CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Why would a long-term care facility require 2 years of experience?

    CoffeeRTC replied to purplegal's topic in Geriatric, LTC

    experienced nurses have....more experience:sarcastic: Some LTCs are more like sub acute care....faster paced, more time management needs, clinically complex residents. It takes time for newer...

  2. Patient education in subacute/snf

    CoffeeRTC replied to canter1221's topic in Geriatric, LTC

    I find there is very little patient education in my facility. Yes, we are so rushed just getting the basics done. That will never end, but when I'm getting ready to discharge a newly diagnosed...

  3. Can there be labored resparations (not agonal) with a pulse??

    CoffeeRTC replied to 1CAnursepain's topic in General Nursing

    Sounds like in those 5 minutes the patient lost their pulse? So then yes..CPR was warranted. A lot can happen in 5 minutes! Breathing and pulse, no CPR. No breathing and pulse...rescue breathing....

  4. Clinical Judgement Call...Not sure if I did the right thing

    CoffeeRTC replied to AvaRose's topic in General Nursing

    Nope! Long time LTC nurse and I would have done the same. You gave a prn and carafate and they were still complaining of pain, diaphoretic, abnormal labs....Yep. As long as you document what you...

  5. Mepitel Alternative

    CoffeeRTC replied to Ele_123's topic in Wound, Ostomy, Continence

    Would something like Adaptic be

  6. WHEN TO CALL DR.

    CoffeeRTC replied to Ash0315's topic in General Nursing

    Head on over to the LTC threads....tons of good info! Get to know your doctors on staff. Some DRs what to be called with every little thing, some don't. Each facility will have their own method of...

  7. facility implosion post-takeover

    CoffeeRTC replied to NFuser's topic in Geriatric, LTC

    Very similar to what I am experiencing

  8. Documenting conversations with patients

    CoffeeRTC replied to Dorali's topic in General Nursing

    Resident requested 2 cigarettes and a lighter from this RN. This RN reeducated resident on the smoking policy and assigned smoking times. Resident raised his voice, kicked me and yelled "F@#$ You....

  9. Scenario interview question

    CoffeeRTC replied to Mmsmichelle's topic in General Nursing

    yep...all depends on your setting. In a LTC setting, my answer will be different :) i would retake the vitals first and assess . Really, this is an issue I'm working on with the staff. I was...

  10. Whose responsibility is the incident report in this case?

    CoffeeRTC replied to LeahSunshine's topic in General Nursing

    Head on over to the LTC forum...lots of advice on time management in the rehab snf setting. I've been in SNF for the last 20 years and wouldn't have expected you to do the incident report. Things...

  11. Survey

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    I think it is a great idea and would go well with the team building you've been working on.

  12. Family stole from me

    CoffeeRTC replied to Speedy15's topic in General Nursing

    i don't see how this could be impossible. If she is working in home health or private duty, it could happen. I work at a small building and unless we lock everything up, including our cars, it has...

  13. Narcan pens for kids to use on parents?

    CoffeeRTC replied to Emergent's topic in General Nursing

    Such a sad story. Local to me too. No. If someone is able to recognize the parents are addicts, then they should not be taking care of the kids. Get them

  14. Transitioning to transitional care

    CoffeeRTC replied to mtjoanna's topic in Geriatric, LTC

    Is this in a hospital or free standing facility. What are the staffing ratios there? We get alot of the same type of patients in our LTC, but they are normally at post op day 2 or

  15. Ugh...the price of Epi pens! WWYD

    CoffeeRTC posted a topic in General Nursing

    Turns out my teenager has an allergy to tree nuts and now will need to carry the epi pens. Of course we've all been watching the news stories and reading the stories on line but I never thought it...

  16. Ugh...the price of Epi pens! WWYD

    CoffeeRTC replied to CoffeeRTC's topic in General Nursing

    Hmm. My script did say Epinepherine Auto injector so the name brand Epi Pen wasn't prescribed. My insurance plan automatically subs with the generic. I searched for the Adrenalkick and found it not...

  17. Ugh...the price of Epi pens! WWYD

    CoffeeRTC replied to CoffeeRTC's topic in General Nursing

    If you can wrap your head around this, my insurance doesn't cover the Adrenalclick! It does cover the auto inject Pen and the price is only $386 for two pens. Epi Pen brand was $590 The only reason...

  18. Possible C-diff?

    CoffeeRTC replied to cnfoster94's topic in General Nursing

    Um...call your

  19. Is this normal or okay??

    CoffeeRTC replied to BabyFood26's topic in School

    Our school has a nurse in the building once a month. This is common for all the Catholic schools in our

  20. Lowest stress (still great pay) nursing specialties?

    CoffeeRTC replied to Aliens05's topic in General Nursing

    I work in an extremely busy LTC, often times understaffed. I've been in LTC for 20 years. I'm good at what i do and know what I need to do. Everyday is stressful, some day's I'd like to scream and...

  21. Looking to re-enter the field via LTC

    CoffeeRTC replied to frappuccino1's topic in Geriatric, LTC

    i'm not sure I will ever get out of LTC or if i do it would be for hospice/ home health setting. Its just different. When I see nurses with a goal of "working in a hospital" I tell them do it, but...

  22. Looking to re-enter the field via LTC

    CoffeeRTC replied to frappuccino1's topic in Geriatric, LTC

    It all depends. I'm a LTC nurse and some days I want to run for the hill. Head over to the LTC forum and read some of the posts to give you an idea how LTC has changed. 10 years ago, I would have...

  23. What do you consider a heavy patient assignment?

    CoffeeRTC replied to LPNtoRNin2016OH's topic in Geriatric, LTC

    Well, that just about covers my facility. Our acuity varies. The CHF patient with fluids and hypocalemia...that would have put me over the top due to the constant need to monitor. This patient...

  24. IV Certification

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    I think in PA, the lpns must have this certification. We recently had our pharmacy IV nurse some in and do a two day in-service. I found it to be a great review and informative. (I never thought i...

  25. How is like working in an SNF?

    CoffeeRTC replied to Life22feb's topic in Geriatric, LTC

    Welcome to LTC!!! A mod might want to move your post to the Geriatric forum. Anyone can "lose their license." Being in LTC for the last 20+ years, I haven't seen it due to being a nurse in LTC but...