CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. It's all in the presentation

    So
  2. how can our LTC save money???

    Look into your wound care supplies. Are they being wasted? Can you go to daily or q o d
  3. how can our LTC save money???

    What is your OT like? What about staff turn
  4. med questions

    This happens a lot to me on the weekends. The order was still valid so it shouldn't have been DC'd unless it said "dc after 60 tablets or xyz days." What you needed to do was get a new...
  5. Safe / practical nurse to patient ratio (SNF)

    I would love to see acuity based staffing in LTC. I might be able to handle 20-25 long term care residents, but at a skilled
  6. HOSPICE CARE IN LTC

    We have a few hospices that come to our facility. They normally come in for the admissions and then a one -2 times a week depending on the resident's status. I rarely see them or have contact with...
  7. Why is LTC Nursing have a bad reputation

    I would kill to work in a teaching LTC! Not many in out area. Right now there are a few that are tied to a big hospital system. The LTC doesn't rate well and has had alot of turn over/...
  8. med error

    We take admits at all hours of the days. Gotta love those that come from home or with no orders..but that is an other topic :) Sometimes a medications isn't given for many different reasons...pt...
  9. Resident's names in a text message

    What does the DON think of the
  10. Trach MAR

    We don't have RTs. Check the care plan
  11. 11-7 meds

    What type of meds are you passing at the 6-7am pass. We have tons of synthriod and prilosec/ protonix along with the accuchecks before
  12. 11-7 meds

    So...50 beds one nurse. 12 accuchecks..most with coverage. 25 or more with po meds 2 g tubes, 2 neb tx maybe a few ivs Shift is done at 7am. How much time do you think this med pass would take or...
  13. Signing another nurses name

    When is it ever okay to sign another nurses name? I'm 100% sure I'm right on this answer. Just wondering what I could be missing. This was an assessment form that wasn't available to this nurse when...
  14. Signing another nurses name

    No. Paper charting. Im okay with what Ruby explained. Im willing to bet a million that the form will disappear when it is brought
  15. Signing another nurses name

    Can't wrap my head around this situation, that's why I was posting. Problem is that the person who illegally signed is someone in a management position so nothing will be done when it is brought up....
  16. I've worked at the same place for 15+ years. I stared at the bottom, filled in at the top and now just work part time. In the early years, I worked at a few other facilities, but just short term....
  17. Would you accept this call out excuse?

    2 hrs and 58 minutes before the shift and in an ER...but not 3hr..so it wasnt excused??? Give me a
  18. what would you do in this situation

    I dunno. Wouldn't want to leave the person, but I would call out for
  19. JCAHO Requirement

    Why aren't the meds coming from pharmacy already
  20. The old "over head page" trick. Yes, sometimes it comes to that or what Capecod suggested. It does sound like SS needs to get
  21. Wound/TX Nurse

    Does your facility use a certain brand / company? They will be an excellent resource and should be able to provide you with some education. I agree with above, you don't need to be certified to be a...
  22. Kind of a vent/want opinions

    When the cnas tells me something isn't right..I listen and assess. Be surprised what you find. Im amazed at nurses that dont follow up. Good
  23. Have to do this all the time in
  24. Resident dies and nurse is to blame

    To the op....do you use INTERACT. It is a program that helps reduce hosp
  25. Resident dies and nurse is to blame

    Our machines quit reading after 500 or maybe 600. I wouldnt feel comfotable not covering that. If the res refused and the doctor said he wasnt giving an order for it (because the res would...