CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Questions for an acute care nurse.

    CoffeeRTC replied to dudette10's topic in Geriatric, LTC

    Another thing that we need is an actual prescription for their controlled meds. The sooner we get this and the sooner we get the med list, the less of a delay. We still do good old paper MAR/ TAR...

  2. Bermuda Triangle of lost supplies?!?

    CoffeeRTC replied to djh123's topic in General Nursing

    Yes..this! I've created a special hidden place for supplies for the weekend! I have another nurse that shares this special hiding place and restocks it. After many years of working together, this...

  3. Resident's family wanted to discharge AMA at 10:00 PM Sunday night!

    CoffeeRTC replied to smartypants22's topic in Geriatric, LTC

    Yikes! This is a messed up situation. No therapy for days? Not OOB? (what about using a lift?) I've seen some crazy dc AMAs in my day. Some I kinda agreed with the family. I wouldn't have...

  4. Sending res to hospital- did I make the right call?

    CoffeeRTC replied to suzw's topic in Geriatric, LTC

    I already agreed with sending out the above resident. but I used to see so many unwarrented hospital transfers that I can agree with calling a supervisor or DON before a send out esp if it is a newer...

  5. Sending res to hospital- did I make the right call?

    CoffeeRTC replied to suzw's topic in Geriatric, LTC

    20 or so years in LTC and I would have sent him too. YES, we do have stat xray services and pharmacy and could start and IV BUT....how long would getting that in place take? In my facility it would...

  6. What to do with combative residents?

    CoffeeRTC replied to Zyprexa_Ho's topic in Geriatric, LTC

    If there is an urgent need for safety, I'm calling 911. I try to never let it get to that

  7. Wheelchair/lift cleaning

    CoffeeRTC replied to punkdmm's topic in Geriatric, LTC

    So, with the LOLs above, it looks like this is a problem everywhere! Our policy changes. Right now CNAs are to remove any visible matter...crumbs etc from meals. I think housekeeping has a...

  8. Who do you work for the patient or the facility?

    CoffeeRTC replied to hppygr8ful's topic in General Nursing

    BTDT. Don't you just love the super late admits? I see nothing wrong with what you did. If the doc refused to accept the patient what else could you do? I'm guessing the ADM might have wanted you...

  9. What is an "RN supervisor"???

    CoffeeRTC replied to RNdynamic's topic in Geriatric, LTC

    It is different in each SNF. It depends on the size of the facility. Sometimes just being the RN on duty makes you the supervisor. ASK to see the job

  10. Cough Drops/ OTCs

    CoffeeRTC posted a topic in School

    Help me understand school nursing or lack there of. (I'm a LTC nurse) It is a small Catholic grade school. We have a school nurse from the local school district. She is only there once a month...

  11. Advice for SNF/Vent Unit

    CoffeeRTC replied to YumCookies's topic in Geriatric, LTC

    Will the RT be there with you all shift? Its been years since I worked in a facility with vents so I really don't remember much. What are the other skilled residents like? High acuity? Is this...

  12. Bouncing Back/Navigating SNF Politics

    CoffeeRTC replied to Adele_Michal7's topic in Geriatric, LTC

    I think a STNA is a state trained nurse aid aka CNA? I've worked in large facilities with 200 beds down to a 50 bed facility. The politics are everywhere. Seems worse in the smaller one though....

  13. Unsafe Staffing/Mandated Time

    CoffeeRTC replied to RATMLPN's topic in General Nursing

    I've seen this before too. Some places require all OT to be approved by the DON or supervisor...even if it is mandatory and a no brainer (no relief). It is different in LTC since there are little...

  14. When should nursing homes be allowed to evict residents?

    CoffeeRTC replied to Emergent's topic in Geriatric, LTC

    In my state, Medical Assistance (Medicaid) pays for a 15 day bed hold. After that the facility doesn't need to hold the

  15. The nursing budget

    CoffeeRTC posted a topic in Geriatric, LTC

    Help me understand "the nursing budget". What is included in it? When you became a DON, how much experience did you have with the budget? What is your role in managing the budget? I'm guessing the...

  16. Describe your ideal coworker

    CoffeeRTC replied to AbigailJo's topic in Patient, Colleague Relations

    This is a great question! I'd love to use this at our next nurses/ CNA meeting. Would be an interesting exercise. Maybe have everyone write a few key points and put in a box and pull them out....

  17. I harmed my first patient today.

    CoffeeRTC replied to starwarrior's topic in Patient Safety Issues

    Was the balloon still inflated? How much saline was in the the balloon you took

  18. I got played by a kindergartner My

    CoffeeRTC replied to SaltineQueen's topic in School

    Sometimes the tooth fairy gets really busy and might come on the second or third or 7th day after you lose a tooth.

  19. Cough Drops/ OTCs

    CoffeeRTC replied to CoffeeRTC's topic in School

    Hmmmm. Tempting, but my kids would probably find me Can anyone point me to the laws/ regs for

  20. peg tube without flush order

    CoffeeRTC replied to supaflyz's topic in General Nursing

    Flushing with meds is normally covered in the policy/ protocol. I would contact dietary for the flush order if the MD is unable to order

  21. Always 'paying my dues' because i'm PRN?

    CoffeeRTC replied to Mrs_Momma_RN's topic in Nursing Career

    Do you work the same days every month? If so, see if you can get changed to PT status...unless it is a pay cut. I've been weekends in LTC for the last 15+ years. It fits my schedule with

  22. Cough Drops/ OTCs

    CoffeeRTC replied to CoffeeRTC's topic in School

    I don't go to night clubs either, LOL. I'd love to try school nursing but getting the certification isn't in my budget

  23. Given bad report all the time.

    CoffeeRTC replied to MoonlightingNurse's topic in General Nursing

    I think we've all worked with someone like this. Try and get in a few minutes early, read thru your 24hr report to see if she missed some thing during verbal report. After you get your verbal...

  24. Salary Confidentiality

    CoffeeRTC replied to CoffeeRTC's topic in General Nursing

    That's good to know. I guess since said nurse is a supervisor that might make it different. Talking with other staff, I think our big issues isn't about the talking about it but how they came about...

  25. Salary Confidentiality

    CoffeeRTC posted a topic in General Nursing

    Am I over reacting on not? I work in a small facility so the gossip and rumor mill is always in full swing. A nurse aid mentioned to me that one of the nurses was a bit angry with her salary and...