CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Lessons From the Super Bowl

    CapeCodMermaid replied to Guttercat's topic in General Nursing

    Maybe if nurses were valued as much as and paid as much as evn the worst NFL
  2. CapeCodMermaid

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

    CapeCodMermaid replied to armyinfantrywife's topic in Geriatric, LTC

    Yikes...I'd never hire a new grad as a supervisor. Ask for more
  3. CapeCodMermaid

    med questions

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

    We would just call the doc and ask him to fax a new script. What is ATC? I've been a nurse for more than 30 years and have never seen that
  4. CapeCodMermaid

    Snow stories

    CapeCodMermaid replied to bethann2727's topic in Geriatric, LTC

    I was the ADON...lived a mile and a half from the facility. Freak overnight snowstorm dumped more than 3 feet of snow (this was Cape Cod where the chamber of commerce tells you it never snows). I was...
  5. CapeCodMermaid

    PICC and Portable X-Ray Billing

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

    If the patient is skilled, the facility pays for the insertion and the x-ray. We trained some of our RNs to put PICC line and MID lines in...saves us a ton of $$ since we don't have to call the...
  6. CapeCodMermaid

    How to Dress for Psychiatric Nursing

    CapeCodMermaid replied to Meriwhen's topic in Psychiatric

    Back in the dark ages of nursing school we had a psych rotation in a state mental hospital. We were there in the summer and most of the time it was brutally hot. One day it was chilly so I wore a long...
  7. CapeCodMermaid

    Pressure ulcers urgh

    CapeCodMermaid replied to baygrl11's topic in Geriatric, LTC

    I have one wound nurse for 152 bed facility. She is responsible for tracking the pressure ulcers and making sure weekly skin checks are being done. The nurses are responsible for following the care...
  8. CapeCodMermaid

    Why is LTC Nursing have a bad reputation

    CapeCodMermaid replied to dulcet's topic in Geriatric, LTC

    LTC is devalued because most people have no clue what nurses in LTC do. They remember the nursing homes of days gone by when 98% of the residents were alert and oriented and not in need of nursing...
  9. CapeCodMermaid

    Immobile med carts

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

    You know when surveyors are coming??? Really??? I don't think so. It's not supposed to be told to anyone and the surveyors can lose their jobs...at least in
  10. CapeCodMermaid

    when resident accuse staff falsly

    CapeCodMermaid replied to coteRN's topic in Geriatric, LTC

    Where to begin?? First of all, the 'state' does not always take the resident's word over the staff. The state will come in and investigate. It really depends on what your DON and Administrator think....
  11. CapeCodMermaid

    LTC med pass from PYXIS?

    CapeCodMermaid replied to BrandonLPN's topic in Geriatric, LTC

    So you have to rely on someone else to pull your pills for you? Do all one resident's pills come in one package? I seem to remember some facility was closed down because they used a system in which...
  12. CapeCodMermaid

    The Childish "I Wuv You" Act

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

    I run a skilled nursing facility. Some of the patients are there for a week or two, some for a month or two, and some for years. Some of these people have no families. We are their substitute familiy....
  13. CapeCodMermaid

    LTC Charting: A Beginner's Guide

    CapeCodMermaid replied to TheCommuter's topic in Geriatric, LTC

    Not every resident needs someone to speak for them. I have many in my building who speak for and decide things for themselves. There is NO regulation that says a family member needs to be notified of...
  14. CapeCodMermaid

    When should I start applying to LTC facilities?

    CapeCodMermaid replied to Cynnie24's topic in Geriatric, LTC

    I would go to all the local facilities and fill out an application. You might not get an interview, though, until you actually have a license. The hiring process is long and costly. I wouldn't want to...
  15. CapeCodMermaid

    Can anyone give me a quick rundown of what RNs do in LTC?

    CapeCodMermaid replied to ashleyisawesome's topic in Geriatric, LTC

    Needing certification in IVs is a facility choice. Most RNs have had IV training in
  16. CapeCodMermaid

    Struggling with being my own dads Hospice Nurse

    CapeCodMermaid replied to foudini's topic in General Nursing

    Please stop feeling guilty. You were with him. You made him comfortable. You eased his pain. You need to ease your own conscience. Everything you did was
  17. CapeCodMermaid

    LTC Charting: A Beginner's Guide

    CapeCodMermaid replied to TheCommuter's topic in Geriatric, LTC

    It IS redundant so my nurses don't have to do it. The med administration is charted on the EMAR as is the result. Why document twice?? If there were an adverse reaction or the med had to be changed...
  18. CapeCodMermaid

    My first survey as ADON during noro outbreak!!

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

    I've had surveys with the feds before. We had the same thing as you (as does every building I've ever worked in). Narcotic ekit in a locked drawer in a locked cart. It has never been mentioned as a...
  19. CapeCodMermaid

    My first survey as ADON during noro outbreak!!

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

    That was us last year. 2nd day of survey....GI bug outbreak. The lead surveyor told us we didn't act in a timely manner to co tain the outbreak......puhleeeze. Germs are germs. I wash my hands at...
  20. CapeCodMermaid

    Why are there no nursing jobs available for new grads? What is going on??

    CapeCodMermaid replied to vab229's topic in Job Search, Interview, Resume

    Really?!? I should retire so you can get a
  21. CapeCodMermaid

    LTC Charting: A Beginner's Guide

    CapeCodMermaid replied to TheCommuter's topic in Geriatric, LTC

    We all need to follow our facility policies. And many of my residents are their own responsible
  22. CapeCodMermaid

    showering residents on third shift??

    CapeCodMermaid replied to ricksyone's topic in Geriatric, LTC

    Unless the resident is awake and has a life long habit of showering at 1 or 2 am, it is NOT okay to be showering them at that time. And w wonder why there are so many falls and people with
  23. CapeCodMermaid

    LTC Charting: A Beginner's Guide

    CapeCodMermaid replied to TheCommuter's topic in Geriatric, LTC

    I hate to disagree with my esteemed colleague, but we do not notify family members of every new medication order. If there has been a change in medication due to a change in condition or a new...
  24. CapeCodMermaid

    Disgusted in GA:Used ice paks in the freezer

    CapeCodMermaid replied to ckm2's topic in Infectious Disease

    First off: eeeeewwwww! That is nasty. I certainly understand the need to save money but I don't think ice packs are very expensive. Why don't you buy lots of bags of frozen peas? When they're done...
  25. CapeCodMermaid

    Working for FREE!!!!???

    CapeCodMermaid replied to Candogal's topic in Geriatric, LTC

    I have no issue with my nurses staying late if there was a fall or multiple admissions or some other catastrophe, but it is VERY annoying to walk on the floor to see them standing around doing nothing...