CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Drowning in LTC

    CapeCodMermaid replied to lakencassady's topic in Geriatric, LTC

    I've changed most things in my facility so people sleep at night. The 6am med pass is very busy but there isn't as much hands on to do on the 11-7 shift as there is on the other 2
  2. CapeCodMermaid

    Falls at shift change...

    CapeCodMermaid replied to NurseQT's topic in Geriatric, LTC

    Here lies the beauty of nursing? Surely you can't be serious. You only help the nurses you want and the residents you like? Don't ever come apply to work for me....you're a bully pure and simple. I...
  3. CapeCodMermaid

    Drowning in LTC

    CapeCodMermaid replied to lakencassady's topic in Geriatric, LTC

    Really? She bullied you into punching back in? Everyone has choices. YOU chose to punch in and stay. And for you to say "I figured out a way to get her back for that' makes YOU sound like the...
  4. CapeCodMermaid

    "Right" way to pulls meds from cards?

    CapeCodMermaid replied to Pat_Pat RN's topic in Geriatric, LTC

    If you have someone who gets Lasix twice a day you have two cards of lasix? It seems the med carts would be
  5. CapeCodMermaid

    Drowning in LTC

    CapeCodMermaid replied to lakencassady's topic in Geriatric, LTC

    I said she wouldn't do admissions on 11-7---there is a difference. Most of my admissions come on 3-11 but only twice in 32 years have I gotten an admission on
  6. CapeCodMermaid

    Drowning in LTC

    CapeCodMermaid replied to lakencassady's topic in Geriatric, LTC

    You won't be doing admissions or discharges on 11-7. You won't be changing wound vacs, doing dressing changes, g-tube feedings, or IVs on the 11-7. People are supposed to sleep on 11-7 so there is...
  7. CapeCodMermaid

    Drowning in LTC

    CapeCodMermaid replied to lakencassady's topic in Geriatric, LTC

    You cannot give 4pm and 8pm meds at the same time. You can ask for more orientation. Night shift is easier as far as the med pass goes because there are fewer meds given then, but you won't learn as...
  8. CapeCodMermaid

    Is this kind of DON the norm in this profession

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

    You were hired to work for the FACILITY not a specific unit. No one likes to float but the DNS's main concern is always the needs of the residents. I care about my staff but I need to make sure the...
  9. CapeCodMermaid

    Who's using Neudexta in their facilities

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

    One resident was put on it....she died. OKAY she was in her late 80's with multiple comorbidities, but now no one else wants to suggest
  10. CapeCodMermaid

    Meds

    CapeCodMermaid replied to Creak Freak's topic in Geriatric, LTC

    You need an MD order to hold a med. Not all BP meds require a BP to be taken before it's given. We no longer hold digoxin simply because the apical pulse is less than
  11. CapeCodMermaid

    INAs in the chart?

    CapeCodMermaid replied to Sbrewster's topic in Geriatric, LTC

    Most facilities consider incident reports to be INTERNAL CQI documents and not part of the medical record. If it's mentioned in a note, an attorney can have access to it. We are electronic so we do...
  12. CapeCodMermaid

    Don't You Just Love It?

    CapeCodMermaid replied to Ruby Vee's topic in General Nursing

    "Nursing is not a calling, it's a career. When I'm sick, I'm not looking for Florence reincarnated; I'm looking for someone competent. If all you have to offer is compassion and a calling, no...
  13. CapeCodMermaid

    Affecting Change in Care of Geriatric Population

    CapeCodMermaid replied to lifelearningrn's topic in Geriatric, LTC

    We have changed plenty in the years I've been in the business. Getting more staff however will always be a problem until the system of reimbursement for long term residents
  14. CapeCodMermaid

    Trouble with MAR

    CapeCodMermaid replied to weezielou's topic in Geriatric, LTC

    The proper way is: in one box Cymbalta 30 mg tab. Give one tab orally with Cymbalta 60 mg to =90mg daily The next box: Cymbalta 60 mg tab. Give one tab orally with Cymbalta 30 mg to = 90 mg daily. You...
  15. CapeCodMermaid

    Do Nurses Earn Big Money? You Decide.

    CapeCodMermaid replied to TheCommuter's topic in General Nursing

    I'm not sure if I've already chimed in, so.... Do nurses make big bucks? You tell me what your life is worth because we hold it in our hands. You tell me what it's worth for me to be responsible for...
  16. CapeCodMermaid

    Written up for refusing to work on days off

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    The post of which I took offense was penned by [COLOR=#003366]virgojd. I apologize if it wasn't
  17. CapeCodMermaid

    Admissions Nurse

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

    Chime away...I'd welcome your
  18. CapeCodMermaid

    Admissions Nurse

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

    On Fridays, 4 admissions on one unit is not uncommon. A 4 hour shift wouldn't get it all done. I'm thinking that I'll take the extra hours they want to give me in the nursing budget and use them where...
  19. CapeCodMermaid

    Written up for refusing to work on days off

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    I take offense at your post. I worked in the hospital...there was mandatory overtime there. There were lazy nurses and stupid doctors there yet I am not going to slander the entire medical system over...
  20. CapeCodMermaid

    ALF for low income

    CapeCodMermaid replied to mvm2's topic in Geriatric, LTC

    Around here there are quite a few assisted living facilities that take MassHealth which is our state's Medicaid. The ones I've toured are beautiful. Since it is less costly to have people in assisted...
  21. CapeCodMermaid

    Written up for refusing to work on days off

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Sometimes I wish I could force people to take extra shifts, but I can't. It's preposterous. I've heard plenty of rumors in my own building that had absolutely no basis in
  22. CapeCodMermaid

    Do you need a doctors order for this?

    CapeCodMermaid replied to Cynnie24's topic in Geriatric, LTC

    We usually write discontinue orders: Remove foley catheter at 6am. Due to void in 8 hours. If no void, may reinsert foley #_____French with____cc balloon. That way we don't have to call the doctor...
  23. CapeCodMermaid

    Do you need a doctors order for this?

    CapeCodMermaid replied to Cynnie24's topic in Geriatric, LTC

    It is NOT necessary to change a catheter every 30 days. You're more likely to develop an infection if you change a catheter that is functioning
  24. CapeCodMermaid

    First Job as new grad.

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

    I tell my nurses I don't care hiw fast they are and I stand behind them, but I am not a surveyor. We changed our daily meds so they can be given any time between 6am and
  25. CapeCodMermaid

    First Job as new grad.

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

    "Despite the strong feeling of pressure, the state does not march in and start interrogating you if your 10 AM colace, celexa, norco, and iron were given at 1145."...hmmm, well, yeah you can get cited...