CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Will the economy ever get better so less people will pursue nursing?

    Physical Therapists require AT LEAST a Master's Degree and I think now the requirment is a Doctorate to be a PT.Not to be cruel, but if you can't pass a reading test, how can you think you could be a...
  2. CapeCodMermaid

    Kaplan Trainer 5 - Question 68 (Digoxin)

    Three pages of comments and I was the only one who noticed the dose was way too high? I'm glad I'm not on dig if all y'all are passing
  3. We are trying to get away from purchased supplements such as Boost, Ensure, Resource...ick...and will be making our own milk shakes and fruit smoothies. Does anyone have any policies or procedures for...
  4. CapeCodMermaid

    Kaplan Trainer 5 - Question 68 (Digoxin)

    The dose in the question was 25mg??? The usual dose of digoxin is 0.25 or 0.125.Is this a trick
  5. CapeCodMermaid

    Preparing food on the nursing unit

    The recipes came from the dietitian. She calculated the protein and calories. We are starting on one unit and will check weights regularly. I'm not that worried about the protein.. Thanks for the...
  6. CapeCodMermaid

    Work ethic, what's your take on it all

    We spend hours making sure there is sufficient staff. I have a small per diem pool but those nurses hardly pick up any time. I do NOT use staffing agencies. The nurses have no accountability and the...
  7. CapeCodMermaid

    LTC incident, what are your thoughts.

    Since residents with dementia are most often unable to express their pain, it frequently exhibits itself as an increase of behaviors. Giving tylenol is certainly an appropriate intervention. I read a...
  8. CapeCodMermaid

    Is it time to quit?

    "I'm going to hurt you"?!?!?Report this immediately to your supervisor or
  9. CapeCodMermaid

    Family diagnosticians: just Google it!

    It's even worse when staff members do it to diagnose
  10. CapeCodMermaid

    LTC incident, what are your thoughts.

    Where to begin??? Ativan, at least in Massachusetts, is NOT considered a chemical restraint. 0.5 mg po?? I'd have given it and the tylenol, too. You did what was appropriate at the time using your...
  11. CapeCodMermaid

    How can I make Rocephin I'm hurt less???

    Not always true. We have people on rocephin for days. Easier and less painful to start an
  12. I tried both of your links and got a bad request message.1. I don't drink pop or soda . It leeches the calcium out of your bones. It has no redeeming features. I might have one ounce every 6 months.RN...
  13. CapeCodMermaid

    Is it ok to say . . .

    I work in long term care so my patients are sometimes with us for a month or longer. We often have "graduation" parties for people who've worked really hard during their rehab and get to go home. It's...
  14. CapeCodMermaid

    How can I make Rocephin I'm hurt less???

    IM anything in an elder hurts. Get the doc to change to
  15. CapeCodMermaid

    Have you guys read this article?

    The "new" procedure for lowering blood pressure by zapping nerves in the kidneys has been around since 1930 but back then the nerves were cut with a
  16. CapeCodMermaid

    Orientation at LTC/Subacute Rehab facility

    Kitty power, I am too much of a Yankee to ever move to
  17. CapeCodMermaid

    Why do ED docs hate putting in orders?

    They are everywhere. In SNFs the orders have to be very specific but some of the docs don't seem to get it. We spend an extraordinary amount of time writing clarification orders. If the doc or NP...
  18. CapeCodMermaid

    Excited about night shift in LTC

    We don't schedule treatments of any kind on the night shift. People are supposed to sleep at night so we don't schedule meds then either unless it's a q 4 or q 6 hour antibiotic. Maybe the residents...
  19. CapeCodMermaid

    Orientation at LTC/Subacute Rehab facility

    We have two days of general orientation. Licensed nurses then have two more days in the classroom with the staff development coordinator. Then it's on to the nursing units. New grads get a minimum of...
  20. CapeCodMermaid

    Preparing food on the nursing unit

    deb, you are not like any other surveyor I've ever met in my 20+ years in long term care. And I mean that as a compliment of the highest
  21. CapeCodMermaid

    Scared at new job in psychiatric hospital

    You're an RN and you're paid $13/hr???? Horrible. The grocery store shelf stock people make more than that around
  22. CapeCodMermaid

    How many residents is too many for one nurse?

    I was also burned out until I found a wonderful place to work. I don't call the night nurses in to meetings in the middle of the day. I do a 3-11 AND an 11-7 shift once a month so I can speak to all...
  23. CapeCodMermaid

    How many residents is too many for one nurse?

    So not to get personal, but most of my clothes come from Target or Marshalls. My car has 117,000 miles on it. I am sometimes at the facility for more than 12 hours. A ten hour day is normal for me....
  24. CapeCodMermaid

    How many residents is too many for one nurse?

    Let's not turn this into a DNS vs. floor nurse. You might not realize all the constraints - time, money, and regulatory - we are under. I've done your job and every other job in the facility. I've...
  25. EAST1981--whoever hires you as an RN will be lucky. Keep your attitude about always putting the patient first and you will be a terrific