CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Bullying the Elderly into Nursing Homes and Assisted Living

    CoffeeRTC replied to brandey28's topic in Geriatric, LTC

    We've gotten a few admits and quick discharges due to something like this. Sometimes the docs look at an older person and automatically think that the nursing center/ rehab would be great for them....

  2. New Nurse, when to send a patient out.

    CoffeeRTC replied to beatrice1's topic in Geriatric, LTC

    We have a program in place that is to prevent the hospital transfers. At first I was a bit miffed with it. It seems like it took the critical thinking part out of nursing BUT it really is a good...

  3. Does UPMC hire LPN's in their hospitals?

    CoffeeRTC replied to New_LPN's topic in Pennsylvania Nursing

    Magee had them a few years ago. Not sure if they were hiring new ones

  4. Bathing in LTC

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

    This is a big problem in my facility. Its a smaller place with 50 beds. 5-6 cnas for 7-3 and 4 or 5 on 3-11. Baths/ showers rarely get done even when we are at the high end of staffing. The only...

  5. LTC incident, what are your thoughts.

    CoffeeRTC replied to wearyLPN's topic in General Nursing

    If it was an 11-7 shift..that might be okay staffing. I hope you didn't sign that right up! Yes...I do see the argument of trying one prn med to see what works, but 90% of the time in this...

  6. Transition to Nursing Home

    CoffeeRTC replied to Time4dilaudidyet's topic in General Nursing

    Pros and Cons will be different for each person. Depending on the shift and type of center expect to be busy for the most part. We have alot of rehab patients and for a 50 bed place we average 2 or...

  7. Heartbroken

    CoffeeRTC replied to xoemmylouox's topic in General Nursing

    Awe...huggs. Gotta be hard with the kids. I have that hard time with my LTC residents. You get to know them and the families.....huggs

  8. New Grad Moving to Pittsburgh

    CoffeeRTC replied to DM,RN's topic in Pennsylvania Nursing

    Yep...Pittsburgh downtown is expensive, but if you lived in Boston..i think it is cheaper than that. The PP hit it on the head with her descriptions. Stay out of Oakland (closest to the...

  9. Zofran

    CoffeeRTC replied to scoopyjosh's topic in Patient Medications

    Wow...I had hyperemesis and took the Zofran like candy. Lucy for me it was the po this time around. I did get more headaches this time around and thought it was just from being dehydrated and never...

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

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

    I've bumped myself down to a CNA or LPN duties when needed. I've worked with other nurses that might not have been able to do the LPN work or CNA work. I was still accountable for the staff and...

  11. MRSA colonized?

    CoffeeRTC replied to beatrice1's topic in General Nursing

    So would you do anything different if it was contagious? Is the would being dressed and covered? If it is dressed and covered and not draining all over the place or the resident isn't picking at the...

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

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

    Capecod said it...the LPN cannot supervise the clinical practice of the RN but...she can ask questions. Lets say that I as an RN works as a CNA...if the nurse on duty who happens to be an LPN asks...

  13. New Grad, new job... My First emergency!

    CoffeeRTC replied to beatrice1's topic in Geriatric, LTC

    Oh...I bet you were using the pulse ox to get a sat and pulse? Always check manually. In LTC alot of folks have poor ciruculation and the pulse ox machines don't work

  14. New Grad, new job... My First emergency!

    CoffeeRTC replied to beatrice1's topic in Geriatric, LTC

    Um...sounds like what you did was correct! If you had any "crash cart" like items you could have gotten them ready while waiting for EMS. (our EMS response time is around 2-5 minutes) If EMS gets...

  15. Assistive Living Billing

    CoffeeRTC replied to Laurab14's topic in General Nursing

    No experience in AL or billing and my MDS experince is distant.... Does she need more assist with adls? Now incontinant? Wounds? Help with feeding or bathing (adls) different type of meds? maybe...

  16. Targeted by psychotic, manipulative patient

    CoffeeRTC replied to HM7380's topic in General Nursing

    Never, ever approach these residents alone. Even if you need to take the cleaning staff in the room (unless it is a clinical issue) with you...have a witness. Document word for word what they say...

  17. write-up for insubordination because I turned my back to cry...

    CoffeeRTC replied to farmernurse26's topic in Patient, Colleague Relations

    I'm not a crier, but I do cry. I shed some tears yesterday when one of my patients died and then when I was talking with the family..we cried together. I shed a few tears when changing the dressings...

  18. What was wrong with my patient??

    CoffeeRTC replied to Dazglue's topic in General Nursing

    How recent was the surgery? Some people really react bad to the anesthesia...did we know her kidney

  19. Families that talk about my coworkers

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

    Yeah, if I can honestly say that I will, BUT...alot of the times, I really do believe my residents (LTC nurse) and then proceed with a "Do you want to talk to the DON about this?" I do stay nutral...

  20. what would you have done

    CoffeeRTC replied to nursegreenbean's topic in General Nursing

    Yes...orders in LTC need to be specific and when I do change over or see these incorect orders I fix them with a verbal order/ fax to the doc. Treatment orders for LTC need to indicate where the...

  21. what would you have done

    CoffeeRTC replied to nursegreenbean's topic in General Nursing

    You don't say what type of facility this is in (not that it matters much). If it is LTC..you prob aren't doing a head to toe so what the CNAs tell you is what you get for changes in skin condition....

  22. Deleting nurses notes

    CoffeeRTC replied to Rugford5LPN's topic in Geriatric, LTC

    Do you have a compliance

  23. Rectal Cath. Foley bag disposal?

    CoffeeRTC replied to MN.MelissaCNA's topic in General Nursing

    oh...another reason why I don't wear my shoes into the house and take my clothes off

  24. Rectal Cath. Foley bag disposal?

    CoffeeRTC replied to MN.MelissaCNA's topic in General Nursing

    I'm sure you are nervous with it being your first day. Do you have another CNA that you are paired with that can help or mentor you? As far as the CDiff..all of our waste is treated like it is...

  25. 12 hour shifts for an LPN in Pittsburgh

    CoffeeRTC replied to catlvr's topic in Pennsylvania Nursing

    Hmmm...What part of PGH? Most 12 hr shifts are more weekend coverage or supervisory. I'm interested in your