CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Are most LTC's always low on supplies?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Short answer to the question: No. I've worked in many many different facilities and, except for one, we always have enough supplies. I've worked in places where there were plenty of supplies ordered,...
  2. CapeCodMermaid

    Assistant Directors

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    I am going to be hiring a new assistant DON. What are your expectations for the position? I know I have my own, but having been told on more than one occasion I expect too much, I thought I would put...
  3. CapeCodMermaid

    Water

    CapeCodMermaid replied to C-lion's topic in General Nursing

    I wouldn't suggest you argue with a surveyor when he tells you drinks at the nurses' station are not
  4. CapeCodMermaid

    Fired after the first month as a new grad! In shock!

    CapeCodMermaid replied to ArtemisRN's topic in General Nursing

    Make sure you find out about the orientation you'll get if you get the PRN trauma job. Being a new grad is difficult enough but doing trauma nursing on a PRN basis? You'll need a solid orientation to...
  5. CapeCodMermaid

    Water

    CapeCodMermaid replied to C-lion's topic in General Nursing

    No food or drink allowed at the nurses' station or on the med carts. Residents can swipe it, liquids spill on the computers, OSHA says no, DPH in Massachusetts says no. There is a kitchenette behind...
  6. CapeCodMermaid

    skilled medicare payment...

    CapeCodMermaid replied to LaRN's topic in Geriatric, LTC

    Now this is sounding like a homework
  7. CapeCodMermaid

    Let's Scam the SNF

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I AM The DNS. Our major referral source does all the referrals on line. We are not allowed to look at the person before we accept them. DesertRN, I understand all sorts of things, including MD orders....
  8. CapeCodMermaid

    Let's Scam the SNF

    CapeCodMermaid posted a topic in Geriatric, LTC

    What's up with hospitals these days? Why can't they be honest when sending a referral? We accepted a patient....today he showed up with orders for bariatric this and bariatric that, some nutritional...
  9. CapeCodMermaid

    Acute care to LTC

    CapeCodMermaid replied to neenrn's topic in Geriatric, LTC

    Most acute care nurses find it very difficult to make the transition to LTC....I thunk mainly because acute nurses for the most part have no idea of the acuity of the residents in today's facilities...
  10. CapeCodMermaid

    Documenting for another nurse?

    CapeCodMermaid replied to Barnstormin' PMHNP's topic in General Nursing

    I've been in long term care for longer than some of you have been alive. I never co-signed anyone else's documentation, nor was I ever asked to. LPNs are licensed people responsible for their own...
  11. CapeCodMermaid

    skilled medicare payment...

    CapeCodMermaid replied to LaRN's topic in Geriatric, LTC

    Hard to say...many factors...IV meds? Rehab? Ask your MDS
  12. CapeCodMermaid

    RN License plate

    CapeCodMermaid replied to esrun00's topic in General Nursing

    Even washashores in Massachusetts can get a Cape Cod license plate...it's all about the money. Maybe it's the same with the RN
  13. CapeCodMermaid

    How to Take Care of Me When I Am Old

    CapeCodMermaid replied to bluegeegoo2's topic in Geriatric, LTC

    My care plan is done and my HCP knows what I want....no shoes, no socks (Cape Cod kid), no thickened liquids, I will not get out of bed before 9, I will drink as much wine as I want when I want it....
  14. CapeCodMermaid

    Med Passes

    CapeCodMermaid replied to kcdunlap's topic in Geriatric, LTC

    If you write on the lids of bottles in Massachusetts, the DPH will cite you. Their thinking is you could switch the caps and end up with the wrong cap on the wrong bottle. And, we have to have meds in...
  15. CapeCodMermaid

    How did you feel when you got your first nursing paycheck?

    CapeCodMermaid replied to Joe V's topic in Nurses Rock

    In 1982 my first hourly wage was $8.00 an hour at the best paying nursing home on the Cape. When I started working at the hospital a few months later, I was making $10.78...I thought I had it made. I...
  16. CapeCodMermaid

    Hired!!!! Looking for some advice from the pros

    CapeCodMermaid replied to pkinta's topic in Geriatric, LTC

    Congrats on your first job. I love long term care. The ones with subacute units are as busy as a med surg floor and you'll learn plenty. Of course you'll have days you hate your job...we all do. But...
  17. CapeCodMermaid

    What is the proper way to address a resident who was a titled health professional?

    CapeCodMermaid replied to michiganstudent's topic in Geriatric, LTC

    Regardless of their former occupation, I always ask the residents what they would like to be called. Would you call a plumber Joe because he was a plumber and not an
  18. CapeCodMermaid

    Marijuana and Nursing School

    CapeCodMermaid replied to heather19's topic in General Students

    We were supposed to be setting a good example for our patients and a sunburn isn't good. Simple as
  19. CapeCodMermaid

    combative residents and family. (kinda long)

    CapeCodMermaid replied to fairyluv's topic in Geriatric, LTC

    Any assaultive resident in my facility automatically gets a free ticket to a psych facility. We get the doc to sign a section 12 and work until we find someplace to send them. I will not tolerate...
  20. CapeCodMermaid

    Quit after 2 days

    CapeCodMermaid replied to mickey56's topic in Geriatric, LTC

    The business is changing rapidly. Subacute units are full of acute residents but the staffing hasn't increased to deal with the increase acuity. I love my facility. We are well staffed, electronic...
  21. CapeCodMermaid

    How do you cheer yourself after a bad day at work?

    CapeCodMermaid replied to Brian's topic in Nurses Rock

    Wine, music, and if the weather is warm a nice brisk walk in the park...then more
  22. CapeCodMermaid

    Anyone have survey willing to share!!

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

    Do a search online. All the survey results are posted and are public information. You can look to see what other facilities in your area are getting tagged
  23. CapeCodMermaid

    Malpractice insurance for RNs?

    CapeCodMermaid replied to SummerLei's topic in Diploma, ADN, BSN

    If you are practicing within your scope pf practice and follow the P & P at your facility, you should be fine. People can (and unfortunately will) sue for anything. It doesn't mean they win. I've...
  24. CapeCodMermaid

    HELP hr/pay??

    CapeCodMermaid replied to lezleyhindman's topic in Geriatric, LTC

    So much depends on where your facility is. We start new grad RNs at $25/hr for day shift but this is the Northeast and cost of living is
  25. CapeCodMermaid

    Anyone here management in a union facility?

    CapeCodMermaid replied to RNsRWe's topic in General Nursing

    The only time I was resentful of a union employee.....3:30 on a Friday. We were getting an admission. I (the DNS) asked one of the younger nurses to help me move a bed. "No", he said. "I don't have...