CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Prayer being disrupted by obsessing about work

    CapeCodMermaid replied to nervousnurse's topic in Spirituality, Religion

    I, like you, tend to bring my work stress home. I have a hard time turning my mind from work to something else. Whatworks for me is singing....Amazing Grace, How Great Thou Art, and, if I'm really...
  2. CapeCodMermaid

    Need a pick me up! Or just tell me its going to be okay!!

    CapeCodMermaid replied to becerril.k's topic in Geriatric, LTC

    I try to tell my nurses not to fret if the meds are late. NO ONE ever died because they got their colace at 1030 instead of 830. As an industry we are all to worried about the med pass. People at home...
  3. CapeCodMermaid

    Medication Errors....

    CapeCodMermaid replied to momandstudent's topic in Geriatric, LTC

    It wasn't a question of LPN vs. RN. Part of the reason this forum exists is for us to be able to vent. I don't belittle or disparage any of the nurses who work for me. I am NOT an administrator...just...
  4. CapeCodMermaid

    Medications 6x a day question

    CapeCodMermaid replied to nursejames11's topic in Patient Medications

    I agree with Pepper.I've seen all sorts of unusual Sinemet orders. I don't think waking someone up to give them Sinemet is a good
  5. CapeCodMermaid

    Re-admission orders not done for TWO DAYS!!! (seriously??)

    CapeCodMermaid replied to nervousnurse's topic in Geriatric, LTC

    This DNS would freak out! We would not allow this in my building. Nervousnurse, not all nursing homes are
  6. CapeCodMermaid

    drug tests and ambien

    CapeCodMermaid replied to molly7454's topic in General Nursing

    Good luck with the job. I'm more concerned for you that you take Ambien every night. It's supposed to be for short term use with the smallest possible dose...no, I'm not giving medical advice...just...
  7. CapeCodMermaid

    Medication Errors....

    CapeCodMermaid replied to momandstudent's topic in Geriatric, LTC

    All our equipment works perfectly well. The staff know I care about them and their working conditions and I care about the residents which is why it's so distressing to me that the mistake was made....
  8. CapeCodMermaid

    I need some personal motivation

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

    I know the facility is better because I'm there....no conceit...just confidence. I'm sure your facility is better because YOU'RE there. I second the other posters who suggest making time for yourself....
  9. CapeCodMermaid

    Medication Errors....

    CapeCodMermaid replied to momandstudent's topic in Geriatric, LTC

    You're right...it was a horrible day. All the nurses on one unit hung the incorrect tube feed for 3 months because they didn't bother to read the label and compare it to the MD order. There is no...
  10. CapeCodMermaid

    Medication Errors....

    CapeCodMermaid replied to momandstudent's topic in Geriatric, LTC

    Let's face it, some nurses are too lazy (flame away) to pass meds the way they were taught....oh wait....maybe in the 10 months they spent in LPN school they weren't taught
  11. CapeCodMermaid

    question about how to respond to rude family members

    CapeCodMermaid replied to truckinusa's topic in Medical Assistant, CNA/MA

    We all run into rude family members. If they are consistently rude or inappropriate, we call them in for a family meeting and explain that we don't allow our staff to be belittled or yelled at. Most...
  12. CapeCodMermaid

    Medication Errors....

    CapeCodMermaid replied to momandstudent's topic in Geriatric, LTC

    There are dvd's about safe medication practices....joint commission has good information.....or call your pharmacy consultant for some
  13. CapeCodMermaid

    What do you think of 12 hour shifts?

    CapeCodMermaid replied to Joe V's topic in Nursing Humor

    We no longer offer 12 hour shifts. If there's a call out, it much easier to fill an 8 than a
  14. CapeCodMermaid

    what needs to be done for a new admission

    CapeCodMermaid replied to SleeepyRN's topic in Geriatric, LTC

    OK so put yourself in the new admission's place. Most likely they were at home 4 or 5 days ago minding their own business when either they got sick or had some sort of trauma. They get whisked off to...
  15. CapeCodMermaid

    Death Notification

    CapeCodMermaid replied to guest042302019's topic in Geriatric, LTC

    I disagree.....die is die. Passed away is feeble....might as well say "Grandpa Joe shuffled off his mortal coil." I remember the days when the MD was the one who had to call the family. Many a nurse...
  16. CapeCodMermaid

    HELP! LTC RN VS LPN!

    CapeCodMermaid replied to ricksy's topic in Geriatric, LTC

    Everyone is responsible for his/her own practice. I agree that you should have looked at the
  17. CapeCodMermaid

    Need opinions on my plan..am I making the right choice?

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

    Really????ADN nurses will end up in LPN type roles like in SNFs? I hire almost ALL RNs for my SNF. A nurse with good skills is invaluable degree or no degree. I hire new grads and the ones who...
  18. CapeCodMermaid

    Has anyone else quit nursing for these reasons?

    CapeCodMermaid replied to CynthiaG's topic in Retired Nurses

    Maybe it's not nursing. Maybe it's you. Not everyone is cut out to be a nurse. It is a stressful career. We are expected to be perfect at all times. If we're not, someone could die. There are...
  19. CapeCodMermaid

    MRSA Precautions-Isolation or standard?

    CapeCodMermaid replied to Not new new's topic in General Nursing

    In my LTC facility, our precautions are based on the CDC recommendations mixed with common sense. MRSA in the nares is contact precautions-private room not necessary. VRE in rectum is treated the same...
  20. CapeCodMermaid

    DOH survey

    CapeCodMermaid replied to ktwlpn's topic in Geriatric, LTC

    In Massachusetts, the DPH can look at anything they want. The IRs are not part of the medical record so family members and attorneys cannot look at
  21. CapeCodMermaid

    High Cost Medications

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    Do you all have a cap on spending for medications? We screen everyone coming in and usually say no to anyone on high cost Lovenox or high cost Zyvox....a 14 day course is about $4000. What SNF can...
  22. CapeCodMermaid

    How will green homes ever replace nursing homes?

    CapeCodMermaid replied to downsouthlaff's topic in Geriatric, LTC

    The idea of Green Homes or Small Homes or whatever you call them is not new. I worked in a large facility that tried to be a small home. It's all about resident centered care. Don't want to wake up at...
  23. CapeCodMermaid

    federal NH survey vs state survey

    CapeCodMermaid replied to brownie0495's topic in Geriatric, LTC

    We have the feds at the same time as the state surveyors....yikes! The surveys are ALWAYS worse and the state people give our far more tags with higher scope and severity when the feds are there. The...
  24. CapeCodMermaid

    Ativan use for Geriatrics

    CapeCodMermaid replied to jamd11's topic in Geriatric, LTC

    Ativan is a far better choice than Seroquel for agitation than Seroquel or another anti-psychotic. It is sedating but has a short half life and doesn't have as many side effects as the...
  25. CapeCodMermaid

    How to make up for this

    CapeCodMermaid replied to SadCNA's topic in Geriatric, LTC

    If I were you, I'd call and speak to the DNS. Explain that you just plain forgot you were on the schedule because you are working too many jobs. It might not get you your job back, but you will have...