CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    New Resident Admissions process

    CapeCodMermaid replied to qestout's topic in Geriatric, LTC

    Thanks. Do you have a post acute unit? We tend to get our long term residents admitted before noon, but the short term ones are the ones who come any time.PS. I have a waiting list for my long term...
  2. CapeCodMermaid

    New Resident Admissions process

    CapeCodMermaid replied to qestout's topic in Geriatric, LTC

    I am, indeed the DON. I have worked in rural facilities and inner city facilities. I have shifted and flexed my staffing to accomodate later admissions. We very rarely get an admission, especially an...
  3. CapeCodMermaid

    New Resident Admissions process

    CapeCodMermaid replied to qestout's topic in Geriatric, LTC

    If I sent an admission back to the hospital simply because I didn't like the time they arrived, we wouldn't get any more referrals from that hospital and I'd probably be without a job. I don't know...
  4. CapeCodMermaid

    Would this be appropriate for an interview?

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

    Sounds perfect for an interview. Good
  5. CapeCodMermaid

    Oh dear . .Audited for proof of CEUs and don't have

    CapeCodMermaid replied to Norma_Saline's topic in General Nursing

    In Massachusetts there are 2 questions on the form to renew an RN license. The first one is: Have you paid all your state taxes? The second: Have you completed the necessary # of CEUs. My friend had...
  6. CapeCodMermaid

    New-ish RN, 30 residents please help!

    CapeCodMermaid replied to newrnltc's topic in Geriatric, LTC

    The demand for excellent nurses with excellent clinical skills is going to be increasing in skilled facilities. With Medicare payments being cut to hospitals who have patients readmitted within 30...
  7. CapeCodMermaid

    Useless manager or have I misplaced my backbone?

    CapeCodMermaid replied to sofla98's topic in Patient, Colleague Relations

    Lie your butt off? Try to intimidate her?!?!Really really BAD
  8. CapeCodMermaid

    Oh dear . .Audited for proof of CEUs and don't have

    CapeCodMermaid replied to Norma_Saline's topic in General Nursing

    Western Schools offers CEUs online. Take one 30 credit course and one on bioterrorism. It'll cost less than $200....small price to pay to keep your
  9. CapeCodMermaid

    Barrier Cream on a Skin Tear?

    CapeCodMermaid replied to kparry's topic in Geriatric, LTC

    Have your DON ask a WOCN....they are all about evidence based
  10. CapeCodMermaid

    Standing PRN orders and Ranged dosing at Facilities

    CapeCodMermaid replied to Kabin's topic in Geriatric, LTC

    I might ectomy your made up words. Regs in this state...no range is acceptable. We do 1 tab every four hours for moderate (4-6) pain 2 tabs every four hours for severe (7-10) pain Nothing has...
  11. CapeCodMermaid

    A soon-to-be new grad who actually WANTS to work in geriatrics!

    CapeCodMermaid replied to busymommy's topic in Geriatric, LTC

    Nurse456,I don't live on Cape any more. But I am hiring. Send me an IM if yiu want
  12. CapeCodMermaid

    Dealing with "Web-Trained" Patient/Family Members.

    CapeCodMermaid replied to BostonTerrierLover's topic in General Nursing

    I had to have surgery years ago. Of course I researched my options and knew what I wanted done. Off I went to the surgeon. I didn't tell him what I wanted. I asked him what my options were. He...
  13. CapeCodMermaid

    Dealing with "Web-Trained" Patient/Family Members.

    CapeCodMermaid replied to BostonTerrierLover's topic in General Nursing

    Knowing about your own medical condition is a far cry from being a lay person thinking they know everything because they saw a segment on Dr.
  14. CapeCodMermaid

    When to give insulin?

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

    Most people would agree that the sliding scale is not the optimal method to manage diabetes. Too bad most people doesn't include my medical
  15. CapeCodMermaid

    Need help with priority diagnoses

    CapeCodMermaid replied to Clovery's topic in Nursing Student Assistance

    Maybe I'm in an evil mood but the thing that jumped out at me was "placement issue". We won't be offering a bed any time
  16. CapeCodMermaid

    How To Get A Patient To Take Pain Meds When Needed...

    CapeCodMermaid replied to sharpeimom's topic in Pain Management

    I think I remember reading an article a while ago how keeping one's pain under conterol speeds rhe healing process....okay so I made that up, but here's my theory: we each have a finite amount of...
  17. CapeCodMermaid

    New Resident Admissions process

    CapeCodMermaid replied to qestout's topic in Geriatric, LTC

    I know a facility that changed its synthroid time to HS. It needs to be given on an empty stomach to maintain constant levels. But then there's the problem of the HS snack which seems to be a huge...
  18. CapeCodMermaid

    A soon-to-be new grad who actually WANTS to work in geriatrics!

    CapeCodMermaid replied to busymommy's topic in Geriatric, LTC

    As someone who's worked in LTC for years, I am thrilled that there are still new nurses who don't see working there as a step down. You won't find a better place to learn time management and...
  19. CapeCodMermaid

    policy regarding reporting abuse

    CapeCodMermaid replied to Ms.RN's topic in Geriatric, LTC

    Make sure the resident is safe and report it immediately. You can't assume someone is guilty simply because they've been
  20. CapeCodMermaid

    Barrier Cream on a Skin Tear?

    CapeCodMermaid replied to kparry's topic in Geriatric, LTC

    Yowza!!! Your CNAs are cutting skin flaps off skin tears?? I'd fire someone for doing that. The skin needs to be kept somewhat moist and clean. Zinc oxide would not help healing at all and bandaids...
  21. CapeCodMermaid

    Dealing with "Web-Trained" Patient/Family Members.

    CapeCodMermaid replied to BostonTerrierLover's topic in General Nursing

    Too late. It's patented
  22. CapeCodMermaid

    Will I be at a disadvantage?

    CapeCodMermaid replied to ThePrincessBride's topic in General Nursing

    Sometimes getting the job has more to do with being in the right place at the right time than it does your experience or grades or anything. When I first graduated, back when the first single celled...
  23. CapeCodMermaid

    Dealing with "Web-Trained" Patient/Family Members.

    CapeCodMermaid replied to BostonTerrierLover's topic in General Nursing

    What's worse....looking it up in line or seeing an ad in TV. I've had people who work in my building who have family members there call me and tell me "My mom needs_______. I saw it on television. YOU...
  24. CapeCodMermaid

    Grossest thing that you've experienced?

    CapeCodMermaid replied to dirtyhippiegirl's topic in General Nursing

    This thread was gross but nothing like the Yahoo story about January Jones (Mad Men) extolling the virtues of eating one's baby's placenta....careful....my lunch is threatening to make a return...
  25. CapeCodMermaid

    Grossest thing that you've experienced?

    CapeCodMermaid replied to dirtyhippiegirl's topic in General Nursing

    Two nasty episodes stand out for me in all my years of working:1. Guy with metastatic lung CA started to cough. I was walking by his room and heard a splat. It was on the floor. I grabbed the doc and...