CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Scheduling

    CoffeeRTC posted a topic in LTC: Directors, Assistant

    We are still an all paper facility. We do use PCC for CNA charting and a few other things. We are also a very small building with 50 beds. Question for the group....Who does your nursing...

  2. How to Handle New Admissions?

    CoffeeRTC replied to Newgurl17's topic in Geriatric, LTC

    if we have a charge nurse aka the desk nurse, they complete the admission. Its hard to give a number on how long it takes to compleat a new admission. If I am working the cart and doing an admit,...

  3. How to Handle New Admissions?

    CoffeeRTC replied to Newgurl17's topic in Geriatric, LTC

    Honestly, 5 hours of paper work for one admit? That's extreme overkill? What assessments are included? Are you doing more than nursing

  4. POA / Guardian abuse

    CoffeeRTC replied to Jenn197047's topic in Geriatric, LTC

    I echo what everyone said above. POA only takes control when the resident is unable to answer for themselves. Do they have a living will that helps guide the POA for decisions? What about the...

  5. Pressure Ulcers and Sterile Technique??

    CoffeeRTC replied to Guest716906's topic in General Nursing

    I don't think I've done a wet to dry in about 10 years or more! (Maybe for the occasional temp dressing when wound vac is on hold) But to answer your

  6. Continuing Education --Getting staff to complete it

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    I might have to try the gift card option. Money does motivate. llg, I agree...It should be a condition of employment. Sad to say that we'd have to let go of at least 75% of our staff. This is...

  7. Rehab pts, cabulances, and toileting

    CoffeeRTC replied to CrunchRN's topic in General Nursing

    Will she have an escort for the appointment? I work in a SNF and most places won't let us send a resident with any type of confusion unless they have an escort either a CNA or family member. I...

  8. Staff Development & Training

    CoffeeRTC replied to ssempu's topic in Geriatric, LTC

    Jumping in and following this thread too! I'm just trying to read up on everything and trying to wrap my head around the new regs and competencies that will need to be

  9. Risk Managers

    CoffeeRTC posted a topic in Geriatric, LTC

    Are there any LTC Risk Managers on here? I've been filling in for our facility. Right now I'm self-taught. I've skimmed our intranet and tried to pull up all info in the RM tab. How are you...

  10. Risk Manager in LTC

    CoffeeRTC posted a topic in General Nursing

    Anyone with experience in this field? I've posted this in the LTC forums and have got zero responses. I've been filling in at the Risk Manager / Staff Development Nurse in our LTC on and off for...

  11. Pittsburgh Pay?

    CoffeeRTC replied to reesanurse's topic in General Nursing

    I have no clue, I'm in LTC there is a Pittsburgh Nurse's Facebook page that is active and had a discussion about

  12. EMT school while doing nursing pre reqs?

    CoffeeRTC replied to AmandaPanda101's topic in General Students

    I took it as an elective in my last semester of BSN school. I loved it!!! It was a bit easier and kinda fun and a great way to learn different assessment skills and critical thinking. I took the...

  13. Risk Management Job

    CoffeeRTC replied to MrsHollsRN's topic in Quality Improvement

    Did you take the

  14. Misconduct

    CoffeeRTC replied to Abbycat's topic in General Nursing

    So, for those of us that are still using paper charting in LTC, maybe we should explain the process. The resident is admitted. Has orders on paper from the hospital. Orders are handwritten onto...

  15. Risk Manager in LTC

    CoffeeRTC replied to CoffeeRTC's topic in General Nursing

    Thanks for the hints. I see a ton of risk management for acute care, but not very much specialized to ltc and a good bit of it was focused on documentation

  16. Bed rails protocol/algorithm?

    CoffeeRTC replied to Tammy90's topic in Geriatric, LTC

    We haven't used side rails for at least 8 years. I honestly was surprised they are still used in LTC. A nearby facility just had a death due to

  17. The Grinch Nurse

    CoffeeRTC replied to halohg's topic in School

    lol. ...because you are the

  18. Shift Preferences?

    CoffeeRTC replied to Newgurl17's topic in Geriatric, LTC

    I did 3-11 and 11-7 for most of my 20 years. It worked better for my family schedule and as the others mentioned, less family and less of the office staff. Honestly, I never thought I'd say this,...

  19. Risk Management Job

    CoffeeRTC replied to MrsHollsRN's topic in Quality Improvement

    Did you have the interview yet? I too am interested in a position in RM. I'm not finding much as far as support groups or message boards for support. I think RM would fall under the supervision of...

  20. A bunch of hypothetical questions about DONship

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

    I think it all depends on your area. In some areas, LTC nurses are a dime a dozen. Some facilites are just happy to have a new hire to fill a spot and just want a warm body. You can't be blamed...

  21. Peg tube placement

    CoffeeRTC replied to Carocoho1234's topic in General Nursing

    We haven't had residents with feeding tubes for years, but often times we were able to replace in the facility and then call for an xray to verify

  22. Pain management scenario

    CoffeeRTC replied to HeyHeyitsMaay's topic in Hospice, Palliative

    Psych eval? Depression related to nursing home stay? I'm the LTC nurse that would be calling you. I like the idea of having the resident sign off on getting the medication too. Does the fent...

  23. Risk Managers

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    Are there any LTC Risk Managers on here? I've been filling in for our facility. Right now I'm self-taught. I've skimmed our intranet and tried to pull up all info in the RM tab. How are you tracking...

  24. When refusing to work is considered abandonment?

    CoffeeRTC replied to Leonardo Del Toro's topic in General Nursing

    I work LTC. We have a mix of skilled residents that need a lot of care and long-term intermediate care residents. When you say 35 residents do you mean each or split between two nurses? Were there...

  25. Question about a urine collection port

    CoffeeRTC replied to Granuaile's topic in General Nursing

    We use this brand of foley and collection tube. The flush port on the actual foley is accessed by a needless Luer lock syringe and the specimen access on the drainage tube with a