CoffeeRTC

CoffeeRTC BSN, RN

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  1. Charge nurse gave an antipsychotic without an order..how should i handle this?

    CoffeeRTC replied to sallykk79's topic in Geriatric, LTC

    i would write up a statement about this and include the statement from the other nurse who gave the med. Only the facts. The prn that you gave...was it ia narcotic? How does she have access to...

  2. Christmas Gifts For Residents

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    What an awesome

  3. McGeer's Criteria

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    There are newer ones. Google McGreers

  4. Getting orders noc shift

    CoffeeRTC replied to Nursing_excellence's topic in Geriatric, LTC

    This is not legal for a LTC facility. While the Dr. might be mad that a critical lab wasn't called in earlier, it still needed to be dealt

  5. Understaffing

    CoffeeRTC replied to Springdaisy04's topic in Geriatric, LTC

    I haven't done true sub acute in years, but 20+ seems like a lot. As far as the IV, why didn't the supervisor step in and call the DR? We've had our IV team come out to check the line and do the...

  6. Time to prepare

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    Thankfully, as SDC I share the same office as the DON. If she isn't able to screen new admits then I do. If there is an issue about education, equipment that is needed prior to admit then I say "no"...

  7. How do you deal with dizziness and syncope?

    CoffeeRTC replied to Guest878640's topic in General Nursing

    Care

  8. Supervised smoking in LTC

    CoffeeRTC replied to Jerez's topic in General Nursing

    You must not work LTC? So, using the "if they can't wheel themselves" train of though....I guess they shouldn't be able to go to activities or the dinning room or heck...go out of their room if they...

  9. Supervised smoking in LTC

    CoffeeRTC replied to Jerez's topic in General Nursing

    This is a huge hot button topic in LTC. Surveyors love to jump on this. First off, check what the facility policy is for smoking. Ours states that all smokers must be supervised by a staff member...

  10. Help me spend money!

    CoffeeRTC posted a topic in Geriatric, LTC

    I just found out I have money budgeted for staff development! I think it is around $100 a month. I need to find the specifics. Give me some suggestions on things to purchase for teaching in a LTC...

  11. Help me spend money!

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    We get our Hospice companies to come in and do inservices for free! They even bring

  12. Help me spend money!

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    Nope, but it is better than the $0 that I thought I had! What types of things are you spending money

  13. Girlfriend wants to help her dad die

    CoffeeRTC replied to Anonymous666's topic in Hospice, Palliative

    I would suggest a hospice consult. Why would his Sinemet need to be dc'd to be on hospice? I would think it would provide comfort and a better quality of life with the

  14. HIPPAA violation

    CoffeeRTC replied to Kshores15's topic in HIPAA Challenges

    Are you in an LTC or Assisted living facility? Are you a supervisor on just your unit or could you be pulled to the other one to pitch in? That is the only reason i can see to have information on...

  15. Staff Development Coordinators-what's included?

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    Take infection control, call and workman's comp away and it might be manageable. We do limited IV push meds..solumedrol, and lasix are some. We do TPN but no go on the IV heart meds. Wayyyy to...

  16. I&O

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

    I haven't seen strick i/o in years. If someone is on a fluid restriction we record that. A new foley would get closer monitoring. In my experience, it is rarely done right

  17. Skills/Competencies

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

    I just found out I have a small budget for staff development and posted a question in the Geriatric forum. A manikin would be awesome, but a quick search showed they are around $2,000 on up? I'm...

  18. DSD Certificate On Line Course

    CoffeeRTC replied to lukesbaby's topic in Geriatric, LTC

    so....what is a

  19. DSD Certificate On Line Course

    CoffeeRTC replied to lukesbaby's topic in Geriatric, LTC

    Director of staff

  20. Transitioning from paper charting

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    Well, we are right in the middle of the transition. I'm being trained as a superuser and trainer. So far, so good. Toughtes paret is just getting the prn employees involved in the training. I'm...

  21. Transitioning from paper charting

    CoffeeRTC posted a topic in Geriatric, LTC

    We are currently in the process of changing ownership and will be getting electronic health records. Any words of wisdom in making the change? We will be using

  22. Limited Orientation; High Ratio; How to Survive?

    CoffeeRTC replied to River&MountainRN's topic in Geriatric, LTC

    The 50:1 on 11-7 isn't the real problem. I've worked in LTC for the last 20 or so year in different roles and on different shifts. We generally run about 48 residents. I would say that 12-15 are...

  23. Reported abuse 4 days late

    CoffeeRTC replied to Flowerpower15's topic in Geriatric, LTC

    All depends. I'm sure it the abuse report will be investigated and they will also look at the reporting of it. Why did it take so long? Was the LPN educated on how to report and the regulations on...

  24. Call light misuse and abuse

    CoffeeRTC replied to guest1048932's topic in Patient, Colleague Relations

    If this is LTC....I feel your pain. Document EVERYTHING! Careplan EVERYTHING! Psych consult, behavior contract, IDT meeting with resident and family involvement and document the results. Limit...

  25. What shift works best for LTC/Nursing Home?

    CoffeeRTC replied to Dani_Mila's topic in Geriatric, LTC

    I definitely recommend working some day shifts. You would see a lot more and understand what happens during the day and why some tasks need to carry over into nights. That said, I've only worked in...