CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Pt not allowed to refuse care?

    CoffeeRTC replied to optimist's topic in General Nursing

    BTDT...Do what you need to do...ask, if refuses educate and return and ask, get the other nurse and of course call the DON at home if that is the policy that they want to follow. Are they able to get...

  2. Wound Dressing

    CoffeeRTC replied to agrj's topic in General Nursing

    Huh? Normally the surgeon does the first dressing then leaves oders for the future dressing changes. There should be a policy and procedure for this of if not who knows how do do

  3. Wound Dressing

    CoffeeRTC replied to agrj's topic in General Nursing

    order should include location, what to cleans with, any prep for the peri wound area, if a primary dressing is needed (packing, etc) then what do cover with as a secondary dressing and how to secure...

  4. Administrators

    CoffeeRTC replied to c.oconnor's topic in LTC: Directors, Assistant

    YES!!!!!! We love our current ADM, because of this. 3-11 and 11-7 are often

  5. How did YOU make YOUR transition from Floor nursing to Administrative nursing??

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

    Its been years since I've been in management, but I do remember a few things. A transition will be smoother if you have the support from corporate or your adm. Training and inservices and a mentor...

  6. Please help and guide: need PGH area rehab facility + dialysis

    CoffeeRTC replied to glennmatthew's topic in Pennsylvania Nursing

    Can you PM me..I might be able to suggest a few. I don't really know of any that do dialysis in house. We send out dialysis pts out for HD. Weve done PD in house and I think other facilties will do...

  7. Ever had a patient or family members fire you?

    CoffeeRTC replied to KeepItRealRN's topic in General Nursing

    LOL...this is how I get "fired" at work. Cute! We have family that try to dictate staffing. It doesn't work as easy in LTC when you only have one or two nurses for 50 or

  8. ? For those that work only weekends

    CoffeeRTC replied to MommyandRN's topic in General Nursing

    Its all going to depend. I work 2-3 weekends a month 3-11 shift. It works out well for us. A good bit of the sports and activities that the kids are in are in the morning or afternoon. Sometimes...

  9. Administering pain meds to a sleeping pt

    CoffeeRTC replied to opossum's topic in General Nursing

    and I also ask them at the start of the shift about what they will need during the night. Depending on how recent the surgery was or what leve of pain they were in, that helps you judge on what their...

  10. Your introduction to your patient

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

    Wow..that's a mouthful. It is my biggest, biggest pet peeve as a patient or family member....not knowing who is who. I'm not sure if that passes the handwashing peeve, LOL. I always introduce...

  11. Documetation Beef!

    CoffeeRTC replied to Nurse424's topic in General Nursing

    Yikes....what does therapy say? They will also be documenting on the gait etc and the progress they are making. This is totally wrong...don't even get me started on the note

  12. 2 warnings at once

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

    I was a bit confused about third party and notes (but I may need more coffee) and the general time line. you get a write up if an assessment was missed? wow. Aligations are just that...where is...

  13. Pt safety concern: Lispro vs Regular

    CoffeeRTC replied to Retrox24's topic in Patient Medications

    That isn't that much insulin for a tube feeder rtc. I work LTC that is part sub acute (of course they don't call it that) but mostly rehab. Out of 22 pts, I can have up to 10 blood sugars to check....

  14. Question for those who do frequent tube feedings

    CoffeeRTC replied to 09NewGrad's topic in General Nursing

    Just because we don't have the newer pumps (most LTCs) doesn't mean they don't get flushed. As I posted above..the orders are written for the feeds and most do have a down time for meds that need...

  15. frequent call in's or no shows

    CoffeeRTC replied to nola1202's topic in Geriatric, LTC

    Lots of interesting points in your post. Co workers...now days it just seems like no on cares for each other. Used to be that we had a great core group..ft, pt and the occasional prn person. If...

  16. Medication administration, not following the rules

    CoffeeRTC replied to hotflashion's topic in General Nursing

    do you mean pre poured or pre set

  17. Question for those who do frequent tube feedings

    CoffeeRTC replied to 09NewGrad's topic in General Nursing

    I'm all confused. I guess if you have the newer pumps it would be easy. I never see orders like this in ltc. We run the tube feeding on the pumps and normally have a q shift flush order. Jevity...

  18. Non-healing Wounds

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

    As far as the family..can the hospice speak with them and discuss the pressure ulcer? Sometimes hearing it from them (even if it is the same info you have been providing) the family accepts it...

  19. Documentation "No-No's"?

    CoffeeRTC replied to elb252's topic in Geriatric, LTC

    A big never to chart is blame. I've seen it before... "7-3 nurse did not give bp meds to resident. BP 160/90......." A better way to chart.."Per resident am bp meds held due to nausea and...

  20. Documentation "No-No's"?

    CoffeeRTC replied to elb252's topic in Geriatric, LTC

    Yes, my facility is one of those that have a policy to reference the incident report and a copy of the report goes into the chart. We are to use this form as our nurses note. I still can't wrap my...

  21. First job in long-term care facility

    CoffeeRTC replied to lsjoli's topic in Geriatric, LTC

    It will get better, honest. If it doesn't after a while...might be the facility. As far as the body aches, tired etc....take care of yourself. Body mechanics is not always taught in school, but...

  22. Whistleblower law

    CoffeeRTC replied to Tina_31's topic in Pennsylvania Nursing

    Pa is an employment at will

  23. Its too low?

    CoffeeRTC replied to lifein08's topic in General Nursing

    Its just all depends on the area you live in. LTC rates are very, very competative with acute care in my area. We have some experienced nurses come work PT just to pick up more $$ even when they...

  24. Am I freak for charting meds as I pull them?

    CoffeeRTC replied to Izzy11's topic in Geriatric, LTC

    AMEN,

  25. The most scariest thing...

    CoffeeRTC replied to debRN0417's topic in Geriatric, LTC

    A full code resident bleeding out from esophogeal varacies in a LTC setting. Looked like a crime