Latest Likes For CoffeeRTC

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CoffeeRTC, BSN 12,230 Views

Joined Jan 22, '03. CoffeeRTC is a RN LTC. Posts: 3,470 (22% Liked) Likes: 1,479

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  • 7:52 pm

    We do it as you described. One page per med. Started when you get the med and just signed off with each does. We then have a page at the start of the book/ binder that we sign on at the start of the shift and off at the end of the shift. Each nurse has a spot.

    I might have at least 20 or more different carts, boxes of patches, injectables or liquids on my cart. I couldn't imagine doing all of that double charting. Is this a pharmacy consultant or nursing? I'd want to see the reg or back ground for the new requirement.

  • 6:47 pm

    Recently changed my name to stay more private.....Coffee RTC...how doesn't need coffee round the clock ?

  • 11:03 am

    Recently changed my name to stay more private.....Coffee RTC...how doesn't need coffee round the clock ?

  • May 3

    Recently changed my name to stay more private.....Coffee RTC...how doesn't need coffee round the clock ?

  • May 3

    Recently changed my name to stay more private.....Coffee RTC...how doesn't need coffee round the clock ?

  • May 3

    Wha??? I work in a small LTC and totally understand the staffing issues, but this was crazy!

  • May 3

    Recently changed my name to stay more private.....Coffee RTC...how doesn't need coffee round the clock ?

  • May 3

    We do it as you described. One page per med. Started when you get the med and just signed off with each does. We then have a page at the start of the book/ binder that we sign on at the start of the shift and off at the end of the shift. Each nurse has a spot.

    I might have at least 20 or more different carts, boxes of patches, injectables or liquids on my cart. I couldn't imagine doing all of that double charting. Is this a pharmacy consultant or nursing? I'd want to see the reg or back ground for the new requirement.

  • May 2

    Wha??? I work in a small LTC and totally understand the staffing issues, but this was crazy!

  • May 1

    Wha??? I work in a small LTC and totally understand the staffing issues, but this was crazy!

  • Apr 25

    Is the PT having an asthma attack or is this just routine?
    Since I have about 25 people to pass meds to and 6 or some might need nebs...for timing I would give the oral meds, cough syrup, then the nebs.

    If the PT was having resp difficulty, I would do the rest meds first, pills then cough syrup. Most prefer to take cough syrup last without water to coat their throat and prevent cough.

  • Apr 24

    It really stinks to be put in this position. You did treat and assess her at the SNF. As long as you charted all of the above and the converstations you had with the family, you should be okay. Was she A &Ox3? If not, the POA would be making the decisions. The POA said to keep her at the SNF.

  • Apr 16

    Sounds like you should ask for some training on this if you will need to be doing this.

    As far as the MDs....not all docs from the hospital have privilages in your nursing home. If the residents does, then that makes it easy. If not, your admissions coordinator or who ever spoke with the family/ resident pre admit will go over this and ask them who they choose. Sometimes we do this on admit. Might depend on what hospital they go to, where they live etc.

    When calling the doc, I might ask if they are familiar with this resident or if they wrote the DC orders in the hospital. If they know them....soooo much easier. If not, I will give them a brief Hx review,what brought them to the hosptial and why they are in LTC and then go over the meds, tx. Remember to check for labs and ask for them if you need orders (coumadins, abtx follow up, leves for some meds)

  • Apr 13

    It really stinks to be put in this position. You did treat and assess her at the SNF. As long as you charted all of the above and the converstations you had with the family, you should be okay. Was she A &Ox3? If not, the POA would be making the decisions. The POA said to keep her at the SNF.

  • Apr 8

    Hmmmm. I'm going to think about this more and then come back to post more.

    To start....the basics...shows up for work on time, little to no call offs, comes in for meetings or completes continuing education/ inservices. No complaints from families or diciplinary reports, completes duties as assigned in a timely maner.


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