CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    I Hate LT: How I Want to Fix It

    CapeCodMermaid replied to libran1984's topic in Geriatric, LTC

    Nnancy-Docs don't make money ordering meds. Most of them do it for three reasons: they honestly believe the med will improve the quality of someone's life, the families pressure them into doing it,...
  2. CapeCodMermaid

    I Hate LT: How I Want to Fix It

    CapeCodMermaid replied to libran1984's topic in Geriatric, LTC

    Baubo, If Medicare and Medicaid don't change, there will be no more money to hire more staff. It is a
  3. CapeCodMermaid

    I Hate LT: How I Want to Fix It

    CapeCodMermaid replied to libran1984's topic in Geriatric, LTC

    I have worked in long term care for most of my career. Like most people I thought the hospital was the only place real nurses worked. I didn't like the way elders were treated at the hospital so off I...
  4. CapeCodMermaid

    Tell the CNA to clock out and go home

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    I've been the DNS in two union buildings. You certainly can fire people. It isn't done on a whim and all the documentation must be in place. Of course they can go to the union and you'll have to go to...
  5. CapeCodMermaid

    Dr Oz's show on antidepressants...your thoughts?

    CapeCodMermaid replied to Marshall1's topic in Health, Stress Management

    The only doctor ( other than my own PCP ) whom I take advice from is Dr.
  6. CapeCodMermaid

    No rapid response for a DNR?

    CapeCodMermaid replied to AlphaPig's topic in General Nursing

    This is precisely the reason some states, mine included, are using the MOLST form....Medical Orders for Life Sustaining Treatment. The form goes everywhere the patient does and specifies ALL the...
  7. CapeCodMermaid

    MARS: electronic or paper?

    CapeCodMermaid replied to hope3456's topic in Geriatric, LTC

    We have EMARS and ETARS. In 8 weeks we're going 100% electronic. I'll let you know how it's
  8. CapeCodMermaid

    Terrible Medication Error

    CapeCodMermaid replied to rekea526's topic in Patient Medications

    You all stand around at the start of the shift and discuss everyone who's made a mistake? That sounds just plain horrible and doesn't serve any purpose. Learn from your mistake, be thankful no one was...
  9. CapeCodMermaid

    Questions re: hospice/skilled nursing at facility vs. home?

    CapeCodMermaid replied to nervousnurse's topic in Geriatric, LTC

    Hospice does not provide 24 hour care at home. Many people are simply too ill or their families not capable of providing the care they need. So they have hospice in the SNF which is an adjunct to the...
  10. CapeCodMermaid

    One month on the job and still not getting it.

    CapeCodMermaid replied to sunmaidliz's topic in Geriatric, LTC

    It's been ONE MONTH. How can you think you'll get it after one month. Take a breath and do one thing at a time. You will get
  11. CapeCodMermaid

    Tips for new nurse manager at SNF?

    CapeCodMermaid replied to brendacg's topic in Geriatric, LTC

    Start with the basics. Make sure all your systems are in place. Help the but remember you have a job to do and if you're too busy doing their work, you won't get your own
  12. CapeCodMermaid

    What is the main revenue source for LTAC's?

    CapeCodMermaid replied to SuzieVN's topic in Long Term Acute Care

    Medicare is a FEDERAL program. Medicaid is a STATE
  13. CapeCodMermaid

    Continuing Education for Long-term Care Nurses

    CapeCodMermaid replied to rmlengel's topic in Geriatric, LTC

    Western Schools offers many courses on gerontologic nursing. The courses are available in the mail or on line. Most of the state colleges have at least one on line course on gerontology. Keep looking....
  14. CapeCodMermaid

    Nursing home nurses week ideas!!!

    CapeCodMermaid replied to NHAneedshelp's topic in Geriatric, LTC

    I'll be doing facials, manicures, and pedicures for the nurses. Baskets of homemade treats for each shift are on the agenda,
  15. CapeCodMermaid

    New RN, 6 days orientation, night shift. Seeking advice!!

    CapeCodMermaid replied to Bunny99's topic in Geriatric, LTC

    You shouldn't have to give meds to 40 people on the night shift. People should sleep at night...not take
  16. CapeCodMermaid

    nurse was unfairly dismissed

    CapeCodMermaid replied to seraphimp's topic in Geriatric, LTC

    There must be more to the story than
  17. CapeCodMermaid

    So why even bother with getting an RN?

    CapeCodMermaid replied to netglow's topic in General Nursing

    $12/hour for an RN? My CNAs make more than
  18. CapeCodMermaid

    Medical Marijuana

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

    Marinol doesn't have the same effect as inhaled marijuana....of course I wouldn't know from first hand experience never having
  19. CapeCodMermaid

    A ? about patient safety in transporting via POV (wordy)

    CapeCodMermaid replied to Psychtrish39's topic in Geriatric, LTC

    You did the right thing. It is a huge liability for any staff member to transport any resident (or ill staff member) in their car. What would you have done if they had crumped on the way back to the...
  20. CapeCodMermaid

    Confused on lpn scope of practice

    CapeCodMermaid replied to fairyluv's topic in Geriatric, LTC

    Digoxin does NOT have to be held simply because the heart rate is less than 60. That is old thinking. Not all BP meds need a parameter....people at home don't take their blood pressure 2 times a day...
  21. CapeCodMermaid

    do you tell your co workers ???

    CapeCodMermaid replied to fairyluv's topic in Geriatric, LTC

    I've told a few people if they want to spout off (vent) about work at least go to AN where everyone is anonymous. Don't go to Facebook and bad mouth your employer because even though we are NOT...
  22. CapeCodMermaid

    Tell the CNA to clock out and go home

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    I've worked in long term care for longer than some of you have been alive and NEVER saw any employee set up. I worked my way up and have been the Director for the past 10 years. The management team...
  23. CapeCodMermaid

    Tell the CNA to clock out and go home

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Management, I'm sure, has better things to do than "set you
  24. CapeCodMermaid

    How does your facility confirm you are giving all your meds?

    CapeCodMermaid replied to fairyluv's topic in Geriatric, LTC

    I think you all must work in really horrible places. For anyone to stoop to putting a post it on a person's
  25. CapeCodMermaid

    missing narc

    CapeCodMermaid replied to fairyluv's topic in Geriatric, LTC

    Don't hold your breath waiting for the DEA to come investigate ONE missing pill. We had 8 oxycodone go missing. I called the DEA and they never