CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    When patients discharge... transportation

    CapeCodMermaid replied to BonnieSc's topic in General Nursing

    I was in the hospital as a patient two weeks ago. The nurse handed me my discharge papers and told me I was free to go. That was it. I had to find my way back to the ER where I had parked my car 3...
  2. CapeCodMermaid

    What are the nurse's rights regarding difficult family members?

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

    If a visitor threatened one of my nurses, I would expect that nurse to calmly walk away and call me so I could deal with it. If a visitor pushed, hit, pinched or put hands on one of my staff, I would...
  3. CapeCodMermaid

    LTC Staffing ratios?

    CapeCodMermaid replied to sjbrk's topic in Geriatric, LTC

    In Massachusetts we have to post our staff numbers daily and we have no mandated patient to nurse or patient to CNA ratios. My building runs on days for a 46 bed unit, 3 nurses, a nurse manager and 6...
  4. CapeCodMermaid

    Night shift in LTC/Skilled Nursing

    CapeCodMermaid replied to kRN0512's topic in Geriatric, LTC

    That is a pretty standard nurse to patient ratio on an 11-7 shift unless you have a true subacute unit. Mostly the night nurses are responsible to keep the residents safe if they wake up and lots of...
  5. CapeCodMermaid

    Why is it okay for Doctors to yell at Nurses?

    CapeCodMermaid replied to GlowBear500's topic in Patient, Colleague Relations

    When I was a new nurse, one of the doctors screamed so loudly at me, the supervisor came out of her office. I had asked him to make someone, at the family's request, a DNR. They were afraid to speak...
  6. CapeCodMermaid

    humidifiers

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    Does anyone know if there is a regulation about having a humidifier in a resident's room in long term care? I seem to remember something a few years ago about them being outlawed, but my administrator...
  7. CapeCodMermaid

    Charge Nurse Ignores Me

    CapeCodMermaid replied to qt2168's topic in Patient, Colleague Relations

    I had a nurse once claim I was ignoring her. I was sitting at the computer behind the nurses' station inputting my 6th admission for the day. She never said excuse me...she never made a noise. She...
  8. CapeCodMermaid

    Vent thread... when to send a pt out

    CapeCodMermaid replied to pppp87's topic in Geriatric, LTC

    What can the hospital provide for sepsis that we can not? IV antibiotics? We can do those. Supplemental O2? Yes...that we can do. Clearly every situation is different. We had a nurse want to send a...
  9. CapeCodMermaid

    careplans for the resident whose family doesn't attend and hardly visit

    CapeCodMermaid replied to cwgrlup85's topic in Geriatric, LTC

    We do the same thing. Invitations are sent and kept in the chart. If the family doesn't attend, the notes reflect that. I encourage all residents to attend since it is THEIR meeting, but most of them...
  10. CapeCodMermaid

    Is it OK to give baking soda and water to LTC patient without a doctor order?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Baking soda is loaded with sodium and is NOT a good choice for indigestion or heart burn. I would never give
  11. CapeCodMermaid

    Do Nurses Earn Big Money? You Decide.

    CapeCodMermaid replied to TheCommuter's topic in General Nursing

    I walked past a resident's room one morning and heard her crying. I went in to ask her what was wrong. There she sat with the newspaper in hands, reading the sports page with an article about the...
  12. CapeCodMermaid

    Overtime

    CapeCodMermaid replied to Mickme's topic in General Nursing

    I have to strongly disagree with the statement: a med-surg nurse should have no problem going to rehab or long term care.You must have not worked in either lately. Most people can not jump from having...
  13. CapeCodMermaid

    Do I Have To Be A Part of Social Networking To Be Hired?

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

    I'm on Facebook. Nothing goes on my page that I wouldn't want my kids to see. I'm careful about adding friends.I am on Linked-In which I used to really enjoy for the discussions, but lately it seems...
  14. CapeCodMermaid

    Do CNA's in a union ever get fired?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Yes. I've worked in union buildings and have fired CNAs and
  15. CapeCodMermaid

    CNA's keep removing the patients alarms off of the beds

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    I ran a facility that used to put alarms on ALL new admissions for 72 hours and they wondered why the residents were cranky. No assessment was done...just put an alarm on them because that's what they...
  16. CapeCodMermaid

    Getting new orders

    CapeCodMermaid replied to krg8089's topic in LTC: Directors, Assistant

    Narcotic ordering, documenting, and dispensing are all regulated by the Feds. They have been enforcing some laws now they use to not bother with....like narcotic
  17. CapeCodMermaid

    New Rn Unit Manager (long term care)

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

    First get a copy of the last survey and plan of correction. Make sure that what y'all said would happen, actually happened. See if there are audit tools you need to use or come up with some of your...
  18. CapeCodMermaid

    The most outrageous excuses from patients.

    CapeCodMermaid replied to Brian's topic in Nurses Rock

    "My girl friend MADE me do it" said the 6' 3" man with part of an aquarium hose sticking out of
  19. CapeCodMermaid

    Average nurse practitioner retirement age

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

    The best nurse practitioner I ever worked with was close to
  20. CapeCodMermaid

    Immediate bedding

    CapeCodMermaid replied to emtb2rn's topic in Emergency

    I recently had the not so pleasant need to go to the ER. Heart rate 140 with chest pain. Trouble was the first "triage" people were not nurses. It was more like taking a number at the deli counter and...
  21. CapeCodMermaid

    Siblings sharing a room

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    Does anyone allow different sex siblings to share a room? I know culture change lets people decide who their roommate will be, but I think the change was to let gay people share a room. I have a...
  22. CapeCodMermaid

    Alert and oriented man in LTC abusive to staff

    CapeCodMermaid replied to frankie2286's topic in Geriatric, LTC

    They aren't legal in skilled
  23. CapeCodMermaid

    CNA's keep removing the patients alarms off of the beds

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    We got rid of ALL alarms. They have not been shown to prevent falls and give everyone a false sense of
  24. CapeCodMermaid

    Siblings sharing a room

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

    Up until a year or so ago, it was against regulations for people of different sexes to share a room. The rule was only recently changed and the new wording is very
  25. CapeCodMermaid

    Alert and oriented man in LTC abusive to staff

    CapeCodMermaid replied to frankie2286's topic in Geriatric, LTC

    A veil bed??? Im sure those arent't legal