CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    bowel sounds vs no bowel sounds

    CapeCodMermaid replied to fairyluv's topic in Geriatric, LTC

    A fecal impaction is a sentinel event and in Massachusetts must be reported to the DPH. Despite code status, something should be done for this poor woman. She is probably in pain. Does she have a...
  2. CapeCodMermaid

    Systems to manage as an ADNS/DON

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

    Send me an IM.....let's
  3. CapeCodMermaid

    frustrating

    CapeCodMermaid replied to fairyluv's topic in Geriatric, LTC

    Yikes. Why couldn't the nurse manager go in and sit with the resident? I'm the DNS and if the nurses are busy, I always step in and help and I have nurse managers on every unit. Perhaps the nurse...
  4. CapeCodMermaid

    Bringing kids to work?

    CapeCodMermaid replied to mind_body_soul RN's topic in Geriatric, LTC

    I am appalled that anyone would allow children to be on a nursing unit no matter their age...especially infants. We do not allow it. It's that simple. In the 25+ years I've been in the business, on...
  5. CapeCodMermaid

    The hardest thing

    CapeCodMermaid replied to tayloramaRN2be's topic in Geriatric, LTC

    It is a hard thing to say goodbye, to let go. I tell myself over and over not to get involved with residents and their families. But, there is always that special resident for whatever reason, you...
  6. CapeCodMermaid

    New Grad and Patient's Who Hit Close to Home

    CapeCodMermaid replied to canadianjess's topic in General Nursing

    We all have had patients who remind us of family members or friends. You learn to distance yourself from them while still caring. You have to develop some sort of coping mechanism or you will burn...
  7. CapeCodMermaid

    Do you like working weekends? Holidays?

    CapeCodMermaid replied to LTCNS's topic in General Nursing

    When you were thinking of becoming a nurse, didn't you know nurses work holidays and weekends? Did you all think it was self-serve for the patients on those days? Not many people like working on...
  8. CapeCodMermaid

    High Cost Medications

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

    The doctors here are far from inept. The ones ordering the zyvox are ID
  9. CapeCodMermaid

    High Cost Medications

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

    I do not have to take every person referred to me. If I cannot provide the care they require or their actions could put my other residents at risk, I do NOT have to accept them. I don't know where you...
  10. CapeCodMermaid

    High Cost Medications

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

    Perhaps it's geographic, but of the last 20 referrals we got, 14 of them were on Zyvox. Or Zyvox AND IV Cefapime AND IV Diflucan. These people are very ill, and can't participate much with therapy. Or...
  11. CapeCodMermaid

    DOH survey

    CapeCodMermaid replied to ktwlpn's topic in Geriatric, LTC

    As the DNS for my building I spend more time on the units than in my office. You might get annoyed if she's there, but from her (and MY point of view), why do we need to tell you 27 times to do...
  12. CapeCodMermaid

    Good opportunity or career suicide for new grad?

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

    A new grad should NOT be a supervisor any place. End of
  13. CapeCodMermaid

    High Cost Medications

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

    We DON'T make a lot of money on every medicare patient. In fact if someone is one meds that cost $3600 in the first two weeks, we'll be lucky to break
  14. CapeCodMermaid

    DOH survey

    CapeCodMermaid replied to ktwlpn's topic in Geriatric, LTC

    They have to find something to bug you about. I has one survey where they asked for ALL the incident reports on one resident. There were 9.... We could only find 8 of them. Apparently I have an honest...
  15. CapeCodMermaid

    Sexual activity between dementia residents, (news article)

    CapeCodMermaid replied to *LadyJane*'s topic in Geriatric, LTC

    People crave physical contact even when they're old and have dementia. We have many residents who hold hands. On occasion, a kiss between two residents with dementia. Since Massachusetts is full of...
  16. CapeCodMermaid

    Backgrouncheck question

    CapeCodMermaid replied to keke1982's topic in Medical Assistant, CNA/MA

    In Massachusetts we have to check the CNA registry on EVERYONE who applies to work in a nursing facility. We have to check in every state you ever worked in. Some take longer than others to check....
  17. CapeCodMermaid

    How to write a good nurses note?

    CapeCodMermaid replied to Elaine Mickens's topic in Geriatric, LTC

    Did you check their skin front and back head to toe? If not, I wouldn't chart they had no
  18. CapeCodMermaid

    DON works 40/wk.

    CapeCodMermaid replied to adamsmom2's topic in LTC: Directors, Assistant

    Nascar...the East Coast ocean is called the Atlantic. Maybe I'll see you floating
  19. CapeCodMermaid

    Finally got a job

    CapeCodMermaid replied to cincin1222's topic in Geriatric, LTC

    Read through some of the posts here. There are hundreds of years of LTC experience on this site. You'll be able to use all your skills in the facility. Good
  20. CapeCodMermaid

    New job: "Don't worry about following the MAR" & other scary stuff

    CapeCodMermaid replied to kak85's topic in Patient Safety Issues

    It is the policy in my facility to wear gloves while checking blood sugars or administering an injection. Gloves while administering eye meds is also a must and gloves for gtube meds and feeds. We're...
  21. CapeCodMermaid

    Posey bed for a hip fracture

    CapeCodMermaid replied to green34's topic in Patient Safety Issues

    It looks like a crib or a cage. We would NEVER be allowed to use one of these in a SNF in Massachusetts.
  22. CapeCodMermaid

    DON works 40/wk.

    CapeCodMermaid replied to adamsmom2's topic in LTC: Directors, Assistant

    I am the DNS. I get to work before 8 and often don't leave till after 5 or 6. I am on call 24/7 and, believe me, I get calls at all times. I put in more hours than anyone else in my building...
  23. CapeCodMermaid

    Will you quit this SNF? (it's hard to work at SNF infrequently as a Per-Diem)

    CapeCodMermaid replied to 50kn's topic in Geriatric, LTC

    Isn't it ironic that you have more chances to learn skills and use yours in a SNF than in the hospital when most people think nurses in SNFs don't need any
  24. CapeCodMermaid

    National Provider Identifier (NPI)

    CapeCodMermaid replied to pretty70's topic in Geriatric, LTC

    I've been an RN for 30+ years. Never has anyone ever told me to get an
  25. CapeCodMermaid

    R.E.S.P.E.C.T.

    CapeCodMermaid posted a topic in Geriatric, LTC

    Where's Aretha Franklin when you need her? I had a CNA in my office today...not her first time being counseled. She wouldn't stop talking to listen to me, she raised her voice and kept getting louder...