CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Do you share the Nebulizer units (machines)?

    CoffeeRTC replied to ann7's topic in Geriatric, LTC

    Our facility owns the nebulizer machines. We finally have a ton of them. Probably near 20 for a 50 bed facility. We seem to have alot of COPDers in the area and of course chronic bronchitis and...

  2. How Often Do You Check...?

    CoffeeRTC replied to flashpoint's topic in Geriatric, LTC

    Vital signs q shift x 7 days for all new admits, Vitals are also done with showers/ baths so they get done at least twice a week. BPs are not normally done with each bp med unless we have orders/...

  3. How to be a family member or patient

    CoffeeRTC posted a topic in Geriatric, LTC

    Ugh...it is our turn now. I know people say "it is all the same no matter where you go" but I have to disagree. It really isn't. Yes, the hustle and bustle is there, the basic care of the residents...

  4. new job--3-11 supervisor--advice please!!

    CoffeeRTC replied to NurseCard's topic in Geriatric, LTC

    Admissions are the biggie for me. Staffing, resident assessments with change of condition, incidents calling the family and dr, follow up on new orders, follow up with pharmacy for meds missing or...

  5. Hospice oriented staff position

    CoffeeRTC replied to JBMmom's topic in Geriatric, LTC

    I think anything that encourages talking about the subject would be good! Along those lines...palliative care too. Why is is so hard to wrap our heads around good pain management? Why do we always...

  6. Uniform maintenance

    CoffeeRTC replied to lasair's topic in General Nursing

    are you using fabric softener or dryer sheets? That may help. I'm one of those weird ones that iron and starch my uniform,

  7. New Grad RN with Skilled Nursing Job - Advice Needed Working with CNAs

    CoffeeRTC replied to Bizaleth's topic in Geriatric, LTC

    Welcome to LTC! We all know that the CNAs are the backbone of LTC. I work with a great bunch of CNAs....makes a world of difference. How do you get a good relationship and manage the staff?...

  8. Giving Report

    CoffeeRTC replied to mugs's topic in Geriatric, LTC

    Depends on if you've had the pts before or not. New pts....why are they here?, top diagnosis, LOC/ orrientation, pills whole or crushed, diabetic or not, IVs, changes in orders any wounds?...

  9. Using the E Box for meds

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    Thank you for the validation. I have 20yrs experience in LTC as a RN. Now it is my time to be "that family member". Actually, this is the second family member that has needed LTC. I think I have a...

  10. Want to hear your pet peeves in LTC nursing

    CoffeeRTC replied to mondkmondk's topic in Geriatric, LTC

    About the vicodin.....I agree and disagree. I think alot of our doctors are getting better at trying non narcotic meds first and then progressing up if needed. Others just seem to go right for the...

  11. Foot Care

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    Here is what I'm finding out....come CNAs don't know how to really wash feet. Sounds stupid, right? or maybe they don't know the best way to really clean the feet? Some need a good soaking and...

  12. Want to hear your pet peeves in LTC nursing

    CoffeeRTC replied to mondkmondk's topic in Geriatric, LTC

    Hows my mom? running out of

  13. Skin Care Protocol/Assessments

    CoffeeRTC replied to rpsychnurse's topic in Geriatric, LTC

    Weekly skin assessments by nurses on shower days. Skin checked at admission and all issues id'd. CNAs are to use lotion and barrier cream on all incont residents. Our skin checks are on the TAR...

  14. Salary expectations

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

    Interesting thread and hard to get a real answer. I've been in LTC for 20 years and the opportunity comes up a few times every year or so to take a DNS position. I keep saying no due to family...

  15. Creating a Mock Code

    CoffeeRTC replied to mikijam03lpn's topic in LTC: Directors, Assistant

    We've never had a practice code, but it is a good idea especially in the off shifts when there are less staff. Look at the type of residents that you do have some scenarios...diabetic shock (too...

  16. LTC Admission Paperwork

    CoffeeRTC replied to tiffc8433's topic in Geriatric, LTC

    Most nurses only take care of the nursing paperwork and then the social worker/ business office/ admit coordiantor does the other financial

  17. What does "On Call" mean to you?

    CoffeeRTC replied to NurseQT's topic in Geriatric, LTC

    Interesteing thread. I work in a smaller facility. If someone calls off, we try to call around to the other nurses to cover and if desperate we can try agency to staff. The on call nurses never,...

  18. Staffing requirements

    CoffeeRTC replied to Kaysmom8's topic in Long Term Acute Care

    Ouch...quite a few years ago there was an incident in PGH. I resulted in a death too.

  19. Frustrated with Pittsburgh nursing facility

    CoffeeRTC replied to Kaysmom8's topic in Pennsylvania Nursing

    If they are being dishonest in the PPD/ staffing level, that might be reportable. Is there a corporate compliance line? Sometimes it is a losing

  20. Legend / Non-legend Drugs

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

    What are legend

  21. Every time I work at my SNF there's an expired pain med order

    CoffeeRTC replied to Nola009's topic in Geriatric, LTC

    Yes! Total

  22. Cannabinoid hyperemesis syndrome

    CoffeeRTC replied to Emergent's topic in Emergency

    Interesting..I had hyperemesis gravidum an took lived in the shower. It was the only thing that made me feel human. I didn't realize it was a thing with

  23. Prioritizing infusions

    CoffeeRTC replied to sistrmoon's topic in Patient Medications

    So, a long term/ frequent flyer patient with poor IV access on an onocology unit...what about a medi

  24. NIGHT SHIFT CENTRAL!

    CoffeeRTC replied to meanmaryjean's topic in General Nursing

    So, I will have to respond to this. I was guessing you did work LTC. I do work LTC, but hate to get lumped into the LTC category. We are not really long term care anymore. More rehab. In a true,...

  25. Moving to Pittsburgh area this summer, any advice please

    CoffeeRTC replied to tccnursehopeful's topic in Pennsylvania Nursing

    Welcome to the area. I probably won't be much help since all of my experience is in LTC. There are many hospitals in the Pittsburgh area. If you want to get into the VA system, I think you need to...