CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. lasix not given..

    CoffeeRTC replied to acts456's topic in Patient Medications

    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...

  2. For Profit vs. Non-profit: Do YOU notice a difference?

    CoffeeRTC replied to Cola89's topic in General Nursing

    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...

  3. Intertrigo (atopic dermatitis)

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

    Thank you! This was what I was looking

  4. skin tear packets

    CoffeeRTC replied to delia94's topic in Geriatric, LTC

    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),...

  5. Is this harassment by a family member?

    CoffeeRTC replied to Sea_shell's topic in General Nursing

    We have a few rooms with 4:uhoh3: It does sound like harrassment. Are there privacy curtains in the

  6. Worst SNF ever!

    CoffeeRTC replied to snfnurse's topic in Geriatric, LTC

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

  7. what position would you take?

    CoffeeRTC replied to Raefabian4's topic in Geriatric, LTC

    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...

  8. problem with my DON, help!

    CoffeeRTC replied to nurseredd's topic in Geriatric, LTC

    We were getting away from geri psych and moving to more of rehab but now we are back with more geri psych. The OP's post if very fresh to me. Resident to resident contact/ abuse does warrent an...

  9. Electric Wheelchair

    CoffeeRTC replied to aiker31's topic in LTC: Directors, Assistant

    I think out therapy department has an assessment. Check with

  10. Any Notice Required?

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

    Your the one we com e to for advice like this Yes and no on the 4 weeks. If it will burn a bridge that you need, then I say yes, give the 4 weeks. If you can get away with less, go for it. We've...

  11. Upcoming interview in LTC; What to expect?

    CoffeeRTC replied to BirdieBird's topic in Geriatric, LTC

    When can you start? LOL...just kidding. They will ask you more than that. It has been years since I interviewed or have been on interviews, but you will most likely get the normal interview...

  12. Are DON's on 24/7 call

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

    Someone has to be in charge. What about the administrator? Is this a free standing facility or a unit part of a big system? We are a small facility with 50 beds. I can't imagine not having...

  13. Reducing med pass distractions

    CoffeeRTC replied to JBMmom's topic in Geriatric, LTC

    Interuptions will never go away. If I am the only nurse down my hallway and we have one more down the other hall and none at the desk...who will answer the phones? Who will check in the meds from...

  14. At my wits end...

    CoffeeRTC replied to DierkyBrewster's topic in Geriatric, LTC

    Wow, just wow. Please tell me you didn't sign that write up? I think this may have been the most ridiculous write up I have seen in all of my

  15. Dining Room Duties

    CoffeeRTC replied to NurseQT's topic in Geriatric, LTC

    Why do they want a nurse in the dining room? Is it to observe meal pass and feeding? Is is to make sure the meal documentation is accurate? Is it to have a nurse there incase of an ememergency?...

  16. Abuse Allegations

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

    This isn't abuse but I would have done an incident report. An incident report would allow for further investigation. Was the resident on the right diet? Do they have a swallowing or chewing...

  17. My DON came to my house today

    CoffeeRTC replied to mtjoanna's topic in Geriatric, LTC

    Why are you dealing with this situation if you work nights? Did I read this wrong? I work at a small town LTC, so I kinda get the situation you are in. We got hit for not dealing with labs. All...

  18. Do we "just give meds"?

    CoffeeRTC replied to theviolinist's topic in Geriatric, LTC

    Some days it feels that way or may seem that way to some of the CNAs. Most know that we do more, but sometimes they don't see other nurses doing more. example: I walk in and see a resident with...

  19. LTC emergency...sorry no meds today

    CoffeeRTC replied to garciadiego's topic in Geriatric, LTC

    I think we've all been there before or will be at one time. I concur with the above. Try to stay organized even during an emergency. Keep notes, do what you need to do to deal with the emergency...

  20. FMLA for an addiction

    CoffeeRTC posted a topic in General Nursing

    Is this a thing? Addiction is a disease, but really? So far, we've had a court appointed rehab stint and many call offs due to being "so wasted" last night. What about coming to work saying "I was...

  21. FMLA for an addiction

    CoffeeRTC replied to CoffeeRTC's topic in General Nursing

    No it is not a nurse. She is an aid. I'm not upper management, just middle, so I do not know everything. Simply there were rumors that she had a problem. They were fueled by her telling everyone...

  22. FMLA for an addiction

    CoffeeRTC replied to CoffeeRTC's topic in General Nursing

    So, what would a valid call off be? I can see this person taking off for rehab. But being drunk the night before? This FMLA sounds like a party girls

  23. Overly agressive hospice

    CoffeeRTC posted a topic in Geriatric, LTC

    Vent: I consider myself well seasoned, but I was made to feel 2 inches tall by a hospice nurse and really didn't stick up for myself or resident. I don't work this wing a lot, so I thought i might...

  24. Overly agressive hospice

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    I did give the roxanol after all, she had the need for it (copd) but I also looked at the resident...O2 was re applied, comfort care given etc and big aggrivating factors removed (anxiety due to...

  25. Would you report me for this? (new question)

    CoffeeRTC posted a topic in General Nursing

    The leaving a pill question made me thing. What about creams/ lotions? WWYD? Our LTC still has nurses signing off for moisture barriers (They seem to vary with basic zinc, calmoseptine, or what...