CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. do you have the best?

    Having time to spend with your patients and leaving your shift knowing they got the best care you can
  2. What setting are you in..LTC? If so...make sure that the med carts are stocked and ready. If you can..get the water set up and the drinks on ice etc. Don't forget the lancets, accucheck stuff and...
  3. my not so lovely night

    O M G. What a horrible shift. Sounds a bit like LTC? BTDT and have a t shirt. I wouldn't have written it as an order..maybe in the notes? Eh. Don't ya just love how someone can come in and...
  4. 300 tid isn't that big of a
  5. what chain of command?

    Yikes...I think just about everyone in LTC has had a few days like that. (note few days). If this is an everyday type of occurance you need to either try to fight it or help solve the problem or get...
  6. RN supervisor

    You need to ask for a job description specific to your
  7. Coding patient in LTC

    You probably have a P and P for this but at the very least.....verify code status. Call for help...even if it is a CNA, housekeeping etc..tell them to call 911. If you have a "crash cart" have...
  8. Why does everyone seem to want to work L&D?

    I could have said the same. I've been in LTC for 15 yrs and have had 5 babies with all different types of births and a lot of bad experiences. What intersts me in possibly doing this.........it is a...
  9. ? about resident throwing self OOB

    All of the above. Document and remember to care plan. Try to prevent injuries from a fall just as you would an little old confused residnet. Get family or involved if appropriate and don't forget...
  10. Disturbing POA's

    I understand that the POA makes decisions when the resident cannot. If resident wants treatment...they get it. If there is a question then we call the POA. What does the doc want/ say in these...
  11. Pain assessments

    how are you noting your pain assessments? Do you have a form for q shift assessments? We rate pain pre and post prn or standing pain meds, but don't really have a form to mark off q shift...
  12. Inhaler Cleaning

    Wow...I'm willing to bet that no one cleans the inhalers where I work. (I haven't) but I do clean the face masks to the nebs with soap and water. They get disgusting fast. Good post/
  13. NEW Hospice RN Case Manager Question!!

    wow..that stinks that they are so bad. Speak with the DON about this, but they probably already know that they have a problem with staff. Do you give them a schedule for when you will be in? That...
  14. Management needs to step in

    Yeah...I take care of these types in LTC. As a resident...they have all the rights in the world, but treating us like that isn't one of them. We would get a behavior contract or care plan set up...
  15. Have you tried working in LTC? It isn't for everyone, but you can probably find a job and there are good ones out there. At least you will get your hrs in and if you read the LTC forum, some of the...
  16. It looks like you have 7yrs experience.....I wouldn't worry about this that much. The there is a bigger picture and if you were asked in an interview, I'm sure you will have a good
  17. When a nursing home shuts down.

    Wow. Oramar...I'm wandering if this is a local place. I think we are in the same area and you have me thinking. Could you PM me the name? I can't see how they can say that offering a job 120 miles...
  18. wow! the laziness!

    Are you the nurse on duty? If so..it is your job to make sure the work gets done. Time to quit complaining and do something about it. I have seen and worked with my share of lazy nurses and CNAs,...
  19. OH MY, I Wonder.....

    I dunno. I'm the back up plan if things get bad. Right now I only work part time and pick up hrs when I can. When I see the potential...sometimes I wonder why I don't work more then I remember all...
  20. Male nurse in L&D

    I've had 5 kids and most of my docs were male except for the last baby, I saw some female docs. Working with the stereo type, you would think the female docs would have more empathy/ sympathy for...
  21. Giving report

    Even in LTC, things change daily. At the very least, we go down the list and say the residents name and "no change" if there is nothing to report on. I would keep doing what you are doing, if she...
  22. Patients dying

    This in a nut shell is most of my experiences. If someone wants to talk to Mom, Dad, kids etc....after that talk...be
  23. You might be able to just take the test. As a nursing student in a BSN program I just did my fundamentals of nursing (most of the CNA stuff was taught in that) and was ble to just take the test....
  24. Your facility needs a p and p for this. If they are able to take po's the oj was appropriate to
  25. Anyone else see this?

    LTC nurses make that in