CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Tattoos are taboo at work. Yes? No?

    CapeCodMermaid replied to Joe V's topic in Nurses Rock

    I have a tattoo on my ankle. I am the director of nursing at my facility. My patients love my tat and ask me about it all the time. We do not have a written policy on
  2. CapeCodMermaid

    when to write a nurses note?

    CapeCodMermaid replied to garyg's topic in Geriatric, LTC

    We chart PRN meds on the MAR so no need to write a note about it. We chart refusals on the MAR so, again, no need to write a note about it. We have enough to do without double documentation. We...
  3. CapeCodMermaid

    Small rant

    CapeCodMermaid replied to nursehaley91's topic in Geriatric, LTC

    I am saddened by your story of the DON saying to take the demented man away. We don't act that way in my facility. We try to figure out what the person wants....what is causing their behavior. We...
  4. CapeCodMermaid

    Most commonly seen diagnoses at SNF/LTC?

    CapeCodMermaid replied to JPN_RN's topic in Geriatric, LTC

    We have lots of ortho patients...knee and hip replacements. Pneumonias, CHF, AFib, status post bypasses, complex wounds...not all of my people are stable so the nurses have to good assessment
  5. CapeCodMermaid

    What do people think the ER is?

    CapeCodMermaid replied to Sassy5d's topic in Emergency

    If I thought I could get away with it, I'd make a comment about intraosseous and a cath....but the TOS police would arrest
  6. CapeCodMermaid

    I suspect at least 4 residents have scabies, and....

    CapeCodMermaid replied to Tana13's topic in Geriatric, LTC

    eeeeeewwwwwww...I've worked in buildings where all it took was one whisper of scabies for all the residents to be treated. The admin at that building told all new staff we had to be treated too. Um,...
  7. CapeCodMermaid

    I suspect at least 4 residents have scabies, and....

    CapeCodMermaid replied to Tana13's topic in Geriatric, LTC

    What a bunch of passive aggressive people! Anonymous calls? Anonymous letters? Speak to the charge nurse, supervisor, or DNS. It most likely isn't scabies if only 4 or 5 people have it. Scabies is...
  8. CapeCodMermaid

    Is this what nursing is? 30:1 patients with quality of care seems to be impossible.

    CapeCodMermaid replied to bina78's topic in Geriatric, LTC

    Two days of orientation for a nurse with no experience is just plain stupid. My new grads get at least a month...more if they need it. 30:1 is a fairly common ratio for long term care. I have one 60...
  9. CapeCodMermaid

    D.O.N. tells me NOT to describe wound???

    CapeCodMermaid replied to nervousnurse's topic in Geriatric, LTC

    And I thought I was
  10. CapeCodMermaid

    D.O.N. tells me NOT to describe wound???

    CapeCodMermaid replied to nervousnurse's topic in Geriatric, LTC

    Always describe the wound, periwound, pain during and after treatment. As for morphine it sounds like your co-workers could use some serious education on morphine and pain management. Good for you for...
  11. CapeCodMermaid

    Curious....If D.O.N., A.D.O.N, and/or Admin. are fired w/out notice.,

    CapeCodMermaid replied to nervousnurse's topic in Geriatric, LTC

    There's no regulation about having an ADON. If the Administrator leaves or is fired, there is usually someone in the corporation who has a license to 'put on the wall'. Sometimes corporate sends an...
  12. CapeCodMermaid

    OMG! *I* cannot pronounce death but a paramedic can????

    CapeCodMermaid replied to nervousnurse's topic in Geriatric, LTC

    In Massachusetts, RNs can pronounce IF the person has a DNR and they are found pulseless. Once CPR has been started, we have to keep going until an MD tells us to stop or the EMTs show up and take...
  13. CapeCodMermaid

    Care Plan Question

    CapeCodMermaid replied to heidi_chick's topic in MDS Coordinator Information

    Nope....only the major ones....anticoagulants and antipsychotics. Our people average 28 meds ... the care plans would be the size of War and
  14. CapeCodMermaid

    Colonscopy...won't say "never again" but..probably never again

    CapeCodMermaid replied to Marshall1's topic in Gastroenterology

    I resisted having a colonoscopy because of the storied I heard. I had one...the prep was far worse than the test itself. The worst part was the IV stick. After that, I don't remember much. Of course I...
  15. CapeCodMermaid

    "Doing too much"

    CapeCodMermaid replied to futurenurseOB's topic in First Year After Licensure

    I have to disagree with you when you said you don't work. Three kids AND school? That is, indeed, work. Don't compare yourself to anyone but the YOU you want to
  16. CapeCodMermaid

    Electronic Medical Records

    CapeCodMermaid replied to KRSLPN's topic in Geriatric, LTC

    We are in the middle of rolling out an EMH system. My advice---schedule mandatory trainings for all the staff. Roll one section out at a time and keep going back to make sure they 'get it'. I thought...
  17. CapeCodMermaid

    Every Mom, Dad, Sis, Uncle Believes They Know Better Than The Nurse...

    CapeCodMermaid replied to Joe V's topic in Nursing Humor

    Well, in MY family, it's probably true...father was an MD, mother an RN, sister is an RN, brother double PhD, me RN. We hardly ever say anything to the nursing staff unless they are about to do...
  18. CapeCodMermaid

    So done...

    CapeCodMermaid replied to kickme's topic in Health, Stress Management

    I AM management. I am also a nurse. One doesn't get hired into a nursing management position unless one is a nurse. I've never heard of nurses not being encouraged to take breaks. I insist that the...
  19. CapeCodMermaid

    Kind of a vent/want opinions

    CapeCodMermaid replied to lauriepat's topic in Geriatric, LTC

    It could have been a pathological fracture. Pity people were fired before a thorough investigation was
  20. CapeCodMermaid

    Fired for the second time... by THE SAME DON.

    CapeCodMermaid replied to NurseCard's topic in Geriatric, LTC

    Without more information it's hard to say if you should appeal. Did your mistake kill someone? Probably can't appeal that. How did you get fired twice by the same
  21. CapeCodMermaid

    Carb counting and insulin in LTC

    CapeCodMermaid replied to cactusj's topic in Geriatric, LTC

    Probably none of you are old enough to remember when we gave sliding scale insulin based on a urine dip strip. Those were not fun to use or figure out. Still, I am not sure I'd trust anyone but a...
  22. CapeCodMermaid

    New Grads, What Do You Expect

    CapeCodMermaid posted a topic in Geriatric, LTC

    I was a new grad once back when dinosaurs roamed the Earth. I am about to start a week of interviews with new grads to fill my empty shifts and I'd like to ask you newbies what it is you expect when...
  23. CapeCodMermaid

    Medication Errors....

    CapeCodMermaid replied to momandstudent's topic in Geriatric, LTC

    In Massachusetts, LPN school is 10 months....used to be 18...now it's 10. I checked the MARs when I got to work today...all the mistakes were made by LPNs, but, again, that isn't really the point. The...
  24. CapeCodMermaid

    How does your facility welcome new residents and their loved ones?

    CapeCodMermaid replied to ricksy's topic in Geriatric, LTC

    We try to have someone...anyone....welcome the new person and escort them to their room. We all hate evening admissions but that is the way the hospitals are running these days. Do you have a...
  25. CapeCodMermaid

    New Grads, What Do You Expect

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I don't share personal details on an interview either as the interviewer or interviewee. I could, however, talk about my facility for at least 30 minutes without a breath. I hired someone on the spot...