CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    First day on the floor alone

    CapeCodMermaid replied to Anne36's topic in Geriatric, LTC

    Good advice all around, but don't mistake a flat temp as a sign that all is well. Most elderly people don't have a raised temp as a first sign of infection.Don't automatically think stinky urine (a...
  2. CapeCodMermaid

    Stephen Colbert recognizes nurses as Heroes

    CapeCodMermaid replied to Brian's topic in Nurses Rock

    It's about time the true heroes get noticed. I watched ABC news and the nurses got most of the
  3. CapeCodMermaid

    Why is the fact that we CAN'T DO IT not relevant?

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

    What is your
  4. CapeCodMermaid

    I and O's

    CapeCodMermaid posted a topic in Geriatric, LTC

    Do all y'all still automatically put new residents on I and Os for the first 72 hours? I think this is just silly as is putting someone on I and Os because they are on an antibiotic. I've asked the...
  5. CapeCodMermaid

    Halloween Fun

    CapeCodMermaid posted a topic in Geriatric, LTC

    So on Friday we had a Halloween party for the residents. Only about 15 staff members dressed up. I'm the DON....I was a clown. The residents loved the sillyness of their nurses being in costume....
  6. CapeCodMermaid

    What clinical servcies does your LTC facility provide

    CapeCodMermaid replied to jiggetts45's topic in LTC: Directors, Assistant

    Brandon...it's a process. I am in favor of IM lasix since it works almost as quickly with fewer chances for a castastrophe AND you don't need to have a line established. Our local hospitals are...
  7. CapeCodMermaid

    LTC geri chairs

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

    I've never used a padded geri chair in the shower. I have used reclining shower chairs and shower beds which worked
  8. CapeCodMermaid

    Halloween Fun

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Secretly I'd like to be an Activities
  9. CapeCodMermaid

    No Structure at LTC place I was just hired at..any advice

    CapeCodMermaid replied to LaCam_RN's topic in Geriatric, LTC

    Legally a skilled facility can not operate without a DON. Something smells
  10. CapeCodMermaid

    I am thinking of giving LTC one more try. Am I insane?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    There are good LTC's out there...I've worked in them...I've run them. The business is getting harder by the day but you can still find a well run place with owners who care about more than just the...
  11. CapeCodMermaid

    The Disrespect Of Nurses

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

    No, you may
  12. CapeCodMermaid

    Sandy Storm whom do I serve?

    CapeCodMermaid replied to echoRNC711's topic in Patient Safety Issues

    I am the DON of my facility. I live on the coast of Massachusetts. I made it into work. Several of the younger nurses were surprised to see me (I've only been there a few months and they don't know me...
  13. CapeCodMermaid

    Residents not being showered, am I being dramatic?

    CapeCodMermaid replied to brendacg's topic in Geriatric, LTC

    You should be sure you've spoken to the DON before calling the state. Let her/him at least have the chance to rectify the
  14. CapeCodMermaid

    The Disrespect Of Nurses

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

    I do not allow anyone to threaten, scream at, or intimidate my staff. They have all been told to calmly walk away or tell the other person that they will not be spoken to in that manner.We don't have...
  15. CapeCodMermaid

    Full Moon Syndrome: Fact or Fiction

    CapeCodMermaid replied to madwife2002's topic in General Nursing

    Where do you think the word lunatic comes
  16. CapeCodMermaid

    Computerized MAR

    CapeCodMermaid replied to paullissa's topic in Geriatric, LTC

    There are several different systems available. One uses a bar code scanner. The system we currentky use does not. It's still the same ...read the MAR, check the card, check again, pour the med, give...
  17. CapeCodMermaid

    My appearance being an issue

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

    Who among us is perfect? I have one round eye and one not round. I have a scar down the middle of my chest which sometimes shows depending on what I'm wearing. Neither of these unique things has ever...
  18. CapeCodMermaid

    pain management/narc abuse in the geriatric population

    CapeCodMermaid replied to mmc51264's topic in Geriatric, LTC

    The problem started when hundreds of thousands of people with dementia were put on antipsychotics for behavior management. Not everyone with dementia needs an antipsychotic. They need a quiet safe...
  19. CapeCodMermaid

    Allowing Corpsman to Become Nurses

    CapeCodMermaid replied to Asystole RN's topic in Government, Military

    Openmouth, insert foot....."I do think many could handle SNFs but not.....acute care..."Really? Working in a SNF is no easier than working acute care. I've seen many many nurses with med-surg...
  20. CapeCodMermaid

    What clinical servcies does your LTC facility provide

    CapeCodMermaid replied to jiggetts45's topic in LTC: Directors, Assistant

    We are developing a CHF protocol. I am currently writing policies on IV Lasix and IV Solumedrol. We have implemented INTERACT II to try to keep everyone in the building. We do not do TPN because the...
  21. CapeCodMermaid

    Computerized MAR

    CapeCodMermaid replied to paullissa's topic in Geriatric, LTC

    Every facility should have a P&P for computerized MAR. In the P&P, there should be a contingency plan if the computers go down. It's usually as simple as printing out the MAR. Check with your...
  22. CapeCodMermaid

    No BP taken before BP meds??

    CapeCodMermaid replied to brandinalove's topic in Geriatric, LTC

    State can not override physician orders. Many of what we think are state 'regulations' are company policies come about as a result of a poor
  23. CapeCodMermaid

    I and O's

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    If the patient doesn't have hydration issues, I and O doesn't have to be part of a Medicare assessment. I'll be speaking to the medical director about it this
  24. CapeCodMermaid

    Corporate Capitalism Interferes with Nursing Ethics

    CapeCodMermaid replied to karenesn's topic in Geriatric, LTC

    I've been in the business for years. I have never heard that we woukd get paid more for having nurses who were ACLS certified. We get paid based on the MDS which is supposed to reflect the clinical...
  25. CapeCodMermaid

    Do you have to count lyrica at your LTC facility?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    The pharmacy would mostly likely not send you a new label. They might think you would put it on the wrong card. Our change of order stickers are not not very large,but they are such a noxious shade...