CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Need RN's opinion- BIG clinical mistake

    I haven't read all the responses so forgive me if I am repeating something already said. But, IVP as a student with no instructor present?? I'm not thinking that is a good idea. I'm glad your patient...
  2. CapeCodMermaid

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

    You should have more than 2 days or orientation. My nurses get at least a few weeks. It's worth it to give new grads a strong foundation. If they need it, we extend orientation. Not all places throw...
  3. CapeCodMermaid

    do I have to list maternity/medical leave on resume?

    I took time off from working to raise my kids. When I went back to the job force, a few employers asked me to explain the lapses in my employment. I simply said I was home raising my kids.....end of...
  4. CapeCodMermaid

    No more fun scrubs

    I worked in a place which even tried to mandate the color underwear we were allowed to wear. There was no shortage of docs lining up to be part of the panty patrol. It all lasted a few days and then...
  5. CapeCodMermaid

    What motivates you to go to work every day?

    I make a difference in someone's life every
  6. CapeCodMermaid

    Charge Aide, Charge CNA

    I've worked in a few places that had Lead CNAs. They were given a dollar or so more per hour and were responsible for making sure the other CNAs did all their work....weights, I&Os, vitals,...
  7. CapeCodMermaid

    Do they check to see if you have your BSN/Masters degree ?

    I'd say IEDave has spent WAY too much time thinking about ways to scam a degree! Get back to your homework, Dave.PS. We don't check on a stated degree before we hire someone. We do,however, check...
  8. CapeCodMermaid

    can my DON force me to work the floor?

    Both of the MDS nurses in my building are on the on call rotation. Up until recently, their primary focus was to cover any call outs. You can imagine how motivated they are to cover a shift if it...
  9. CapeCodMermaid

    Giving PRN meds- need some clarification

    The hour before and after does not apply to PRN's. You did the right thing.I would ask the doctor, though, to reassess the pain management. Perhaps switching to a long acting pain med might be the...
  10. CapeCodMermaid

    IV Push Lasix

    I run a silled facility. We give IM Lasix for CHF frequently. We have a policy to give IV Lasix, but if someone is that unstable, I'm far more comfortable sending them out to the hospital.I don't know...
  11. CapeCodMermaid

    Is chemistry hard?

    Rocks are hard. Chemistry is
  12. CapeCodMermaid

    Forced to be in charge before I'm ready.

    I had been an RN for less than a month. My first day at my first hospital job. I was informed that since I was the RN, I would be in charge. My protestations about being new were ignored and I was the...
  13. Congratulations on maybe getting your first job! RNs in nursing homes have a variety of duties---meds, treatments, paperwork, assessments...the difference between what an RN does and an LPN does...
  14. CapeCodMermaid

    would you prefer monday-friday 3-11pm or the weekend shift??

    In this economy, you're lucky to have your choice. In my humble opinion, you should do the 3-11 shift. There is much more going on--admissions usually happen on that shift--treatments and meds,...
  15. CapeCodMermaid

    taking blood pressure on side with paralysis?

    You can get a thigh cuff. It's unusual but it can be done. I had a PICC line and the nurses used that arm for blood pressures because I had lymphedema and cellulitis in the other.Your best bet is to...
  16. I did a rotation during school in a state run mental institution...think Snake Pit. There was a man there who liked to grab women and kiss them. I had on a funky pull over jacket with a pocket in...
  17. CapeCodMermaid

    Wound care puzzle

    We haven't used Dakins solution in years and honestly, we haven't used wet to dry dressings for a long time
  18. CapeCodMermaid

    getting a job with an ASN and a BA?

    I have a BA and a diploma from a hospital based program. I've worked in a hospital, for the VNA despite all the job postings saying they wanted BSNs, and now run a very large skilled facility. I've...
  19. CapeCodMermaid

    NEW Staff Development Nurse...

    I always kept a folder for each staff member with their inservices and competencies in there as well as a master spread sheet with everyone's name and the date they completed the
  20. CapeCodMermaid

    How to you track weights?

    We have a weight book with a page for every resident. Weekly weights are done on shower day. Daily weights for monitoring fluid overload for CHF go in the MAR and are done as soon as the resident...
  21. CapeCodMermaid

    Help With Staffing

    Ugh....in the middle of budget talks. I'm being told for a building my size I should only need 1.5 FTEs for MDS.One unit has 27 beds and averages 90 admits and discharges a month. The other units are...
  22. CapeCodMermaid

    Help With Staffing

    Yep, that's what I keep saying. So far I've been listened to. Thanks for your
  23. CapeCodMermaid

    Problems with the aging nurses

    If you resent picking up the slack of an older nurse who can't physically keep up, imagine how the older nurses feel picking up the slack new grads create by not knowing
  24. CapeCodMermaid

    How to Determine Whether a LTC / SNF is Well Run

    Warehousing? My residents all have a private room, breakfast anytime from 7 to 1030 in the morning, activites 10 hours a day...yep....sign me up for that kind of warehouse. Lots of my residents get...
  25. CapeCodMermaid

    What do you say when calling out sick as a nurse?

    If you want a personal day off, plan it. I usually ask the person if I'm the one who answers the phone. I've had people tell me they just don't feel like coming to work. Really? If you're sick, you're...