CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    Flu Vaccine, enough already!

    CapeCodMermaid replied to Bklyn_RN's topic in Disaster Preparation

    Yup, you sound kookish. I had a family member of one of my residents tell us his mom wasn't allowed to get a flu shot because she was OLD and everyone knows the President doesn't like old people so...
  2. CapeCodMermaid

    Charge nurse after 1 month off orientation?

    CapeCodMermaid replied to xdelitezx's topic in First Year After Licensure

    I had an 8 hour orientation when I worked at the hospital on a med-surg floor. My first night on the floor, I was told I was in charge. But, I protested, I'm a new grad. Yes, they replied, but your...
  3. CapeCodMermaid

    Preparing food on the nursing unit

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

    Thanks for the ideas. We have dish washers on the units and the cycle takes 3 minutes so keeping things clean isn't a problem. I think hair nets might be in order but I'll take the advice and check...
  4. CapeCodMermaid

    First Med Error Blues...

    CapeCodMermaid replied to cyb3rRN's topic in General Nursing

    Gladn to hear you're okay and things are working out for
  5. 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
  6. CapeCodMermaid

    Preparing food on the nursing unit

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

    My staffing ratio is 5 or 6 residents to one CNA. They have more than enough time to make someone a shake. We bake cookies together, go apple picking, decorate the units together. It's their HOME. If...
  7. CapeCodMermaid

    Preparing food on the nursing unit

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

    No, it's part of trying to make what we feed the residents taste like real food and not chemicals from a can. We have a printed recipe which the dietician has reviewed and the protein and calories are...
  8. CapeCodMermaid

    Odd requests

    CapeCodMermaid posted a topic in Geriatric, LTC

    We had a resident today ask the CNA to shave his pubic hair. When she declined he complained to the social worker. Really? We don't have enough to do?!? I suggested to the social worker she speak to...
  9. CapeCodMermaid

    should a RN be a med tec for a LPN

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

    I'm not sure I'm getting the bumping yourself down to LPN duties. Don't you all pass meds and take care of
  10. CapeCodMermaid

    What do I do with a nasty nurse?

    CapeCodMermaid replied to DixieRedHead's topic in Geriatric, LTC

    aknottedyarn hit the nail on the head. If orienting new nurses is part of her job and she isn't doing it satisfactorily, she should be written up. Maybe she is the one with little confidence and is...
  11. CapeCodMermaid

    "New" seizure precautions???

    CapeCodMermaid replied to AJPV's topic in NCLEX Exam, Programs

    This may be a bit off topic. but side rails are not always considered a restraint. If you document that the person uses them as an assistive device to reposition, they're not a restraint.That being...
  12. CapeCodMermaid

    just informed that mom wants me to drive her kids to school

    CapeCodMermaid replied to kgress's topic in Private Duty

    It was like babysitting except the 'baby' was in her late
  13. CapeCodMermaid

    just informed that mom wants me to drive her kids to school

    CapeCodMermaid replied to kgress's topic in Private Duty

    I guess I was lucky when I did private duty through an agency. The only odd thing one client asked me to do was watch the Dialing for Dollars movies with her and then watch The Price is Right. She'd...
  14. CapeCodMermaid

    MDS nurse from home

    CapeCodMermaid replied to achot chavi's topic in MDS Coordinator Information

    I agree with mds1. The whole point of the MDS 3.0 is being more resident focused. You need to be able to assess and interview the
  15. CapeCodMermaid

    SigmaCare

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

    We don't wake our people up for breakfast either. They can have breakfast anywhere from 730 to 10AM. I'm in Massachusetts with a notoriously tough DPH so my policies will have to be iron clad. We're...
  16. CapeCodMermaid

    SigmaCare

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

    How flexible is your medication schedule? I'd love just to have times that say Morning or Evening instead of the old 8am and 12
  17. CapeCodMermaid

    What do you think? (warning: vent ahead)

    CapeCodMermaid replied to Nursey103's topic in Patient, Colleague Relations

    We all have to follow our own ideas about what is safe practice. I used to have to pass meds if someone called out. I always went by the book. Some of then patients would get mad at me because "the...
  18. CapeCodMermaid

    "Tainted" nursing experience?

    CapeCodMermaid replied to NottaSpringChik's topic in Correctional

    I've worked with nurses who've worked in the prison system and did splendidly in a non prison faciilty. No matter what venue you work in, there are always skills you can use no matter where else you...
  19. CapeCodMermaid

    Had two bad nights in a row, new RN feeling defeated and discouraged...

    CapeCodMermaid replied to nurseclairebear's topic in First Year After Licensure

    I'm sorry you had such a bad time. Keep in mind that you were advocating for your patient. It sounds to me like the sitter needed a major attitude
  20. CapeCodMermaid

    Rehab Unit of LTC Facility

    CapeCodMermaid replied to nycNurse2b's topic in Geriatric, LTC

    I'd bullet them separately for easier
  21. CapeCodMermaid

    Jobs in New England/Colorado for a New Grad

    CapeCodMermaid replied to AshleyBSN's topic in Ob/Gyn

    Try looking at the Globe on line...or the Herald to see if there are any jobs advertised. There are so many hospitals in Boston, you might get
  22. CapeCodMermaid

    Sleeves in the OR

    CapeCodMermaid replied to ruggster's topic in Operating Room

    I thought this was going to be a thread about
  23. CapeCodMermaid

    Starting as a CNA and working your way up the ladder

    CapeCodMermaid replied to Apenland's topic in Medical Assistant, CNA/MA

    I know many nurses who started their careers as CNAs. I was an aide before there was such a thing as certification and now I'm a director of nursing. Try to find a job in a place that has a career...
  24. CapeCodMermaid

    Is this a system flaw?

    CapeCodMermaid replied to MonkeyLPN's topic in Geriatric, LTC

    Your DON said she'd report you to the BON for a med error? Yikes...I have high expectations for my staff but even I wouldn't call the BON for one med
  25. CapeCodMermaid

    Rehab Unit of LTC Facility

    CapeCodMermaid replied to nycNurse2b's topic in Geriatric, LTC

    Most employers these days know what goes on on a rehab floor. You could use words like sub acute to indicate the acuity of the patients you had...IVs, PICC Lines, wound vacs...include your skills with...