CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Overly agressive hospice

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    Turns out is was too much being RTC. Resp dropped to 8-12, over sedated.....aka...not

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

    CoffeeRTC replied to CoffeeRTC's topic in General Nursing

    Well, after being in LTC for more years than I want to admit, I do have my system for these issues. First off, there is no reason why nurses should be signing off and applying routine moisture...

  3. allegation

    CoffeeRTC replied to Salebow's topic in General Nursing

    But....how did he get ther phone #? did she give it to him? I'm jsut confused as to how this is

  4. Is a M-F day shift LTC Manager a stressful job?

    CoffeeRTC replied to Cola89's topic in LTC: Directors, Assistant

    Yes to all of the above! Job duties for a supervisor/ manager will vary from facility to facility and depend on the size of the facility. It will also depend on if you are salary or hourly. I...

  5. Change in status

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

    hm....have they been using the cpap regularly? What about nebs? IV access would be nice, but EMS will be sticking a nice big old cath in first. Were you thinking more chf or COPD? is 86% good for...

  6. should I stay or should I go?

    CoffeeRTC replied to Nurseynurse369's topic in General Nursing

    The above poster had great advice. I am kinda in the same boat. Fear of the unknown holds us back. I've been at the same place for 15+ plus years. I think I get paid well, it is close to home and...

  7. Salary

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

    This will be interstesting to see if anyone responds. Ohio valley area/ Western PA...50 beds, DONwas making 85,000

  8. Combative dementia patient

    CoffeeRTC replied to Just_Kidney's topic in Geriatric, LTC

    This can be very frustrating especially when you get more than one resident that needs the 1:1. Have you reached out to the family to find out what calms him? What worked/ didn't work in the

  9. Head lice

    CoffeeRTC posted a topic in Geriatric, LTC

    So lice was found on a resident. Hair was washed and combing started. Stopped because resident had fragile, dry scalp and there was bleeding. Two shifts later, many eggs remain and live lice. Should...

  10. New Nurse Pain Med Question

    CoffeeRTC replied to ricksy's topic in Geriatric, LTC

    No. I prob wouldn't have either. Id assess for resp

  11. Withheld meds

    CoffeeRTC replied to demo24's topic in General Nursing

    So, I know you don't get to see your patients for that long like we do in rehab or LTC, but my next question would be, "why did it clog?" Often times, pills are not crushed well and disolved....

  12. Head lice

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    Resident came from home. Had dry flakey scalp with some accumulation on the hair. (Perfect for feeding the lice!) Those lice combs are kinda sharp and just shampooing a bit aggressively pulled up some...

  13. Head lice

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    Yeah, I'm somewhat of an expert for at home/ kids but was looking for ltc

  14. Using the E Box for meds

    CoffeeRTC posted a topic in Geriatric, LTC

    Most facilies have an E Box for meds. One for reg meds and one for controlled, right? I'm familiar with Omnicare Pharmacy. New admission comes in, orders are verified, prescriptions from hospital...

  15. One Rn for 92 bed facility?

    CoffeeRTC replied to orange2015's topic in Long Term Acute Care

    NO, NO, NO. That is no where legal, safe or doable or right. There is no way that two CNAs with one nurse can even see all of the people in one shift. YOu said SNF, do you mean assisted living?...

  16. Mouth sores caused by Roxinol

    CoffeeRTC posted a topic in Hospice, Palliative

    So, is this a thing? I've never seen this in my practice but my family member has a sore on the inside of the lip. They seem to be giving the Roxinol in same spot. He's not getting it but maybe 4-6...

  17. One Job for last 20 years

    CoffeeRTC posted a topic in Job Search, Interview, Resume

    Help! I need resume tips. Little back ground. I have worked part time for the last 15 years (a few days a month, sometimes more) I've been at on facility for about 20 years. Started as a CNA...

  18. Family says resident in pain when resident says no

    CoffeeRTC replied to Donnagg123's topic in Geriatric, LTC

    If the resident is A &O , how about having a private talk with him to try and find out what is really going on? If it is okay with him, then have a talk with the family

  19. Am I in violation of code of ethics?

    CoffeeRTC replied to Nursey916's topic in LPN, LVN Corner

    So, while I agree that what the OP described is all an ethics violation, I'm not sold on the question about the clothes. When I worked in a LTC we had a few residents that had no one and little...

  20. Performing Vital Signs Without a Policy

    CoffeeRTC replied to Riawahine's topic in General Nursing

    I'm guessing that the OP wanted to know what to do if she obtains an abnormal value? Like a BP of 200/110

  21. How often do you get called?

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

    I'm amazed by this too. I work in a really small LTC...50 beds. The last few DONs took a lot of the nurses responsibility away and wanted to micro manage everything. Horrible. As a part time...

  22. Thread spinoff: denied time off and vacation approval notice

    CoffeeRTC replied to sistrmoon's topic in General Nursing

    Wow. So they would have been able to cover each other? Unless it would cause OT, why would it be a

  23. Would I be considered a job hopper

    CoffeeRTC replied to Gerry78's topic in Geriatric, LTC

    Are you staying at the same place? I think it should be fine. I don't think you really need to tell them that you are prn- full- prn. If you do, you can just say that staffing needs at the facility...

  24. Helpful Tips for a new 3rd shift LPN @ a LTC

    CoffeeRTC replied to blue82's topic in Geriatric, LTC

    I suggest going back and reading the similar posts/ questions on this subject. There are tons of them in this forum already. Some might say "new RN" Or "new LPN" but they all have great tips....

  25. Mouth sores caused by Roxinol

    CoffeeRTC replied to CoffeeRTC's topic in Hospice, Palliative

    Thanks. Yep. Not really looking for medical advice and I took much of the above into consideration. No chemo, radiation to the spine, poor po intake and only mouth care done is by the family....