CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    It's all in the presentation

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    We don't send residents out unnecessarily so I never would say the family wanted them out unless it were true. We can do everything the hospital can do except hang blood and put someone on a...
  2. CapeCodMermaid

    Nurse patient ratio, legally speaking...

    CapeCodMermaid replied to Junebug59's topic in Geriatric, LTC

    If you have 20 patients, I don't think you're in an LTAC. Sounds more like a
  3. CapeCodMermaid

    Why Are Nurses So Critical of Other Nurses?

    CapeCodMermaid replied to bluegeegoo2's topic in Geriatric, LTC

    What's the hospital going to do? Give them Lasix IV or IM. Given the information in this post, we would have kept the resident in house, given Lasix, and go from there. If he were really in...
  4. CapeCodMermaid

    Pronouncing Death

    CapeCodMermaid replied to lumbarpain's topic in Geriatric, LTC

    We get an MD order to pronounce. We check for respirations, pupillary response and any pulse or heart beat. We express our sympathies to the family if they are present at the time of the death. Then...
  5. CapeCodMermaid

    Starting My Own Case Management Company

    CapeCodMermaid replied to kwagoner's topic in Geriatric, LTC

    First of all good luck. Secondly, are you independently wealthy that you can provide these services free of charge? You might want to make the rounds of local senior centers...speak to families, local...
  6. CapeCodMermaid

    Admissions people

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    No, he knows I have issues with one of them but I don't like to rat out my co-workers to him. Believe me, I've saved the text and if it happens again, I'll share it with
  7. CapeCodMermaid

    Why Are Nurses So Critical of Other Nurses?

    CapeCodMermaid replied to bluegeegoo2's topic in Geriatric, LTC

    I try to have the 'I'm smarter than you and I would have done x,y,z' attitude squashed. We're all in this together. I am extremely intelligent (though not modest) but even I don't know everything. The...
  8. CapeCodMermaid

    "State's Here!": Demystifying the Long-Term Care Survey

    CapeCodMermaid replied to VivaLasViejas's topic in Geriatric, LTC

    Sorry for the stress rant about surveyors. We just finished ours. They were SO late coming this year the stress was even worse than usual. I'd like to give a shout out to my excellent staff for...
  9. CapeCodMermaid

    DONS q on hiring turnaround for SDC

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

    Congratulations! Could be a pet peeve but I am so tired of hearing the word awesome to describe a hamburger. The one time I described something as awesome, I was looking into the Grand Canyon for the...
  10. CapeCodMermaid

    DONS q on hiring turnaround for SDC

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

    She was awed by one of your responses? Clearly you have no issues with self esteem. People get busy, other issues take precedence. I waited for close to a month before I found out about one job I...
  11. CapeCodMermaid

    Anyone have employer send abuse report to the state?

    CapeCodMermaid replied to Joy3's topic in Geriatric, LTC

    I've been in the business for more than 30 years. Never heard of the 'purple book'. I investigate every allegation of abuse. If my administrator and I don't think it reaches the level of abuse, we...
  12. CapeCodMermaid

    Sub-Acute Skilled Nursing Facility

    CapeCodMermaid replied to Benj2610's topic in Geriatric, LTC

    It's difficult to say. Some skilled facilities do all those things. Mine does not do vents but we do all those other items you
  13. CapeCodMermaid

    Interviewed Today

    CapeCodMermaid replied to MissEm's topic in Geriatric, LTC

    The new grads I hire get 3-6 weeks of orientation. I think it's part of my responsibility to ensure they are successful at their first
  14. CapeCodMermaid

    Anyone have employer send abuse report to the state?

    CapeCodMermaid replied to Joy3's topic in Geriatric, LTC

    In Massachusetts, there is a huge difference between verbal abuse and saying something offensive. Abuse has to have intent. It's amazing the amount of misinformation that gets posted on
  15. CapeCodMermaid

    That's a new request...

    CapeCodMermaid replied to Cackalacky's topic in School

    I don't ban kids from the building. We love having them visit. I know lice can't jump. I also know the DPH, if in a snarky mood, can and would cite us for one lousy
  16. CapeCodMermaid

    Residents....

    CapeCodMermaid replied to mwlude's topic in Emergency

    Nursing school...OB rotation....mom was from Nigeria, one of the blackest black people I'd ever seen. Baby is born wailing...great APGAR...the resident screams at someone to get the code cart because...
  17. CapeCodMermaid

    Have you ever worked through a agency?

    CapeCodMermaid replied to whslee01's topic in Agency Nurses

    I wouldn't have minded your answer but you started out with "WRONG". That goes beyond blunt and is
  18. CapeCodMermaid

    New Grad & First Job in LTC - Lots of Overtime/Doubles - How Much Is Too Much?

    CapeCodMermaid replied to blackdiamond407's topic in Geriatric, LTC

    We usually ask the new grads because they tend to be younger and don't mind the long hours. It has nothing to do with who makes more money. It has to do with who will stay if there is a call
  19. CapeCodMermaid

    Just accepted Unit Manager Position with no LTC experience....

    CapeCodMermaid replied to Junebug59's topic in LTC: Directors, Assistant

    Are you an LPN? or is there an IPN? Never saw that
  20. CapeCodMermaid

    Have you ever worked through a agency?

    CapeCodMermaid replied to whslee01's topic in Agency Nurses

    SDALPN....you are not only incorrect, you are incredibly rude. I worked for an agency as a new grad but that was when new grads actually were prepared to hit the floor
  21. CapeCodMermaid

    Have you ever worked through a agency?

    CapeCodMermaid replied to whslee01's topic in Agency Nurses

    Medicare/Medicaid can NOT dictate who a company can hire. Reputable agencies require at least a year of experience simply because you are out on your own. Most new grads are ill equipped to work...
  22. CapeCodMermaid

    Residents leaving facility with scheduled medications

    CapeCodMermaid replied to JBMmom's topic in Geriatric, LTC

    You actually send out an entire card of a narcotic because popping out one or two would be considered dispensing???? We have pill bottles and labels for this. The family gets only enough medication...
  23. CapeCodMermaid

    Dealing with difficult patients over the phone

    CapeCodMermaid replied to Mrs.LaDuke09's topic in Patient, Colleague Relations

    If you can't handle rude/yelling/insensitive/crazy people over the phone, how in the world are you going to be able to handle them in real life as an RN? There is no hold button to push when a family...
  24. CapeCodMermaid

    Nurse giving discontinue medications to other patients

    CapeCodMermaid replied to Nurse Amy Jolie's topic in Patient Medications

    Perhaps in Massachusetts the regs are stricter. That would be considered dispensing without a license. Pure and simple you can not borrow meds from one resident to give to another. Those days are long...
  25. CapeCodMermaid

    Depression takes me out of work and I bear all

    CapeCodMermaid replied to Brookm482's topic in Nurse Disabilities

    I am truly sorry for what you are going through. I am also sorry that you seemed to feel embarrassed about the whole thing. Depression is a disease. Would you be embarrassed for taking a medical leave...