CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    When to give insulin?

    CapeCodMermaid replied to kriegerkriegr's topic in Diabetes, Endocrine Nursing

    I work in long term care. Our docs still order sliding scale insulins 4 times a day which has been shown to NOT improve quality of life. They order the sliding scale coverage for 630 1130 430 and HS....
  2. CapeCodMermaid

    New grad starting in LTC

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

    A 1:15 ratio on 11-7??? Zowie....great
  3. CapeCodMermaid

    State is coming, random medication questions

    CapeCodMermaid replied to WorkinMama's topic in Geriatric, LTC

    We have an order for gtube meds that says "may crush meds, mix, and administer together". This is the only facility I've worked in that had this order.I am in agreement with the others. If a pill...
  4. CapeCodMermaid

    Med Pass

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

    I don't think the people who have proposed this have thought through the entire process. The surveyors wouldn't like it and neither would the
  5. CapeCodMermaid

    PCP

    CapeCodMermaid replied to GitanoRN's topic in Nursing Humor

    Your PCP forgot one important thing: meat is not bad for you. Cows eat the grass(vegetable) you eat the cow, therefore you are eating vegetables.
  6. CapeCodMermaid

    Will I ever get out of LTC or am I doomed?

    CapeCodMermaid replied to JZ_RN's topic in Geriatric, LTC

    It's the business. If you think the hospital is any better go read the post that compares hospital nursing to
  7. CapeCodMermaid

    Interviewers asked me about other job interviews...

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

    I've been asked that question several times. I always tell the truth whether I've had 4 interviews or am only interviewing at one place. I work in long term care as a director of nursing. There aren't...
  8. CapeCodMermaid

    Nursing home job

    CapeCodMermaid replied to GradNurse543's topic in First Year After Licensure

    A job is better than no job.try to work on the post acute or rehab unit. You'll get experience with IVs, wound vacs, TPN...and the best assessment skills and time management skills. You might like it...
  9. CapeCodMermaid

    Best shoes

    CapeCodMermaid replied to pretty70's topic in Geriatric, LTC

    When I first graduated baxk when dinosaurs roamed the earth, I spent 12 hours searching for the perfect pair of shoes. They lasted for three years. After that...I bought 8 dollar white sneakers from...
  10. CapeCodMermaid

    Getting families involved in care

    CapeCodMermaid replied to Wolf at the Door's topic in Critical Care

    I think the first visit is way too soon to be teaching them anything. Especially 11 year old kids. It's their MOM. They are grieving, scared, and maybe grossed out over how she looks. Is it your...
  11. CapeCodMermaid

    Are references checked before an interview?

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

    I've never checked references before I interviewed someone. Why waste my time and theirs if they aren't right for the job?I've had recruiters ask me for the names of my references if they were putting...
  12. CapeCodMermaid

    I am about to enter the snake pit...please help

    CapeCodMermaid replied to ♑ Capricorn ♑'s topic in General Students

    Okay so I'm oldish. Snakepit conjurs up the movie from the 40's with Olivia Dehaviland in the mental hospital. So I assumed you were starting your psych rotation.If you study ALL the time, you will...
  13. CapeCodMermaid

    Splitting pills outside of nurse's scope of practice?

    CapeCodMermaid replied to thesundowner's topic in Patient Medications

    We can't split pills in long term care, even the scored ones. We can push a few IV meds but apparently can't be trusted to cut a pill in
  14. CapeCodMermaid

    Missing Percocet

    CapeCodMermaid replied to bebe8295's topic in Patient Medications

    If I'm your patient and need pain meds, please don't give me a tylenol or aspirin if I have a natcotic ordered. To suggest it's better not to give narcotics because count might be off is bizarre...
  15. CapeCodMermaid

    What would you do???

    CapeCodMermaid replied to lumbarpain's topic in Geriatric, LTC

    She did use a new pen! All joking aside,I would have used a sterile lancet or
  16. CapeCodMermaid

    help please! morphine side effects!

    CapeCodMermaid replied to missnurse2012's topic in Patient Medications

    Our morphine comes in a 30cc vial. The usual concentration is 20mg/cc.It's given sublingually. Every nurse and doctor has been educated and re-educated to write "give 5mg (0.25cc) every hour as needed...
  17. CapeCodMermaid

    mandation being used despite passage of law banning....

    CapeCodMermaid replied to nurseebol's topic in Geriatric, LTC

    I worked in a union building. Mandating was in the contract so if someone called out and the shift couldn't be filled, someone was mandated to stay...nurse or CNA. P.S. I don't think "mandation" is a...
  18. CapeCodMermaid

    New nurse in ADON position. Advice needed.

    CapeCodMermaid replied to gerRN23's topic in LTC: Directors, Assistant

    Wow....I've never worked in a place where management had a separate breakroom! That fosters division not team
  19. CapeCodMermaid

    is it normal not to do background checks on ltc residents?

    CapeCodMermaid replied to pixiestudent2's topic in LTC: Directors, Assistant

    I've worked in many faciliites. In 3/4 of them we did background checks on a prospective resident. We usually only checked the sex offender
  20. CapeCodMermaid

    Love the idea of LTC...

    CapeCodMermaid replied to emptyboxcars's topic in Geriatric, LTC

    Most of my charge nurses are RNs...99% of the nurses who work on the post acute unit are
  21. CapeCodMermaid

    Love the idea of LTC...

    CapeCodMermaid replied to emptyboxcars's topic in Geriatric, LTC

    I hire new grads all the time. I try to start them off on the post acute unit since there are opportunities to get a variety of experiences there....IVs, gtubes, jtubes, drains, and especially...
  22. CapeCodMermaid

    Behaviors and Failing to Chart Them

    CapeCodMermaid replied to Tired_Mommy's topic in Geriatric, LTC

    It happens frequently....the staff get so used to the behavior they think "oh, that's just Mary". One thing that's worked for me when explaining this was "The Mall Test". If you were at the mall, and...
  23. CapeCodMermaid

    New nurse in ADON position. Advice needed.

    CapeCodMermaid replied to gerRN23's topic in LTC: Directors, Assistant

    Only 6 months of experience and you're the ADON? Yikes. That could be part of the
  24. CapeCodMermaid

    Hospital Won't Hire Obese Workers

    CapeCodMermaid replied to chevyv's topic in General Nursing

    You will be wrong if you rely on spell check since the word might be spelled correctly but be the wrong word for the meaning of the sentence.But that's a topic for another
  25. CapeCodMermaid

    Hospital Won't Hire Obese Workers

    CapeCodMermaid replied to chevyv's topic in General Nursing

    How about if we don't hire nurses who don't know the difference between your, you're, and yore. Or too, to, and two. And those who use words they have no idea how to spell....well coff'd for well...