CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Are these true or false rumors about LPN

    CapeCodMermaid replied to mcclot1993's topic in LPN, LVN Corner

    I don't hire LPNs and I run a skilled facility. We are expected to take care of very sick people and our 5 star rating system is based in part on how many RNs we have. I know some very smart LPNs, but...
  2. CapeCodMermaid

    Would you accept this call out excuse?

    CapeCodMermaid replied to motherof3sons's topic in Geriatric, LTC

    Our latest troubles with call outs....they find out they are working on a certain unit and then call out. You were hired to work for the FACILITY not a specific floor. Residents are residents....they...
  3. CapeCodMermaid

    Earning Respect from Staff

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

    I would have said "you're fired" if a CNA spoke to me that way. That behavior is
  4. CapeCodMermaid

    Telling "STATE" you don't have supplies....

    CapeCodMermaid replied to nervousnurse's topic in Geriatric, LTC

    Maybe I've been lucky to only work in good places or maybe it's because I demand, yes that is the word, demand that there are always supplies for all the residents. If I had a resident on Hospice who...
  5. CapeCodMermaid

    worried nurse at ltc

    CapeCodMermaid replied to definit1on's topic in Geriatric, LTC

    You can't and won't lose your license because one family complains that their family member was in pain. It seems, by what you posted, that you did everything you could. I would, in the future,...
  6. CapeCodMermaid

    Preventing return to hospital transfers

    CapeCodMermaid replied to vampiregirl's topic in Geriatric, LTC

    We use all the Interact III tools, I developed a risk assessment tool which we use within the first 24 hours after admission to try to determine what may send the person back, and we have a...
  7. CapeCodMermaid

    Abuse Allegations

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

    IJ=Immediate Jeopardy. No admissions are allowed. It's about the worst tag you can
  8. CapeCodMermaid

    Abuse Allegations

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

    Sounds like pure
  9. CapeCodMermaid

    Safe sleep aid for alzhiemer/dementia residents

    CapeCodMermaid replied to beatrice1's topic in Geriatric, LTC

    If you're routinely using Benadryl and Restoril, you are, indeed, out of
  10. CapeCodMermaid

    Telling "STATE" you don't have supplies....

    CapeCodMermaid replied to nervousnurse's topic in Geriatric, LTC

    I've worked in lots of different buildings. In one of them, tray pass was "all hands on deck". We all, from the CNAs to the nurse managers to the Administrator helped to pass trays. The DPH thought...
  11. CapeCodMermaid

    Safe sleep aid for alzhiemer/dementia residents

    CapeCodMermaid replied to beatrice1's topic in Geriatric, LTC

    Restoril.....old drug...major side effects.....higher risk of falls....Beer's
  12. CapeCodMermaid

    Most unforgettable Halloween costume...

    CapeCodMermaid replied to Brian's topic in Nurses Rock

    That's just plain
  13. CapeCodMermaid

    First job! How can I be a great LTC RN?

    CapeCodMermaid replied to anashenwrath's topic in Geriatric, LTC

    I've been an RN for 30+ years. I still learn something new every week. Take your time. Don't expect to know everything your first week or month or year. Pay attention to what you are doing. Do what's...
  14. CapeCodMermaid

    Telling "STATE" you don't have supplies....

    CapeCodMermaid replied to nervousnurse's topic in Geriatric, LTC

    Did you tell the managers you had no supplies or did you expect them to read your mind? I run a large facility. There is no way I would know if we were short supplies unless someone told me. You need...
  15. CapeCodMermaid

    Safe sleep aid for alzhiemer/dementia residents

    CapeCodMermaid replied to beatrice1's topic in Geriatric, LTC

    1. I am a bad sleeper now so I assume I will be one when I'm old(er). Please give me something other than hot milk to help me sleep. 2. Trazodone is NOT a chemical restraint. It's an antidepressant...
  16. CapeCodMermaid

    Omnicare pharmacy says "We never got the faxed orders"

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    We had similar problems with the pharmacy before we went to electronic health records. I can tell exactly when we ordered the med and when the e-fax was received at the pharmacy. Someone should speak...
  17. CapeCodMermaid

    Are pattern/print scrubs unprofessional outside of pediatrics?

    CapeCodMermaid replied to OwlieO.O's topic in Scrubs, Uniforms, Gear

    Really? When I wore scrubs I wore holiday ones all the time. The residents liked it and to me, that's what mattered. My scrubs were well fitting and professional. We do baseball day quite often...
  18. CapeCodMermaid

    Advice on dealing with confused patients

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

    Cards, dominos, snacks, puzzles, magazines....busy work. I've never seen Melatonin work with sun downing....try some trazodone...fewer side effects than
  19. CapeCodMermaid

    45residents to 1 RN, should i say more?

    CapeCodMermaid replied to missnoc360's topic in Geriatric, LTC

    When I was in my mid 40's I used to do 3 or 4 16 hour days in a row. I called out once in the 6 years I worked there...I was in the hospital. You can so NO if you don't want to take a shift. Far...
  20. CapeCodMermaid

    Safe sleep aid for alzhiemer/dementia residents

    CapeCodMermaid replied to beatrice1's topic in Geriatric, LTC

    Benadryl is on the Beer's list and shouldn't be used in the elderly. Melatonin is a joke. Trazodone works well for most people. Try to establish a nighttime routine. We had one guy who would be up all...
  21. CapeCodMermaid

    45residents to 1 RN, should i say more?

    CapeCodMermaid replied to missnoc360's topic in Geriatric, LTC

    You've called out 6 times in less than 90 days? I would have fired you
  22. CapeCodMermaid

    What do I do now?

    CapeCodMermaid replied to Bellalynn's topic in Geriatric, LTC

    How do you know management wasn't in the process of correcting these issues? I have staff come to me with issues...sometimes it's about writing someone up. I always tell them that I am not obliged to...
  23. CapeCodMermaid

    Electronic charting- administration time out of compliance

    CapeCodMermaid replied to JBMmom's topic in Geriatric, LTC

    I think the 'rule' about giving meds an hour before/after the scheduled time was started in the late 70's or early 80's when we passed out a Colace here and there and maybe a dig. You could do a med...
  24. CapeCodMermaid

    I feel like I caused a patient's death and I can't get over it

    CapeCodMermaid replied to jane82's topic in Patient Safety Issues

    Nurses make mistakes. The good ones take the mistake seriously and learn from it so they never make it again. As for the posters who are critical of the people who gave their honest opinions, if you...
  25. CapeCodMermaid

    How do you get family members to stop calling on the phone?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    This might be evil, but if I've been on the phone with a family member for a while and have answered their questions and they keep going on and on and on, I'll say "Oh, someone just paged an...