CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    may graduate thinking about going into LTC any advice?

    CapeCodMermaid replied to soontobetexan's topic in Geriatric, LTC

    If a facility wants to put a new grad into a supervisory position, run the other way. You have to learn the basics before you can supervise
  2. CapeCodMermaid

    New Nurse, when to send a patient out.

    CapeCodMermaid replied to beatrice1's topic in Geriatric, LTC

    The worst place for an old person to be is in the hospital. The ambulance ride there is traumatic, the staff doesn't know them as well as you do. If they are a bit confused they become moreso. That's...
  3. CapeCodMermaid

    Vital signs

    CapeCodMermaid replied to CapeCodMermaid's topic in MDS Coordinator Information

    Thank
  4. CapeCodMermaid

    Vital signs

    CapeCodMermaid posted a topic in MDS Coordinator Information

    Is it necessary to do vital signs every shift every day of someone on Med A. We're having a discussion about it at my facility. I say once a day after the 1st 72 hours, but I've worked at places where...
  5. CapeCodMermaid

    Vital signs

    CapeCodMermaid replied to CapeCodMermaid's topic in MDS Coordinator Information

    Yeah..but I really hate to wake people up if their vitals signs are stable.
  6. CapeCodMermaid

    I am being harrassed

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

    I was harassed at one facility by the medical director. I was told by my administrator they couldn't do anything because medical directors are too hard to find. Finally I told the doctor if he didn't...
  7. CapeCodMermaid

    What do you think about universal workers in LTC?

    CapeCodMermaid replied to Moogie's topic in Geriatric, LTC

    I have a 1:5 or 1:6 ratio of CNAs to residents. I have at most 3 private pay residents in my very large facility. It's all about the company's philosophy of
  8. CapeCodMermaid

    I am being harrassed

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

    There's always
  9. CapeCodMermaid

    Bathing in LTC

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

    I must be blessed. My residents always get their baths or showers. The CNAs are the best I've ever worked with. The residents get showers at least twice a week on the shift of their choice. If they...
  10. CapeCodMermaid

    on call rotation

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

    We have an on call rotation. 4 nurse managers, the 2 admissions nurses, 2 MDS nurses, SDC, and 3-11 supervisor. So they are on call once every 10 weeks. They are all salaried but get paid extra to be...
  11. CapeCodMermaid

    LTC LPN: Nervous!!!

    CapeCodMermaid replied to rjsnowlpn's topic in Agency Nurses

    I'd say much depends on the particular facility. Some places welcome agency nurses with open arms. Some look at you like you've got 2 heads.One year is not a lot of experience these days in long term...
  12. CapeCodMermaid

    I am being harrassed

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

    As satisfying as it may be to say that. don't sink to his level and get yourself in trouble. He might say you are a violent person and you'd be the one getting written up...or
  13. CapeCodMermaid

    long....looking for aaa information...substantiated neglect

    CapeCodMermaid replied to pnurse68's topic in LTC: Directors, Assistant

    Nascar nurse is no slouch either when it comes to great
  14. CapeCodMermaid

    IV Question

    CapeCodMermaid replied to nycNurse2b's topic in Geriatric, LTC

    We have used pumps for at least 20 years. If the pump breaks, we use a dial-a-flow valve. If we don't have any of those we calculate...ah to be an old nurse and remember the
  15. CapeCodMermaid

    long....looking for aaa information...substantiated neglect

    CapeCodMermaid replied to pnurse68's topic in LTC: Directors, Assistant

    We don"t have an AAA in Massachusetts. Everything here gets reported to the Department of Public Health. I've not heard of the DON getting cited for something like this. I, too, report everything. I...
  16. CapeCodMermaid

    Opinions,please.

    CapeCodMermaid posted a topic in MDS Coordinator Information

    To all you MDS nurses: what do you think of a brand new grad being an MDS nurse? I'm thinking you need experience on the floor before you can do anything else, but that's just me. Any
  17. CapeCodMermaid

    This has been bothering me...

    CapeCodMermaid replied to tss2507's topic in Men in Nursing

    I've had male docs and female docs...male nurses and female nurses. They've always asked if I wanted someone else in the room. Cripes it's uncomfortable enough having anyone looking at 'those parts'...
  18. CapeCodMermaid

    Opinions,please.

    CapeCodMermaid replied to CapeCodMermaid's topic in MDS Coordinator Information

    That's my opinion as well. New grads are desperate to work so many of them get hired for positions they are ill prepared to
  19. CapeCodMermaid

    I'm Sooo Confused

    CapeCodMermaid replied to Emily0's topic in MDS Coordinator Information

    I used to 'nose around' in the MDS department to make sure the MDS nurses were doing their jobs and doing the MDS correctly. Technically they reported to the ED but since she was clueless about MDSs...
  20. CapeCodMermaid

    computerised medical records

    CapeCodMermaid replied to fltnrse2's topic in MDS Coordinator Information

    We're switching over to EMR in a few weeks. The only transferring of records will be the medication orders into the computer for the EMARs. We'll start doing our notes on the computer as well. The...
  21. CapeCodMermaid

    ADL coding examples

    CapeCodMermaid replied to kcgardens's topic in MDS Coordinator Information

    Chances are your CNAs don't have time to read manuals. You need to get out on the units and demonstrate what you mean. I would often go around carrying a sweater to demonstrate the difference between...
  22. CapeCodMermaid

    care plan invites

    CapeCodMermaid replied to mokreiz435's topic in MDS Coordinator Information

    Dear_____________,There is a care plan meeting for__________ on Thursday January 27 at 10:15 AM. Please let us know if you will be able to attend.For scheduling purposes, the meetings are kept to 15...
  23. CapeCodMermaid

    Skilled Nursing

    CapeCodMermaid replied to wecan11's topic in Geriatric, LTC

    Just as hospitals have stopped hiring LPNs, many skilled facilities have as
  24. CapeCodMermaid

    does your facility have a defibrillator?

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

    We have 3 AEDs for the building. We grab them and run if someone calls a Dr. Blue. The crash cart is pretty basic. I wish I could help with identifying the code status. We've tried different colored...
  25. CapeCodMermaid

    Were you "SMART" before Nursing School?!

    CapeCodMermaid replied to tammy_zeidan09's topic in Nursing Student Assistance

    Sure is a lot of horn tooting going on