CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Christmas Gifts For Residents

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    At all my other buildings, Santa was there to hand out a gift to every resident. As the defacto house photographer, it was my job to take a picture of every resident with Santa. My eyeballs were leaky...
  2. CapeCodMermaid

    Verbally Abusing a Nurse

    CapeCodMermaid replied to Hk30's topic in General Nursing

    I work in a SNF and though customer service is important, we don't let residents or family members yell at us. I've had more than one irate family member scream in my face. I say: "You have two...
  3. CapeCodMermaid

    McGeer's Criteria

    CapeCodMermaid posted a topic in Geriatric, LTC

    Does anyone have a copy of the latest McGeer's criteria to share? I've done a quick web search but only find articles about it, not a check list of what makes an infection an
  4. CapeCodMermaid

    LPN in charge at Assisted is awful to work for

    CapeCodMermaid replied to Aide678's topic in Long Term Acute Care

    Maybe one of the moderators could move this post to a more appropriate
  5. CapeCodMermaid

    I'm out - headed for the "dark side"

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

    Good for you! I thought the dark side was going to be working for the DPH! I hope you find happiness in your new job. I keep saying "It's time to get out of the business!" but here I
  6. CapeCodMermaid

    How much orientation?

    CapeCodMermaid replied to loriangel14's topic in Geriatric, LTC

    We give new grads 4 weeks of orientation. Nurses with experience get a week or two. I'm told as the staff educator that it's up to me to decide when they come off orientation but if there is a...
  7. CapeCodMermaid

    Writing Bad Orders

    CapeCodMermaid posted a topic in Geriatric, LTC

    How would all y'all transcribe this order: Daily weights Lasix 40 mg by mouth daily. If weight increases by 2 kg over 2 days increase Lasix by 20mg If weight decreased by 2 kg over 2 days decrease...
  8. CapeCodMermaid

    RN, ADN being obsolete

    CapeCodMermaid replied to lovewaves's topic in General Students

    Gotta love people who pontificate without knowing the truth. BSN, ADN, diploma...we ALL had to pass the same exam to become RNs. RNs can do things LPNs can't do but the rest is hooey. PS....
  9. CapeCodMermaid

    RN, ADN being obsolete

    CapeCodMermaid replied to lovewaves's topic in General Students

    Years ago the VNA of Cape Cod said they would only hire BSN prepared nurses. I was working with another home health care company. The VNA happened to stop by, saw what I was doing and offered me a job...
  10. CapeCodMermaid

    RN, ADN being obsolete

    CapeCodMermaid replied to lovewaves's topic in General Students

    The nurse practice act in your state determines your legal scope of practice. An RN is an RN since we all pass the same
  11. CapeCodMermaid

    RN, ADN being obsolete

    CapeCodMermaid replied to lovewaves's topic in General Students

    And a diploma grad knows more about nursing and taking care of patients from the moment they walk in the
  12. CapeCodMermaid

    RN, ADN being obsolete

    CapeCodMermaid replied to lovewaves's topic in General Students

    I think there is one left in Massachusetts- Brockton Hospital School of Nursing...I
  13. CapeCodMermaid

    RN, ADN being obsolete

    CapeCodMermaid replied to lovewaves's topic in General Students

    In Massachusetts you have to be an RN to be a DON or ADON of a SNF. And as far as not being able to transfer to acute care after working in a SNF...I say BS. We do IV push lasix, IV Inotropics, TPN,...
  14. CapeCodMermaid

    RN, ADN being obsolete

    CapeCodMermaid replied to lovewaves's topic in General Students

    I've been an RN since 1982. I went to a hospital based diploma program because I already had a bachelor's degree in something else. I have NEVER had a problem getting a job and I've been in management...
  15. CapeCodMermaid

    Picc line accidentally pulled out 5 cm.

    CapeCodMermaid replied to ncrete1220's topic in Infusion, Intravenous

    Chest x-ray to determine placement. We measure all our PICCS on admission so we have a record of what it looked like and we measure once a week with dressing changes. Anything different than the...
  16. CapeCodMermaid

    Taking daily pulse with digoxin - Need help with IDR

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

    In Massachusetts we have to hand deliver our IDR things to the DPH at a grand meeting. Good
  17. CapeCodMermaid

    patient identifiers

    CapeCodMermaid replied to newtelenurse's topic in Geriatric, LTC

    We still need to use two patient identifiers. We have a picture of every resident in the MAR and a name on the door. Our residents don't like wearing name bracelets...when I have to pass meds which,...
  18. CapeCodMermaid

    Taking daily pulse with digoxin - Need help with IDR

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

    I'm not sure I can site a credible source but.... Taking a pulse for digoxin went the way of the boom box. If there is no parameter ordered, we don't take a pulse. I've spoken to many cardiologists...
  19. CapeCodMermaid

    Med error...need to vent!/suppoet

    CapeCodMermaid replied to clh8987's topic in General Nursing

    Really? Not to notify the family is wrong. And...we've all made
  20. CapeCodMermaid

    Writing Bad Orders

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    lol....return to acute care...no one listens and it's getting worse. Our liaisons send referrals for people who need IV push meds (4 of them) every 15 minutes...including IV push Morphine. They have...
  21. CapeCodMermaid

    Is this legal?

    CapeCodMermaid replied to BeenThere2012's topic in General Nursing

    Right? It's
  22. CapeCodMermaid

    Time to prepare

    CapeCodMermaid posted a topic in Geriatric, LTC

    We are often told an hour beforehand that we are getting an admission who has X,Y, or Z that we haven't had before. I'm expected to drop everything, research X Y Z, and educate the staff before the...
  23. CapeCodMermaid

    Time to prepare

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    We can't schedule admissions from the hospital. They come when they
  24. CapeCodMermaid

    Is this legal?

    CapeCodMermaid replied to BeenThere2012's topic in General Nursing

    We discussed this at our QAPI meeting recently. The practitioners say it's a controlled substance so it must be dispensed by licensed people. The company says no licensed person will touch anyone's...
  25. CapeCodMermaid

    Getting orders noc shift

    CapeCodMermaid replied to Nursing_excellence's topic in Geriatric, LTC

    I worked in a building where we got tagged during survey for not notifying the MD for abnormal labs. The plan of correction was to have the nurse call in EVERY abnormal lab even if it was off by a...