CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Tattoos/Piercings in the workplace?

    I am the DNS of a skilled facility. Most of the residents there love my tattoo. They are curious about why I got it...did it hurt...am I going to get another. One of the women wants me to take her to...
  2. CapeCodMermaid

    Resident dies and nurse is to blame

    This is off topic, but 11 days in a pay period? Don't you know the word "No", or "I'm busy that day." You're not an indentured
  3. CapeCodMermaid

    Mass Eye & Ear Infirmary

    Driving into Boston is a horror show for me. I needed surgery and MEEI is THE place to go for the kind of surgery I had. Just wanted to say THANK YOU to all the staff there....from the receptionist to...
  4. CapeCodMermaid

    What's the funniest most unusual baby name?

    I had a professor whose last name was Mello. He named his daughter
  5. CapeCodMermaid

    Aggressive residents?

    MedChica----excellent advice. Your facility is lucky to have
  6. CapeCodMermaid

    I feel so bad, is this considered abuse?

    What in the world does the word "slang" mean? I slang her into bed?!?! If the care plan called for a two assist and you did this by yourself, I'd have you in my office for counseling on following the...
  7. CapeCodMermaid

    High Cost Medications

    Yeah ... We do that. Still hard to justify taking someone who is going to cost us
  8. CapeCodMermaid

    High Cost Medications

    If the patient is under a skilled Medicare benefit, WE pay for everything. Medicaid covers if not on skill or some insurances cover, but since most of our admits have
  9. CapeCodMermaid

    Skilled/assisted living/types of pts??

    This has been a problem for years. There aren't enough regulations in assisted living facilities so they can accept just about anyone they want. I ran a CCRC with all levels of residents. There were...
  10. CapeCodMermaid

    Resident dies and nurse is to blame

    I've never heard of a 'refusal of care' form either. We simply document in the chart/EMAR that the resident refused meds. We always explain and document the risks to the patient of refusing the meds...
  11. CapeCodMermaid

    Chf and fluid boluses

    VERY true. PS love the
  12. CapeCodMermaid

    Going alarm-free

    We are an alarm free facility. There has been no increase in the numbers of falls since we got rid of the alarms. We have some residents who respond well to a Call Don't Fall sign in sight. With some...
  13. CapeCodMermaid

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

    They would not be offered the option of being a full code???? Let me know where you work so I NEVER go there. People are entitled to make their own decisions even if they are what you think are the...
  14. CapeCodMermaid

    ADON feeling alone

    We've all felt alone. I was an ADON at one place for less than a week when the DON went out on leave. You just do the best you can. I'm not quite sure what you mean about 'the cold' starting. Is it...
  15. CapeCodMermaid

    Where are all the RNs?

    My ads are basic: RNs with LTC experience needed. IV experience a must. I posted an ad for an RN supervisor and got a rwsume from someone who wasn't a nurse! Apparently he thought he could supervise...
  16. CapeCodMermaid

    Interviewing in a mental health facility

    Dress appropriately. You'd be surprised how many people don't know what's appropriate for an interview. Bring a few copies of your resume with you. If you did the application on line, it'll be much...
  17. It's NOT legal nor should it be
  18. I have 2 full time and 4 part time positions I can't fill. Not to generalize but since I'm one of the old nurses you want to retire.....the new grads I interview are ill prepared to actually work....
  19. CapeCodMermaid

    Looking to become a RN

    CapeCod Community College has an Associate's Degree program, but it's very competitive. I think Bristol Community College has an Associate's Program. UMASS Dartmouth is in commuting distance and they...
  20. CapeCodMermaid

    What's the funniest most unusual baby name?

    The mom's name was Leaf. The dad's name was Twig. They named the baby Sprout. I met this family years ago when I was in nursing school. They were vegetarians and wouldn't feed the baby anything but...
  21. CapeCodMermaid

    Rehab needs to get a clue

    This might be something of a vent, but I am very tired of rehab people thinking they are the be all and end all of skilled care. I have rehab staff interrupt the med nurses for a variety of reasons...
  22. CapeCodMermaid

    Rehab needs to get a clue

    Brandon, You must know by now there is no such thing as common sense in the regulatory world of LTC. We haven't allowed smoking or lighters or matches inside in at least 15 years, but we'd still get...
  23. CapeCodMermaid

    Rehab needs to get a clue

    Sounds like you want to take the WayBack Machine to the 1950's when the nurses put the meds into little cups with little cards and carried them on a little
  24. CapeCodMermaid

    How/who to ask for a performance review/raise

    I have my nurse managers do the reviews for all the staff on their units. They have at least some understanding of how you're doing. Since many places are giving any raises due to the economy, your 2%...
  25. CapeCodMermaid

    Rehab needs to get a clue

    Another day, another incident with rehab. There was no one available to do an eval. Four family members very angry that they'd been promised rehab.i told them if rehab coukdn't do an eval, the nursing...