CapeCodMermaid RN

Gerontology, Med surg, Home Health

Member

  • Content

    6,092

  • Visitors

    66,079

  • Followers

    4

  • Likes

    290

All Content by CapeCodMermaid

  1. CapeCodMermaid

    A Heartfelt Apology to DON's

    CapeCodMermaid replied to bluegeegoo2's topic in LTC: Directors, Assistant

    I always tell the nurses who think I do nothing to walk a mile in my shoes. I took 3 days off from work. When I returned they all stood and applauded telling me they were SO happy I was back. It's...
  2. CapeCodMermaid

    Nursing Documentation: Court says charting only abnormal findings unacceptable

    CapeCodMermaid replied to NRSKarenRN's topic in Legal

    I tell my nurses that their notes should tell the story of what went on with that particular resident on their shift. If nothing happened, there is no need to write a note. But, if something happened,...
  3. CapeCodMermaid

    Wound/TX Nurse

    CapeCodMermaid replied to lydiarn61's topic in Geriatric, LTC

    I was the wound nurse (as well as many other things) in several facilities and I am not certified. Can you accurately measure and describe what you see? Can you follow directions? That's really all...
  4. CapeCodMermaid

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

    CapeCodMermaid replied to nbrack's topic in Geriatric, LTC

    Your link doesn't work. I try to make it a habit to check the sex offender registry before admitting anyone, but since many offenders are never reported or arrested, it's a limited search. There are...
  5. CapeCodMermaid

    med passes done on time?

    CapeCodMermaid replied to HappyWife77's topic in Geriatric, LTC

    We all know that technically if the MAR isn't signed, the med wasn't given. In reality, we give hundreds of pills a shift and sometimes forget to sign one. If someone reported a missing senna to me, I...
  6. CapeCodMermaid

    How to get off the floor

    CapeCodMermaid replied to OCRN3's topic in General Nursing

    I digress but.... I had a patient complain to me about one of the nurses on his unit. He was hollering "She said she doesn't want me on her floor!! She doesn't like me!!! Fire her!!!" What the nurse...
  7. CapeCodMermaid

    Advice if CNA is asked to do med pass

    CapeCodMermaid replied to kayvia's topic in Geriatric, LTC

    No offense but maybe your daughter has a career in fiction. I've worked in many facilities and CNAs NEVER give medications or hang
  8. CapeCodMermaid

    Don

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

    The Watermelon Book....pink and green paper....the various state agencies should put all the regs on a web site so they are easy to
  9. CapeCodMermaid

    How old were you when you started nursing school?

    CapeCodMermaid replied to Joe V's topic in General Students

    26 when I started nursing school. Finished at 28. My class had 18 year olds, lots of 20somethings, and one man who was 65 when he started....nice man, couldn't take the stress and left after one
  10. CapeCodMermaid

    Job searching while out of town visiting family, advice please

    CapeCodMermaid replied to RN 033's topic in Job Search, Interview, Resume

    In the past few months, I've received a surprising number of resumes from out of town and out of state RNs. Honestly, I wouldn't hire someone after just a telephone interview. You could try to make...
  11. CapeCodMermaid

    Abusive/Neglectful CNA

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

    Humiliating YOU is NOT neglecting or abusing a patient even in
  12. CapeCodMermaid

    Nurses in trouble get second chances - Minnesota

    CapeCodMermaid replied to Brian's topic in Nursing Career

    I'm the DNS of a nursing home. I hire RNs only. If they don't have experience, their orientation is at least 6 weeks long. If they have nursing experience, but none in a nursing home, tHeir...
  13. CapeCodMermaid

    med passes done on time?

    CapeCodMermaid replied to HappyWife77's topic in Geriatric, LTC

    I've worked with nurses who counted meds on a card which is absurd, but counting senna? Does she dump the bottle out every day to count them? Just plain idiotic. No one ever died from not getting a...
  14. CapeCodMermaid

    Nursing home pt catches on fire

    CapeCodMermaid replied to LaRN's topic in Geriatric, LTC

    Maybe they didn't perform CPR because he had a valid DNR order? We don't allow anyone to smoke unattended. At one facility, I found a resident smoking in his bed. I read him the riot act and told him...
  15. CapeCodMermaid

    Abuse/Neglect question

    CapeCodMermaid replied to luvmy2angels's topic in Geriatric, LTC

    The regulations for assisted living are very different from those in a nursing home. One nurse for 50 in assisted living should be okay if the residents are appropriate for
  16. CapeCodMermaid

    Refusing food offered by patients

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

    I had a Greek woman with dementia in one of my buildings. She got a cup of yogurt every morning on her tray. She would eat half and put the other half in her bedside table for later. Of course we...
  17. CapeCodMermaid

    Recovering after bullying

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

    DeLana....you made my point. There IS a huge difference between name calling and physical
  18. CapeCodMermaid

    new hires and attitudes

    CapeCodMermaid replied to fairyluv's topic in Geriatric, LTC

    Perhaps she feels left out as the new person and doesn't know how else to respond to a close Knit group of people. Have you excluded her because she is new and you all feel superior because you think...
  19. CapeCodMermaid

    Recovering after bullying

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

    Perhaps we need to define our terms. What we call bullying by kids today is the same thing we called teasing when I was a kid. Violence is quite a strong term for someone giving you a hard time at...
  20. CapeCodMermaid

    Would you like some cheese with that whine.

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

    I wouldn't call 3 aides for 37 residents overstaffed....and why different staffing on Saturday and Sunday? My 46 bed units have 6 CNAs on days, 5 on evenings, and 3 on
  21. CapeCodMermaid

    What are the nurses' protection against patient accusations?

    CapeCodMermaid replied to kgran's topic in Activism, Healthcare

    Wow...all y'all must have worked in some horrible places. If a resident makes an accusation, I do a thorough investigation. If I think there was any kind of abuse, the staff member is fired and I...
  22. CapeCodMermaid

    PCU C-Diff

    CapeCodMermaid replied to Kabin's topic in Hospice, Palliative

    If the resident has a private bathroom, the other residents aren't at increased risk. CDiff by itself is not enough of a reason to have skilled care in any setting. PCU? What is
  23. CapeCodMermaid

    Are most LTC's always low on supplies?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    I'm not going to argue for or against medication aides, but, it is NOT a necessity to hold Digoxin simply because the person's pulse is less than 60 and you don't have to take a bp on someone merely...
  24. CapeCodMermaid

    Need Advice... Nurse stealing non-narcotic medication

    CapeCodMermaid replied to JSSCELI's topic in General Nursing

    I've had staff members ask me to take meds for them out of the Ekit because they've run out of their meds. These are prescription meds and I always say no. If someone asks for a couple of tylenol from...
  25. CapeCodMermaid

    Are you a RN or LPN???

    CapeCodMermaid replied to LH...RN's topic in Geriatric, LTC

    RN and I'm only hiring