CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    New grad RN in LTC

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

    We all started someplace....20 is manageable even for a new grad. Good
  2. CapeCodMermaid

    ADON, to be or not to be?

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

    I would wait and get some experience as an RN first. Your transition from LPN to RN will be hard enough without adding the stress of being the
  3. CapeCodMermaid

    Terrified and Humiliated New Grad in LTC

    CapeCodMermaid replied to Super Ultra's topic in Geriatric, LTC

    Your story reminds me of an experience I had when I was new. I was on orientation working 3-11. The supervisor who was orienting me spent most of the evening elsewhere. Most of the patients didn't...
  4. CapeCodMermaid

    Wounds in LTC

    CapeCodMermaid replied to Isitpossible's topic in Geriatric, LTC

    Some stage four wounds will only heal with a wound vac or a skin flap. Do you have a wound consultant or a wound center near by? Ask for a prealbumin to determine if they are nutritionally sound.Good...
  5. CapeCodMermaid

    Custom badge buddy/reference suggestions

    CapeCodMermaid replied to Murse901's topic in Emergency

    I was careful to write it in such a way that if anyone had found it, they would be clueless as to which code opened which
  6. CapeCodMermaid

    Med Pass

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    My company is trying to find ways to cut down on the nursing budget. HR and the business office just hired two new people but we're supposed to find a way to decrease the budget. One discussion was...
  7. CapeCodMermaid

    "No nurses of color....."

    CapeCodMermaid replied to Queen2u's topic in Patient, Colleague Relations

    So if I refuse to be taken care of by someone with a deficiency in the use of proper capitalization and grammar, does that make a bigot of some
  8. CapeCodMermaid

    LTC project: Who enters admission orders? MD or RN?

    CapeCodMermaid replied to KdubsRN's topic in Geriatric, LTC

    We're moving toward EMR. At my last building, it was the expectation that the MD input all but admission orders into the computer system. The doc for the sub acute unit was in the building 3 or 4 days...
  9. CapeCodMermaid

    Nurses disrespecting nurses

    CapeCodMermaid replied to newrnltc's topic in Geriatric, LTC

    Anyone who speaks disrespectfully about a different nursing specialty, is NOT a
  10. CapeCodMermaid

    Custom badge buddy/reference suggestions

    CapeCodMermaid replied to Murse901's topic in Emergency

    We had so many doors with different codes I couldn't remember them all, so I typed them , shrunk them and stuck them to the back of my badge along with phone extensions. Then I added a big badge that...
  11. CapeCodMermaid

    Living "weeks to months" with no food and sips of fluid? Really?

    CapeCodMermaid replied to Marshall1's topic in Hospice, Palliative

    Why would you suggest a gtube? What about quality of
  12. CapeCodMermaid

    "No nurses of color....."

    CapeCodMermaid replied to Queen2u's topic in Patient, Colleague Relations

    I worked in a nursing home in a chichi town on Cape Cod. Many of the residents were bigots, many of the staff were black.One woman was admitted for rehab following a knee repalcement. When I...
  13. CapeCodMermaid

    Living "weeks to months" with no food and sips of fluid? Really?

    CapeCodMermaid replied to Marshall1's topic in Hospice, Palliative

    I don't think it would be considered giving medical advice to say HUH??? Oxygen will keep him breathing longer?? Not true. I have seen many patients linger for weeks on no food or fluid intake. As...
  14. CapeCodMermaid

    Need advice after losing first nursing job

    CapeCodMermaid replied to AsianNurse27's topic in First Year After Licensure

    If this happens again, don't resign. Make them fire you so at least you can collect
  15. CapeCodMermaid

    Borrowing medication from different patients

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

    Wow....that nurse educator needs some
  16. CapeCodMermaid

    Found on the wall

    CapeCodMermaid posted a topic in Geriatric, LTC

    I found this posted on a wall at work and wanted to share with all y'all: When I wander don't tell me to come and sit down-Wander with me. It may be because I am hungry, thirsty, need the toilet, or...
  17. CapeCodMermaid

    How to assess for fracture after a fall?

    CapeCodMermaid replied to HelloM1M1's topic in Geriatric, LTC

    Demented or not, if someone has a new fracture, most likely they will grimace when you move them. Unless you have x-ray glasses, why remove the TLSO? If you are concerned she has a new fracture, call...
  18. CapeCodMermaid

    DNR versus AND

    CapeCodMermaid replied to Double-Helix's topic in Pediatric

    I work on the other end of the age spectrum, but no matter what age the patient is, end of life care is not easy for most people to discuss.We have an Advanced Directives form that spells out what the...
  19. CapeCodMermaid

    Help a new grad here!

    CapeCodMermaid replied to HelloM1M1's topic in Geriatric, LTC

    Please don't even try to memorize the meds. It's an unsafe practice since meds change frequently. I agree with the others who've said to keep the interruptions to a minimum. And get the doctors to bet...
  20. CapeCodMermaid

    LTC Documentation Guidelines

    CapeCodMermaid replied to coffeebreakrn's topic in Geriatric, LTC

    What disturbs me the most is your saying patient advocacy is frowned upon. We are ALL patient advocates since many times we are the only ones the patient has to speak for them. I've been in the...
  21. CapeCodMermaid

    I could use some pros and cons advice....

    CapeCodMermaid replied to Pat2012's topic in Geriatric, LTC

    In wouldn't recommend a new grad start on nights. If you want to learn time management, IV skills, treatments, dealing with docs and all the other important things...you have to start on days. You...
  22. CapeCodMermaid

    state survey

    CapeCodMermaid replied to katsanchezRN's topic in Geriatric, LTC

    IJ= Immediate Jeopardy....something is so HORRIBLE the state basically shuts the place down until you fix it. And you have to fix it immediately. I've heard of facilities getting IJ for no water, no...
  23. CapeCodMermaid

    Bad day... looks like it's everything I dreamed it would be.

    CapeCodMermaid replied to NurseCard's topic in Geriatric, LTC

    It's not like this in every facility. I spent probably 2 months talking to all the staff about the survey process. We take great care of the residents every day. We do the right thing every day. Think...
  24. CapeCodMermaid

    Giving two week notice...

    CapeCodMermaid replied to Jess_Missouri_RN's topic in Nursing Professionalism

    I've worked in a variety of places. Staff nurses usually give 2 week notice--managers give a month. Written or not, all of these places have a policy that once notice is given, you can't take any...
  25. CapeCodMermaid

    Good Idea to Disclose Criminal Background and Stipulations on Cover letter??

    CapeCodMermaid replied to lashuna1028's topic in Licensure: Criminal History

    With the number of appliants for every job there is, I wouldn't put that information in a cover letter. You never know how they will react and you never know who will have access to the information.A...