CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Reportables

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    When all y'all report something to the DPH what criteria do you use? If there were a bunch of thefts ranging from $4 to $150, do you report them all or do you have a cut off
  2. CapeCodMermaid

    Using an RN's license

    CapeCodMermaid replied to bchvball7's topic in LTC: Directors, Assistant

    LPN's can NOT supervise RN's in Massachusetts. We are all responsible for our own practice. The LPN wouldn't be responsible for the RN's work nor would the RN be responsible for the LPN's
  3. CapeCodMermaid

    Blackout curtains

    CapeCodMermaid replied to puroticorico's topic in General Nursing

    And I thought tin foil was just for making hats to keep the aliens from reading my
  4. CapeCodMermaid

    New grad/New job

    CapeCodMermaid replied to jnurse21's topic in Geriatric, LTC

    One week is too short an orientation for a new grad. You need at least a month just to feel comfortable being a licensed person. Take your time. Do things the right way. It does get easier. I've been...
  5. CapeCodMermaid

    Certified Nurses Day excluding people

    CapeCodMermaid replied to RN34TX's topic in Patient, Colleague Relations

    I never heard of Certified Nurses' Day. Since I hold two certifications I think I'll have a party for myself since my employer didn't do
  6. CapeCodMermaid

    Three Nurses at the Pearly Gates

    CapeCodMermaid replied to tnbutterfly - Mary's topic in Nursing Humor

    I've heard that same joke about a cardiologist, an obstetrician, and the head of an HMO...still
  7. CapeCodMermaid

    Nurses who always show up late to work

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    People in my facility are written up for being late. They get one or two chances and then it's a write up AND lots of peer pressure to get to work on
  8. CapeCodMermaid

    Question about CHF

    CapeCodMermaid replied to Ginger80's topic in Geriatric, LTC

    140 residents???? By yourself??? This can't be a skilled
  9. CapeCodMermaid

    Que. adult neglect

    CapeCodMermaid replied to wecan11's topic in Geriatric, LTC

    Many people exagerate when they speak about their facilities. That said, if it truely is that bad, she should call the department of public health and anonymously report what she
  10. CapeCodMermaid

    discolorations

    CapeCodMermaid replied to epg712003's topic in Geriatric, LTC

    What do you mean by discoloratIon? What was
  11. CapeCodMermaid

    Gero NP dreams vs. experience

    CapeCodMermaid replied to Vespertinas's topic in Geriatric, LTC

    Honestly I might not respect your opinion if you had no real life work experience. I've had NPs in my building order vital signs every hour for some minor thing, not even thinking that the nurse has...
  12. CapeCodMermaid

    Its really NOT a fate worse then death

    CapeCodMermaid replied to KRSLPN's topic in Geriatric, LTC

    Remember what they used to say about Ginger Rogers: she had to do everything Fred Astaire did except she had to do it backwards and on high heels. LTC nurses have to do what acute care nurses do...
  13. CapeCodMermaid

    What shift does the 7am med pass?

    CapeCodMermaid replied to keepitsimple0025's topic in Geriatric, LTC

    You can't give a 7 am med at 3:30. You can give it anytime between 6 and 8 and technically be on time. Tnis is one of the most archaic rules most of us still have. Meds shouldn't be written for 7. And...
  14. CapeCodMermaid

    New RN - what would you do?

    CapeCodMermaid replied to knitnurse72's topic in First Year After Licensure

    We do NOT call in any kind of scripts...ever. Do you realize the DEA is trying to prevent NPs and PAs from writing scripts for any drug containing hydrocodone??? The kind of practice you're describing...
  15. CapeCodMermaid

    Two VERY low ball job offers in the last month...(management and leadership!)

    CapeCodMermaid replied to SweettartRN's topic in Nurse Management

    Do you have experience as a DON or ADON? If not why would you expect to make as much as an experienced DON? And please don't tell people they shouldn't accept a jo. For $17 or $18 an hour. That may...
  16. CapeCodMermaid

    SBAR Interact 3

    CapeCodMermaid replied to LTCRN4LIFE's topic in LTC: Directors, Assistant

    We use all the Interact tools, especially the SBAR. We rolled them out one tool at a time. We're involved with the BCBS incentive so we try everything we can to keep our residents in the building. I...
  17. CapeCodMermaid

    How Does Your LTC Facility Identify DNR Patients?

    CapeCodMermaid replied to agingnurse's topic in Geriatric, LTC

    Red dots on the charts. But we have electronic MARs so the code status is available with a few clicks. I had to do CPR on someone during a state survey. The surveyor didn't like that I ran to the...
  18. CapeCodMermaid

    Feeling so discouraged

    CapeCodMermaid replied to tugirl12's topic in First Year After Licensure

    I've been a nurse for 30 years and still have days when I wonder if it's worth it. But...when you work in a profession in which EVERY time you go to work you can have a positive impact on someone's...
  19. CapeCodMermaid

    Destroying medications

    CapeCodMermaid replied to nurseywifeymommy1's topic in Geriatric, LTC

    I dissolve the meds in hot water then mix in thickit or kitty litter and throw everything away in the trash. After years of living on the Cape where there was a sole source aquifer, we got very...
  20. CapeCodMermaid

    Short nursing staff

    CapeCodMermaid replied to nurseywifeymommy1's topic in Geriatric, LTC

    If all y'all would tell me where I can find competent nurses, I'd love to hire a few more. The ones who've applied lately are not anyone I'd want taking care of my
  21. CapeCodMermaid

    Isn't it best for the RN's to take care of the "medically unstable patients"?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    We have a subacute unit full of medically unstable
  22. CapeCodMermaid

    Resume question... How should I write this?

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

    I've been a nurse for 30 years and never put my license number on my
  23. CapeCodMermaid

    Salary Help!!!!

    CapeCodMermaid replied to Tiffany Alexander's topic in Home Health

    I just read an article on DONs in assisted living....average is now between 65 and 70K for experienced. Home health pays about the
  24. CapeCodMermaid

    I got my first job!!! But I am worried...

    CapeCodMermaid replied to Bunny99's topic in Home Health

    I am very surprised that a home health agency would hire a new grad. The phone might be there, but when you're in someone's house, you're basically on your own. Did they say how much training they...
  25. CapeCodMermaid

    Isn't it best for the RN's to take care of the "medically unstable patients"?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    I try to staff with all RNs on the subacute unit. I haven't been able to find enough qualified RNs despite advertising and an individualized orientation program. I agree with you.....the RNs should be...