CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Is this legal?

    I'm in Massachusetts where weed is now legal. My company just came out with a policy....residents with prescriptions for medical marijuana are allowed to keep edibles locked up in their room. NO...
  2. CapeCodMermaid

    Understaffing

    24 is too many on a subacute floor. We have 20/1 and that's hard...IVs, trachs, 'special important people', fluid resuscitation, IV push....it's impossible to give good care under these conditions....
  3. CapeCodMermaid

    Writing Bad Orders

    Thanks for all the feedback. Unfortunately, the doctor is afraid of the NP and PA and they don't really believe in team work. We're just going to keep calling and clarifying every dose. Maybe then...
  4. CapeCodMermaid

    Writing Bad Orders

    We tried that...and were told "This is how she was being managed in the hospital."...Right...we're NOT a hospital. There is no sub in sub acute any more. We're taking med surg level patients with...
  5. CapeCodMermaid

    Gave medications too early is this an error?

    Of course it's an error...a 6 hour
  6. CapeCodMermaid

    Nurses not caring

    What is wrong with people these days? I work with nurses who make a multitude of med errors..they simply don't care. IF they have any reaction at all it's "How is this going to effect ME??" give 7...
  7. CapeCodMermaid

    LTC nurses: Can I hear from you, please?

    Not For Profit/Profit... everyone has the same
  8. CapeCodMermaid

    Getting orders noc shift

    It's your license if the patient takes a turn for the worse....too bad if the docs don't like getting calls. CALL anyway. I do, however, agree with the gingerale and cracker
  9. CapeCodMermaid

    Reportables

    Lol.. none of it is easy You're right... I forgot about elopement We don't report loss of power unless the generators
  10. CapeCodMermaid

    LTC staffing

    We have on call for licensed staff. There are 8 of us on the on call rotation. If someone calls out we are expected to go in and take the cart even though we might have already worked our 40+ hours...
  11. CapeCodMermaid

    Reportables

    Any allegation of abuse- 2 hours to send the preliminary report. Any fall with fracture or major injury. 5 days A strike or walkout An allegation of misappropriation A med error with harm A crime...
  12. CapeCodMermaid

    Since when is it okay to be late ?

    I work in a very large SNF. At least 4 of the nurses are chronically late. If anyone says anything to them, they cop an attitude. "I picked up this shift extra". I appreciate that you picked up the...
  13. CapeCodMermaid

    Since when is it okay to be late ?

    I am speaking about the nurses in MY building. I'm not doing a scholarly treatise. And, I am no longer a DNS....15 years of being on call 24/7 and being responsible for everything was more than enough...
  14. CapeCodMermaid

    Since when is it okay to be late ?

    When 99% of the younger nurses show up late, it is not a 'sweeping
  15. CapeCodMermaid

    RN Supervisor/receptionist

    Keep track of any overtime you incur because you are pulled away from nursing duties to answer the phone. If it has to do with $$, you might be successful. IV's...practice is the only way to get...
  16. I'm an older nurse....63....no thoughts of retiring. I can still run circles around the young nurses who complain they're tired after working two days in a
  17. CapeCodMermaid

    On Call

    Do all y'all do on call? I've been on call today and have gotten ridiculous calls. Three people called to say they wanted to work tomorrow....I don't carry the schedule with me. Someone just called me...
  18. CapeCodMermaid

    Will it get better??

    "Some dressing don't need to be changed QD. It actually causes skin break down and slows healing." If you don't change the dressings when ordered, yes, even bandaids, you aren't following protocol....
  19. CapeCodMermaid

    LTC nurses...

    "The nurses could do a lot more to help." Really? I can do your job. You CAN'T do mine. I help as much as I can but I have things to do that have to be
  20. CapeCodMermaid

    Live's and licenses at risk

    I've never heard of safe harbor. I have heard of nurses standing up for their rights and the rights of their patients. You didn't accept the count or the keys, so I don't believe there is any issue of...
  21. CapeCodMermaid

    Live's and licenses at risk

    I'm pretty sure putting the keys on your cart does not constitute your accepting the
  22. CapeCodMermaid

    LTC nurses: Can I hear from you, please?

    Don't expect to be welcomed with open arms if you're shadowing someone. It's hard enough to get all your work done without interruptions and
  23. CapeCodMermaid

    Will it get better??

    I'm not sure what state you work in but 'licensed staff on at all times' seems like a feeble excuse for telling you to stay on the floor your entire shift. I work in a large building. If we call CODE...
  24. CapeCodMermaid

    New ALF ADOW

    I'm guessing TYSM means thank you so much but I'm old so who knows. I have friends who have gone from the SNF world to assisted living. They say the same things we in the SNF world are saying: when...
  25. CapeCodMermaid

    Needle stick

    A few things: sorry you had to go through this. On the bright side...it's not that easy to get Hep C through a needle stick. If you do get it, there's a drug called Harvoni which will cure you. Baby...