CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    LPN MDS coordinator course

    CapeCodMermaid replied to KimPN's topic in MDS Coordinator Information

    In Massachusetts the MDS needs to be signed as complete by an RN since it is considered an assessment and LPNs cannot assess, they can only gather information, so many SNFs have LPNs do the actual MDS...
  2. CapeCodMermaid

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

    CapeCodMermaid replied to mtessmer2000's topic in LTC: Directors, Assistant

    You are being taken advantage of. It seems apparent by your post more staff need to be
  3. CapeCodMermaid

    I feel like they should change the title of this site to "reasons why my job sucks"

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

    1.If you don't like what's posted here, don't read it.2. I am responsible for my own practice not for telling you how wonderful the profession is.3. In real life I am responsible for a facility with...
  4. CapeCodMermaid

    The New Grads I Know...

    CapeCodMermaid replied to RxOnly's topic in Massachusetts Nursing

    Thanks for the kind words. Yes, I'm management. My facility is on the South Coast. Send me a PM if you want some
  5. CapeCodMermaid

    Help! Do I have to do this?

    CapeCodMermaid replied to onthejourney's topic in General Nursing

    I reported to my first day of my first job at a hospital...3-11. I was greeted by the supervisor telling me I was in charge. Hello...first job.....first day???? She told me I was the one with the RN...
  6. CapeCodMermaid

    The New Grads I Know...

    CapeCodMermaid replied to RxOnly's topic in Massachusetts Nursing

    Why is it I read on here about "lots" of nurses unable to find a job. I have several openings and not a good resume' in the bunch. Any
  7. CapeCodMermaid

    What clinical servcies does your LTC facility provide

    CapeCodMermaid replied to jiggetts45's topic in LTC: Directors, Assistant

    Most of the facilities around here DO have sub acute units. Trouble with this....the staff to patient ratio is still 15 or 20:1, and most facilities mix long and short term together to keep the beds...
  8. CapeCodMermaid

    Medication & treatments on midnight shift

    CapeCodMermaid replied to Micki72's topic in Geriatric, LTC

    Unless it's ABSOLUTELY necessary, we do NOT do meds or treatments on 11-7. People need to sleep. We have a few people with 630 blood sugars or Fosamax, but other than
  9. CapeCodMermaid

    Surveyors on site--help with GTube Medications?!?

    CapeCodMermaid replied to santeeaholic's topic in Geriatric, LTC

    I've done some research on this. The main reason for separating the meds is to know beyond a certainty which one was administered and which wasn't. At my last facility we had orders to crush all the...
  10. CapeCodMermaid

    NURSE work schedule

    CapeCodMermaid replied to Student Nurse_7's topic in General Nursing

    The word is AND not an. And you should have said my girlfriend and I. You might want to worry more about your ability to communicate properly instead of how much $$ you can
  11. CapeCodMermaid

    Influenza

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

    No flu in my facility to date. We did have a horrible GI bug so maybe the flu germs have healthier places to
  12. CapeCodMermaid

    Employees and facebook negativity

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

    I could have written the same thing. I counseled someone today for what they posted on Facebook. We have the same problem. I'm all for freedom of speech, but if you have a problem at work talk to your...
  13. CapeCodMermaid

    "Tough to swallow" - video on the state of food in LTC facilities

    CapeCodMermaid replied to RN2B123's topic in Geriatric, LTC

    Again the tendency to paint all LTCs with the same broad brush. I eat the food at my facility. I add salt of course since most is prepared without, but I'd put my chef's lasagna up against that at any...
  14. CapeCodMermaid

    Antidepressants

    CapeCodMermaid replied to jeyre1847's topic in Hospice, Palliative

    SSRIs might be helpful with depression caused by a chemical imbalance, but I don't think a pill is going to make anyone less sad about being close to death.That said, if she thinks M & M s will...
  15. CapeCodMermaid

    Antidepressants

    CapeCodMermaid replied to jeyre1847's topic in Hospice, Palliative

    If the medication is not providing comfort I'd call the doctor and have it
  16. CapeCodMermaid

    Labor Dispute

    CapeCodMermaid replied to Blindsided's topic in Massachusetts Nursing

    Years ago I worked for one of the largest companies with hundreds of facilities. One of the facilities was planning a strike. At the time, my building was non-union so we were asked if we wanted to go...
  17. CapeCodMermaid

    Does this seem a bit too convenient to anyone else?

    CapeCodMermaid replied to AngelfireRN's topic in Nurse Practitioners, NP

    Since when can you call in a narcotic prescription? All the pharmacies around here (Massachusetts) require a hard copy of the script. Seems rather
  18. CapeCodMermaid

    NADONA conference

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

    NADONA does its own credentialing. I'm not sure if anyone else gives an exam for
  19. CapeCodMermaid

    NADONA conference

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    Has anyone here ever attended a NADONA conference? This year it's in Vegas in June. I've never gone and am curious if it's worth the time and
  20. CapeCodMermaid

    New Graduate RN Float pool

    CapeCodMermaid replied to Chapo84's topic in Massachusetts Nursing

    I think it woukd be very difficukt to be a new grad and float. I hesitate to hire new grads for per diem positions for the same reason. As a new grad you need to have a routine to feel comfortable....
  21. CapeCodMermaid

    NADONA conference

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

    I thought the cert exam was easy. I only did it because I thought it would look good on my resume'. I try to learn something new every day. My focus these days is infection
  22. CapeCodMermaid

    First time, signed "name, RN"

    CapeCodMermaid replied to JBMmom's topic in Geriatric, LTC

    I've been an RN for 30 years and can still remember the day I was first able to sign a medical record with RN after my name. Yeah for you!! Good luck with your
  23. CapeCodMermaid

    Tattoos in healthcare

    CapeCodMermaid replied to savoytruffle's topic in Nursing Professionalism

    I AM upper management. I have a tat on my ankle that is visible when I wear a dress or skirt. It has never had anything to do with getting or not getting a job.Some of the toughest residents in my...
  24. CapeCodMermaid

    NADONA conference

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

    I am certified as a DON in LTC....maybe I'm just looking for a good excuse to go to
  25. CapeCodMermaid

    We really care about our nurses at our wonderful LTC

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    What does the norovirus have to do with Christ's love? Did I miss