CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. Brandon, they're called med techs or med aides. They take a class,pass a test, and can hand out meds. Here's the thing....they make fewer mistakes than nurses because no one bothers them with 18...
  2. CapeCodMermaid

    Just found out my partner's dad is a DNR

    Back when only the original blue form was valid, we tried as best we could to get the docs to sign the bracelets so we could put one on someone if we had to send them out. Now that in Massachusetts...
  3. Please stop referring to residents as "tube feeders"....it is SO disrespectful and
  4. No,no,no,no,no,....not common or tolerated in any facility I've ever worked
  5. CapeCodMermaid

    Side duties of MDS/PPS coordinators

    Katoline,Yes. I'm the
  6. CapeCodMermaid

    Side duties of MDS/PPS coordinators

    I guess I
  7. CapeCodMermaid

    Just found out my partner's dad is a DNR

    The use of the word 'partner' led me to believe this was a same sex relationship. Your tone sounded condescending...if you're not homophobic, I apologize. To me, family is family...by blood, marriage,...
  8. CapeCodMermaid

    Just found out my partner's dad is a DNR

    I think BlueDevil is just trying to stir the turds as evidenced by his/ her use of the word paramour. There also seems to be more than a smidge of homophobia, which, in MY opinion, is completely out...
  9. CapeCodMermaid

    Side duties of MDS/PPS coordinators

    In my facility, the MDS nurses report to me, not the administrator. All the nurses help out in the dining rooms with the exception of the MDS nurses. All the nurses also help out gathering information...
  10. CapeCodMermaid

    Side duties of MDS/PPS coordinators

    So she gloats and the residents lose out? Just
  11. CapeCodMermaid

    Just found out my partner's dad is a DNR

    When I did homecare orwhen we discharged SNF patients home, we would tell the clients the same thing: keep your file of life with your list of meds and your signed comfort care on the refrigerator...
  12. CapeCodMermaid

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

    Congratulations on your job! A few pens and a notebook are really all you should bring. Leave the first aid kit in your car. If the facility doesn't have enough bandaids and gauze, it's time to go!...
  13. CapeCodMermaid

    Quality Measures

    On the CASPER report, one of the measures is "Lo-Risk Resident who has lost bowel/bladder control." At one time I had the definitions of what constituted low risk, but I've moved 3 times in 2 years...
  14. CapeCodMermaid

    Quality Measures

    Thanks. If I knew where you lived, I'd buy you dinner for all the answers you've given me over the
  15. CapeCodMermaid

    Nervous...

    Don't talk about it anymore
  16. CapeCodMermaid

    Pyxis (almost) nightmares. PLEASE be careful.

    How big are the letters on the MAR? The pyxis is only a tool. And, just because we don't already have enough to think about, the 5 rights are now 7...the right to know what the medication is for and...
  17. CapeCodMermaid

    Neb treatments

    G-tubers!?! That is a really disrespectful term. And in the 5 weeks I've been at my new facility, I've told the nurses to stop doing I and O's on new admits unless there is a reason and chart on...
  18. We just received a letter from one of the local medical groups stating it is against their policy for NPs to verify admission orders, and, per CMS policy, new admission orders must be verified by an...
  19. CapeCodMermaid

    CMS Regulations about NPs signing orders

    We call them, read them the orders received from the discharge summary. They say yes or change some of the orders. The physician still has to see them within 48
  20. CapeCodMermaid

    Removing a tic from a patient

    So glad everyone is an expert on ticks. My neighbor used to use a lit cigarette to burn them off his dog! He had the steadiest hands. My dad got ether from the pharmacist, soaked a cotton ball in it,...
  21. CapeCodMermaid

    How to Determine Whether a LTC / SNF is Well Run

    I feel sorry for all you people who have worked in bad nursing facilities. Maybe I've been lucky...maybe it's because I live in Massachusetts, maybe it's because I am the proverbial squeaky wheel....
  22. CapeCodMermaid

    Does it sound like I can get my job back?

    I'm with you. I can't figure that out. Nor can I figure out why anyone anywhere would communicate anything about bowel movements and medication over the air waves on a walkie
  23. CapeCodMermaid

    Mom Needs a Pain Pill

    There are many ways of assessing pain in elderly patients. They are NOT children and shouldn't be given medication they don't need or have medication withheld because of a family member's request. We...
  24. CapeCodMermaid

    Skirts in the hospital...

    Panty hose were not around when I was in junior high. We had garter belts with stockings. OKAY so MY dad didn't allow us to wear them,
  25. CapeCodMermaid

    CMS Regulations about NPs signing orders

    Thanks. I guess I've been breaking the rules for years. We usually have the NPs okay the admission