LTC

    Is the POA for healthcare or financial? Huge difference. If the patient is still alert and oriented, have him fill out and sign a MOLST (POLST in some states). It specifies what he wants and more...
  6. CapeCodMermaid

    Alarms

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    He can disable the motion detector. He knows the door is alarmed so now he goes out into the hall bathroom. He is the most stubborn resident I
  7. CapeCodMermaid

    It's Wrong! (A night shift perspective)

    CapeCodMermaid replied to Sixtyseven's topic in Geriatric, LTC

    Most families need 2 incomes. Who is left to take care of Mom? I'd live in my facility. Restaurant style meals, plenty to do including drink and dabble....drink wine...paint.... Drink more
  8. CapeCodMermaid

    The imposition of chemical restraints...

    CapeCodMermaid replied to Nola009's topic in Geriatric, LTC

    The nurse who assesses the resident is the one who should medicate or not based on their assessment. That is my point...whether too much medication or not
  9. CapeCodMermaid

    Resource Help

    CapeCodMermaid replied to ddsmith's topic in Geriatric, LTC

    Read as many of the posts here as you
  10. CapeCodMermaid

    Alarms

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    My resident sits on the toilet for hours. We've tried a schedule, behavior mod, motion detectors....he can walk and transfer himself on and off the toilet. He sits so long, however, he falls asleep on...
  11. CapeCodMermaid

    The imposition of chemical restraints...

    CapeCodMermaid replied to Nola009's topic in Geriatric, LTC

    If YOU are the nurse administering the medication, YOU should be the nurse doing the assessment whether it's a pain med or an anxiolytic. I have suggested in the past that the nurse call the MD to get...
  12. CapeCodMermaid

    Losing patience with residents.

    CapeCodMermaid replied to Sbrewster's topic in Geriatric, LTC

    If an alert, oriented person threw a cup of hot coffee at my staff, that person would be asked to
  13. CapeCodMermaid

    Why are there no nursing jobs available for new grads? What is going on??

    CapeCodMermaid replied to vab229's topic in Job Search, Interview, Resume

    In the last week, I've received 7 resumes from new grads. I phoned all 7 to come in for an interview. 2 did not bother to return my call. I made appointments to interview the 5 who did call back. One...
  14. CapeCodMermaid

    Where the heck is the EMR?!

    CapeCodMermaid replied to Madras's topic in Geriatric, LTC

    We are about 99% electronic. The hospitals are reimbursed for switching to EMR. SNFs and LTCs are not. It a huge investment for companies, especially small ones. I can't imagine having to go back to...
  15. CapeCodMermaid

    glimpses of the afterlife/nde

    CapeCodMermaid replied to ava246's topic in Geriatric, LTC

    I've had many, many residents see their dead family members before they passed. It didn't seem to be a scary experience for them....on the contrary they derived a sense of peace from seeing a loved...
  16. CapeCodMermaid

    Losing patience with residents.

    CapeCodMermaid replied to Sbrewster's topic in Geriatric, LTC

    For a "guide" you sound not very understanding and not very compassionate. Perhaps YOU should get a different
  17. CapeCodMermaid

    Losing patience with residents.

    CapeCodMermaid replied to Sbrewster's topic in Geriatric, LTC

    You need to be careful you don't get so frustrated you lash out at one of the residents. One of the biggest causes of abuse is caregiver frustration. Find someone to vent to or someway to cope with...
  18. CapeCodMermaid

    It's Wrong! (A night shift perspective)

    CapeCodMermaid replied to Sixtyseven's topic in Geriatric, LTC

    If your arms are covering their arms making it impossible for them to move said arms, that is a restraint and in Massachusetts, you'd be
  19. CapeCodMermaid

    What's up with this?

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I'm not sure who you are directing this to....Massachusetts is NOT a compact
  20. CapeCodMermaid

    What's up with this?

    CapeCodMermaid posted a topic in Geriatric, LTC

    As some of you know, I have been trying to hire some nurses. The ads I am running are very clear: RN suoervisor-experience preferred AND RNs/LPNs full and part time. So far I've gotten 5 responses...
  21. CapeCodMermaid

    Down time

    CapeCodMermaid replied to garciadiego's topic in Geriatric, LTC

    Downtime???? How about spending some downtime with a resident who has no other visitors? Stop the gossip and do something
  22. CapeCodMermaid

    It's Wrong! (A night shift perspective)

    CapeCodMermaid replied to Sixtyseven's topic in Geriatric, LTC

    "Holding a resident in their arms" sounds like unlawful restraint. Catheterizing a resident who is saying no, demented or not, is assault, goes against the resident's right to say no, and, frankly, is...
  23. CapeCodMermaid

    Falls on way to bathroom

    CapeCodMermaid replied to RehabMelbourne's topic in Rehabilitation

    Try a 72 hour bladder diary. The patient is asked to toilet every 2 hours. If they are already wet, they get changed. You can find a pattern if you give it the full 3 days, then base their toileting...
  24. CapeCodMermaid

    A new puppy!!

    CapeCodMermaid replied to CloudySue's topic in Private Duty

    Better a teacup dog than a tarantula! I kid you
  25. CapeCodMermaid

    More sterile questions!

    CapeCodMermaid replied to garciadiego's topic in Infusion, Intravenous

    Homework