CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    What should I exactly expect from Geriatric nursing?

    CapeCodMermaid replied to JonJP's topic in Geriatric, LTC

    Here is my advice and I've been in long term care since dinosaurs roamed the earth: Don't listen to people or posters who tell you that all facilities are horrible. I've worked in run down places and...
  2. CapeCodMermaid

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

    CapeCodMermaid replied to JZ_RN's topic in Geriatric, LTC

    I'd say those of you who hate it...get out. We don't need people who hate their job so much taking care of frail people. Don't you think they get that you don't like being there so it makes them feel...
  3. CapeCodMermaid

    False documentation... more common than you think.

    CapeCodMermaid replied to OnlybyHisgraceRN's topic in Patient Safety Issues

    Here is what I perceive to be the problem here: if I post on here that I've made a multitude of mistakes I will most likely be told it wasn't my fault. It was the short staff or the work load or...
  4. CapeCodMermaid

    Comfort care measures.

    CapeCodMermaid replied to Forever Sunshine's topic in Geriatric, LTC

    I agree with you. Supplemental oxygen is not an extraordinary life saving measure. It won't prolong his life...it might make his remaining days a little less
  5. CapeCodMermaid

    Overuse of antipsychotics in nursing homes

    CapeCodMermaid replied to hotflashion's topic in Geriatric, LTC

    The Globe??? Really??? It's better to read a scholarly article than something in a non-medically oriented newspaper. We use antipsychotics appropriately. Many of these people are tormented with...
  6. CapeCodMermaid

    False documentation... more common than you think.

    CapeCodMermaid replied to OnlybyHisgraceRN's topic in Patient Safety Issues

  7. CapeCodMermaid

    electronic medical records for long term care

    CapeCodMermaid replied to crnacc's topic in Geriatric, LTC

    We use SigmaCare for eMARs, eTARs, and progress notes. I can't speak to the cost but for the most part the system is great. My advice would be to see what system your local hospitals are using. As we...
  8. CapeCodMermaid

    False documentation... more common than you think.

    CapeCodMermaid replied to OnlybyHisgraceRN's topic in Patient Safety Issues

    There is a difference between charting something that you've actually done and charting something that you didn't do. If I actually assess the patient at 10am but don't chart it till 230 that is not...
  9. CapeCodMermaid

    False documentation... more common than you think.

    CapeCodMermaid replied to OnlybyHisgraceRN's topic in Patient Safety Issues

    I can honestly say that in my nursing career, I have never falsified any documentation. I wouldn't sign off something on the treatment sheet unless I had personally done it. I signed my meds off when...
  10. CapeCodMermaid

    Thank you to the best staff ever!

    CapeCodMermaid posted a topic in Geriatric, LTC

    I'm not sure if any of the people who work with me are on allnurses, but..... T H A N K Y O U ! ! ! ! We just finished state survey....they left 2 days earlier than expected due to the...
  11. CapeCodMermaid

    need an honest answer from DON

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

    So you hired her and didn't know about the suspension?I'm with the others.....take her off the schedule until it's straightened
  12. CapeCodMermaid

    "Senior Codes"

    CapeCodMermaid replied to GitanoRN's topic in Nursing Humor

    I posted this about a year ago and got flamed. I think they're funny and my senior friends
  13. CapeCodMermaid

    Affection to residents and still professional?

    CapeCodMermaid replied to Rach823RN's topic in Geriatric, LTC

    I accept hugs gladly but do not offer them unless asked. Naturess...you really crossed the line when you told a patient about your troubles. No matter how bad your day/night is, YOU can go home at the...
  14. CapeCodMermaid

    Who is responsible to check the emergency cart?

    CapeCodMermaid replied to tony2020's topic in General Nursing

    In my facility, the 11-7 nurse checks the cart. I keep telling them to get a big piece of plastic and wrap the thing up. Tie the whole thing and you only need to check it if the tie has been
  15. CapeCodMermaid

    Can we have a punching bag in the break room?

    CapeCodMermaid replied to Joe V's topic in Nursing Humor

    I had a punching bag in my dorm room in nursing school.....filled the bottom with sand...the top looked like Bozo. After a bad day, we'd all come home and wail on the poor
  16. CapeCodMermaid

    What is your typical response?

    CapeCodMermaid replied to Vtachy1's topic in Hospice, Palliative

    Most people writhing in pain are breathing more rapidly. It's not easy to have a hard and fast rule about an end of life
  17. CapeCodMermaid

    Don't You Just Want To Scream?

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    I've had it with nurses not doing what they are supposed to do! There was an order to 'encourage fluids every shift and monitor intake on Caretracker" For 3 days the nurses signed off the order, but...
  18. CapeCodMermaid

    Question for those who are working in the field of IT

    CapeCodMermaid replied to kbell99140's topic in Nursing Informatics

    I might be the Director of Nursing, but I am by default the nursing IT person in my building. We have a large IT department, but they're not nurses and tend to do the eye roll if someone asks more...
  19. CapeCodMermaid

    ? about self administration of meds in Personal Care

    CapeCodMermaid replied to toocrabby4u's topic in Geriatric, LTC

    DPW?? Department of Public Works? We do an assessment to determine if a resident is able to self-medicate. If they are able and want to, we get an MD order and document it in the chart. We keep their...
  20. CapeCodMermaid

    What is your typical response?

    CapeCodMermaid replied to Vtachy1's topic in Hospice, Palliative

    Perhaps part of this problem could be avoided with a well worded PRN order: Roxanol 5 mg every 1 hour sl...hold for respirations less than 8/minute( or something to that effect).In my facility I'd...
  21. CapeCodMermaid

    Asking family not to visit for a week or two to help a dementia resident adjust?

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

    I'd let the family visit. Two weeks probably won't make a difference since at this stage of dementia, time doesn't mean
  22. CapeCodMermaid

    PPD Policy on Re-Admissions

    CapeCodMermaid replied to Havin' A Party!'s topic in Geriatric, LTC

    We don't do another PPD. We don't do them on short term residents either. If they are in the building for less than 90 days we don't do a
  23. CapeCodMermaid

    Hospital Won't Hire Obese Workers

    CapeCodMermaid replied to chevyv's topic in General Nursing

    When my sister was about 6 years old, she was a little over weight. Our pediatrician told her she needed to fight the battle of the bulge. She poked HIS rather rotund abdomen and said "You should take...
  24. CapeCodMermaid

    I love being a Satanist nurse.

    CapeCodMermaid replied to canoehead's topic in Spirituality, Religion

    So you can post this for a laugh (??), but someone posts what appears to be a serious post of loving being a Christian nurse and she gets a ration
  25. CapeCodMermaid

    Hospital Won't Hire Obese Workers

    CapeCodMermaid replied to chevyv's topic in General Nursing

    When I was in nursing school, we were expected to set an example in what we did and how we looked. If we happened to go to the beach in the 15 minutes we had off and got sunburned, we weren't allowed...