CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    serving alcohol to patients

    CapeCodMermaid replied to mqurse37's topic in Patient Safety Issues

    I already have my care plan written in case I ever have to go to a nursing home. It states: Wine ad lib after 5PM. My HCP has promised to make this happen.
  2. CapeCodMermaid

    help, new grad with first NARCOTIC med error :(

    CapeCodMermaid replied to cherielpn23's topic in First Year After Licensure

    Why is it anal to care that med errors are made? Do you know that 75% of the hospitalizations for people over the age of 65 are related to taking medications incorrectly? It's serious business. Always...
  3. CapeCodMermaid

    Ok people, face facts: Staffing in LTC is always going to be outrageous!

    CapeCodMermaid replied to southernbeegirl's topic in Geriatric, LTC

    NOT a private pay facility. We have a good payer mix but the majority IS Medicaid. It's about the philosophy of the company....put the resident first. The beds will stay filled and staff turn over...
  4. CapeCodMermaid

    Ok people, face facts: Staffing in LTC is always going to be outrageous!

    CapeCodMermaid replied to southernbeegirl's topic in Geriatric, LTC

    Find a good facility. Mine has a 1:5 CNA to resident ratio. Residents get up when THEY want to; go to bed when THEY want to. The staffing is wonderful and the residents all get the care they need....
  5. CapeCodMermaid

    Terminated and need advice

    CapeCodMermaid replied to wecan11's topic in General Nursing

    You gave insulin without an order? If you didn't see an order on the MAR or TAR why did you give it? you can't do meds from
  6. CapeCodMermaid

    Charting

    CapeCodMermaid replied to username33's topic in LTC: Directors, Assistant

    This is what I've used in 3 buildings (so far). I hope it helps. DAILY SKILLED DOCUMENTATION
  7. CapeCodMermaid

    What do you think about universal workers in LTC?

    CapeCodMermaid replied to Moogie's topic in Geriatric, LTC

    I work in a facility that believes in the small house model. We have one CNA to five residents. We are going to be rolling out universal workers soon. If you lived in your own house, you wouldn't have...
  8. CapeCodMermaid

    Leaving AMA

    CapeCodMermaid replied to missjustice's topic in General Nursing

    People can make bad choices. I try to explain to them why they should stay and the risks of leaving. But if they are determined to go, I have them sign the form and wish them good luck. Our policy is...
  9. CapeCodMermaid

    Another low staffing - am i being a baby- new nurse post!

    CapeCodMermaid replied to SnowboardRN's topic in Geriatric, LTC

    When I was a floor nurse, I had 30 patients on a sub acute floor. Meds, treatments, IVs, trachs, TPN, Gtubes...I got it all done and still had time to talk with the residents. You learn how to do an...
  10. CapeCodMermaid

    Another low staffing - am i being a baby- new nurse post!

    CapeCodMermaid replied to SnowboardRN's topic in Geriatric, LTC

    You should attend a few budget meetings before you make blanket statements about companies lining their own pockets. Many facilities operate at a loss every year due to low reimbursement rates from...
  11. CapeCodMermaid

    Another low staffing - am i being a baby- new nurse post!

    CapeCodMermaid replied to SnowboardRN's topic in Geriatric, LTC

    If the DON doesn't support you, you're in the wrong facility. Nurse in the HOSPITAL have 5 patients. What made you think you'd only have 5 in a
  12. CapeCodMermaid

    Another low staffing - am i being a baby- new nurse post!

    CapeCodMermaid replied to SnowboardRN's topic in Geriatric, LTC

    Not all the patients in an LTC have chronic diseases. Some of them border on acutely I'll. It's not an easy place to work, but you will learn wonderful assessment and time management
  13. CapeCodMermaid

    Please for the love of God.............

    CapeCodMermaid replied to TinyRNgrl's topic in Emergency

    Not to change the subject, but there ARE people allergic to most if not all non narcotic pain meds....my mother was and she was not a drug
  14. CapeCodMermaid

    Working with student nurses

    CapeCodMermaid replied to LisaRN1105's topic in General Nursing

    I love having student nurses in my buildings. Most of them are full of so much enthusiasm and excitement about becoming a nurse. It reminds some people of the time when we were new and thrilled to be...
  15. CapeCodMermaid

    Narcotic diversion, but not to self

    CapeCodMermaid replied to LowPaidNurse21's topic in General Nursing

    A nurse in Massachusetts lost her license for giving a coworker two tylenol from the med cart. The DPH happened to be in the building at the time and said it was dispensing without a license. So you...
  16. CapeCodMermaid

    Narcotic diversion, but not to self

    CapeCodMermaid replied to LowPaidNurse21's topic in General Nursing

    What was that
  17. CapeCodMermaid

    Narcotic diversion, but not to self

    CapeCodMermaid replied to LowPaidNurse21's topic in General Nursing

    I am the DON and I can assure you I know how to get things done. I get them done the RIGHT way that not only protects the residents, but YOUR license as well. We don't make the laws but we need to...
  18. CapeCodMermaid

    Family Members

    CapeCodMermaid replied to CBsMommy's topic in General Nursing

    If they can't understand the magnitude of someone yanking out an IV and falling, let's hope they took the BUS to the hospital since they must be as dumb as toast and shouldn't be allowed to
  19. CapeCodMermaid

    EMARS

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

    We're going all electronic in the next few months. From what I've seen at the various in services of the computerized MARs, the edit process will be much simpler. Since all the orders will be put in...
  20. CapeCodMermaid

    help finding unremoveable bracelet for patients

    CapeCodMermaid replied to Heatherxo's topic in General Nursing

    In my last building we had many residents who constantly tried to elope. Many of them could get the Wanderguard bracelets off by cutting them or chewing through them. I called several companies to try...
  21. CapeCodMermaid

    Can you check if someone is using YOUR LICENCE?

    CapeCodMermaid replied to witc's topic in General Nursing

    I replied to an ad looking for RNs for a hospital in the Middle East. Before they would send any more information, they expected me to send them a copy of my driver's license, nursing license,AND a...
  22. CapeCodMermaid

    Is it legal for a nurse to work 24 hours straight?

    CapeCodMermaid replied to MrsMwenja_RN's topic in General Nursing

    We got cited at one SNF for having CNAs work 60 hrs a week. They picked up double shifts frequently....never did more than 16 at any one time, but we got cited anyway. I was on duty as the building...
  23. CapeCodMermaid

    Do I need to quit?

    CapeCodMermaid replied to TriniMa's topic in Geriatric, LTC

    No one's license gets taken away because another nurse is late. Don't listen to anyone who tells you to throw meds away. Meds are quite often late without any detriment to the patient. Continue to do...
  24. CapeCodMermaid

    night shift LPN woes

    CapeCodMermaid replied to nurse_autumn's topic in Geriatric, LTC

    "Nothing agaisnt RNs at all.. they work(well some of them) very hard where I work.. I just wish we had that "Everybody answers call lights" spirit." Please let's not make this an RN vs. LPN issue. It...
  25. CapeCodMermaid

    Patients' "home remedies"? What have you seen

    CapeCodMermaid replied to flyingchange's topic in General Nursing

    Probably the reason the CMS disallowed it's use in skilled facilities. I've had many patients (all with schizophrenia) who cleaned themselves with bleach on a regular