CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Professional (Dis) Courtesy

    i work in a much more laid back area of LTC nursing, well sometimes it is LTC and a lot of times it is more short term rehab. For the most part, I love finding out if there is a nurse or someone with...
  2. Narcotic counts

    I know this has been beat to death over the years but I want to know if I'm missing something. Old fashion way...paper charting...no computers...punch card system. How are you doing it? Of course...
  3. Oncoming nurse refuses report and leaves the room...

    This is universal to nursing. I work LTC and have days like this. 3-11 and 11-7 run on much less staff, no support staff either. Accidents happen close to shift change too. Nurses need to give and...
  4. Ahh...I re-read this and when you say " i didn't bother looking" did you mean looking for meds to borrow or for the actual resident in question? You are correct in not wasting time looking for the...
  5. study the above suggestions but also take into consideration the changes in the
  6. Counting Liquid NARCS

    Wait, is it every time you give the med? or just at shift change? Can you ask your pharmacy services about "the
  7. ??? Not sure what you are asking. If this is a need for a certain program you are in, ask them for examples or
  8. oxygen vs room air for breathing treatments

    LTC RN here. We've been doing respiratory txs for years...I think it was almost 15 years ago the last time I saw an RN in a non vent stetting. We use room air and have the portable nebulizer...
  9. What Kind of Threads Do You ENJOY Reading?

    This!! I love a good case study
  10. Nurse selling to patient

    I brought candy bars in to sell to the staff at work. (we have a loose policy on this) and felt funny when a resident insisted on buying one. (this was LTC). I got bullied into it by them "Listen,...
  11. My two cents.

    I'm an occasional poster and lurker. I'm not the best with grammar and spelling but I do have to really wonder or scratch my head when some posts are very difficult to read and the poster is asking...
  12. Finally got malpractice insurance.

    I just got some a few months ago too. It was one of those things I knew i needed but for some reason never got it done. Things have been crazy where I work. All I needed was the fear of being...
  13. Elderly Immigrints

    This might get a better response in the general nursing
  14. Calling in for no sleep

    yeah,
  15. CPR certification for facility

    My facility pays for it. We've had local EMS come in to do the class and the last time it was a hospice agency's educator who did it for us. Not sure if they charged the facility or did it for a...
  16. **HELP!! ICU RN Working PRN in LTC??

    Once you get into a routine, it will be okay. Moving around from place to place with out LTC background could be tough. Your ICU skills will be useful when assessing residents. Things get missed...
  17. **HELP!! ICU RN Working PRN in LTC??

    Yikes, I couldn't imagine doing agency in LTC and not having LTC experience. Will your agency send you to the same facility? Is this a long term assignment? I have to agree...the 1:10 is a lie...
  18. Common meds given in LTC facilites? New nurse seeking advice

    norco/ vocodin, percocet, oxycodone, oxycontin, Roxinal ....meds we see a lot for
  19. Are your incontinent patients truely incontinent?

    Yes!!!!! I argue this point all the time. If I was unable to transfer myself for what ever reason and I had to wait forever for someone to answer my call bell and help me to the bathroom, I would be...
  20. This is right on line with the "offers you candy, reports to family that candy is stolen" Showers/ baths are a big one. Document, careplan, document and make sure family is aware of all of
  21. Help with Reinserting G-Tubes

    After you check the policy and procedure manual and get the go ahead, the biggest thing to remember is that they need to be replaced asap or stat. Many moons ago when it was common to use a foley for...
  22. Different business models in LTC

    I've worked in a small 50 bed facility that was owned by a for profit big chain and then changed to a small not for profit owned facility. I miss the big for profit so bad!!! With a corporation,...
  23. Narcotic counts

    If you find a discrepancy and it isn't due to a math error, then what? What is the general policy? I looked at our pharmacy website and they had a nice educational video on this and included the...
  24. questioning state reporting regulations

    I'm in PA and I thought it was all interactions. Let the state evaluate it and determine if it is serious or not. Do you have a compliance hotline to
  25. Narcotic counts

    ***I put this in the LTC section but wanted to reach out to the rest of the board. *** Old fashion way...paper charting...no computers...punch card system. How are you doing it? Of course it is done...