CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Giving OTC medications to your aides/coworkers?

    CapeCodMermaid replied to knotizer12's topic in LPN, LVN Corner

    I would gladly share MY APAP or TUMS from my desk drawer, but would never hand something to someone from the med cart. Dispensing without a license. I've had nurses give coworkers prescriptions meds...
  2. CapeCodMermaid

    It's Almost Like a Ghost Town. Most Nursing Homes Overstated Staffing for Years

    CapeCodMermaid replied to Not_A_Hat_Person's topic in Nursing News

    If we could find good staff we'd hire them in a second. Competition is fierce and reimbursements don't cover the daily cost of caring for a resident- especially one on
  3. CapeCodMermaid

    Falls interventions

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    So....do your staff nurses come up with interventions to prevent a second fall from happening? My nurses write the sos...call bell in reach and encourage resident to use it. Cripes...the resident is...
  4. CapeCodMermaid

    Infection Preventionist

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I heard the same thing... coming in the fall. At least they won't be able to tell us the course doesn't fit the
  5. CapeCodMermaid

    Laundry Bins

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    I've been at a multitude of facilities. In every facility we've used laundry bins on wheels...a triple bin...two for laundry, one for trash. At my new facility they're telling me it's against...
  6. CapeCodMermaid

    Laundry Bins

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

    This building has been without true leadership for a long time. The new team (myself included) are basically starting from square one with so many things that come as second nature to those of us...
  7. CapeCodMermaid

    Laundry Bins

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

    I looked down the hall and saw 4 housekeeping carts in the hall. If those are allowed then I think these linen carts will be
  8. CapeCodMermaid

    NG Tubes

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Exactly...IV Lasix..IV Solumedrol...too much for the staffing ratios we are forced to deal
  9. CapeCodMermaid

    NG Tubes

    CapeCodMermaid posted a topic in Geriatric, LTC

    Do any of you manage NG tubes in your facility? I've never been in one where it's been allowed. My current company thinks it's a great idea...I think it's not. To top it off...IV Lasix, IV Solumedrol,...
  10. CapeCodMermaid

    Checking placement of Gtube

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Thanks!
  11. CapeCodMermaid

    Checking placement of Gtube

    CapeCodMermaid posted a topic in Geriatric, LTC

    What do all y'all do to check placement of a G Tube? I've always just seen 'instill air and listen for the whoosh'. My new facility is telling me our policy is to aspirate and look at the color and...
  12. CapeCodMermaid

    It's ME! or MINE

    CapeCodMermaid posted a topic in Geriatric, LTC

    So I just started a new job as a 'facility educator' AKA Staff Development Coordinator. We've been discussing how to write a skilled note. I said I had a lovely cheat sheet for skilled notes. The head...
  13. CapeCodMermaid

    NG Tubes

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    Because the census is down. Because they want to be different. Because the people making these decisions have no clue what it's like to be a staff
  14. CapeCodMermaid

    NG Tubes

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    You're preaching to the choir... it's a stupid
  15. CapeCodMermaid

    NG Tubes

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    I wasn't posting in haste. We've been doing IV therapy for years. There is a difference between hanging a bag of fluids or antibiotics and pushing meds. The NG tubes- they want us to take people from...
  16. CapeCodMermaid

    It's ME! or MINE

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    You're welcome....we're all in this
  17. CapeCodMermaid

    Nurse physical and verbal abuse by patients

    CapeCodMermaid replied to lumbarpain's topic in Geriatric, LTC

    If the state of Virginia is like Massachusetts, they won't do anything about a staff ( or several staff) member being hit by a resident. If this guy was hitting his roommates and no report of resident...
  18. CapeCodMermaid

    It's ME! or MINE

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    If you search all nurses, you should be able to find it under Skilled Nursing Documentation. If not, shoot me an IM and I'll email it to
  19. CapeCodMermaid

    Change in condition during report (sort of)

    CapeCodMermaid replied to sunnyx4's topic in Geriatric, LTC

    She has to be held accountable for her lack of actions. That being said, before I threw 02 on someone I'd do a thorough respiratory
  20. CapeCodMermaid

    Certifications

    CapeCodMermaid replied to Jf1421's topic in Geriatric, LTC

    The last time I looked at any certification on the ANCC website, the minimum was a BSN. I'll check
  21. CapeCodMermaid

    Need opinions

    CapeCodMermaid replied to imaginethat8673's topic in Geriatric, LTC

    No. You can not use a dementia unit as a time out. If he doesn't have dementia, he shouldn't be on that
  22. CapeCodMermaid

    Certifications

    CapeCodMermaid replied to Jf1421's topic in Geriatric, LTC

    Unless you have a BSN, you're out of
  23. CapeCodMermaid

    MED cart Wars. LTC

    CapeCodMermaid replied to Trulibra's topic in Geriatric, LTC

    Years ago when I was a full time staff nurse I worked on a 60 bed sub-acute unit. I had 30 of my own patients and the majority of the meds were given on day shift. I had the cart organized to make the...
  24. CapeCodMermaid

    death in LTC

    CapeCodMermaid replied to zoRN's topic in Geriatric, LTC

    So...you should tell them in a kind manner and ask them if they want to come see Grandma before you send her to the funeral parlor. You need an MD order to release the body, at least in Massachusetts....
  25. CapeCodMermaid

    Medication instructions

    CapeCodMermaid replied to marguerette123's topic in Patient Medications

    No matter what setting you practice in, if you have a question about a medication, call the