CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Borrowing medication from different patients

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

    Your facility should have an emergency box for meds. Us that if you don't have them meds. Best way to make sure you have the meds is to make sure they are ordered or re ordered. If you are regular...

  2. Combining Med Passes

    CoffeeRTC replied to wearinwhite's topic in Geriatric, LTC

    So..we've admitted to combining med passes. Is it "legal"? No. I'm lucky in that we've done things at my place to prevent this. Med passess are 9-1-5-9 with the 9 and 5 being the heaviest...

  3. Suggestion to prevent damage to lips when vomiting?

    CoffeeRTC replied to Jackoswald's topic in Geriatric, LTC

    The OP did state that they are trying things to stop the nausea. I remember that when I was pregnant and had hyperemesis and was on meds for it I still vomitted a few times a day. The meds cut it...

  4. Should small ones count? (BMs, that is)

    CoffeeRTC replied to GLORIAmunchkin72's topic in General Nursing

    I think in most cases you need to look at bowel patterns. If that person puts out a small one every day and doesn't eat much, then that is

  5. Incontinent ON PURPOSE

    CoffeeRTC replied to curlyfry17's topic in Wound, Ostomy, Continence

    I see this in LTC/ rehab too. What about a bedside comode? Or I ask them...what were you like at home? Do you use pull ups etc? If they say they don't have "accidents", ask them why they think...

  6. How to assess for fracture after a fall?

    CoffeeRTC replied to HelloM1M1's topic in Geriatric, LTC

    This is a tough one. I prob would have wanted to assess the back area while she was one the floor too. A fracture in the back/ spine wouldn't always show up just by looking at it. If it does, then...

  7. LPN Programs near Pittsburgh

    CoffeeRTC replied to jlippold's topic in Pennsylvania Nursing

    What about

  8. New On Call procedure. Need ideas, suggestions

    CoffeeRTC replied to gerRN23's topic in LTC: Directors, Assistant

    As needed..some call it PRN staff. Normally they get paid a bit more. No benefits but they commit to so many days per schedule or month or are on call for so many days or

  9. How safe are these practices? Help, new grad RN in LTC

    CoffeeRTC replied to Linka's topic in Geriatric, LTC

    1) No matter what you believe, you need to go by what whas charted. All of the residents have rights...if they want to go out on LOA and eat it up, so be it. When they come back, an assessment...

  10. Poor old stethoscope

    CoffeeRTC posted a topic in General Nursing

    My poor old stethoscope has been injured! Little Blue as I called her needs fixed. 16 years ago when I graduated from nursing school, I treated myself to a Litman Master Classic. At that time I...

  11. Poor old stethoscope

    CoffeeRTC replied to CoffeeRTC's topic in General Nursing

    I got a chuckle from this! I agree, but sometimes the slightest changes that start the downward slide could have been picked up if someone just took the stethoscope and listened to them, KWIM?...

  12. Working 2 Fulltime RN jobs

    CoffeeRTC replied to KirbyEMT's topic in General Nursing

    This is a pet peeve of mine. I understand the need to do this for some people. $$$$$ but think about how it, how fair is it to one place when you are calling off or getting sick all the time or...

  13. Inaccurate respiratory rates

    CoffeeRTC replied to MattNurse's topic in General Nursing

    bwhahahah. Sorry, I needed to laugh. One of the duties of the CNAs in my facility (LTC/ Rehab) is to get vital signs. Half or more of them cannot do them without using a manual cuff, pulse ox for...

  14. How messed up is this?

    CoffeeRTC replied to jelly221,RN's topic in General Nursing

    We do Nursing Home week. Been many a year since they've done nursing week or CNA

  15. These just seems so gross to me

    CoffeeRTC replied to horrorxgirl's topic in General Nursing

    Im getting a bit confused in this thread. Are we talking about the pink or blue plastic bed pans? If so..how often are you thowing them away. At our place, they are per resident and are thrown out...

  16. These just seems so gross to me

    CoffeeRTC replied to horrorxgirl's topic in General Nursing

    If this is a nursing home, I commend them for thinking about cleaning them. I'm a LTC nurse and no place that I've worked has had a policy in place to really clean bedpans....(well, when I first...

  17. pt with MRSA in sputum ambulating in hallway with no mask

    CoffeeRTC replied to unsaint77's topic in General Nursing

    I've been colonized with MRSA in my nares since 1995 or 96. Sitting in the front row in my micro class in nursing school I was the guinnea pig. I've never been isolated

  18. med through NG; too thick to drain but flushes well.

    CoffeeRTC replied to unsaint77's topic in General Nursing

    Are you just using the syringe opened and pouring the meds in via gravity? As the PP mentioned..could have been a build up of tube feeing inside the tube. It is soooo much easier adnd quicker to...

  19. a better way to collect u/c sample from foley catheter?

    CoffeeRTC replied to unsaint77's topic in General Nursing

    If your bags don't have the port on the tubing, what about changing the bag? We had a bag that didn't have the tubing and what we would do would be to change the bag and connect a brand new one. The...

  20. Is it wrong?

    CoffeeRTC replied to conflictednurse's topic in Geriatric, LTC

    I agree, go up the chain of command if you can. "calling the state" doesn't help alot of times. If if it is saffing numbers, often times that isn't a cite unless it is really really unsafe, but it...

  21. Take the LTC job offer, or wait for hospital interview result?!

    CoffeeRTC replied to amystudentRN's topic in Job Search, Interview, Resume

    I've been doing LTC for the last 15+ years and for the most part I like it BUT, I would try and hold of the LTC as long as possible. Most places will accomodate this if they really want

  22. "I DEMAND an antibiotic. I am the customer and I am paying your salary"

    CoffeeRTC replied to Nascar nurse's topic in General Nursing

    BTDT..as I think a lot of us have in LTC. Kill her with kindness and encourage her to do some research of her own..... Oh, Mrs Jones, I'm sure you've thought about this and researched this. I'm not...

  23. Questions about D.O.N

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

    The first DON sounded like a keeper, to bad she took ill. Sounds like the second one wasn't a good fit and as for the third...probably has a mound of paperwork to catch up on and get organized due to...

  24. RN in nursing home

    CoffeeRTC replied to marmbrusterRN's topic in Geriatric, LTC

    Hmm...what type of facility do you work at? small, large? private or part of a chain/ corporation? I ask this because maybe you need to look out of the box or look for a different facility if only...

  25. changing from FT status to PRN, thoughts?

    CoffeeRTC replied to loving2's topic in General Nursing

    I love, love, love it. I'm not prn anymore but have a every other weekend schedule and will sometimes work if they call me and I can fit it in with my kids' busy