CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    That's a new request...

    CapeCodMermaid replied to Cackalacky's topic in School

    From an LTC director: perhaps lice in your setting is no big deal...my kids were warned in school if one kid in the class had lice and it really was no big deal, but in long term care, we are governed...
  2. CapeCodMermaid

    Pain/Anxiety Control Can Go a Long Way

    CapeCodMermaid replied to UnbrokenRN09's topic in Cardiac

    I've been a nurse for more than 30 (yikes!) years. I was recently a patient on a telemetry unit. The nurses were pushing me to take IV morphine for pain control. I told them I'd do better with a...
  3. CapeCodMermaid

    Written warning for a care plan written prior to my employment

    CapeCodMermaid replied to LTCNS's topic in Geriatric, LTC

    Why all the drama over a write up? I would have commented on the form that I had only been there for 3 weeks and hadn't been given the time to read EVERY care plan in the building. I've been the new...
  4. CapeCodMermaid

    nursing home- nights 7p-7a. What to expect?

    CapeCodMermaid replied to aviaa's topic in Geriatric, LTC

    Are they long term residents or short term patients? My long term floors have one nurse overnight...we try really hard not to give out any meds at night since people need to sleep. My short term unit...
  5. CapeCodMermaid

    Starting pay rates: Then & now

    CapeCodMermaid replied to Nola009's topic in Geriatric, LTC

    My facility is on the northeast coast....we start new RNs at 24-25/hour. My first job (back in the dark ages) paid $8/hr. I thought I had it made when I got hired at the hospital and was making...
  6. 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

    There was a point in time when I was the nurse manager of a very busy subacute rehab unit. We had a huge staffing issue and I worked 16-17 hours for 4-5 shifts a week. I was tired but sure loved the...
  7. CapeCodMermaid

    Manual BP Assessment on Elderly

    CapeCodMermaid replied to nursechristineb's topic in Geriatric, LTC

    I said IF they have been
  8. CapeCodMermaid

    Manual BP Assessment on Elderly

    CapeCodMermaid replied to nursechristineb's topic in Geriatric, LTC

    My advice is far different...why are there still parameters on long term residents???? If they have been stable why are you taking their BP before you medicate? Speak to the MD or the pharmacy...
  9. CapeCodMermaid

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

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

    I'm flabbergasted .... start with the basics...weights, skin checks, med pass, care plans. Find the results of the last DPH survey and make sure all the plans of correction are being followed. One...
  10. CapeCodMermaid

    how can our LTC save money???

    CapeCodMermaid replied to vicki518's topic in Geriatric, LTC

    An ADON for a 40 bed facility? Not needed. Wound supplies...my former facility used to spend thousands on fancy creams because the supplier told them they were needed. They were spending 25-30 dollars...
  11. CapeCodMermaid

    Roaches ON the patient

    CapeCodMermaid replied to nekozuki's topic in Private Duty

    Did you have to use the word
  12. CapeCodMermaid

    can per diem RN turn into full time work?

    CapeCodMermaid replied to arose26's topic in Home Health

    I agree with my esteemed colleague,caliotter3. I would have answered the same way. There is a difference between bringing in clients and basically stealing clients from your agency to work for on a...
  13. CapeCodMermaid

    Hallucinations

    CapeCodMermaid replied to babaloo's topic in Psychiatric

    I would disagree that believing God speaks to me is delusional. Thinking I am God is
  14. CapeCodMermaid

    Patient falls and state visits

    CapeCodMermaid replied to ptvgirl's topic in Geriatric, LTC

    I think we've answered the question. They don't come out on every report I send in. They don't come out on every fracture...they come when they come. If a resident falls 17 times without an injury,...
  15. CapeCodMermaid

    Patient falls and state visits

    CapeCodMermaid replied to ptvgirl's topic in Geriatric, LTC

    No. You must report any fall with a fracture or other serious injury. I report the fall if the resident is sent to the hospital even if there is no fracture found. They can't cite you for over-...
  16. CapeCodMermaid

    LTC Proper Assessment Skills

    CapeCodMermaid replied to souleater11's topic in Geriatric, LTC

    What's more important than "proper" assessment skills is to recognize changes in your residents that could signal something. Are they eating? Any increased confusion? Edema? Pay attention to the...
  17. CapeCodMermaid

    Patient falls and state visits

    CapeCodMermaid replied to ptvgirl's topic in Geriatric, LTC

    The DPH doesn't come out as frequently as they used to. In Massachusetts, they don't always come out for a fall with fracture. If the resident is an independent ambulator, they usually won't come out....
  18. CapeCodMermaid

    CHF Protocols

    CapeCodMermaid posted a topic in Geriatric, LTC

    So, as you know, hospitals are going to be penalized for return admissions and CHF is a huge cause of returns. Do any of you have a CHF protocol you use to keep patients in tne building? I'm thinking...
  19. CapeCodMermaid

    MSN capstone research-Aspiration Pneumonia in the Elderly

    CapeCodMermaid replied to MichaelDePeralta's topic in Geriatric, LTC

    I was unable to answer all the questions...I am unwilling to answer questions for a Capstone research project that are grammatically
  20. CapeCodMermaid

    Medicare denials

    CapeCodMermaid replied to nurseamy25's topic in Geriatric, LTC

    You might want to post this in the MDS section and ask Talino for an answer...no one smarter about all things MDS and
  21. CapeCodMermaid

    Tinetti balance score

    CapeCodMermaid replied to erin21880's topic in Geriatric, LTC

    ..."especially if they are cognitive..." What does that mean? Impaired? We strive to maintain our residents' independence as much as possible. Everything is a risk vs benefit. If they can...
  22. CapeCodMermaid

    HOSPICE CARE IN LTC

    CapeCodMermaid replied to ktwlpn's topic in Geriatric, LTC

    We have contracts with several hospice providers. One of them provides excellent care. We consider them to be part of our team so it works very
  23. CapeCodMermaid

    Documentation-- Who trains new nurses?

    CapeCodMermaid replied to TigerxLiLy's topic in Geriatric, LTC

    We give all the nurses a basic "what to chart" based on the
  24. CapeCodMermaid

    med error

    CapeCodMermaid replied to Inaniel's topic in Geriatric, LTC

    Pinkiepink....you'd be quitting most places. We take admissions 24/7. It's not the best for the resident to get there that late, but, if that's when they are sent from the hospital, we admit
  25. CapeCodMermaid

    Is your DON allowed to pass meds?

    CapeCodMermaid replied to brandiking's topic in Geriatric, LTC

    You must have a small