CoffeeRTC

CoffeeRTC BSN, RN

Member

  • Content

    3,734

  • Visitors

    24,820

  • Followers

    0

  • Likes

    54

All Content by CoffeeRTC

  1. Where do the damn pillows go?

    CoffeeRTC replied to dudette10's topic in General Nursing

    They might be hanging out with all of the IV poles. As far as pillow use in LTC centers....where dothey go? Its not like we are a hospital with multiple floors and people coming an going. This is...

  2. Two med errors... I'm sick!

    CoffeeRTC replied to beatrice1's topic in General Nursing

    Deep breath....First off..congrats for staying alive in LTC. I've been doing LTC for more years than I like to admit. It is very demanding and just being able to think straight after some shift is a...

  3. Nursing home/LTC getting more acute

    CoffeeRTC replied to adoglover's topic in Geriatric, LTC

    None of our admits are even scheduled to be on 7-3...never ever. I understand the hospital is a busy place and they wait for docs to round to DC but most of these residents are expected and planned...

  4. Rounding Queen

    CoffeeRTC replied to LoveMyBugs's topic in General Nursing

    I'm sorry...I thought it was funny/ cute. They probably had a great time doing it and I would gather they are a great bunch to work with...looks like they have fun getting their jobs done and work as...

  5. 911-ing a resident out, requires an order?

    CoffeeRTC replied to NurseLynwood's topic in Geriatric, LTC

    Yes...you still need an order. Why didn't you just write one after you talked to the doc in the am? "Hey Dr so and so...I just sent Mr X to the hospital for xyz...he was a full code and going bad...

  6. Nursing home/LTC getting more acute

    CoffeeRTC replied to adoglover's topic in Geriatric, LTC

    I don't mind that the times have changed and the acutiy is different. I actually enjoy it. What I do mind is that the staffing or regs haven't changed. 10 years ago, when we had more LTC residents...

  7. Should I have turned the LVN in?

    CoffeeRTC replied to PlasticsRN's topic in General Nursing

    Could she have been an RN? Is that a separate search? Did you try and look at the CNA registry

  8. At what point do you say something?

    CoffeeRTC replied to PediNurse3's topic in Patient, Colleague Relations

    Are the patient/ parent complaints being passed on to the practice

  9. "Honestly it happened to a friend". Advice?

    CoffeeRTC replied to SoCalRN1970's topic in General Nursing

    New employee will figure it

  10. How comfortable would you be...

    CoffeeRTC replied to LouisVRN's topic in General Nursing

    Do it all the time..but I worl LTC and the docs only come in once a week or so. Its all in your approach. Ask and ask the rational behind it...not all docs are idiots and there many that would be...

  11. Time Compliance for Medication

    CoffeeRTC replied to sorry's topic in General Nursing

    Sounds like you are in LTC with that many patients. Go over to the LTC fourm and you will see tons of advice for

  12. Any techniques for cleaning feces off of a patient?

    CoffeeRTC replied to Nerd5000's topic in General Nursing

    If they are wearing a brief, you can use it to gentally wipe the bulk off. After you do that..you can use a towel or wash cloth to get anything remaining. If you have moiste wipes you can use these...

  13. Have any of you ever lost a patient?

    CoffeeRTC replied to Nurse Mami's topic in General Nursing

    Okay...it happened. What will your hospital now do about this? UPMC had the same thing happen. The patient died. http://www.wtae.com/news/18193864/detail.html I realize this is two different...

  14. How do you do it?

    CoffeeRTC replied to Mrs. SnowStormRN's topic in General Nursing

    Heck...I only work PT but still struggle to keep it together. No one is perfect. The crockpot is

  15. CLONAZEPAM

    CoffeeRTC replied to username33's topic in Geriatric, LTC

    We give it in LTC and most of our residents take it bid with some taking it once a day. I've never asked the resident how long it

  16. looking for advice:Recently had a patient to brake a bone from a fall

    CoffeeRTC replied to epg712003's topic in Geriatric, LTC

    It happens. What will happen is that with any incident where the resident is transfered to the hospital (and other reasons) we need to report it to the state. They will investigate a few things or...

  17. Long Term Care Cutbacks

    CoffeeRTC replied to katoline's topic in Geriatric, LTC

    Every single minute of OT is scrutinized. (it should be, but the big offenders should have been dealt with long ago) Our supplies are already at a minimum. The must punch out for lunch thing is...

  18. RN supervisor legal responsibility

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

    What???? Confused on what you want to know. At the very least, the "RN Supervisor" is just that..an RN supervisor. Most often they will be responsible for overseeing the care that the LPNS and...

  19. Complaint Survey

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

    If the CNAs refused to adhear to the turning and repositioning what is being done about that?? The nurses need to be making sure it is getting done. How often are the wounds being measured and...

  20. Hours spent on the phone?

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

    Agree with Nascar..picking your residents is a lot better than the alternative! Most referals etc are coming over via fax or computer email anymore. On the weekends, the staff nurse/ supervisor/...

  21. Uncomfortable feeling during dilitation check?

    CoffeeRTC replied to EMJrn's topic in Ob/Gyn

    Well, as a mom of 5 I can tell you that it is uncomfortable, but it is part of the care provided. Not an OB nurse, but I would say that what ever the policy is thats is what it is. Sometimes we do...

  22. Sticky poop...I need some tips!

    CoffeeRTC replied to bwenzrn's topic in General Nursing

    We use alot of Miralax and I've never heard of sticky stools with it??? If he is inct, you should be using some type of barrier cream to begin with. If there are no issues with skin integrity at the...

  23. Difficult families

    CoffeeRTC replied to HurricaneCasRN's topic in Geriatric, LTC

    Trust. This is what it is all about. The family wantst to know that mom is getting the best care. Somewhere down the line, someone might have dropped the ball or they had a bad experience....

  24. Hours spent on the phone?

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

    Will admissions be your job? Most places have an admissions coordinator that does this. You will still need to use the phone...calling docs, labs, families, making appts, calling the

  25. Chime in !!

    CoffeeRTC replied to godbless-yute's topic in Pennsylvania Nursing

    lol...No wants to or likes to talk about pay in this area. What city are you looking at? I can tell you PGH LTC