CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    LTC nurses: Can I hear from you, please?

    CapeCodMermaid replied to 37changes's topic in Geriatric, LTC

    lol...not on the Cape any
  2. CapeCodMermaid

    How many residents is too many for one nurse?

    CapeCodMermaid replied to arabstarRN's topic in Geriatric, LTC

    YIKES!! I thought 20 patients on a subacute floor was brutal. IMHO there is NO way to safely medicate that many
  3. CapeCodMermaid

    Gloves? Is this acceptable?

    CapeCodMermaid replied to medsurgRNCali's topic in General Nursing

    Gloves should only be worn when there is the possibility of exposure to any body fluid. Why wear gloves when passing meds? It doesn't make any sense
  4. CapeCodMermaid

    DON on cart

    CapeCodMermaid replied to arainh20's topic in LTC: Directors, Assistant

    LNHA=licensed nursing home administrator. We call agency. They very rarely have anyone who can help or come at a moment's notice. I know people get sick but I also know that the work ethic of many of...
  5. CapeCodMermaid

    I&O

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    When do all y'all put someone on I&O? It's been my practice to limit I&O to someone NEWLY given a foley catheter or on a fluid restriction. Otherwise it's better to do a dehydration risk...
  6. CapeCodMermaid

    DON on cart

    CapeCodMermaid replied to arainh20's topic in LTC: Directors, Assistant

    I was a DON for 12 years. I never had to work the cart because I always convinced someone else to do it! I helped with every admission often staying till 8 or 9 pm to get them done. I went in on...
  7. CapeCodMermaid

    LTC nurses: Can I hear from you, please?

    CapeCodMermaid replied to 37changes's topic in Geriatric, LTC

    WOW...I did not say or imply that you are a glorified unskilled paper pusher. I said a rest home is a far cry from a skilled unit. I've been in the business for more than 30 years and I have worked...
  8. CapeCodMermaid

    LTC nurses: Can I hear from you, please?

    CapeCodMermaid replied to 37changes's topic in Geriatric, LTC

    Tenebrae- I'm happy that you like your job but a rest home is a far cry from a skilled
  9. CapeCodMermaid

    LTC nurses: Can I hear from you, please?

    CapeCodMermaid replied to 37changes's topic in Geriatric, LTC

    My facility....we have close to 200 beds. We do all sorts of IVs, TPN, large bore chest tubes, trachs, IV push meds....you name it, we do it. Not much different than a med surg floor except you have...
  10. CapeCodMermaid

    New grad RN, can't land a job after nursing school

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

    I work in a nursing home...we do TPN, trachs, large bore chest tubes, and IV push medication. Come work on a rehab unit for a while and then apply to the hospitals. If you can manage a rehab floor in...
  11. CapeCodMermaid

    Staff Development Coordinators-what's included?

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    It's a large bore Oasis Dry Seal 3600. Not so hard once you look at it piece by
  12. CapeCodMermaid

    Staff Development Coordinators-what's included?

    CapeCodMermaid posted a topic in Geriatric, LTC

    So I'm the staff ed for a large skilled facility. I do ALL the orientations for every department, all the education, the infection control, the workman's comp and I'm on call. Is this usual? I feel...
  13. CapeCodMermaid

    It's Almost Like a Ghost Town. Most Nursing Homes Overstated Staffing for Years

    CapeCodMermaid replied to Not_A_Hat_Person's topic in Nursing News

    We lose an average of $37/day on a Medicaid resident. Today our Medicaid census was 115 out of 171. 115x37=4255. Multiply that times 31 days=131,905 we're losing a month. It's a scary
  14. CapeCodMermaid

    Open Toe Shoes

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    I'm having issues with certain members of the staff who think the rules don't apply to them. We have a rule--NO open toed shoes on the nursing units. Period. End of story. The two women from...
  15. CapeCodMermaid

    First SNF Job and seeing awful DM care

    CapeCodMermaid replied to CharityLLVN's topic in Geriatric, LTC

    Secret medication doses? I thought I'd heard it all. If you read the American Medical Directors latest paper....sliding scale insulin is not a good way to manage diabetic patients in a long term care...
  16. CapeCodMermaid

    DSD Certificate On Line Course

    CapeCodMermaid replied to lukesbaby's topic in Geriatric, LTC

    Not a reg in Massachusetts but I'll be checking that course out nonetheless. Thanks for the
  17. CapeCodMermaid

    Skills/Competencies

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

    I use an excel spread sheet. All the inservices I give are on it and when someone completes it, I mark the date on the form. My predecessor kept huge binders with everything in them....too low tech...
  18. CapeCodMermaid

    Infection Preventionist

    CapeCodMermaid posted a topic in Geriatric, LTC

    Is anyone here certified as an Infection Preventionist? Y'all know the newish regs say every facility has to have one by 2019 I'm hoping my facility will pay for the course. NADONA has one but I'm...
  19. CapeCodMermaid

    Infection Preventionist

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Thanks for the info....they practically want to know what I had for breakfast 3 weeks ago, but it looks
  20. CapeCodMermaid

    I was offered a job

    CapeCodMermaid replied to 1homehealth's topic in LTC: Directors, Assistant

    I've been in the business since..well...a long long time. For some reason, people have no class when it comes to hiring. You might be left hanging for weeks while they do whatever it is they do. The...
  21. CapeCodMermaid

    Confused on Charting in LTC

    CapeCodMermaid replied to lyric65's topic in Geriatric, LTC

    Since skilled charting pertains to residents on MEDICARE and MEDICARE is a FEDERAL benefit, the guidelines shouldn't differ from state to
  22. CapeCodMermaid

    DSD Certificate On Line Course

    CapeCodMermaid replied to lukesbaby's topic in Geriatric, LTC

    Back in the day, DSD stood for Dry Sterile
  23. CapeCodMermaid

    Giving OTC medications to your aides/coworkers?

    CapeCodMermaid replied to knotizer12's topic in LPN, LVN Corner

    Better to be 'up tight' than to lose your
  24. CapeCodMermaid

    Skills/Competencies

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

    My building is very large and the company is pushing all sorts of clinical programs. I have mandatories to do to satisfy the DPH and the company. It's very difficult to get anyone to come to an...
  25. CapeCodMermaid

    Overwhelmed!

    CapeCodMermaid replied to HospiceOC's topic in Hospice, Palliative

    I think it's the same no matter where you practice. When I was a younger nurse ( in my 40s) I would do almost every extra shift I was asked to do. Now if I get a call, I don't automatically say yes. I...