CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Dealing with "Web-Trained" Patient/Family Members.

    CoffeeRTC replied to BostonTerrierLover's topic in General Nursing

    "Thank you for that information. I always recomend being educated on your illness etc. I will pass this on to the doc in the morning. Right now it is no emergency. Maybe you'd like to get some...

  2. Would you leave current job for a Mon-Fri less stressful opportunity?

    CoffeeRTC replied to ooMissNurseoo's topic in Geriatric, LTC

    Glad you took it. If you feel like you need to make up the money difference you could always work prn on the weekends

  3. "struggling" with med pass

    CoffeeRTC replied to ojos18's topic in Geriatric, LTC

    More of the same as the previous poster. Organization is key. Each shift makes sure the cart is stocked for the next...that helps a ton! Might need to get fresh ice or supplements etc but the...

  4. Rights of POA vs Resident

    CoffeeRTC replied to wiley6coyote's topic in Geriatric, LTC

    I'm lucky...we don't see this that much anynmore. My "LTC" isn't a place that people go to die. We have alot of rehab..even the elderly long term residents have benefited from rehab. Maybe they...

  5. Things you thought you would never see in LTC

    CoffeeRTC posted a topic in Geriatric, LTC

    Some of us have been in LTC and have seen things change alot over the years. Heck..the last year or so has been crazy at my place. Things that have changed is the LOS (length of stays) We now do...

  6. New Resident Admissions process

    CoffeeRTC replied to qestout's topic in Geriatric, LTC

    I work 3-11 and we get 99% of the admits. Most shifts we have 3 nurse on and the charge nurse handle the admits. some shifts we can have 1-5 admits. A good amit takes a few hrs to do. This is...

  7. Two years and going strong

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

    Thanks for the update..it is always nice to see what happens with some of the

  8. Tired of LTC...

    CoffeeRTC replied to NurseLoveJoy88's topic in Geriatric, LTC

    Amen! I am very lucky to only be working a few days a month. I wonder what it would be like in a different setting. We have so many hats to wear in LTC (some more than others depending on your...

  9. Should I tell my DON staff is unhappy?

    CoffeeRTC replied to newrnltc's topic in Geriatric, LTC

    I'm "just" a staff nurse now, but have seen it in both sides of the fence. If you are going to the DON, don't speak for the others because things can come back and bite you. When I would have...

  10. $24/hr

    CoffeeRTC replied to winter_green's topic in Pennsylvania Nursing

    What part of PA and what type of nursing? This will help us answer your

  11. First day of CNA clinical - Elder abuse?

    CoffeeRTC replied to stefanyjoy's topic in Medical Assistant, CNA/MA

    I work LTC and I don't care how many residents the CNA has..that lady got poor care. We work short alot of times and some things get missed. Mouth care might be one of them, but it doesn't get...

  12. Reporting a Fall???

    CoffeeRTC replied to macgirl's topic in Geriatric, LTC

    If you didn't see them fall, don't chart that. If you have a witness that saw them fall..you can chart that. It goes on the incident report at our facility. Res found on floor in a sitting postion...

  13. teaching materials to share with my CNAs

    CoffeeRTC replied to beatrice1's topic in Geriatric, LTC

    Unless they are new to CNA, for the most part, they should know all of this already. I get where you are coming from thought. I don't have any info or teaching stuff for this, but have educated the...

  14. What is that weird smell?

    CoffeeRTC replied to tiroka03's topic in General Nursing

    could he be hoarding items. I had a "clean" ocd resident that would hide/ hoard food. Of course it was neat, but rotting. Have you done labs on this person? What type of

  15. Who can apply heat in a SNF?

    CoffeeRTC replied to nurseyrn2000's topic in Geriatric, LTC

    Only PT with an order..but we have also had orders that permitted family members to appy

  16. Giving PRN meds- need some clarification

    CoffeeRTC replied to nikkicb2004's topic in Geriatric, LTC

    Sounds like the other nurse was just upset that a prn would need to be given right at change of shift. Sometimes in this case, I would have given it 15 minutes early if the resident really needed...

  17. should a RN be a med tec for a LPN

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

    Guess I didn't say that right. Not really bumbing down, but into a different position. When we have a third nurse or extra nurse, 1 RN normally takes desk duties and acts as the charge/ supervisor....

  18. Dilantin via PEG - stop TF??

    CoffeeRTC replied to littlegreenfrog's topic in Patient Medications

    If they came from a LTC, I would find out what the schedule was there and see if you can follow it. We have down times for all of our people getting dilantin via g tube. 2 hrs one before, one after....

  19. STAT services..what do they mean for your facility

    CoffeeRTC posted a topic in Geriatric, LTC

    So, we all get the orders or ask for them or need them...but what does stat mean for your facility? Do you even have them? Labs...only during the week do we get stat services on the weekends and...

  20. ATTN WOC Nurses - Wound Care Questions from New Home Health Nurse

    CoffeeRTC replied to MommaNurse26's topic in Wound, Ostomy, Continence

    We use santyl on occasion and I'd love to get them to do it once a day (a lof of our orders say bid..they really just need to be using a better secondary dressing) Years ago..it used to be...

  21. Wound care puzzle

    CoffeeRTC replied to ErinS's topic in Hospice, Palliative

    Hospice never does the wound dressings for us in LTC we do our own. (unless they are in to assess the wound itself) As fas as the facility not using a product because it isn't policy...does this...

  22. Interview question

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

    I agree 100% with your answer. Only other thing I might have added was to ask for help from my co workers (even though we know this might not be an option in real life) Why do you think this was...

  23. How are you decreasing readmission rates??

    CoffeeRTC replied to onthego22's topic in Case Management

    I'm a LTC nurse but stumbled on this thread. We do a mostly skilled care with short term stay (but have a wing of traditional LTC residents) My two cents...make sure if you are d/cing them to a SNF...

  24. Family diagnosticians: just Google it!

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

    :rotfl: I have to admit that I do a lot of diagnosing myself, but then I don't do doctors. Hah. I dealt with a Dr Google this weekend. Very, very fun. They got the number to the doc and was told...

  25. How soon to give PRN Clonidine after routine BP meds?

    CoffeeRTC replied to everybodyluvsanurse's topic in Geriatric, LTC

    Always assess the pts for yourself, so taking the res bp was good. I would ask the doc for parameters on when to give the prn med. You can also look up the meds to find out when they peak and begin...