CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Wrong patient. Wrong narcotic.

    CapeCodMermaid replied to chavezm1109's topic in LTC: Directors, Assistant

    We do the same thing. On coming and off going nurse eyeball the patch and document they've seen
  2. CapeCodMermaid

    Essential Oils & Aromatherapy In the Workplace

    CapeCodMermaid replied to divadee113's topic in Holistic

    I'm not in the hospital, but my facility uses aromatherapy in our Mind/Body program. We have several residents with end stage dementia. They cannot actively participate in activities so they are...
  3. CapeCodMermaid

    Is this risking my license?

    CapeCodMermaid replied to chende's topic in Geriatric, LTC

    What's with the 'nocte'? The word is nights...it saves no time to type nocte. I have 3 units. One unit has 60 residents...overnight there is one nurse and 3 aides. We do not give meds or do treatments...
  4. CapeCodMermaid

    YAHOOOOOOOOO!!!!!

    CapeCodMermaid posted a topic in Geriatric, LTC

    How I wish this didn't have to be incognito! My facility just received our first ever perfect survey. The facility has been in operation for 20+ years. I've been there for less than 2. I can't tell...
  5. CapeCodMermaid

    Management of Personalities Question

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

    Not all DNS jobs are horrible. It's taken my 10 years and 6 different facilities but I have finally found the company where I fit in. Is it perfect? Not by a long shot, but it's a small company that...
  6. CapeCodMermaid

    ADON ready for promotion?

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

    You may never feel you're ready to be the DON. I had every other job there was to have and wasn't even thinking about being the DON. I was the ADON when the DON pitched a major hissy fit and walked...
  7. CapeCodMermaid

    Should I report my nursing facility for neglect?

    CapeCodMermaid replied to Figglehorn68's topic in Geriatric, LTC

    I have been in the business for more than 30 years and have NEVER seen a stage four pressure ulcer that was the result of neglect in the facility. I've had people admitted from home with stage 4's big...
  8. CapeCodMermaid

    RNs vs LPNs

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

    NurseGuyBri, Trying to figure out the intricacies of the 5 star rating system would give Pythagoras a screaming headache. Regardless of the regulations, the more RNs on staff, the higher that part of...
  9. CapeCodMermaid

    Why Are Nurses So Critical of Other Nurses?

    CapeCodMermaid replied to bluegeegoo2's topic in Geriatric, LTC

    Not every ESRD patient wants
  10. CapeCodMermaid

    Why Are Nurses So Critical of Other Nurses?

    CapeCodMermaid replied to bluegeegoo2's topic in Geriatric, LTC

    We have many protocols which are successful in treating our patients so they don't have to go to the hospital. Your blanket statement about what should or shouldn't happen in a SNF is just as critical...
  11. CapeCodMermaid

    YAHOOOOOOOOO!!!!!

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    It really is all about the team. None of us can go through the day without the help of
  12. CapeCodMermaid

    I Have A Name

    CapeCodMermaid posted a topic in Medical-Surgical

    I run a long term care facility. We have regulations for everything including how to address residents. I have had the displeasure the past two days of being a patient on a telemetry unit at the local...
  13. CapeCodMermaid

    What is your nurse/patient ratio?

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

    My long term 60 bed units...1:30, all stable patients plus and desk nurse and a nurse manager. Long term 46 bed unit: 1:23 plus a desk nurse and a nurse manager Short term (with half long term) 46...
  14. CapeCodMermaid

    HELP! New LPN starting 1st LTC job

    CapeCodMermaid replied to YesImVictorious's topic in Geriatric, LTC

    You should repost this in the LTC forum, not the LTAC forum for more responses. Advice: take your time, ask for more time if you need it on orientation. Do things by the book...shortcuts make for...
  15. CapeCodMermaid

    Polypharmacy-When is it too much??

    CapeCodMermaid replied to psychgeribuff's topic in Geriatric, LTC

    We have the pharmacy look at the meds every month. Last quarter we got rid of 49 medications. Luckily we have a new sub-acute medical director who is NOT into over prescribing. Lots of the docs are...
  16. CapeCodMermaid

    Is it normal to train someone after being on the floor for 4 days?

    CapeCodMermaid replied to dorselm's topic in Geriatric, LTC

    It wouldn't happen in my facility. Of course in my facility you'd have at least 4 weeks of orientation. I suppose you could look at it this way: You're doing such a spectacular job, your bosses want...
  17. CapeCodMermaid

    FRI or No FRI?

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

    In Massachusetts, any fall with fracture is a reportable event. We have 7 days to investigate the incident and report it to the DPH along with our corrective action and the names and titles of any...
  18. CapeCodMermaid

    Doctor resigning after explosive incident

    CapeCodMermaid replied to Emergent's topic in Patient, Colleague Relations

    Years and years ago I was harassed by a medical director. I knew he had be on the 'watch list' before I started working there. I went to the boss/administrator and filed a complaint. I was told "What...
  19. CapeCodMermaid

    Doctors taking too long to call back...

    CapeCodMermaid replied to NurseNightOwl's topic in Geriatric, LTC

    Call. Give him/her half an hour to call back.Call again. If that doesn't work and you really need to speak to someone, call your medical director. That's why you have
  20. CapeCodMermaid

    It's all in the presentation

    CapeCodMermaid posted a topic in Geriatric, LTC

    We have a patient who was vomiting what looked like fecal matter. My ADON asked me to review the chart to see if they'd missed something. (We are a spectacularly great team!) I reviewed the chart and...
  21. CapeCodMermaid

    It's all in the presentation

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    The doctors DO trust me. That's why they listen to
  22. CapeCodMermaid

    It's all in the presentation

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Doctors should be receptive to what the nurse is saying, but we all know they aren't always. If I have to make a scene to get what the resident needs, so be it. Other than the medical director, I am...
  23. CapeCodMermaid

    RN to BSN

    CapeCodMermaid replied to mizj's topic in Oncology

    I'm in the same boat as you....been an RN for 30+ years, have a Bachelor's Degree in English. I thought about going back and getting a BSN, but it wouldn't raise my pay any. I also thought of getting...
  24. CapeCodMermaid

    Can a home health nurse refuse to take a client?

    CapeCodMermaid replied to nurse98261's topic in Home Health

    Your only reason for refusing the client is the visit would take too long? I don't know how long you'll last at an agency with that attitude. Not passing judgment....just saying. I used to work for an...
  25. CapeCodMermaid

    Unions protest 100m hospital donation

    CapeCodMermaid replied to mhy12784's topic in Collective Bargaining, Union

    I worked in a facility that started out as non-union and then the union got voted in. Thanksgiving came around and the union actually filed a formal complaint that the company was giving everyone a...