CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Siblings sharing a room

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

    Because they've been seen kissing eachother in what NO ONE would consider a brotherly/sisterly
  2. CapeCodMermaid

    Getting new orders

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

    You need both a script and a telephone order for any narcotic. For a non-narcotic, you simply need an MD order. If you're still using paper MARa, you'll have to fax any new orders to the pharmacy...
  3. CapeCodMermaid

    Combative dementia patients

    CapeCodMermaid replied to Old and New's topic in Geriatric, LTC

    Just as the resident has no right to hit you, YOU have no right to hold him down to inject him. That's considered abuse and in some states it is considered to be assault. If a resident is combative,...
  4. CapeCodMermaid

    Alert and oriented man in LTC abusive to staff

    CapeCodMermaid replied to frankie2286's topic in Geriatric, LTC

    Wow,your management is asking for trouble. I would never let this go on in my facility. Inform the man's doctor, call the ombudsman, and if he doesn't stop, I'd issue him a 30 day discharge
  5. CapeCodMermaid

    Can a nurse report a doctor for negligence?

    CapeCodMermaid replied to Spring_Peeper's topic in Geriatric, LTC

    Call the doctor again and document every time you call. Call the medical director if the doc doesn't call back by the end of the same shift. Let your DNS know. If there is a delay of treatment or a...
  6. CapeCodMermaid

    Anyone here who hate the holidays?

    CapeCodMermaid replied to Brian's topic in Nurses Rock

    I love the holidays although I am bummed every year when Santa doesn't come. What I REALLY hate is a headline with a grammatical mistake. I believe it should read: "Anyone Here Who Hates the...
  7. CapeCodMermaid

    Do you have to count lyrica at your LTC facility?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Why in the world would anyone count an
  8. CapeCodMermaid

    B3 Action Plan for psychoactives

    CapeCodMermaid replied to Shell5's topic in LTC: Directors, Assistant

    We all know there is a difference between dementia and psychosis. Unfortunately, for years residents with dementia were given antipsychotics for behaviors that might have been mitigated by a more...
  9. CapeCodMermaid

    New nurse with LTC experience terminated from med surg floor

    CapeCodMermaid replied to LTCnurse11's topic in LTC: Directors, Assistant

    There is no rule that says you have to like med-surg. I've been a nurse for 30 years and never liked med-surg. I got a job in the hospital because it was expected that all nurses wanted to work in a...
  10. CapeCodMermaid

    BSN as entry into practice; why we decided against it.

    CapeCodMermaid replied to MunoRN's topic in Diploma, ADN, BSN

    The Massachusetts Nurses' Association does not support BSN as entry level....at least they didn't the last time I researched it. I went to a diploma/hospital based school and have never been denied a...
  11. CapeCodMermaid

    Please, someone tell me how to stay out of trouble and keep my job.

    CapeCodMermaid replied to NurseCard's topic in Geriatric, LTC

    Anne36, if you think it's a serious infection, CALL the doctor. Better to have him/her get a bit peeved than to have the resident suffer. And if he/she does get peeved there are remedies for that as...
  12. CapeCodMermaid

    Are LPN's allowed to draw blood from PICC lines?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Massachusetts-the answer is
  13. CapeCodMermaid

    Replacing LPNs with medication techs - Is this legal?

    CapeCodMermaid replied to aelmore's topic in Geriatric, LTC

    From what I understand, med techs only pass meds,routine meds, and no narcotics. They are NOT nurses and should not let the residents think they are. Studies have shown that med techs make fewer med...
  14. CapeCodMermaid

    Please, someone tell me how to stay out of trouble and keep my job.

    CapeCodMermaid replied to NurseCard's topic in Geriatric, LTC

    I report just about everything,but I would NOT report one resident calling another resident a *****. If a staff member had said it for sure, but one resident to another?
  15. CapeCodMermaid

    Continuing care retirement communities

    CapeCodMermaid replied to MichelleRN34's topic in Geriatric, LTC

    You have tobe able to change gears quickly. If you have a SNF, an assisted living, and independent living, you have to be able to deal with all 3 simultaneously. Customer service is extrordinarily in...
  16. CapeCodMermaid

    Continuing care retirement communities

    CapeCodMermaid replied to MichelleRN34's topic in Geriatric, LTC

    I've worked at 2 CCRCs. They were very different in the kinds of services they provided. Do you have specific
  17. CapeCodMermaid

    Assessments every shift?

    CapeCodMermaid replied to Ntheboat2's topic in General Nursing

    Oops...except for the aforementioned cavity
  18. CapeCodMermaid

    Assessments every shift?

    CapeCodMermaid replied to Ntheboat2's topic in General Nursing

    The last time I was a patient in the hospital, no one did any assessments once I left the ER for the med surg floor. The CNA took vitals once in a while but no one ever looked at my IV site or...
  19. CapeCodMermaid

    These two idiots need to have their nursing licenses revoked

    CapeCodMermaid replied to guest416560's topic in General Nursing

    Your take away from this despicable act is the amount of $$ they were
  20. CapeCodMermaid

    LTC-What is meant by "The skilled nursing area of LTC"

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    In Massachusetts, that is not true. We are called a skilled facility because we provide skilled care, but not all residents have what's considered a 'skill'. You will learn all sorts of new things...
  21. CapeCodMermaid

    brand new MDS coordinator need your help

    CapeCodMermaid replied to nicolegg's topic in MDS Coordinator Information

    Not to be mean but how did you get the job if you don't even know the basics? Tell your boss you need to take a course from a reputable
  22. CapeCodMermaid

    B3 Action Plan for psychoactives

    CapeCodMermaid replied to Shell5's topic in LTC: Directors, Assistant

    There is no such thing as an"antihypnotic". The term is hypnotic. There are anti-psychotics, anxiolytics, antidepressants but NO
  23. CapeCodMermaid

    Need advice

    CapeCodMermaid replied to gideon1986's topic in Geriatric, LTC

    Really namaste? Your wound skills might improve but the rest of your skills won't. If you work in a skilled building which has a short term floor, the only skill you won't use is ventilator
  24. CapeCodMermaid

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

    CapeCodMermaid replied to carriebarton59's topic in Geriatric, LTC

    If I have to live in a nursing home and you put a name tag on my leg, be prepared to be kicked every time you try to look at it. Dignity is
  25. CapeCodMermaid

    Head, meet desk

    CapeCodMermaid replied to Pepper The Cat's topic in General Nursing

    I had the same problem in my last building. I'd get a call about a potential admit. "I have no beds" I'd tell them. "What do you mean No beds?", they'd ask. It's not a difficult concept. We have 139...