CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    New to LTC, does signing off MD orders mean something different here?

    CapeCodMermaid replied to auntiedebe's topic in Geriatric, LTC

    I always hesitate to take off another nurse's telephone order. I take off the orders I've received. Signing the paper means ALL the steps of that order have been done, and from what I'm reading here,...
  2. CapeCodMermaid

    No Oxygen or Suction in dining room...normal?

    CapeCodMermaid replied to nervousnurse's topic in Geriatric, LTC

    I didn't see any posts here saying anything about YOUR competency. And of course discussing whether or not to do CPR is going to ruffle feathers. Contract or not...nurses' union or not, if I were the...
  3. CapeCodMermaid

    No Oxygen or Suction in dining room...normal?

    CapeCodMermaid replied to nervousnurse's topic in Geriatric, LTC

    A union contract will NOT prevent someone from suing you. Family members can say they were coerced into signing that contract. Anyone can do CPR...you don't have to be a licensed healthcare...
  4. CapeCodMermaid

    unit manager....

    CapeCodMermaid replied to zaviah3's topic in Nurse Management

    I'm not understanding your post. Are you venting or do you want help with falls'
  5. CapeCodMermaid

    Should I question their training?

    CapeCodMermaid replied to TED_RN-to-be's topic in Geriatric, LTC

    TED RN to Be...RNs have gar more medical training that EMTs....don't go down that
  6. CapeCodMermaid

    ltc desk/treatment nurse newbie

    CapeCodMermaid replied to malicexmirage's topic in Geriatric, LTC

    Brandon-it's not about efficiency. It's about resident centered care and what's best for the residents. We are nurses...we need to do more than be task oriented. I hate the med nurse/charge nurse...
  7. CapeCodMermaid

    No Oxygen or Suction in dining room...normal?

    CapeCodMermaid replied to nervousnurse's topic in Geriatric, LTC

    Despite my objections, we have a suction machine in the dining rooms. The Heimlich maneuver is the standard of care for someone who is choking....suctioning is NOT. You can't suction liquids out of...
  8. CapeCodMermaid

    Feeling like being strung along. help

    CapeCodMermaid replied to scarlet14's topic in Job Search, Interview, Resume

    I do much of the interviewing and hiring for my facility. Sometimes I make an appointment to meet with someone, but then the you know what hits the fan. We have a crisis and unfortunately, the...
  9. CapeCodMermaid

    Geriatric UTI and Hallucinations/Psychosis

    CapeCodMermaid replied to njmomstudent's topic in Geriatric, LTC

    We are, per TOS, not supposed to give medical advice. So I won't, but I've had many residents on long term Bactrim to prevent recurrent UTIs. Drinking enough fluids and toileting regularly helps....
  10. CapeCodMermaid

    Please help! Questions I haven't read here yet....so curious!!!

    CapeCodMermaid replied to nervousnurse's topic in Geriatric, LTC

    All nurses need to participate in the admission
  11. CapeCodMermaid

    Kardex

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

    We designed our
  12. CapeCodMermaid

    Kardex

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

    We DO use a kardex system...written in pencil and updated as needed. It has ADL status, diet, and anything else the CNAs really need to know. The nurses use it when they give report so everyone knows...
  13. CapeCodMermaid

    Tell the CNA to clock out and go home

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    If you have management deal with the problem CNAs, it diminishes YOUR authority. Why should they listen to you if you need management to step in? It has nothing to do with one less pay check. It has...
  14. CapeCodMermaid

    State Survey all this week.

    CapeCodMermaid replied to KRODD's topic in Geriatric, LTC

    We have residents who take 28 meds. I think the OP meant GTube meds in a separate
  15. CapeCodMermaid

    Someone please help me, new to LTC!!!

    CapeCodMermaid replied to JLL41183RN's topic in Geriatric, LTC

    Maybe since I'm a DNS, I come from a different perspective. Change is essential for growth both professionally and to maintain the business end of things. I've found if you tell the staff WHY you want...
  16. CapeCodMermaid

    Delayed Sternal Closure?

    CapeCodMermaid replied to TX911's topic in CCU, Coronary, Cardiac

    TOF wasn't always considered a "simple plumbing issue." I was born with it in 1954 and every day Ithank Drs Blalock and Tussig ( and God ) for the life saving procedure they
  17. CapeCodMermaid

    LACK OF STAFF

    CapeCodMermaid replied to pretty70's topic in Geriatric, LTC

    If staffing is that bad, it's not a 5 star
  18. CapeCodMermaid

    Am I Only one who is irritated by doctors and medical shows?

    CapeCodMermaid replied to Destiny'skid's topic in Patient, Colleague Relations

    It's television. It's meant to be entertaining, not a class on what goes on in real life. I watch every medical show there is....sure I holler at the TV when they give the wrong dose, but it's still...
  19. CapeCodMermaid

    Anyone think I'm crazy?

    CapeCodMermaid replied to Hoosier_RN's topic in Geriatric, LTC

    Nuts for staying or nuts because you are applying for ADON and DON
  20. CapeCodMermaid

    Anyone working during Nemo?

    CapeCodMermaid replied to PediLove2147's topic in Massachusetts Nursing

    Really...you took a picture of YOUR license so your husband could pick you up?? I had 4 nurses stopped on their way into work. Three were allowed to continue...one was told to go
  21. CapeCodMermaid

    Clinical Nursing Student Needs Advice 5 patients

    CapeCodMermaid replied to Lynn52's topic in General Students

    Bezoars,You're right...I wasn't handed 8 patients on my first day as a new grad.....I was handed 10. We all made it
  22. CapeCodMermaid

    Common Meds seen in LTC facilities

    CapeCodMermaid replied to RNFinally12's topic in Massachusetts Nursing

    There are hundreds of meds used in LTC. All sorts of antibiotcs, anticoagulants,anxiolytics, sedatives, antidepressants, antipsychotics. Get yourself a good app for your phone or make sure your...
  23. CapeCodMermaid

    New Grad Traumatized After First Interview

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

    First of all, 'traumatized' is a strong word to use for an interview that didn't go well.Secondly to the poster who said the DON didn't even look at her resume' before the interview.....I get at least...
  24. CapeCodMermaid

    Worried...

    CapeCodMermaid replied to ednita05rn's topic in Geriatric, LTC

    Do it the right way every time and you won't have to worry when the state comes
  25. CapeCodMermaid

    Staffing

    CapeCodMermaid replied to Jessmed0324's topic in Geriatric, LTC

    The "state" can not dictate the number of nurses a facility has. The regulations say you must have "sufficient staff" to meet the needs of the residents. That being said, 2 nurses and 7 aides for 87...