CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Am I asking for too much

    CapeCodMermaid replied to mvm2's topic in Geriatric, LTC

    My last facility had 181 beds. My current one has 152. I'd call a 77 bed facility
  2. CapeCodMermaid

    Skirts in the hospital...

    CapeCodMermaid replied to sarah.2012's topic in Scrubs, Uniforms, Gear

    is that why the ancient instructor i had in nursing school told us to always wear stockings because we all had crotch
  3. CapeCodMermaid

    Skirts in the hospital...

    CapeCodMermaid replied to sarah.2012's topic in Scrubs, Uniforms, Gear

    At one place I worked, we were told we could wear shorts in the summer but they had to be knee length and we had to wear white stockings. We had no air conditioning. One of the male nurses wore shorts...
  4. CapeCodMermaid

    Flu Vaccine, enough already!

    CapeCodMermaid replied to Bklyn_RN's topic in Disaster Preparation

    The last few posts have absolutely nothing to do with the merits or dangers of the flu
  5. CapeCodMermaid

    Medpass combining and coumadi's place in it

    CapeCodMermaid replied to ceebeeRN's topic in Geriatric, LTC

    Instead of debating RN vs. LPN or debating the merits or pitfalls of combining med passes, your time would be better spent speaking the the MDs or your pharmacy consultant. Review the med pass times...
  6. CapeCodMermaid

    What exactly is so bad about LTC??

    CapeCodMermaid replied to MaybeaNurse7's topic in Geriatric, LTC

    First off,the facility did not decide to leave the nurses out of the union. It was the union who decided that. Secondly, LTCs don't need any more regulations. We are already the most over regulated...
  7. CapeCodMermaid

    How do you get a very combative patient to take a shower

    CapeCodMermaid replied to esunada's topic in Geriatric, LTC

    It's not just MY facility. It's a regulation. CMS is targeting the overuse and misabuse of antipsychotics in the elderly. In Massachusetts, we'd get cited for using a PRN without a standing order for...
  8. CapeCodMermaid

    How do you get a very combative patient to take a shower

    CapeCodMermaid replied to esunada's topic in Geriatric, LTC

    This is NOT a negative response. We did all sorts of not so wonderful things to patients back then. Remember syringe feeding? Thank goodness we've learned from those mistakes.I once had a 93 year old...
  9. CapeCodMermaid

    How many of you are forced to clock out to stay back and chart?

    CapeCodMermaid replied to HelloM1M1's topic in Geriatric, LTC

    My facility does NOT have a union. Nurses are encouraged to take their breaks. Nurse managers cover the floor so the med nurse can go to lunch. Of course overtime isn't something we want. For what it...
  10. CapeCodMermaid

    How do you get a very combative patient to take a shower

    CapeCodMermaid replied to esunada's topic in Geriatric, LTC

    Geodon is an antipsychotic. PRN use is not allowed unless there is a scheduled dose as well. Unless the man reeks of urine or has horrible skin issues, let him
  11. CapeCodMermaid

    How do you get a very combative patient to take a shower

    CapeCodMermaid replied to esunada's topic in Geriatric, LTC

    If he's that freaked out by the shower, see if he can wash his own face, hands, and peri area. Leave the rest
  12. CapeCodMermaid

    ASN new grad in nursing homes/long term care

    CapeCodMermaid replied to Jmd1128's topic in Geriatric, LTC

    $36/hr for a new grad is high in Massachusetts. Your mom must have had lots of experience. My nurse managers are making 35/hr. I hire new grads all the time if they are willing to put the time in to...
  13. CapeCodMermaid

    How many residents is too many for one nurse?

    CapeCodMermaid replied to arabstarRN's topic in Geriatric, LTC

    No Stars....are you working now? Did you give up nursing to work at Starbucks? Did you lose your license? Ruin is a rather strong
  14. CapeCodMermaid

    New LPN in LTC and I am drowning

    CapeCodMermaid replied to lifeisgood2012's topic in Geriatric, LTC

    You've been there for a month. Cut yourself some slack. You will get faster as you get your routine down.That said....alarms don't prevent falls. They make noise and irritate the residents. Don't make...
  15. CapeCodMermaid

    ADON Opportunity - Advice needed!

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

    If you want my honest opinion, people with no long term care experience should not be a supervisor, ADON, or DON. How can you possibly manage what you do not
  16. CapeCodMermaid

    Fall incident?

    CapeCodMermaid replied to HelloM1M1's topic in Geriatric, LTC

    If the resident would have been on the floor without the PT's intervention, we'd consider it a fall. I'm more concerned that the PT didn't call a nurse to assess the resident. I'm revamping my...
  17. CapeCodMermaid

    I GOT A JOB!

    CapeCodMermaid replied to CrazziiRN913's topic in First Year After Licensure

    Massachusetts hasn't allowed GNs to work since the boards were
  18. CapeCodMermaid

    Advice please? Dementia pt resisting necessary intervention

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

    Why does this particular resident need the
  19. CapeCodMermaid

    I GOT A JOB!

    CapeCodMermaid replied to CrazziiRN913's topic in First Year After Licensure

    What state still allows GNs to
  20. CapeCodMermaid

    When did wearing a stethoscope become popular

    CapeCodMermaid replied to Katniss88's topic in General Students

    Really???my skin isn't oily enough to ruin my stethescope. I always wore it around my neck when I worked the floor. It was right there when I needed it,no one else borrowed it, and the patients didn't...
  21. CapeCodMermaid

    Not sure

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

    I, too,am curious about the test for administration. Is it administration of
  22. CapeCodMermaid

    What exactly is so bad about LTC??

    CapeCodMermaid replied to MaybeaNurse7's topic in Geriatric, LTC

    And one more thing....working on a unit of an LTC is NOT below the education of an RN. It's apparent to me that you have not been in the kinds of facilities I have. We have medically complex residents...
  23. CapeCodMermaid

    What exactly is so bad about LTC??

    CapeCodMermaid replied to MaybeaNurse7's topic in Geriatric, LTC

    I disagree. In Massachusetts, LPNs go to school for 10 months. They are ill prepared to do anything. When I said I need RNs, I wasn't being disingenous and frankly I don't care how anything looks on...
  24. CapeCodMermaid

    What exactly is so bad about LTC??

    CapeCodMermaid replied to MaybeaNurse7's topic in Geriatric, LTC

    Maybe it's because I live and practice in Massachusetts, but most of the LTCs here are trying to hire more RNs because the people we are taking care of are sicker and we need nurses with excellent...
  25. CapeCodMermaid

    New RN, first job, little disheartened.

    CapeCodMermaid replied to NC4RN's topic in Geriatric, LTC

    Does this facility have a short term unit? You won't lose any skills on a short term floor. I'm sending some of my nurses to class to learn how to insert PICC lines....you won't get THAT working in a...