CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    scared sick....literally....need some advice here stat!

    Before you call the State or the BON or anyone else, why don't you ask the poor woman if something is wrong. I see all time on here nurses who say making this mistake or that wasn't really their fault...
  2. CapeCodMermaid

    Is this illegal?

    We don't have a union but we have polite management.....me.If we have a per diem who hasn't worked in 3 months, despite being called and asked to pick up hours, we send out a letter explaining that we...
  3. CapeCodMermaid

    DON Interview...Advice needed!

    Are you sure you are ready to be a DON? Your only experience in LTC was as a CNA? Do you know the regs? Can you stay within budget and still provide excellent care? Are you prepared to work 50-60+...
  4. CapeCodMermaid

    Please, take your Warfarin!

    It's the same as rat poison...no surprise they don't want to take it. And Pradaxa isn't any
  5. CapeCodMermaid

    Charting blooper

    One of my nurses was an excellent nurse, but a rotten speller. I was doing chart reviews and found on the dementia unit she had charted "cognitive deficate". Once I stopped laughing I asked her if it...
  6. CapeCodMermaid

    Do we need to take drugs.. in order to do our job?

    We are a society of quick fixes. Why try to eat a better diet and exercise more when a pill will help control your cholesterol or blood pressure? Why exercise to get your endorphins flowing when you...
  7. CapeCodMermaid

    HELP, new nurse and I dont like it

    When I was younger, in my 40's, I did more than 3 16 hour shifts a week and 2 8 hour shifts. Call outs were a huge issue and since I was the manager, I was the one to stay. I was tired by the end of...
  8. CapeCodMermaid

    Obese lady

    Sometimes a few kind words or a moment of unspoken understanding does more good than all the medication in the cart. We had a morbidly obese woman who was not doing anything for herself. She had a bad...
  9. CapeCodMermaid

    Admissions...who decides?

    The hospitals here flat out refuse to do
  10. CapeCodMermaid

    Admissions...who decides?

    The language in Massachusetts says "the licensed professional" must complete the PASARR...RN,LPN,or Licensed social
  11. CapeCodMermaid

    Admissions...who decides?

    I've been under the radar so to speak. I'm glad things are working out for you. The people my company has slated to be screening....one nurse in the bunch of 10...one is an xray tech and one is a CNA....
  12. CapeCodMermaid

    Am I making the right decision?

    At the risk of getting flamed: is English your second language? You're at the end of your robe? I second leslie's post...speak to the DON. Perhaps you could have some more orientation. Or speak to the...
  13. CapeCodMermaid

    Can a Nurse Manager Critique My Resuem

    I'll critique it for you. Just don't get insulted if I correct your spelling and
  14. CapeCodMermaid

    Just tattoo DNR on my chest. . . it's been done!

    I was thinking about doing this but was told that it would need a doctor's signature to be valid. I'm not sure if that's true or not,but it sure is a good
  15. CapeCodMermaid

    First RN job at LTC.. Please I need help badly!

    Have an honest talk with the DON and ask for more orientation. Two days just isn't enough. See what she says....it won't hurt and maybe her answer will surprise you and you'll get some more...
  16. CapeCodMermaid

    New Grad in SNF

    OMG---this is NOT how things are usually done in a good facility. He sounds dangerous and he wouldn't work for me for more than 5 minutes. You shouldn't have left 2 hours before the end of the shift....
  17. CapeCodMermaid

    Terminated vs Resigning

    Did she count the narcotics off with the supervisor? If so I don't see how she could be reported to the
  18. CapeCodMermaid

    Harassment at work, patient to staff

    Make sure all these behaviors are documented in his care plan. People with brain injuries are some of the hardest to deal with.You realize that none of this is aimed at you personally. Always have a...
  19. CapeCodMermaid

    Harassment at work, patient to staff

    Your 'little secret' is a clear violation of HIPAA laws. If your incident reports disappear, you have more problems than a nasty resident. Incident reports are internal documents that are supposed to...
  20. CapeCodMermaid

    Embarrasing illnesses

    We had a guy come in for rehab after he let his girlfriend stick part of a an aquarium tubing in his member. I really wanted to know how anyone thought PT or OT was going to help.We nicknamed him...
  21. CapeCodMermaid

    Madame, your ignorance is astounding

    That reminds me of the time I had a brand new grad working on my floor. I showed her the med cart and started telling her about the med pass. She looked at me and said with derision "I didn't spend 4...
  22. I'm not one of those 'better living through chemicals' nurses and, frankly, I think many people take far too many medications. BUT, when you have exhausted all other treatments as you apparently have,...
  23. My cell phone (we don't do overhead page except in an emergency), chap stick, a multi-colored pen, and hand
  24. CapeCodMermaid

    Harassment at work, patient to staff

    I don't think you have any legal recourse. Speak to the social worker, the DON, the doctor, and call the Ombudsman. I've often called their office to ask for help with particularly difficult...
  25. CapeCodMermaid

    No wonder our profession is messed up

    There is no difference in the scope of practice between as associate degree nurse and a nurse with a BSN.I've met some wonderful NPs and some I wouldn't let treat my houseplant. Same with...