CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Question regarding switching to Day Shift

    I'd be up front from day one. You certainly can say you're thankful/excited for the new job opportunity and would like to be considered for a day position if one opens up. I hire people all the time...
  2. CapeCodMermaid

    Replaced by Certified Medication Aide!

    Really!?! See an ad and become a nurse like when we were new grads? I about had my tea coming out of my nose reading that drivel. Look back in the early 1900's perhaps. Zowie but people here say all...
  3. CapeCodMermaid

    Assisted living in my home?

    Liability. Malpractice...home owner's. What you want to charge seems quite high. Even in expensive Massachusetts you can find a nice assisted living for less than
  4. CapeCodMermaid

    Replaced by Certified Medication Aide!

    All the studies I have read indicate that medication aides make FEWER med errors than nurses do. They just pass pills. Tney don't assess, they don't teach, they don't plan or evaluate. They pass...
  5. CapeCodMermaid

    Career suicide?

    I have to agree with iceprincess. For one thing, those star ratings are really ridiculous. But....getting there as a 1 star and raising the star bar to 4 or 5...sure looks good. I've done it a few...
  6. CapeCodMermaid

    Dangerous patients

    TiffanyBayBay says: "It does sound like a dump. I don't want to be rude, and I don't know you or this specific case but many times we get pt's from LTC and when they get to us they are sweet as...
  7. CapeCodMermaid

    How young is too young...?

    Someone told me when my kids were younger that there were rules set forth by DSS and if you left your kids alone before a certain age, they'd be paying you a visit. I never did find out if it were...
  8. CapeCodMermaid

    Bending and Breaking the Rules in Nursing

    We are in the middle of getting rid of diet restrictions at my facility. Read the studies....restrictive diets do little to nothing for an elder except upsetting them and diminishing their appetites....
  9. CapeCodMermaid

    Evasive and shady, or Opportunistic?

    As for the day positon turning into a night position, maybe there WAS a day position that was filled before YOU had your interview and there was still a night position.I've done the interviewing and...
  10. CapeCodMermaid

    Clinical experience on resume?

    Most of the resumes I get from new grads have their clinical experience there. Honestly, I skip over that section since everyone has experience in school.I'm more interested in anything else the...
  11. CapeCodMermaid

    Fellow DON's....I need some advice please...

    Yes, it is never good to be defiant. If you can show that you've educated and re-educated the staff; if you can show you've done the necessary investigations on allegations of abuse or...
  12. CapeCodMermaid

    New Charge Nurse at LTC Facility

    You said it yourself...it's a TEAM and every member of the team is as important as the next. If you have a few minutes help your CNAs, pay attention to what they're saying....you'll be great with them...
  13. CapeCodMermaid

    Dangerous patients

    If a resident goes from placid and sweet to vicious and assaultive in under 60 seconds, there IS an underlying medical problem. We can't forcibly sedate someone to do labs or get a urine. The ER can.I...
  14. CapeCodMermaid

    When we ourselves need help

    It's no wonder so many nurses go without the medications and/or therapy they need. It's pitiful in this day and age that mental illness still carries such a
  15. CapeCodMermaid

    Dangerous patients

    I, too, would call the police and have the resident removed. I recently tried to find a psych bed for a resident who was kicking and hitting the staff. No male beds to be had. He kicked a staff member...
  16. CapeCodMermaid

    Questions about D.O.N

    You need to be an RN and people with no experience working on the floor have no business applying for a position as a DNS....Just my opinion but I've been in the business for 30 years and the best...
  17. CapeCodMermaid

    Hiccups, Hiccups and more Hiccups!!

    Thorazine.
  18. CapeCodMermaid

    safety and the upcoming babyboomers

    As long as I have control of the height of the bed, I don't care. I am more concerned that some do-gooder will think I need a NAS low cholesterol low fat diet when I'm in my
  19. CapeCodMermaid

    safety and the upcoming babyboomers

    I love the high/low beds. They don't have to be in the lowest position but are great if you need to put the patient as close to the floor as
  20. CapeCodMermaid

    Shift Round Checklist

    What kind of checklist? I have one I stole from a company I used to work for so I can't post it here, but IM me your email address and I'll be glad to send it
  21. CapeCodMermaid

    Fellow DON's....I need some advice please...

    I hear from other DNSs that this is becoming commonplace. If you resign, the company accepts immediately and walks you out. Too bad the last time I resigned I had to stay my entire 4 week notice. I...
  22. CapeCodMermaid

    RN in ltc

    Each facility has a different idea. Most are going to the idea of RNs in all positions thanks to the 5 star rating which gives more 'points' for staffing with RNs. RN's in my building are staff...
  23. CapeCodMermaid

    BSN in LTC?

    I am a DNS...been one for years. My bachelor's degree is in English. I never was denied a job because I don't have a
  24. I had a nurse today counseled for her bad attitude on the unit. She agreed she needed a safe place to vent. I suggested she come here since it is for the most part anonymous. We all need a safe place...
  25. CapeCodMermaid

    decreased LOC (level of confidence)

    Do you have a policy manual to refer to? We do neuro's on anyone who's hit their head or who had an unwitnessed fall. The nurse is supposed to assess the resident for injuries and if there are none,...