CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Burned out MDS Nurse back in the game BUT...

    CapeCodMermaid replied to LTCNS's topic in MDS Coordinator Information

    Why in the world would you have to taking diving lessons to work at a wound clinic?I live on the East coast. Our cost of living is higher so our salaries are,
  2. CapeCodMermaid

    Do you have to count lyrica at your LTC facility?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    People do all sorts of things they shouldn't including writing on the
  3. CapeCodMermaid

    Burned out MDS Nurse back in the game BUT...

    CapeCodMermaid replied to LTCNS's topic in MDS Coordinator Information

    $15 an hour? CNAs make more than
  4. CapeCodMermaid

    A question about Measles

    CapeCodMermaid replied to virgilsfan's topic in Infectious Disease

    I've had the measles.....no pain but wicked
  5. CapeCodMermaid

    Most stressful and least stressful nursing specialty in the hospital?

    CapeCodMermaid replied to Donnuh's topic in General Nursing

    Nursing is stressful no matter what specialty you work
  6. CapeCodMermaid

    Do you have to count lyrica at your LTC facility?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    It is illegal to make marks on a card of medication. If you don't think the residents are getting their meds, I suggest you speak to the nurse in question or the
  7. CapeCodMermaid

    Do you have to count lyrica at your LTC facility?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Perhaps the other nurse takes the first several doses out of the
  8. CapeCodMermaid

    Do you have to count lyrica at your LTC facility?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    It's preposterous to count Coumadin and Antibiotics. Why don't you start counting the colace or the digoxin to make sure those are given as
  9. CapeCodMermaid

    pain management/narc abuse in the geriatric population

    CapeCodMermaid replied to mmc51264's topic in Geriatric, LTC

    There is a correlation between falls and over medication. But....most elderly people are UNDER medicated. You just do the best you can and try to educate the patient and use non-chemical means to...
  10. CapeCodMermaid

    Aggressive staffing person at LTC

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    And if the scheduler didn't call EVERYONE to see if you'd come in, you'd complain that you had to work short and no one even tried to fill the open
  11. CapeCodMermaid

    Patient ID Bracelets in LTC?

    CapeCodMermaid replied to kwvath's topic in Geriatric, LTC

    Residents in Massachusetts have the right to refuse a name bracelet. At my last building, only the short term people wore name bracelets. Everyone else was identified by a picture on the EMAR. We...
  12. CapeCodMermaid

    Help!!! Caught btw rock and hard place--Instructor sending students home early...

    CapeCodMermaid replied to meatballgirl's topic in General Students

    Back in the dark ages when I was in school, we had one instructor who would let us leave half an hour early on "special occasions". A special occasion was a Celtics game near playoff time. But...it...
  13. CapeCodMermaid

    Cross-setting care with dialysis patients

    CapeCodMermaid replied to KruserRN's topic in Geriatric, LTC

    The biggest issue is communication between us and the dialysis center. We always send a notebook with our resident and hope the people at dialysis use the book to keep us informed about any
  14. CapeCodMermaid

    No BP taken before BP meds??

    CapeCodMermaid replied to brandinalove's topic in Geriatric, LTC

    I didn't say it was. I was commenting on the post that said they only do it when the state is
  15. CapeCodMermaid

    No BP taken before BP meds??

    CapeCodMermaid replied to brandinalove's topic in Geriatric, LTC

    That is really not a good practice. If you do things the right way every day, when the DPH is there, it won't be so nerve
  16. CapeCodMermaid

    Considering a Career as a Geriatric Nurse Practitioner

    CapeCodMermaid replied to mads91's topic in Geriatric, LTC

    All the docs who come to my facility have NPs working with them. The NPs come to see the patients on a regular
  17. CapeCodMermaid

    stuck myself with needle

    CapeCodMermaid replied to SleeepyRN's topic in Geriatric, LTC

    First off.....did you fill out an incident report so you could get tested and have the resident tested as well? I've never heard of anyone getting fired for a needlestick. I hope you're
  18. CapeCodMermaid

    Thanking an MD

    CapeCodMermaid replied to payang0722's topic in Patient, Colleague Relations

    Sure. If the doc has been helpful or supportive. I had a medical director once who always helped us out with the toughest patients. He got more than one plateful of cookies as a thank
  19. CapeCodMermaid

    Stupid q's: Has smoking cigarettes kept you from getting a job?

    CapeCodMermaid replied to mls4455's topic in Activism, Healthcare

    It's not just hospitals and health care facilities. My friend's husband has to have a yearly physical to get the company health insurance. They swab his mouth to test for nicotine and if it's found,...
  20. CapeCodMermaid

    Getting a job - from the employers perspective

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

    I haven't seen "an overabundance of qualified new grads and seasoned nurses." Out if 10 interviews, I'm lucky to find one qualified applicant.We advertise in the local papers and on Monster. YOU may...
  21. CapeCodMermaid

    No BP taken before BP meds??

    CapeCodMermaid replied to brandinalove's topic in Geriatric, LTC

    The state has no business trying to institute or influence clinical policies unless your practice falls out of accepted standards. I would guess an overzealous DON thought that was a good thing for...
  22. CapeCodMermaid

    Getting a job - from the employers perspective

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

    I'd hire a diploma nurse any day. One of my last hires "only" has a diploma. She's the only new grad who could hit the floor
  23. CapeCodMermaid

    Heights

    CapeCodMermaid replied to sls73's topic in LTC: Directors, Assistant

    I'm only 57 and I've already lost 1/2 an inch in height! Can they prove any harm or bad outcome? Probably
  24. CapeCodMermaid

    Heights

    CapeCodMermaid replied to sls73's topic in LTC: Directors, Assistant

    Wow...I've seen tags on not getting an admission height but never an annual. We only measure people on admission and it's never been a problem. I'm guessing you would do a remeasure if the number was...
  25. CapeCodMermaid

    No BP taken before BP meds??

    CapeCodMermaid replied to brandinalove's topic in Geriatric, LTC

    I think your policy is based in reality. 7 days is enough time to see how the resident reacts to the medication. We have some people whose bp has been checked twice a day for years because no one has...