CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    New grad in LTC as first job .. Good idea?

    CapeCodMermaid replied to live2run00's topic in Job Search, Interview, Resume

    A 40 minute commute is a small price to pay for a job you
  2. CapeCodMermaid

    Case management interview, what to highlight?

    CapeCodMermaid replied to Hoosiernurse's topic in Case Management

    What's the average salary for case managers? I am burning out being a DNS in a SNF but not sure about taking a pay
  3. CapeCodMermaid

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

    CapeCodMermaid replied to LTCNS's topic in Geriatric, LTC

    I don't think it's admitting neglect because someone missed a shower. Just apologize and try to make sure it doesn't happen again.There is the distinct possibility that the resident DID have a shower...
  4. CapeCodMermaid

    Discouraged after first day training on new job :(

    CapeCodMermaid replied to SP1CEGRL's topic in Geriatric, LTC

    My new grads get at least a month of orientation. A few needed 6 weeks. After that, if they can't 'get it', I start to think they never
  5. CapeCodMermaid

    Question about giving report

    CapeCodMermaid replied to Crazed's topic in General Students

    Report is to pass along information the next shift needs. Do they need to know stable vitals? Probably not, but since you're still a student, you might want to give more information. Perhaps being a...
  6. CapeCodMermaid

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

    CapeCodMermaid replied to LTCNS's topic in Geriatric, LTC

    There is a book out there which describes the benefit of saying I'm sorry especially when it comes to an angry family member.I think I'd say "I understand why you're upset. Let me see if I can find...
  7. CapeCodMermaid

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

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    It continues because people think it's a regulation. I spend hours goig through the emars to get rid of things we don't need to do. In the end, I think it will pay off so the nurses have time to be...
  8. CapeCodMermaid

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

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Were you given a
  9. CapeCodMermaid

    Turning a hospice patient in severe pain?

    CapeCodMermaid replied to IheartICUnursing's topic in Hospice, Palliative

    I'm sorry for your loss. It sounds like you did the most compassionate thing. Have you heard of a Kennedy Ulcer? They develop quite rapidly at or near the end of life despite all sorts of...
  10. CapeCodMermaid

    What can nurses do to be more happy in their career?

    CapeCodMermaid replied to Brian's topic in Nurses Rock

    I've been a nurse for (yikes) 30 years. Every few years I ask myself why am I still in the business. I'm a DNS in long term care. Between the shrinking payment system, the plethora of less than...
  11. CapeCodMermaid

    Turning a hospice patient in severe pain?

    CapeCodMermaid replied to IheartICUnursing's topic in Hospice, Palliative

    As someone who's been in excruciating pain, I can tell you I begged the nurses to leave me alone if I were sleeping. So what if I stayed in the same position for 4 hours? I was comfortable and moving...
  12. CapeCodMermaid

    Doesn't It Make You Want To Scream, part two

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

    Nascar...if it were only momentarily I might be able to over look it. I fear these nurses have terminal stupidity. I've given them skilled charting guidelines...don't have to think...just document on...
  13. CapeCodMermaid

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

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    It's old practice to have licensed people chart meals. I my past lives we've had a book or electronic documentation on which the CNAs documented the percentage. Where I'm at now, the nurses do it...
  14. CapeCodMermaid

    Calling in sick, staffing issues

    CapeCodMermaid replied to staffing24's topic in Geriatric, LTC

    Some people were not brought up with a strong work ethic. There are always excuses. I've spent an entire day making sure the staffing was good, only to have someone call out. The nurses who did come...
  15. CapeCodMermaid

    The soul crushing part about nursing

    CapeCodMermaid replied to OnlybyHisgraceRN's topic in General Nursing

    Yikes. You'd lose your license in Massachusetts. It's only been 3 years since we were told officially we didn't have to do CPR on someone who had been beheaded.It is, indeed, heartbreaking when the...
  16. CapeCodMermaid

    ethical dilemma in case management?

    CapeCodMermaid replied to illsince83's topic in Case Management

    I think your headline is very misleading. There is no ethical dilema
  17. CapeCodMermaid

    Pregnant and debating getting the flu shot - Advice??

    CapeCodMermaid replied to luvsfallin's topic in General Nursing

    We're not supposed to give ANY medical advice. Ask your OB what he/she
  18. CapeCodMermaid

    Any advice and help is greatly appreciated!!!

    CapeCodMermaid replied to cad3's topic in LTC: Directors, Assistant

    If I were working in your building, I would have a hard time believing you knew what you were talking about. Sorry but from new grad to DON in 3 months is scary. All I can say is good luck and pay...
  19. CapeCodMermaid

    I just got a job in LTC

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    We allow visitors 24/7 unless the visitor's presence causes trouble or if they are annoying the roommate.If YOUR classes are telling you to get verbal permission before you enter the room, you...
  20. CapeCodMermaid

    I just got a job in LTC

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    I always knock and usually say HELLO as I walk in the door. Honestly most residents aren't going to say Stay out! I've had to tell more than one surveyor over the years to knock before going in to a...
  21. CapeCodMermaid

    Long Term Care and Holidays

    CapeCodMermaid replied to LTCNS's topic in Geriatric, LTC

    It's very odd that the administrator makes the schedule. If Thanksgiving is more important to you than Christmas, perhaps you could ask for the day or switch with someone who doesn't care so much...
  22. CapeCodMermaid

    Blue Urine

    CapeCodMermaid replied to Carebear77's topic in General Nursing

    My son had green poop once when he was 2, but I've never seen blue
  23. CapeCodMermaid

    48 or 72 hours

    CapeCodMermaid posted a topic in MDS Coordinator Information

    I know there is a regulation somewhere that says an MD must see a resident within X number of hours after admission to a SNF. I say 48...my friend thinks it's 72. I can't find the exact regulation....
  24. CapeCodMermaid

    Clinical Care Supervisor?

    CapeCodMermaid replied to 2bTraumaRN2008's topic in Geriatric, LTC

    Right you are, Nascar:uhoh3: Staff nurses are making more than that here on the East
  25. CapeCodMermaid

    POLL LTC Nurses... please answer

    CapeCodMermaid replied to Finallydidit's topic in Geriatric, LTC

    Staff that call out Staff that don't do what they've been taught Staff that don't know