CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Narcotic counts

    CoffeeRTC replied to CoffeeRTC's topic in General Nursing

    Cob94..me too! I guess my question to all is about what happens when the count is wrong? (no math error) or you notice that there are missing pages from your log and the meds are missing (patient is...

  2. Narcotic counts

    CoffeeRTC replied to CoffeeRTC's topic in General Nursing

    Anyone?

  3. When to ship pt out to hospital? WWYD?

    CoffeeRTC replied to tsm007's topic in Geriatric, LTC

    I echo the above. i have about 20 years into LTC. I'd love for someone to tell me how you make yourself cough up blood?? Being that he was on Lovenox, I def would want the bleeding under control....

  4. Am I overthinking this?

    CoffeeRTC replied to rdsxfnrn's topic in Geriatric, LTC

    I probably would say no to it. I've been doing LTC for 20 years. We have a LTC hall with about 25 residents and a mixed/ short term hall with 25 residents. We each take a hall. Yes, the LTC...

  5. Is Fecal Disimpaction legal in Pa?

    CoffeeRTC replied to cherylz's topic in Pennsylvania Nursing

    Its been years since I've seen or had to do one. Years ago it was common in LTC, but now it is classified as a sentinal event. Now everyone is on a plan and we have a protocol to prevent. I know...

  6. Catheter Policy

    CoffeeRTC replied to punkdmm's topic in Geriatric, LTC

    Might want to include dignity covers. Some foley bags come with flap on them now or we use the bags attached to the bed/ wheelchair. You would also want an infection control plan to keep those

  7. An LTC Nurse POV: Why does it feel like Hospital ERs are bothered with Nursing Home reside

    CoffeeRTC replied to downsouthlaff's topic in Geriatric, LTC

    Wow. A few things. Before you send a resident to the ER, if it is non emergent, make sure you are sending some information to them about the resident. Transfer sheet should cover the basics with...

  8. What are these wounds??!

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

    I was thinking mattress too! Have you took a culture of the

  9. Nurse stealing narcs advice

    CoffeeRTC replied to Nursenicole1's topic in General Nursing

    As a LTC nurse, I find this very frustrating and a common occurance. I've seen it happen a lot. if ther is one nurse that is the only person that medicates all the patients all the time and you...

  10. Directors covering open shifts

    CoffeeRTC replied to RainRN1's topic in LTC: Directors, Assistant

    This is a very touchy subject for me right now . We are soooooo short staffed at work right now and while I'm not in on all the meetings, there seems to be little done about finding staff/ hiring. I...

  11. Reporting unsafe care

    CoffeeRTC replied to lmccrn62's topic in Geriatric, LTC

    Most facilities have a complinace hot line. It should be posted. Try to work up the chain first. If all else fails, you can call the compliance hotline or state department of

  12. Oh boy

    CoffeeRTC replied to Gigi72's topic in Geriatric, LTC

    So does this resident just sit in their room and what??? Yikes! At the very least orders should have been put in for the resident. A full admit takes at least 3 hours to complete and that is when...

  13. Can anyone pls help?

    CoffeeRTC replied to rt staff's topic in General Nursing

    Does she have a pet that might need insulin? My first though was at the diversion or illegal use, but

  14. Paparazzi at work?

    CoffeeRTC replied to Adele_Michal7's topic in Geriatric, LTC

    So, you are supposed to tell staff to keep their cell phone in their lockers at work, but to take a picure of the offenders you need a cell phone??? Wow. I've seen many a crazy rule but what the...

  15. I don't have time to pee!

    CoffeeRTC replied to bossman's topic in General Nursing

    LOL. I totally got this post from the get go. Some days I really don't have time to pee when I want to and yes, we end up holding it untl we almost burst. I really love when my co-worker will say...

  16. New grad with pt ltc position considering ft acute position.

    CoffeeRTC replied to RnMightyMouse's topic in General Nursing

    Long time LTC nurse. If you can get your foot into the acute care setting, do it! Starting out LTC isn't easy. If it is your goal/ passion, then okay but both jobs as a new

  17. Meaning of your username?

    CoffeeRTC replied to Flightless Bird's topic in General Nursing

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

  18. How Do You Sign Your Narcotic Book?

    CoffeeRTC replied to flashpoint's topic in Geriatric, LTC

    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...

  19. Early morning phone call cracked me up!

    CoffeeRTC replied to flashpoint's topic in General Nursing

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

  20. SNF/ALF challenges with Hospice providers?

    CoffeeRTC replied to HazelnutCream's topic in Geriatric, LTC

    We seem to have good relationships with all of the hospices that we use. We are a SNF and may only have 1-2 residents at a time. Any isses we've had seem to be resolved by communication. A few...

  21. In what order do I give these drugs to asthma patient?

    CoffeeRTC replied to futurenurse93_'s topic in Nursing Student Assistance

    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...

  22. any advice for sleeplessness with ALZ patient

    CoffeeRTC replied to heynow1313's topic in Geriatric, LTC

    We've been using melatonin a lot more and it seems to help. You might have to up the dosage on it though. We really try to stay away from the other sleep meds and find that they don't always work...

  23. Pain managment for the old old population with Alzheimer's and expressive aphasiia

    CoffeeRTC replied to tpnurse95's topic in Geriatric, LTC

    Was he living at home? Psych evaluation? For anxiety? The elderly definitely can take pain meds. Is he getting an antibiotic? Stool softner? You mentioned no colostomy output, what about that? Is he...

  24. CNA Bonus Plan

    CoffeeRTC replied to Mariesmith's topic in Geriatric, LTC

    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...

  25. Fighting For Mom

    CoffeeRTC replied to ltcnurse4u's topic in Geriatric, LTC

    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....