CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    State Surveyors

    CapeCodMermaid replied to jessicaRN32's topic in Geriatric, LTC

    I've disagreed many times with surveyors but I'm respectful about it.....except for the time that the surveyor screamed my name in the hall and poked her finger in my
  2. CapeCodMermaid

    State Surveyors

    CapeCodMermaid replied to jessicaRN32's topic in Geriatric, LTC

    Rules?!? In Massachusetts we have more rules and regulations than the nuclear power industry. Do the right thing every day whether the surveyors are there or not. They aren't stupid...they'll know if...
  3. CapeCodMermaid

    Yahoo article....wrong again....there is no shortage

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    There was no place to post a comment. It's Yahoo. What can you
  4. CapeCodMermaid

    Should I accept a Relocation offer?

    CapeCodMermaid replied to Blsd RN's topic in Medical-Surgical

    New Jersey to Wyoming? You are the only one who can decide if it's worth uprooting your life and being in debt for a while. $23.86 seems low for hospital wages, but maybe the cost of living in Wyoming...
  5. CapeCodMermaid

    Impossible Family Member

    CapeCodMermaid replied to bluegeegoo2's topic in Geriatric, LTC

    I often tell my admissions people to accept only orphans...no one with a family. So far they have not complied. I've had family members screaming in my face. One family told us to stop feeding their...
  6. CapeCodMermaid

    Completely Overwhelmed!!

    CapeCodMermaid replied to JSummers2014's topic in Geriatric, LTC

    I've been a nurse for more than 30 years, and some days I'm overwhelmed with everything we are expected to do. One bit at a time until it's all
  7. CapeCodMermaid

    Non-diapering nursing home patients

    CapeCodMermaid replied to ASSEDO's topic in Geriatric, LTC

    A Granny Cam? That's insulting and would be an invasion of
  8. CapeCodMermaid

    What kind of background does a nurse need to operate a nursing home?

    CapeCodMermaid replied to Ecstatic2014's topic in Geriatric, LTC

    Unless all your residents are private pay, you'll have to follow Medicare and Medicaid regulations, so most likely, you'll need a license as a Nursing Home Administrator. To do that you'll need to do...
  9. CapeCodMermaid

    Feeling so lost! NEW GRAD RN THROWN INTO A SUPERVISORY POSITION

    CapeCodMermaid replied to armyinfantrywife's topic in Geriatric, LTC

    The poor OP must be freaking out with all the negative comments we've been giving. Just because I wouldn't recommend it doesn't mean she won't succeed. Back in the day when I was a new grad (yes, when...
  10. CapeCodMermaid

    Is it legal to give a friend insulin before meals?

    CapeCodMermaid replied to mommasgirls's topic in Diabetes, Endocrine Nursing

    A 14 year old kid can do his own insulin. He needs to be taught how
  11. CapeCodMermaid

    DNH order, LTC???

    CapeCodMermaid replied to mmcelhi2's topic in Geriatric, LTC

    DNR Do Not Resuscitate. If you find me in my bed and I am pulseless and not breathing, do not start compressions. We try to explain it as simply as we can to residents and their families. The Heimlich...
  12. CapeCodMermaid

    Would you give it to them?

    CapeCodMermaid replied to ProudMom511's topic in Geriatric, LTC

    A nurse in Massachusetts was observed by the DPH giving acetaminophen from the cart to a staff member. She was sited for dispensing without a license. I bring my own acetaminophen and keep it in my...
  13. CapeCodMermaid

    Non-diapering nursing home patients

    CapeCodMermaid replied to ASSEDO's topic in Geriatric, LTC

    Hospitals are far different from SNFs. We have residents who are totally incontinent. They do not remember what a toilet is for. It is not feasible to toilet every resident every 2 hours in an attempt...
  14. CapeCodMermaid

    Best route to learn MDS

    CapeCodMermaid replied to scomeauRN's topic in MDS Coordinator Information

    As with many things, there are many ways to get to where you want to go. If your company will pay for your classes, then take classes. There is a wealth of information online about MDSs. You could be...
  15. CapeCodMermaid

    DNH order, LTC???

    CapeCodMermaid replied to mmcelhi2's topic in Geriatric, LTC

    If he had a MOLST that specified NO hospitalization, you should not have sent him out. It's that simple. That's why the MOLST is such a good tool. If he only had a DNR and you couldn't get a call back...
  16. CapeCodMermaid

    Where are all the nurses?

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    There is a provision in some areas for a waiver of the 3 midnight Medicare rule, which means we could, in theory, be getting patients straight from the ER. This isn't a new concept...
  17. CapeCodMermaid

    Non-diapering nursing home patients

    CapeCodMermaid replied to ASSEDO's topic in Geriatric, LTC

    We don't put briefs on residents at night unless they ask. I've worked in many facilities and this is usually the
  18. CapeCodMermaid

    Where are all the nurses?

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I am talking LTC as well. I hire mostly RNs because of the sicker patients we're getting. It's expected of
  19. CapeCodMermaid

    Where are all the nurses?

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    LPN school in Massachusetts is 10 months long. Most of these people have trouble being nurses six months after they graduate. Leadership after 6 months? I don't believe it.The new BSN grads aren't...
  20. CapeCodMermaid

    Some Insight Please...

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

    Don't you need an administrator's license to be an administrator? Maybe ALF is different in that regard but all the administrator's I know have a
  21. CapeCodMermaid

    Quit my first nursing home after 1 day!

    CapeCodMermaid replied to Trixyp's topic in Geriatric, LTC

    Are all nursing homes like this? I thought I would be ok with working in one, but not if this is how they operate NO, not all places are like
  22. CapeCodMermaid

    Maslow's hierarchy of Needs.

    CapeCodMermaid replied to psychgeribuff's topic in Geriatric, LTC

    The hierarchy of needs: 1. Food 2. BINGO 3.
  23. CapeCodMermaid

    nurse technician

    CapeCodMermaid replied to meraj's topic in NCLEX Exam, Programs

    Is there a question in that
  24. CapeCodMermaid

    Giving Report

    CapeCodMermaid replied to BoyNamedSue's topic in Geriatric, LTC

    My nurses do walking rounds. They report on any vital signs out of the norm, any new medications, any falls or other incidents, abnormal labs, and any new admissions on the unit. They certainly don't...
  25. CapeCodMermaid

    Where are all the nurses?

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I would suggest that after doing anything for only 3 weeks is not enough time to make a thorough assessment of the job. Perhaps after a while when you realize the med pass is not the be all and end...