CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Do all of your LTC charts have face sheets?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    You're special. Our face sheets are in the charts within 24 hours of
  2. CapeCodMermaid

    Doctor vs Nurse

    CapeCodMermaid replied to anne919's topic in Patient Safety Issues

    It seems this thread is deteriorating into an us versus them thread.As an aside, Haldol has fewer side effects than Seroquel and works wonders in small doses for end stage agitation.Ps.at the risk of...
  3. CapeCodMermaid

    Giving alcohol to a resident

    CapeCodMermaid replied to fournee's topic in Geriatric, LTC

    Amolucia.....a diagnosis of dementia does not necessarily mean the resident must give up independent
  4. CapeCodMermaid

    How to deal with the old/experienced nurses?!

    CapeCodMermaid replied to Anna-s's topic in Patient, Colleague Relations

    As one of the old experienced nurse, I could easily start a post entitled How To Deal With The Young Clueless Nurses. Seems there is a tendency to lump groups of people together. I can remember being...
  5. CapeCodMermaid

    Doctor vs Nurse

    CapeCodMermaid replied to anne919's topic in Patient Safety Issues

    Vicedrn....I am one of those "ltc folks". At any facility I've run, we did NOT call 911 for "absolutely everything". In fact, we try absolutely everything we can to keep our patient in the...
  6. CapeCodMermaid

    Do you know your (LPNs) scope of practice?

    CapeCodMermaid replied to KRODD's topic in LPN, LVN Corner

    I hire all the RNs I can for my facility. The 5 star rating system is based in part on numbers. And, with the sicker and more clinically complex patients we are getting, I need RNs who can assess...
  7. CapeCodMermaid

    Doctor vs Nurse

    CapeCodMermaid replied to anne919's topic in Patient Safety Issues

    We can treat wheezes in long term care. A wheeze in and of itself is not a reason to send someone out 911.This discussion makes me appreciate MY medical director even more. He is polite, listens to...
  8. CapeCodMermaid

    My feet HURT!!!

    CapeCodMermaid replied to NursieNurseLPN's topic in General Nursing

    Not everything posted here is accurate. MY doctor told me to always wear cotton socks under my work shoes. Not sure whay anyone else's doctor told them or what they might have
  9. CapeCodMermaid

    My feet HURT!!!

    CapeCodMermaid replied to NursieNurseLPN's topic in General Nursing

    Cotton absorbs excess moisture. Excess moisture is bad for feet. Therefore, cotton is good for
  10. CapeCodMermaid

    Chest Pain and DNR status

    CapeCodMermaid replied to MissRN7's topic in Geriatric, LTC

    It's amazing to me that these questions still pop up here. No wonder families are unsure of what DNR means when nurses themselves haven't a
  11. CapeCodMermaid

    I am struggling with patient families lately.

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

    You were written up? No wonder people are leaving the profession in
  12. CapeCodMermaid

    Question of about indweling foley catheter procedure

    CapeCodMermaid replied to Christylky's topic in Nursing Student Assistance

    Isn't that what I
  13. CapeCodMermaid

    Question of about indweling foley catheter procedure

    CapeCodMermaid replied to Christylky's topic in Nursing Student Assistance

    I work in long term care. Our cath kits come with Betadine swabs. Cath insertion whether indwelling or for a straight cath is STERILE technique. We don't use sterile technique for many things, but...
  14. CapeCodMermaid

    My feet HURT!!!

    CapeCodMermaid replied to NursieNurseLPN's topic in General Nursing

    Just your feet hurt? Wait till you've been at this for 30 years. I come home and EVERYTHING hurts!! I'm the DNS but I spend more time on the floors than in my office. A wicked hot shower and 800mg of...
  15. CapeCodMermaid

    Staff Development position

    CapeCodMermaid replied to Micki72's topic in Geriatric, LTC

    I have worked with many SDCs who are LPNs. There is no regulation to prevent it. In fact, there is no regulation that I can find that says the SDC even has to be a
  16. CapeCodMermaid

    New NP in LTC

    CapeCodMermaid replied to momnurse6's topic in Geriatric, LTC

    If this happened at MY facility, I would hope you'd call the weekend supervisor, the oncall nurse, or me, the DNS, at home to let someone
  17. CapeCodMermaid

    Facebook dilemma

    CapeCodMermaid replied to calliesue's topic in General Nursing

    We don't always wait for the doctor to call back.If the nurse thinks it's true emergency, she/he calls 911, gets the resident out and then notifies the MD. We DO decide to ship them out. Sometimes...
  18. CapeCodMermaid

    I am not Superwoman

    CapeCodMermaid replied to WldChrry's topic in Geriatric, LTC

    When I was running a very busy subacute unit....day 2 on the job. I had 6 admissions, 5 discharges, and 5 people sent out rescue---did CPR on 3 of them before rescue came. Everyone lived. No mistakes...
  19. CapeCodMermaid

    Giving alcohol to a resident

    CapeCodMermaid replied to fournee's topic in Geriatric, LTC

    A shot of brandy has fewer side effects than most sleeping pills. Who cares if she drinks? Is she getting in a car? Is she operating heavy machinery? My care plan is already in writing and my health...
  20. CapeCodMermaid

    LTC-overnight visitors/family members who never leave-

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Unfortunately, if you do not have posted visiting hours, you are stuck with them unless they become disruptive to another
  21. CapeCodMermaid

    Facebook dilemma

    CapeCodMermaid replied to calliesue's topic in General Nursing

    Rhi007...I am in management. I was not born into the position. I held and was successful at every position in long term care. I can most likely run circles around you on a subacute floor.That said, I...
  22. CapeCodMermaid

    So, who is working tomorrow?

    CapeCodMermaid replied to beeker's topic in General Nursing

    Halloween is not a real holiday. I love it more than most, but it's not on a par with Thanksgiving or Christmas or
  23. CapeCodMermaid

    Is this Safe? Census: 45 / ID Bands: 0 / # of Nurses: 1

    CapeCodMermaid replied to carriebarton59's topic in Geriatric, LTC

    If we send someone out to the hospital, we make sure they have a name tag. Inhouse we use a picture on the
  24. CapeCodMermaid

    Misdirected aggression

    CapeCodMermaid replied to malenurseFl's topic in General Nursing

    When I was much younger when my friends and I went out for a drink, if I told someone I was a nurse, I'd get the leer and the "he, he, he". Now they just ask what kind of nursing I do and if I like...
  25. CapeCodMermaid

    what did you get for Christmas from your employer?

    CapeCodMermaid replied to AlphaPig's topic in General Nursing

    A Christmas party at a local country club. Our pharmacy used to give managers candy but this year they took the money and gave it to the Hurricane Sandy relief fund. Worked for me....too many cookies...