CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    CNAs that take extended breaks

    CapeCodMermaid replied to NurseLoveJoy88's topic in LTC: Directors, Assistant

    Really? You think it's not your job to supervise the aides? You might want to check the nurse practice act in your
  2. CapeCodMermaid

    Written up for false documentation...

    CapeCodMermaid replied to NurseLoveJoy88's topic in Patient Safety Issues

    Why blame the facility for your mistake? Falsifying documentation is a serious issue. I had a nurse who did it frequently because she was lazy. We kept an eye on her and found it was shoking how many...
  3. CapeCodMermaid

    Would you feel ok as a patient at your own hospital?

    CapeCodMermaid replied to SNB1014's topic in General Nursing

    I'm the director of nursing. Our patients get excellent care and the place is beautiful. But, I don't think I'd want the staff seeing my naked bum or seeing me with no make up or knowing how much pain...
  4. CapeCodMermaid

    Refused to float without orientation ...Terminated

    CapeCodMermaid replied to SFnrs's topic in Travel

    I can see not wanting to float to a higher acuity floor, but why not from ICU to
  5. CapeCodMermaid

    What are the ltc care residents interested in?

    CapeCodMermaid replied to Kaysmom8's topic in Geriatric, LTC

    The residents are as interested in as many different things as we are. Singing is pretty universal but musical tastes vary. I started a chorus on the dementia unit...we're not quite ready for Idol,...
  6. CapeCodMermaid

    how to give insulin injection?

    CapeCodMermaid replied to Tenny84's topic in General Nursing

    What's really painful to me is your poor spelling, grammar, and use of the word "tummy". I get the feeling we're being
  7. CapeCodMermaid

    Advice please

    CapeCodMermaid replied to NoahscoopsRN's topic in Geriatric, LTC

    We let our residents sleep and wake on their own schedules. Breakfast is buffet style and is available from 7am to 1030am. Wandering is defined as moving about without a destination or purpose. We...
  8. CapeCodMermaid

    Advice please

    CapeCodMermaid replied to NoahscoopsRN's topic in Geriatric, LTC

    These days tat more likely means having something inked on one's
  9. CapeCodMermaid

    MDS and QIS

    CapeCodMermaid replied to Sfisher09's topic in MDS Coordinator Information

    Isn't the MDS department made up of
  10. CapeCodMermaid

    Now I get why experience means everything yet nothing

    CapeCodMermaid replied to bsnanat2's topic in Nurse Practitioners, NP

    NP=nurse practitioner=an advanced practice nurse who can prescribe medications and work in some states as an independant health care provider.PA=physician's assistant...not a
  11. CapeCodMermaid

    Advice please

    CapeCodMermaid replied to NoahscoopsRN's topic in Geriatric, LTC

    If you want my opinion, and I've been doing this for 30 years, you did the absolute right thing. How dirty to people really get?? Was it worth the poor woman being hysterical just to have a shower?...
  12. CapeCodMermaid

    promoted to supervisor on subacute nurse with lower salary

    CapeCodMermaid replied to biju27's topic in Geriatric, LTC

    So you didn't get a pay
  13. CapeCodMermaid

    Resignation letter question.

    CapeCodMermaid replied to pretty70's topic in Geriatric, LTC

    In Massachusetts even if you get fired you are paid out all your vacation time. I'm really sorry all y'all work for such evil
  14. CapeCodMermaid

    lpn as ADON?

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

    In Massachusetts LPNs can NOT be the ADON. I don't write the rules, but I do make sure they are enforced. You sound very hostile. I'm thinking it is you who is insecure. I know some excellent...
  15. CapeCodMermaid

    Reducing Alarms

    CapeCodMermaid replied to rmaruschock's topic in Geriatric, LTC

    Alarms do not prevent falls. They offer a false sense of security to the staff. Do a study for a few days. If Mr. Johnson's alarm is always going off after meals, send someone into to his room BEFORE...
  16. CapeCodMermaid

    Regs for being seen by MD within 48 hours of admission

    CapeCodMermaid posted a topic in MDS Coordinator Information

    Can one of all y'all point me in the direction of where I can find the reg. that states new admissions must be seen by the MD within 48 hours of admission. I'm having a discussion with my medical...
  17. CapeCodMermaid

    C-Diff in Spec. Ed student

    CapeCodMermaid replied to lissaq10's topic in School

    We don't share bathrooms if someone has CDiff. The spores go everywhere. I wouldn't want my kids sharing a bathroom with someone with
  18. CapeCodMermaid

    Keeping A Written Record Of The Patients You've Had: Good Or Bad?

    CapeCodMermaid replied to All4NursingRN's topic in HIPAA Challenges

    If you can take the time to write something on a report sheet, you should take the time to document it in the patient's medical record. "Wait, your honor! I didn't write it in the chart,but I kept...
  19. CapeCodMermaid

    Wound Care

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

    It sounds like a great opportunity for you. You can learn as you go and nevermind what the others think. Ask for their help if you need it. I was the wound nurse in many buildings because I loved...
  20. CapeCodMermaid

    Code Blue Drills

    CapeCodMermaid posted a topic in Geriatric, LTC

    How often do all y'all have code blue drills? We had one today because the end of the year was fast approaching. I have to say I'm so proud of the nurses. 9 of them showed up with their AEDs less than...
  21. CapeCodMermaid

    Is giving meds early common??

    CapeCodMermaid replied to Bonnie86's topic in Medical-Surgical

    The dreaded med pass...ugh a blast from the past when patients got one or two meds. Now they get 19 or 20. We're changing our med times so the people can sleep in if they want so daily meds can be...
  22. CapeCodMermaid

    ON CALL

    CapeCodMermaid replied to Shell5's topic in LTC: Directors, Assistant

    I don't think it's illegal to have someone oncall not get paid unless they actually work.It's never fun being on call, but we've all done
  23. CapeCodMermaid

    Regs for being seen by MD within 48 hours of admission

    CapeCodMermaid replied to CapeCodMermaid's topic in MDS Coordinator Information

    I KNEW you'd know! So it's an urban myth that we've all been using for years to get the docs in the
  24. CapeCodMermaid

    Should I become a nurse for the money??

    CapeCodMermaid replied to Wot chick's topic in Pre-Nursing Students

    "should i just settle and become a nurse? " if you think becoming a nurse is settling in any way, don't do it. whoever told you it is easy has not gone to nursing school or worked as a
  25. CapeCodMermaid

    feel inadequate in assessing heart sounds

    CapeCodMermaid replied to beatrice1's topic in Geriatric, LTC

    There are many teaching tools available on line. Google heart sounds and you're sure to find some. When I was in nursing school--back when dinosaurs roamed the Earth--I was the one who had the 'best'...