CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Vancomycin Trough

    CapeCodMermaid posted a topic in Geriatric, LTC

    I’ve worked in many buildings and each place has different policies. What is your policy on vanco troughs? Do you get the trough and hold the next dose until the results are back or give the next...
  2. CapeCodMermaid

    Is this even Legal?

    CapeCodMermaid replied to Roda dendron's topic in General Nursing

    It is bleak. If I weren’t so close to retirement I’d switch
  3. CapeCodMermaid

    Is this even Legal?

    CapeCodMermaid replied to Roda dendron's topic in General Nursing

    Sorry to be so blunt but you’re delusional if you think what we say will generate more reimbursement for SNFs. We’ve been saying for years that we don’t have enough $$ to properly take care of...
  4. CapeCodMermaid

    Is this even Legal?

    CapeCodMermaid replied to Roda dendron's topic in General Nursing

    SNFs are UNDERFUNDED at least $38/day for every Medicaid resident in Massachusetts. Where will the $$ come from to hire more
  5. CapeCodMermaid

    Is this even Legal?

    CapeCodMermaid replied to Roda dendron's topic in General Nursing

    NO SNF I know has a 1:5 ratio and I’ve worked in 20 different ones. ANA can recommend anything it wants but it’s NOT a regulatory body and a 1:5 ratio in a SNF is never going to
  6. CapeCodMermaid

    interview for geriatric nurses

    CapeCodMermaid replied to stephhh's topic in Geriatric, LTC

    1. People with dementia will overwhelm the system 2.Yes 3. A shortage of competent nurses. New grads are getting dumber by the day 4. Realistic expectations 5. Yes... they’re entitled 6. Don’t...
  7. CapeCodMermaid

    Is this even Legal?

    CapeCodMermaid replied to Roda dendron's topic in General Nursing

    What is the setting? 16 on a medsurg floor is absurd. 16 In a SNF is a
  8. CapeCodMermaid

    When They Don't Want To Pay

    CapeCodMermaid posted a topic in Geriatric, LTC

    I know none of us work in the business office, but we're often left to deal with EVERYTHING. I have a patient with NO skill. She was given her cut letter and a bill from the business office. She is...
  9. CapeCodMermaid

    Walk In My Shoes

    CapeCodMermaid posted a topic in Geriatric, LTC

    I’m doing an interim gig as a nurse manager on a short term unit. I have 90% agency staff...licensed and CNAs. Needless to say, it’s not easy getting things done. Weights...I start telling them to...
  10. CapeCodMermaid

    New RN in charge of a 155 bed SNF. What?!?!

    CapeCodMermaid replied to FromMNtoCA's topic in Patient Safety Issues

    My first day as the supervisor of a 140 bed facility- the DON, ADON,and Administrator all took the day off. Sheriff’s office walked in to serve a subpoena... you do what you have to do. You step up...
  11. CapeCodMermaid

    When They Don't Want To Pay

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    A cut letter is an official notice that we are taking them off their Medicare benefits because they no longer have a skilled
  12. CapeCodMermaid

    When They Don't Want To Pay

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    She has no basis but we told her about the appeal. It’s not that she CAN’T pay—- she just won’t. PS. We only have one social
  13. CapeCodMermaid

    Vancomycin Trough

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Did you have an onsite lab? Our lab comes in to draw the trough...let's say it's at 9:30 AM prior to the 10am dose. By the time the blood gets back to the lab and the trough is run, it's after 12 so...
  14. CapeCodMermaid

    Vancomycin Trough

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Hours...at least
  15. CapeCodMermaid

    Lab Coat or No

    CapeCodMermaid replied to Buckaroo93's topic in LTC: Directors, Assistant

    I’ve been a DNS for 15 years. I occasionally wear a lab jacket if I know I’ll be going in resident rooms. I don’t think there is anything pompous about it. I need the pockets for my
  16. CapeCodMermaid

    RSV

    CapeCodMermaid posted a topic in Geriatric, LTC

    What do all y’all do if a resident has RSV? My facility seems to be making a huge deal about something that isn’t much worse than the common
  17. CapeCodMermaid

    CDIFF

    CapeCodMermaid posted a topic in Geriatric, LTC

    If someone has CDIFF, we've usually put them in a private room. The new 'thing' seems to be to cohort with someone without CDIFF. We're having a discussion at work....the policy states the person WITH...
  18. CapeCodMermaid

    I'm on tpapn please help me!!!!!

    CapeCodMermaid replied to texasgirl77's topic in Geriatric, LTC

    Can’t even get a job at a LTC? That’s pretty insulting to those of us who work in that
  19. CapeCodMermaid

    Safe Patient-Nurse Ratio

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

    I worked in a town where the nurses on the MED SURG floors refused anyone who needed to be suctioned... they had 5 patients but people who work in LTACs or nursing homes are expected to do this and...
  20. CapeCodMermaid

    Med aid problems!

    CapeCodMermaid replied to Doobyk's topic in Geriatric, LTC

    Unfortunately, we aren't allowed to use medication aides in Massachusetts. All the studies I've read indicate that med techs/aides make far fewer medication errors than licensed staff because all they...
  21. CapeCodMermaid

    Uniforms

    CapeCodMermaid posted a topic in Geriatric, LTC

    What do all y'all wear? My company just decided that CNAs will wear ceil blue, nurses will wear white scrub tops with white or black pants. Supervisors can wear scrubs with a lab coat or street...
  22. CapeCodMermaid

    Holiday fun

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    We have 'proper' staffing. Perhaps if they came on time or didn't call out they'd have more time for
  23. CapeCodMermaid

    Holiday fun

    CapeCodMermaid posted a topic in Geriatric, LTC

    The staff where I work always complain that they are not having any fun. We started a fun committee which was horrible...too many lists and votes. So a few of us got together for a real fun committee...
  24. CapeCodMermaid

    Advancement

    CapeCodMermaid replied to Fray's topic in Geriatric, LTC

    Years ago I worked as a nurse manager for a very busy sub acute unit. I had that role for 4 years. A supervisor job opened up so I applied. I was very well qualified for the job. The DON told me point...
  25. CapeCodMermaid

    Christmas Gifts For Residents

    CapeCodMermaid posted a topic in Geriatric, LTC

    I've been in the business forever. It's been my experience that at Christmas time, staff members pick a resident to buy a gift for at Christmas. Anyone who doesn't get picked gets a gift from the...