CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Written up and confused.

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

    You did the right
  2. CapeCodMermaid

    LTC med nurses-Are you obeying all of the rules?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Again, another instance of thinking a regulation or recommendation is silly or time consuming or make work.Giving a resident an expred medication or a medication they are allergic too could have far...
  3. CapeCodMermaid

    I dont' have a clue what to do, please someone help me.

    CapeCodMermaid replied to NurseCard's topic in Geriatric, LTC

    Power Of
  4. CapeCodMermaid

    Long term care is really THIS bad???

    CapeCodMermaid replied to hilzaberry's topic in Geriatric, LTC

    We provide a gluten free diet if one is ordered by the doc. We even have separate toasters so the gluten cootie crumbs don't touch the gluten free
  5. CapeCodMermaid

    Out of Scope of Practice?

    CapeCodMermaid replied to ladytopaz's topic in Geriatric, LTC

    I don't where all y'all work, but where I've worked 99% of the time it's the NURSE who brings up hospice. We are the ones who know the resident and the family. It is NOT outside the scope of anyone's...
  6. CapeCodMermaid

    RN was fired because the patient didn't like her

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    As always, Nascar Nurse gives excellent advice. Don't believe everything you hear, and always take another person with you if the resident is
  7. CapeCodMermaid

    Getting a job - from the employers perspective

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

    I feel your pain. I advertised for EXPERIENCED RNs. I got scads of resumes from new grads and from LPNs. The "experienced" ones....clinical in school experience only. I love hiring new grads but I...
  8. CapeCodMermaid

    Possible TIA or effects of medications?

    CapeCodMermaid replied to Isitpossible's topic in Geriatric, LTC

    We would probably not send someone to the ER if this was the presentation. STAT labs for sure including a depakote level, lithium level, LFTs, and a
  9. CapeCodMermaid

    LTC med nurses-Are you obeying all of the rules?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Anne36,Just so you don't think all the experienced nurses are doing the medpass incorrectly because they're not making a dot on the page.......The procedure is: pour, chart, pass. OR pour, pass,...
  10. CapeCodMermaid

    Do all LTC's chart the meals on the MAR's?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    If you've asked them to do this, and have made the expectation clear, you really have no choice but to counsel them. YOU can't do your job if they don't do theirs. Perhaps one more get out of jail...
  11. CapeCodMermaid

    Do all LTC's chart the meals on the MAR's?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Sure!
  12. CapeCodMermaid

    Do all LTC's chart the meals on the MAR's?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Fecal impactions do not usually occur in a day or two. I don't think anyone here implied that BMs weren't important. MY point is, writing them on a piece of paper does NOT require the SKILL of a...
  13. CapeCodMermaid

    How much personal info do you share with pts?

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

    Years ago when I worked in the hospital I didn't share much personal information with patients. In long term care, the patients are there for a long time. They are honestly interested in the people...
  14. CapeCodMermaid

    Patient requests

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

    I had one woman ask for fresh scones...what...as opposed to frozen? When I told her we didn't have scones but woukd be happy to see if I could find her a muffin, she demanded to see the person in...
  15. CapeCodMermaid

    My coworkers are great because....

    CapeCodMermaid replied to wooh's topic in Nurses Rock

    I stayed late tonight to help out because a resident had fallen. She was fine but I noticed that her glasses were filthy. I asked her if I coukd take them for a minute to wash them.Her nurse turned...
  16. CapeCodMermaid

    I dont' have a clue what to do, please someone help me.

    CapeCodMermaid replied to NurseCard's topic in Geriatric, LTC

    As annoying as the surveyors can be, they have to investigate any claim of abuse or mistreatment or any complaint. At the end of the day, they are the ones who say whether or not the complaint was...
  17. CapeCodMermaid

    What should I bring with me on my first day in LTC?

    CapeCodMermaid replied to Mrsearly2009's topic in Geriatric, LTC

    I can understand the rule about no cell phones since somehow they travel from locker to pocket, but I don't understand why you would be forbidden to take notes. If they give you a rationale for this,...
  18. CapeCodMermaid

    Patient fx hip after family refused alarm

    CapeCodMermaid replied to Emilyinsc's topic in Patient Safety Issues

    If I am alert and oriented, I can refuse ANY and ALL treatment or medication. As long as I am not putting someone else at risk, you have no right to force me to do anythi g and if you did this to me,...
  19. CapeCodMermaid

    Patient fx hip after family refused alarm

    CapeCodMermaid replied to Emilyinsc's topic in Patient Safety Issues

    Read the studies. Alarms DO NOT prevent falls. If the family or resident refused an alarm, the nurse should have documented her teaching on whatever safety measures were in place.There is a huge risk...
  20. CapeCodMermaid

    Discouraged after first day training on new job :(

    CapeCodMermaid replied to SP1CEGRL's topic in Geriatric, LTC

    You won't have to assess 30 patients from head to toe every day. There simply isn't time. Skilled patients are charted on once a day after the first 72 hours. Most facilities split the charting...
  21. CapeCodMermaid

    White Board Credentials

    CapeCodMermaid replied to jadelpn's topic in General Nursing

    In lne of my old buildings...long term care....the families asked for a white board in every room so they would know who the nurse and aide was for their family.We put Susan RN or Judy LPN and Louis...
  22. CapeCodMermaid

    Abuse Allegations

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

    I investigate evefy allegation of abuse. I sometimes interview everyone, I sometimes just gather and read their statements. It all depends on the allegation. I always speak to the resident even if...
  23. CapeCodMermaid

    Calling in sick, staffing issues

    CapeCodMermaid replied to staffing24's topic in Geriatric, LTC

    You work to get paid. You do not "deserve" to call out simply because you have accrued enough time. Sometimes we say no to a requested day off because several people working the same unit and the same...
  24. CapeCodMermaid

    I dont' have a clue what to do, please someone help me.

    CapeCodMermaid replied to NurseCard's topic in Geriatric, LTC

    In Massachusetts, the Department of Public Health would not have to allow you to have a union rep.It is disconcerting to be involved in an investigation, but stay calm and only answer what they
  25. CapeCodMermaid

    How do you deal with angry family members in the Nursing Home setting?

    CapeCodMermaid replied to LTCNS's topic in Geriatric, LTC

    So if you get a second interview, find out what the "right" answer is and let us