CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Thank you!

    CapeCodMermaid posted a topic in Geriatric, LTC

    I don't know if any of them read all nurses, but.....Thanks for all your hard work since I got there 6 months ago. Last survey.....17 tags with 2 G's. The survey we just finished...3 tags with nothing...
  2. CapeCodMermaid

    A Call to Action from the Nation's Nurses in the Wake of Newtown

    CapeCodMermaid replied to NRSKarenRN's topic in Activism, Healthcare

    I learned how to shoot a gun when I was 6 years old and my uncle thought it would be a nice activity. We shot tin cans and bottles off a fence in the middle of the woods. I was bored with it after a...
  3. CapeCodMermaid

    Thank you!

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Nascar---QIS hasn't hit Massachusetts yet. I think my next survey will be QIS, but in this state, who knows! Congrats on your good
  4. CapeCodMermaid

    What lies were you told when you were first hired in LTC?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    I always tell people I am hiring them to work for the facility...not a specific floor. I do my best to keep them on one unit because it's better for the residents, but sometimes you have to float. As...
  5. CapeCodMermaid

    AM PM Med Pass

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

    I'm heading toward the "give once a day in the AM" myself now that DPH survey has come and gone. I know it can be
  6. CapeCodMermaid

    Anyone knows any Nursing homes that will hire new grad LPNS

    CapeCodMermaid replied to shosho21's topic in Job Search, Interview, Resume

    I don't think med aides do what LPNs do. You pass meds. They pass meds, do treatments, call doctors, take new orders, deal with families. Unless the scope of practice for a CMA has greatly changed, I...
  7. CapeCodMermaid

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

    CapeCodMermaid replied to carriebarton59's topic in Geriatric, LTC

    And I'd call Jim Sokolof to defend me against....hmmmm.he'd come up with something to save me from a name tag on my
  8. CapeCodMermaid

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

    CapeCodMermaid replied to carriebarton59's topic in Geriatric, LTC

    If I were alert and oriented, you'd have a hard time finding a doctor to agree to send me out. My wishes are already carefully spelled out in my care plan which my HCP has in the event I can no longer...
  9. CapeCodMermaid

    AM PM Med Pass

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

    I've never heard this HAS to go through CQI. As long as the med is given per manufacturer recommendation, you're okay. My people hated waking up early to take their Synthroid on an empty stomach...so...
  10. CapeCodMermaid

    I'm back!!

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

    DNS= Director of Nursing Services =
  11. CapeCodMermaid

    Doesn't It Want To Make You Scream, part 3

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    PICC line dressing change. Standard procedure to measure the length of the catheter that has migrated out of the insertion site. Our policy also says measure the arm circumference. Since it's the year...
  12. CapeCodMermaid

    I'm back!!

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

    I've been a DNS for way longer than that and some days I still don't think I have everything under
  13. CapeCodMermaid

    Addressing staff complaints against peers

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

    If it's an issue of abuse, they can NOT handle it amongst themselves. Union or not, they are all mandated reporters and YOU need to investigate the
  14. CapeCodMermaid

    never been screamed at like this before :(

    CapeCodMermaid replied to mmc51264's topic in First Year After Licensure

    I'm sorry you're being treated badly by a resident. You need to make it clear to them that you are not there to be treated badly. I've never let an alert oriented resident speak to me in a...
  15. CapeCodMermaid

    Staff on Resident Sexual Abuse?

    CapeCodMermaid replied to carbaminohemoglobin's topic in Geriatric, LTC

    I really find it hard to believe this sort of thing happens and nothing is
  16. CapeCodMermaid

    Doesn't It Want To Make You Scream, part 3

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

    Standard acceptable practice is to measure in centimeters. AND to check the previous measurement regardless of the unit of measure
  17. CapeCodMermaid

    Do you call the doctor at night for low B/P's on night shift?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Why are you taking blood pressures at night?? People, especially sick people, need sleep.That said, I wouldn't call the doctor to tell him the bp was low if the patient were
  18. CapeCodMermaid

    Chicago Trib - Nursing home sued after maggots found in pts ear.

    CapeCodMermaid replied to adnrnstudent's topic in Geriatric, LTC

    Maggots only eat bad tissue. It sounds gross but probably no harm was done. I've seen maggots in an infected lesion on an ear which was being properly treated. We called the doctor whose opinion was...
  19. CapeCodMermaid

    Should I feel guilty?

    CapeCodMermaid posted a topic in Geriatric, LTC

    I work in a large facility. We have many residents with dementia. Most of them continue to say they want to go home. We change the subject and try to distract them until they think of something...
  20. CapeCodMermaid

    Ambien order did I make a mistake

    CapeCodMermaid replied to nakinok's topic in Patient Medications

    If all you have on hand is 10s, you can't give a
  21. CapeCodMermaid

    Is this a complete MD order

    CapeCodMermaid replied to Lundazi's topic in Geriatric, LTC

    And here I always thought God has a doctor
  22. CapeCodMermaid

    Culture Change in a Secured Dementia Unit

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

    I've worked in places with a wake to dine...breakfast was served buffet style fro 730 till 1030. If people wanted to sleep all day and be up all night, they did. We ordered food for them and heated it...
  23. CapeCodMermaid

    Is this a complete MD order

    CapeCodMermaid replied to Lundazi's topic in Geriatric, LTC

    You were in the
  24. CapeCodMermaid

    Should I feel guilty?

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I usually don't ever feel guilty if I make someone happy even if it's just for a minute. She asked me again today...I told her tomorrow and was rewarded with a glowing
  25. CapeCodMermaid

    Propofol shortage

    CapeCodMermaid replied to suckulator's topic in Operating Room

    I get a weekly list from the pharmacy on drugs that aren't available. The list gets longer every