CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. POLL LTC Nurses... please answer

    CoffeeRTC replied to Finallydidit's topic in Geriatric, LTC

    I'll go farther...no staffing regulations that can lead to inadequate staffing. I don't know of a law or mandate for LTC for any real staffing ratios. I would love to see it be acuity based....

  2. How long does it take to process before start date?

    CoffeeRTC replied to MySonIsAdorable's topic in Geriatric, LTC

    hahah...if it was my place, they would have tried to have you start that day! I would call today, Friday and just

  3. Suggestions for dealing with pt's with disruptive behavioral problems

    CoffeeRTC replied to Pat2012's topic in Geriatric, LTC

    Yeah, we all have had a difficult resident or two that just seems to make things hard or heck..is annoying BUT..I would approach her first like what Nascar mentiond. That way she feels like you do...

  4. Does this seem fair?

    CoffeeRTC replied to erin21880's topic in Geriatric, LTC

    I agree somewhat with Capecod BUT..if it is the same nurses that are calling off and making the problems...that needs to be dealt with according to the P and P and progressivly. Why does the rest of...

  5. Incident reports...how long does it take to complete one?

    CoffeeRTC posted a topic in Geriatric, LTC

    and how many pages do you have to do? At my facility, they are now computerized. Should be nice and easy, right? bhahahahahwhahahah. They take forever to do. Yes, it is easier if they've had an...

  6. Stopping patient care for another patient

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

    Wowsa...7 pages on this already? Getting back to the OP... It comes down to nursing judgment. My 2 cents comes from a LTC/ heavy rehab experience. Some days when I'm on the cart it seems like all I...

  7. Surveillance cameras in pedi patient's home?

    CoffeeRTC replied to lovelane78's topic in Private Duty

    Getting back to the OP's questions...If I worked for the same family for a few years I would probably be a bit upset at first and wonder why they want to start video taping now? Has there been any...

  8. Neb treatments

    CoffeeRTC replied to makes needs known's topic in Geriatric, LTC

    Umm...Yes, I have seen this happen to two of our long term residents. The one of the tube feeding had some really bad levels and seizure activity. The down times were adjusted so that the med was...

  9. VRE Rectal Swab/Colostomy

    CoffeeRTC replied to beatrice1's topic in Geriatric, LTC

    I would have called the doc back for clarification. There is no shame in asking for it to be

  10. Confused out of control dementia pts

    CoffeeRTC replied to martymoose's topic in Patient Medications

    Yes, in the acute care..you need something. Most often..pain meds work better than the psych ones (unless you are using enough of

  11. Neb treatments

    CoffeeRTC replied to makes needs known's topic in Geriatric, LTC

    bwhahahahah. Some shifts I might have 5-8 residents with qid neb tx (and some prn). you do the math and add on the 20 other residents. I do have to say that I am OCD about checking breath sounds...

  12. Mom Needs a Pain Pill

    CoffeeRTC replied to brandinalove's topic in Geriatric, LTC

    I dunno, I tend to listen to the families. If they say mom needs xyz, I would go in and assess the resident. I will then use nursing judgment and educate family as needed. A lot of times they might...

  13. Confused out of control dementia pts

    CoffeeRTC replied to martymoose's topic in Patient Medications

    I dunno. I've been in LTC for the last 17+ years. I like what I'm seeing now with the change. Granted, most of my residents/ patients are more rehab than LTC, but I'm still dealing with dementia....

  14. Right or wrong? Need some advice

    CoffeeRTC replied to Miknsha's topic in Patient Medications

    Sorry...I had to chuckle or LOL on this response. If I had to call the doc with every late med (In LTC) I should just sit at the desk and forget about passing the meds in the first place. The med...

  15. Patient education on medications

    CoffeeRTC replied to rich2008's topic in Nurse Practitioners, NP

    Then...why don't the nurses fill out the reason for the meds? I'm a nurse in LTC and love the idea. I'm not sure what the fuss is about ..if the nurses don't want to fill it out, why can't they ask...

  16. Am I asking for too much

    CoffeeRTC replied to mvm2's topic in Geriatric, LTC

    Hmmm...I want to jump in on this one and start off by saying, lets all take a step back. OP, just wondering..are you a nure or in nursing? I'm going to say that a lot of what you were asking about...

  17. What exactly is so bad about LTC??

    CoffeeRTC replied to MaybeaNurse7's topic in Geriatric, LTC

    What is bad about LTC? Having to do more with less...Medicare and insurance cuts. LTCs/ SNFs are having to take mroe complex residents and do more but still get reimbursed the same or less. That...

  18. Work in LTC ? - Does this nurse to patient ratio sound right ?

    CoffeeRTC replied to RN-UMB's topic in Geriatric, LTC

    For 11-7, this sounds like heaven. I norm had 48-50 on 11-7 at one place and at another around

  19. How do you get a very combative patient to take a shower

    CoffeeRTC replied to esunada's topic in Geriatric, LTC

    Excellent answer Vegas! Be creative and think outside of the box. Will he let you or is he able to wash himself in the bathroom or bed bath? Think small too...maybe start by soaking his feet in a...

  20. Fall incident?

    CoffeeRTC replied to HelloM1M1's topic in Geriatric, LTC

    That wasn't a fall. If it was a true and actual fall and the PT witnessed it then we would have the PT initiat the incident report. The nurse would only be needed to do the assessment part. Some of...

  21. Advice please? Dementia pt resisting necessary intervention

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

    Yes, make sure they really need the cath in the first place. I'd contact the POA to get any suggestions on relieving anxiety (ask if they know what type of meds they've been on or tried for this in...

  22. Not sure

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

    I'm from PA too and only have LTC experience. Every place calls things different. I guess in a way it might be similar to an ADON postion...look at the job description and ask them. What is the...

  23. I believe this was neglect, ADON disagrees...what should I do?

    CoffeeRTC replied to littleone25's topic in Geriatric, LTC

    As everyone already stated...that is neglect. I'm surprised that the family wanted the resident to come back to the facilty after that fall. I'm surprised that the facility didn't make this...

  24. Per diem etiquette and expectations?

    CoffeeRTC replied to ceebeeRN's topic in Nursing Professionalism

    Did they give you a list of expectations for the PRN position. When I did prn I had to commit to working so many days per month or I was booted from the PRN list (hahah, they prob would have still...

  25. Wounds in LTC

    CoffeeRTC replied to Isitpossible's topic in Geriatric, LTC

    Yep, just because they are obese doesn't mean they are getting good nutrition. What about activities or therapy to get them moving a bit more? Second the wound consult too. At that point they might...