CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Have you ever worked at a nursing home that ended up closing?

    CapeCodMermaid replied to NurseCard's topic in Geriatric, LTC

    I have a friend who worked at a skilled facility that closed. Without giving too much info, the patients they had there were very complex and not really suitable for any kind of facility. They did the...
  2. CapeCodMermaid

    Too slow, not using "common sense", am i being unsafe or am i missing something big?

    CapeCodMermaid replied to pinkiepieRN's topic in Geriatric, LTC

    I'm a tough boss but even I wouldn't fire you for that. Can you ask for a little more orientation? Is there someone you can talk to about the other nurse's crummy
  3. CapeCodMermaid

    National Provider Identifier (NPI)

    CapeCodMermaid replied to pretty70's topic in Geriatric, LTC

    No it is not. Any facility you work for has a number. You do not need
  4. CapeCodMermaid

    Will they contact State Board

    CapeCodMermaid replied to chinadoll1's topic in Patient Medications

    I have to disagree with the poster who said you have to report a nurse you fired for cause. In Massachusetts, that simply isn't true. I've fired nurses for a variety of reasons but never reported them...
  5. CapeCodMermaid

    Facility Cut Staff Pay by 3%, More to Come?

    CapeCodMermaid replied to bluegeegoo2's topic in Geriatric, LTC

    Brandon, You're a socialist...or
  6. CapeCodMermaid

    Charge Nurse

    CapeCodMermaid replied to Katie13LPN's topic in Geriatric, LTC

    This sounds like a homework question. This is pretty basic stuff. If you don't have the experience to know these answers, you probably shouldn't float from facility to
  7. CapeCodMermaid

    ADON/LPN Fired after 13 years of service!! Your thoughts?

    CapeCodMermaid replied to downsouthlaff's topic in Geriatric, LTC

    Companies hire and fire people all the time. Best not to take it
  8. CapeCodMermaid

    Where are all the RNs?

    CapeCodMermaid posted a topic in Massachusetts Nursing

    I'm not posting a job on here since it's against the TOS, but could someone please tell me where all the RNs have gone? I've been advertising for a supervisor for 5 months and staff nurses for at...
  9. CapeCodMermaid

    Burned out already

    CapeCodMermaid replied to Caffeine_IV's topic in Hospice, Palliative

    Could you explain why you think your patients should be in a SNF or AL? Are they too 'healthy' for
  10. CapeCodMermaid

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

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I agree it's more about respect and how to act at work than which generation someone is from. I've been an aide. I know their job is killer. I'm thinking that despite your generation, if you would...
  11. CapeCodMermaid

    Is this normal or is it time to find a new agency?

    CapeCodMermaid replied to chibiRN's topic in Home Health

    You can honestly say you needed a job with benefits. It's a statement of fact and in no way bad mouths your former
  12. CapeCodMermaid

    New nurse and Med Cart Interruptions

    CapeCodMermaid replied to ricksy's topic in Geriatric, LTC

    Be polite but firm that you don't want to make any errors and unless it's a true emergency they should wait until you're done with the med pass. On my long term unit, the med nurse has 30 patients....
  13. CapeCodMermaid

    Surveyors and Sundowners

    CapeCodMermaid replied to fairyluv's topic in Geriatric, LTC

    I've never heard of someo e getting tagged for not answering one call light. But then again I've never seen a surveyor answer a
  14. CapeCodMermaid

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

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    MY kids were born in 85 and 87 and you can bet they were not raised to act like
  15. CapeCodMermaid

    Start up of a new facility - Did I get myself into a hot mess?

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

    How about staff
  16. CapeCodMermaid

    Why can't I get a LTC job??

    CapeCodMermaid replied to scrublifenurse10's topic in Geriatric, LTC

    No. We are a for profit. The higher the 5 star rating, in theory, the more patients we'll get. The more RNs I have allows me to take patients with higher acuity. If MY staff can push IV lasix, I can...
  17. CapeCodMermaid

    Non compliant residents

    CapeCodMermaid replied to fairyluv's topic in Geriatric, LTC

    She needs to have a care plan which spells out unfounded 'accusatory behavior' and your administrator needs to get a
  18. CapeCodMermaid

    Resident refused to take meds.

    CapeCodMermaid replied to senvang2000's topic in Geriatric, LTC

    Residents can refuse meds for any reason they want. Don't pre-pour and expect another nurse to pass the meds to him. I never would give meds someone else poured...it's bad practice. You'll run into...
  19. CapeCodMermaid

    Why can't I get a LTC job??

    CapeCodMermaid replied to scrublifenurse10's topic in Geriatric, LTC

    I have openings on all three shifts. I prefer to hire RNs since it has an impact on my 5 star
  20. CapeCodMermaid

    New Nurse Pain Med Question

    CapeCodMermaid replied to ricksy's topic in Geriatric, LTC

    I've been in long term care for more than 30 (yikes) years. In no facility has it been a standard of practice to do a set of vital signs before administering a narcotic. There is certainly no rule...
  21. CapeCodMermaid

    Full Code Hospice Pt Acute Change in Condition...What to Do?

    CapeCodMermaid replied to bluegeegoo2's topic in Geriatric, LTC

    I've been a nurse for 31 years and have NEVER heard a physician "declare a patient a medically futile DNR". I've heard them telling families that DNR is brutal and doesn't have a very good success...
  22. CapeCodMermaid

    So tired..why are they all the same.

    CapeCodMermaid replied to fairyluv's topic in Geriatric, LTC

    They're not all the same. I have reasonable staffing ratios....people get vacations....we just had a 4th of July cookout. There are good places out
  23. CapeCodMermaid

    RNs who work in Long Term Facilities

    CapeCodMermaid replied to PatriceRN1004's topic in Geriatric, LTC

    If you worked in MY facility, chances are you would LEARN new skills not lose them. We do IV's...I've had several of the RNs trained in PICC and MIDline insertion. We do wound vacs, trachs, IV push...
  24. CapeCodMermaid

    Am I required to disclose a history of depression?

    CapeCodMermaid replied to ~mommyof2~'s topic in Nurse Disabilities

    I am almost speechless. I've never seen a question about mental health on any application. It's nobody's business but
  25. CapeCodMermaid

    Older workers that are new grad nurses, please explain.

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

    I've been working since I was 13. I'm now 58. I think having a work history of any kind gives one an advantage in getting another job. These days finding a job in any field is tough. People use...