CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Giving alcohol to a resident

    CoffeeRTC replied to fournee's topic in Geriatric, LTC

    I would love, love, love to see more orders like this! Everyone wants a pill...a nice glass of wine or mixed drink would do wonders to calm someone..esp if they are used to doing this at home....

  2. Salary information for West Penn Hospital

    CoffeeRTC replied to Love&Care's topic in Pennsylvania Nursing

    Have you found any info on this? I find that in PGH, finding out how much nurses make is rare...no one wants to talk, haha. I've been at the same place/ job forever and am clueless if it is an okay...

  3. LTC- 3 mandatory meetings a month?

    CoffeeRTC replied to Blackcat99's topic in Geriatric, LTC

    I like that idea of floor conferences. I'll be honest...I don't go to alot of "mandatory" meetings. It seems like we have one posted every other day or at least once a week. I only work part time...

  4. What lies were you told when you were first hired in LTC?

    CoffeeRTC replied to Blackcat99's topic in Geriatric, LTC

    I dunno, maybe I'm numb to alot of things since I'm only part time and have been in LTC for ever, but I don't think I was ever lied to

  5. SIMPLY PUT

    CoffeeRTC replied to GLORIAmunchkin72's topic in Geriatric, LTC

    "This is your happy pill" works for one lady. Might not sound too PC, but she tells everyone.."I like to be

  6. Do you call the doctor at night for low B/P's on night shift?

    CoffeeRTC replied to Blackcat99's topic in Geriatric, LTC

    In my LTC we do vitals on 11-7 shift. All new admits get vs q shift x7 days, same for re admits. Incident reports q shift x3 days. Our LTC is skilled care. Most of our residents are post op hip,...

  7. Vent thread... when to send a pt out

    CoffeeRTC replied to pppp87's topic in Geriatric, LTC

    Um..no. Many residents can have a UTI or bacteremia, but not urosepsis. Yikes! ICU....you picked up on this person right in time...good

  8. gift suggestions for ltc staff

    CoffeeRTC replied to rdsxfnrn's topic in Geriatric, LTC

    A fruit

  9. Should I feel guilty?

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    Yep..as soon as your mom or dad gets home from work you can leave....hey..lets have dinner while we wait! Rats! Where is that cab we called for you? They sure are taking long...let's go to bingo...

  10. What are the nurse's rights regarding difficult family members?

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

    Do NOT do 1:1 with these type of family members....always have another staff member around. could be come a he said- she said thing. I second the going up the chain of command...maybe this ADON is...

  11. LTC-I want report and count at beginning of my shift

    CoffeeRTC replied to Blackcat99's topic in Geriatric, LTC

    How about "hey, lets do report and count now so I can get started and out of your way if you want to

  12. misplaced hearing aide

    CoffeeRTC replied to Anne36's topic in Geriatric, LTC

    It happens! Have you checked your pockets or even the drawers in the med cart or desk? I love how we need do be responsible for this as the nurse. We even have it written as an order and placed on...

  13. Aggressive staffing person at LTC

    CoffeeRTC replied to Blackcat99's topic in Geriatric, LTC

    Sometimes you can't win. Esp when it gets to the staff in a union. Around the holidays they like the calls to come in and darn it, if you don't call them in seniority order, I get flack for that....

  14. Cross-setting care with dialysis patients

    CoffeeRTC replied to KruserRN's topic in Geriatric, LTC

    I don't think they are much different or not any harder to take care of than the other medically complex residents that we have. Open communication is very important. Our local center is very good...

  15. Residents not being showered, am I being dramatic?

    CoffeeRTC replied to brendacg's topic in Geriatric, LTC

    It is a chain of command issue. Mention it to the shift supervisor, if nothing done..go

  16. Clinical Care Supervisor?

    CoffeeRTC replied to 2bTraumaRN2008's topic in Geriatric, LTC

    It will all depend on your facility. I had a similar title years ago. Large building with 6 floors. Each floor had a Clinical Care manager. We had 24 hr responsibility of our floor and at that time...

  17. How do you deal with overbearing family members?

    CoffeeRTC replied to liveyourlife747's topic in Patient, Colleague Relations

    I get this alot, but work in a different setting were the docs don't come in daily. In LTC we have a few docs that round and will call the family to speak with them. This is awesome and cuts down on...

  18. How do you deal with overbearing family members?

    CoffeeRTC replied to liveyourlife747's topic in Patient, Colleague Relations

    This is something entirely different that what the OP was asking. You had every right to question things in this situation and what you describe is poor or lack of nursing care. The OP was making...

  19. MDS Nurse burned out and going back to the floor

    CoffeeRTC replied to LTCNS's topic in MDS Coordinator Information

    You will do fine. Unless you've been locked in your office over the last few years and clueless as to what goes on in the LTC world, it will be okay and reading your posts you say that you have been...

  20. Probably looking for a new job

    CoffeeRTC replied to amzyRN's topic in First Year After Licensure

    Just wondering what type of pts you do get to see. I do skilled nursing/ rehab/ LTC nursing. I see alot of things and the pt types vary alot. post surgical day 2 hips and knees, cardiac rehab,...

  21. Am I right to feel irritated? What can I do about it?

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

    I've been thru my share of rough pregnancies (5), so I know where you are coming from. Thankfully I had a great group of coworkers that would mother hen me more than I needed so I really didn't have...

  22. Do you have to always call for abnormal labs?

    CoffeeRTC replied to Blackcat99's topic in Geriatric, LTC

    It really depends on your doctor. Do they prefer labs and do they check them or look for them? If it is abnormal, I fax and then make a call to the office and leave a message. If it is a lab on the...

  23. Trachs and vents at LTC

    CoffeeRTC replied to Blackcat99's topic in Geriatric, LTC

    Yep..we get a good bit of trach patients. No vents. Correct me if I'm wrong, but with the vents you need resp therapists in

  24. Family members applying topical ointments

    CoffeeRTC replied to powlpn's topic in Geriatric, LTC

    Curious as to what it is? If it is an order, then we need to do it as nurses. does it really need to be done by a nurse? could you get an order for the family to do it? Careplan it and do an...

  25. Policy Re; AMA

    CoffeeRTC replied to nursy54's topic in Geriatric, LTC

    Yep...exactly as Capecod stated. I've had a few AMAs over the last year or so. They get nothing to leave with. I also inform them that any care, meds, treatments etc that they got won't be paid for...