Latest Comments by CoffeeRTC

Latest Comments by CoffeeRTC

CoffeeRTC, BSN 12,466 Views

Joined Jan 22, '03. CoffeeRTC is a RN LTC. Posts: 3,473 (22% Liked) Likes: 1,484

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  • 0

    Easy answer...follow your P and P and professional standards. Remember....if it wasn't documented, it wasn't done.

  • 0

    Quote from Rose_Queen
    Unless report is given to someone who accepts the assignment, that is indeed abandonment in many if not all states.

    Yep. If I'm the only nurse on and there is no one to give report to, then I'm still "it." This is mandatory OT. Now, the question is whether or not the OT situation was avoidable? Did the facility purposely staff low, did they make an attempt to call in people?

  • 0

    Sounds like a few of my nights!

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  • 0

    It would be frustrating to follow this nurse especially if you are trying to manage the patient's pain and you are playing catch up. I'm willing to bet this is LTC? It sounds like our system. I'd also bet they are probably not giving other meds. The med passes are overwhelming!
    Ask Leslie what happened.

  • 1
    ponymom likes this.

    Think about what would attract you. Good pay/ benefits are the big ones. A good working environment... Good leadership, manageable staffing ratios, etc

  • 0

    We also do an investigation as part of the incident. Each person on that shift that may have come into contact will need to do a statement.

  • 0

    Quote from sjalv
    Have you tried asking these doctors why they think an increase in Lasix is not the best option?
    This!!!

    Often times we nurses get things in our heads and want what we think is best. Working in LTC, we do a lot of suggesting to the drs since we are the ones assessing and calling them MD. If I really think they need XYZ and the DR denies the request, I'm always willing to be educated.

  • 1
    emmy27 likes this.

    LTC perspective: I worked for a facility that was owned by a huge for profit company. There were systems in place, rules for everything, corporate support...you know the thing. That company wanted to get out of the US and focus on their Canadian holdings (too many regulations in US) Fast forward, we were excited that a non profit organization would be taking over. The care would be better, owners that cared about the business....all that jazz, right? There is a huge difference in non profits. A non profit with a faith based organization vs just some people who own run facilities. Cost were cut dramatically..food supplies were cut, wound care supplies cheaper, meds/ supplements, personal care supplies, paper towel, incontinace care supples....cheap. No organization. Very little structure. I've always wanted to work for a non profit, but I guess what I'm saying...not all are created equally.

  • 0

    Thank you! This was what I was looking for.

  • 0

    So, that would be an incident report, place on 24hr report, place on alert charting list for 3 days (all incidents get 3 days), would need a non presure ulcer skin sheet (measurements and location), would need to get order for treatment (call doc), call family and then a nurses note.

    If it is change of shift, I would want the person that found it to at least do the incident report...if they saw what happend. I would take care of the rest.

    So, were you dumped on by the last shift?

  • 0

    Help! We have a resident with a severe rash under her breasts and in her abd/ groin folds/ peri area. I think there are many things going on here. First off, I'm just part time, so I only see her a few times a month. Yes, this has been going on for more than a few weeks.....month in fact. (sad) She is somewhat independant and needs little set up for care, but really needs more help with washing etc. She has a red excoriation under her breasts and in the panus folds. It is sore and sometimes bleeds. When this started or I first noted it months ago, it was reported and nystop powder was ordered. For many issues similar rashes, this should have cleared it up IF it was done..wash, pat dry and apply the powder 2-3 times a day. I suspect assistance with care isn't being done. It is much worse. They've got drs to look at it and order other creams and soaps. She's now ordered nizoril shampoo and cream with the nystop powder.

    These areas are very moiste aside from using abd pads to catch the drainage, is there another product you can recomend?
    I'm upset that the other nurses are not following up with the treatments and care....that is an other huge issue.

  • 3

    We have a few rooms with 4

    It does sound like harrassment.

    Are there privacy curtains in the rooms?

  • 1
    Cola89 likes this.

    Do you have a corporate complaince line? They should be third party and you don't need to leave your name to file a report.

  • 0

    I dunno. I would probably take it. I do every other weekend right now. 3-11. I have 5 kids at home and run all week with them and volunteer during the day and evenings during the week. A 10 bed hospice at night doesn't sound bad. We have 2-4 hospice patients along with our other 20 or so SNF in addition to RN manager duties.


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