CapeCodMermaid RN

Gerontology, Med surg, Home Health

Member

  • Content

    6,092

  • Visitors

    66,076

  • Followers

    4

  • Likes

    290

All Content by CapeCodMermaid

  1. CapeCodMermaid

    Research Study: Violent Felons and Sex Offenders in LTC Nursing Facilities

    CapeCodMermaid replied to nbrack's topic in Geriatric, LTC

    You and the NSA are protecting my identity? No thanks. I've said no to many admissions because they were on the sex offender registry. Trouble is, so many offenders aren't reported so they are out...
  2. CapeCodMermaid

    Would you accept this call out excuse?

    CapeCodMermaid replied to motherof3sons's topic in Geriatric, LTC

    Of course I have per diem staff but they are not always available. Agency?? CNAs from the agencies make more than some of the staff LPNs..I won't have them in my
  3. CapeCodMermaid

    Increasing marketability

    CapeCodMermaid replied to KRSLPN's topic in Geriatric, LTC

    You may be the best LPN on the planet, but the 5 star rating system is, in part, based on the number of RNs a facility has. We are developing more and more clinical initiatives to be able to keep our...
  4. CapeCodMermaid

    New RN with attitude...

    CapeCodMermaid replied to RN&mom's topic in Geriatric, LTC

    Sometimes it's better to cut your losses early. I had one new nurse...new grad...she had a BSN which in her mind made her the queen and the rest of the staff stupid. She told me she refused to be...
  5. CapeCodMermaid

    Pressure sores and geriatic facilities

    CapeCodMermaid replied to TurtleCat's topic in Geriatric, LTC

    Turning and repositioning every 2 hours certainly is a good idea, but not all pressure ulcers can be prevented. Does the person have diabetes? PVD? Anemia? There are many reasons for skin breakdown....
  6. CapeCodMermaid

    New trend in admission medalist??

    CapeCodMermaid replied to iluvnoodles's topic in Geriatric, LTC

    Ours seem to be the opposite....most of our referrals have drugs with 90 day stop dates. We always go by the discharge summary which usually indicates if the drug actually has a stop
  7. CapeCodMermaid

    Preventing return to hospital transfers

    CapeCodMermaid replied to vampiregirl's topic in Geriatric, LTC

    The state won't cite you if you provide care. Not everything has a good outcome. People die in the hospital all the
  8. CapeCodMermaid

    Anyone doing well?

    CapeCodMermaid replied to kp1987's topic in General Students

    As a nurse of 30 years I am disheartened by this thread. You are all thrilled that you are making As and Bs but I haven't read one word about your patient care or your clinical skills. Book smarts do...
  9. CapeCodMermaid

    Does your DON want you to do skin checks on night shift?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    They used to do skin checks and routine vitals on the 11-7 shift. I stopped this practice. IF and only if a resident requests to get up early, they may do a skin check in the shower. Otherwise, the...
  10. CapeCodMermaid

    Set up - like a bowling pin. Knocked down - it gets to wearing thin

    CapeCodMermaid replied to Music in My Heart's topic in Emergency

    I wasn't aware there was any 'tude copping going on
  11. CapeCodMermaid

    Will I ever get out of LTC or am I doomed?

    CapeCodMermaid replied to JZ_RN's topic in Geriatric, LTC

    Because they don't know any better. I've spent most of my career (30+ years) working in long term care. I graduated at the top of my class...I worked at the hospital because that's what we were...
  12. CapeCodMermaid

    QA/PI and residents with 9 or more medications

    CapeCodMermaid replied to geriatricRNBSN's topic in Geriatric, LTC

    We'd be celebrating if our residents had 9 meds....the average is around 22 with a high of 29 scheduled
  13. CapeCodMermaid

    On call

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

    I am on call 24/7 for any and all problems that may happen in the building. I am not, however, part of the on-call rotation. We have 6 nurses rotate weekend on call. I have supervisor coverage 7 days...
  14. CapeCodMermaid

    Would you like some cheese with that whine.

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

    Me?It is a for profit company. With all the competition in the area, the SNFs that provide good/great/excellent care are the ones who will do well. Word travels...if you had a new hip and had to wait...
  15. CapeCodMermaid

    Dogs in the building

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Hahaha ! My staff is not shy when it comes to voicing their opinions about anything. I was more worried that some of the residents would be upset but since it took me 30 minutes to walk from the front...
  16. CapeCodMermaid

    Dogs in the building

    CapeCodMermaid posted a topic in Geriatric, LTC

    Do you all have dogs in your building? I don't mean an occasional visitor. I just got a puppy and am planning to bring him to work with me most, if not all, days. The residents love to see animals and...
  17. CapeCodMermaid

    Would you accept this call out excuse?

    CapeCodMermaid replied to motherof3sons's topic in Geriatric, LTC

    It is NOT my fault if you call out....it's yours. Do you think I have a supply of extra staff just waiting to come in because you don't feel like coming to work? I know people get sick and certainly I...
  18. CapeCodMermaid

    Would you accept this call out excuse?

    CapeCodMermaid replied to motherof3sons's topic in Geriatric, LTC

    "The same thing happened at a local LTC and it turned out to be a viral outbreak ( Astrovirus I think ). Best prevention was washing hands in warm soapy water. Turned out the hot water heater was not...
  19. CapeCodMermaid

    Doesn't It Make You Want To Scream, part two

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

    Resurrecting this old thread: Norton Plus...easy to do...easy math right? Wrong!! I have nurses who subtract 4 from 19 and get 17! My administrator tells me to do some education...really???? Isn't...
  20. CapeCodMermaid

    How do you combat negativity in your facility?

    CapeCodMermaid replied to nikkibobicky's topic in Geriatric, LTC

    Back in the dark ages when I was a floor nurse, I had a co-worker who complained from the moment she got there till the moment she went home. After a day it got old. Since I was the one with the...
  21. CapeCodMermaid

    Therapeutic fibbing..?

    CapeCodMermaid replied to PierceTheVeil's topic in Geriatric, LTC

    I am an honest straightforward person when dealing with staff and families. But I don't see the harm in telling lies if it is going to spare a resident with dementia from feeling horrible. We've done...
  22. CapeCodMermaid

    Dogs in the building

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    My dog hardly sheds. I would never bring him into the dining room...Massachusetts DPH would be all over that. I asked every one we walked by if they were okay with dogs. I ended up not bringing him...
  23. CapeCodMermaid

    Being a Patient Where you Work

    CapeCodMermaid replied to ChristineN's topic in Emergency

    I was a patient at the hospital when I worked there. I woke up from surgery with my roommate's IV in my arm. The nurse copped an attitude when I told her it was the wrong IV...she wanted to know 'who...
  24. CapeCodMermaid

    Would you accept this call out excuse?

    CapeCodMermaid replied to motherof3sons's topic in Geriatric, LTC

    It IS my business because YOU will be the first one to complain that you're working
  25. CapeCodMermaid

    things said wrong that drive you crazy

    CapeCodMermaid replied to SDALPN's topic in Private Duty

    One of my pet peeves is with one of my nurses who continually says 'crit' when she shoud said creat(inine). She told me the patient's crit was 5 and I asked how they could be alive with a hematocrit...