CapeCodMermaid RN

Gerontology, Med surg, Home Health

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All Content by CapeCodMermaid

  1. CapeCodMermaid

    New to LTC - Charting Question

    CapeCodMermaid replied to NJ2010RN's topic in Long Term Acute Care

    I do but I'll have to look for it. I'm sure I posted it before. If you search forDaily Skilled Nursing Documentation you should find it DAILY SKILLED DOCUMENTATION GUIDELINE
  2. CapeCodMermaid

    So hard for new nurse

    CapeCodMermaid replied to jenny102235's topic in General Nursing

    What is an IEN? I'm guessing DOC is director if clinical but in my 40+ years never heard it called that. I was hollered at by a doctor during my 1st shift in the hospital as a new grad. I knew I...
  3. CapeCodMermaid

    RNs vs LPNs

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    So we all live with the same CMS 5 star rating system. Part of the rating is the # of RNs on staff. I've put an ad in the paper and on craiglist for RNs. The LPNs I have working for me on a per diem...
  4. CapeCodMermaid

    Can RN works as a floor nurse in Nursing home/LTC?

    CapeCodMermaid replied to MsiK's topic in Rehabilitation

    Of course RNs can work the floor in a nursing home. The last 6 places I ran (I travel) preferred to have RNs since it boosts the 5 Star
  5. CapeCodMermaid

    New DON help with survey

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

    You shouldn’t have lost your job over this. DNSs are leaving the industry in droves and being treated in this way certainly isn’t going to
  6. CapeCodMermaid

    Competencies

    CapeCodMermaid posted a topic in LTC: Directors, Assistant

    Does anyone have a list of competencies for licensed people? I wish I had saved all my work from my last place but....I don't want to have to start from
  7. CapeCodMermaid

    Competencies

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

    ??
  8. CapeCodMermaid

    Can we have a punching bag in the break room?

    CapeCodMermaid replied to Joe V's topic in Nursing Humor

    I had one of those in my dorm room during nursing school. Great stress
  9. CapeCodMermaid

    Help With New DON Position

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

    From what I’ve heard, the focus for survey this year is everything infection control and immunizations. Make yourself a schedule knowing it will change depending on what goes on. Monday weights...
  10. CapeCodMermaid

    Manager Audited Narc Drawer Without Witness; Fired Me for ‘Missing’ Norco

    CapeCodMermaid replied to Floridababe's topic in General Nursing

    WHY does she have access to the narc drawer??? Maybe SHE took the med and is blaming
  11. CapeCodMermaid

    I got a verbal warning for not greeting the new Director of Care?

    CapeCodMermaid replied to Convoy2022_TrumpSupporter's topic in General Nursing

    My first job as a nurse manager of a subacute unit--second day on the job. I had 4 admissions, 3 discharges, 3 people go out rescue-yes I was doing compressions (they all lived by the way) and at the...
  12. CapeCodMermaid

    Patient complaint - Did I mishandle this situation?

    CapeCodMermaid replied to lily8424's topic in General Nursing

    I’ve been a nurse for almost 40 years. Unless the patient specifically asks to be woken up for medication, I wouldn’t wake them up for pain meds. I’ve also been a patient more times than I’d...
  13. CapeCodMermaid

    Long term care medical director is a jerk!

    CapeCodMermaid replied to missourinurse2b's topic in LTC: Directors, Assistant

    I've run into a few docs like that-and NPs too. I just tell them I'm following policy, protecting my license, and suggest they protect theirs. Then I ask them to repeat what they said so I can...
  14. CapeCodMermaid

    Memory care-Can you pass meds in the dining room?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Is this a SNF? We would get cited for pre-pouring
  15. CapeCodMermaid

    Memory care-Can you pass meds in the dining room?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    Best way around this: get an MD order and care plan it. Sometimes you get one shot to give someone with dementia their
  16. CapeCodMermaid

    Understaffed and overwhelmed

    CapeCodMermaid replied to WisconsinCheddr's topic in Geriatric, LTC

    The work load in LTC, especially for the CNAs won't change until something drastic happens. My facility has good staffing and luckily we've remained Covid free, but I've been in other facilities where...
  17. CapeCodMermaid

    Memory care-Can you pass meds in the dining room?

    CapeCodMermaid replied to Blackcat99's topic in Geriatric, LTC

    1. She is NOT an RN so she can't sign RN 2. No meds should be given in the dining room unless the directions indicate give with food or the resident requests
  18. CapeCodMermaid

    New to LTC - Charting Question

    CapeCodMermaid replied to NJ2010RN's topic in Long Term Acute Care

    Sure- when I get home from work I’ll attach
  19. CapeCodMermaid

    RN Disciplined While Waiting On Covid 19 Result

    CapeCodMermaid replied to INDY RN's topic in Disaster Preparation

    So the word is quarantine not quantine. Your word should be attorney or something like that. If you are following the directions given to you by occupational health, the hospital has an obligation to...
  20. CapeCodMermaid

    Coronavirus (COVID-19): We Want to Hear from You

    CapeCodMermaid replied to tnbutterfly - Mary's topic in Disaster Preparation

    No SNF I’ve ever worked in had had N95 masks. We have stopped allowing visitors, check residents’ temps twice a day and employee temps when they arrive at work. Only one confirmed case in my...
  21. CapeCodMermaid

    Coronavirus mask shortage

    CapeCodMermaid replied to zillynurz's topic in Disaster Preparation

    We order as many masks from our supplier as we can every week. I’ve got them locked in my office. We’re stocking up on yellow gowns and buying extra gloves too. A few years ago there was a...
  22. CapeCodMermaid

    Plant-based (vegan) mandate for NY hospitals

    CapeCodMermaid replied to Emergent's topic in General Nursing

    No thanks. I’ll take the
  23. CapeCodMermaid

    WHY?

    CapeCodMermaid posted a topic in Geriatric, LTC

    I've been a DNS for the last 18 years. My friends ask me why I continue to work in LTC when we're consistently short staffed and looked badly upon by hospital nurses. Here is why: We have a local guy...
  24. CapeCodMermaid

    Infection Preventionist

    CapeCodMermaid posted a topic in Geriatric, LTC

    Has anyone taken the CMS course for Infection Preventionist? I started it but am having trouble staying awake during the
  25. CapeCodMermaid

    Infection Preventionist

    CapeCodMermaid replied to CapeCodMermaid's topic in Geriatric, LTC

    If it were my only job it wouldn’t be bad but I’m the DNS, SDC, IP, and almost everything