CoffeeRTC

CoffeeRTC BSN, RN

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  1. Calling Off Sick --Do You Ever Think People Lie?

    Are you legally permitted to ask this? I don't think we are at our facilty...it could be a union thing? I ask...Is everything okay? or is it anything that might be catchy? Or do you anticipate...
  2. DNS is an LVN??

    Director of Nursing = DON Director of Nursing Service = DNS DON = DNS in our area ???? I'd love to hear of the
  3. Indentifying the dementia pt for meds

    Pics in the MAR and name bands. I haven't asked a name in years (unless it is the first time we meet someone) Refresh my memory (I'm embarassed even asking). Surveyors look that you check name...
  4. hired as RN consultant to res care

    YOu could be doing anything. Ask for a job
  5. Skin Sweeps

    Why have a hospice CNA then? They are normally the ones who are able to give the TLC with the shower/ bath. I've never heard that before. We use the same system as Capecod does. As far as the...
  6. Is this really the norm?

    If you are charting all of this and they are doing nothing or blowing you off and putting it back on the staff...maybe you can call the ombudsman and ask for help? As far as the leaving food on the...
  7. Admitting a new patient.

    Your list looks good! Ask about the skin issues..you might need to get a special mattress or wound vac ready. If they have sleep apnea..ask if they have a machine they will bring. Look at that...
  8. Requesting not to work with certain person?

    :lol2: In text book this might happen, but LTC is a whole different game. Weekly performance reviews? Never going to happen. What is she like with the other nurses? Maybe she exagerates things...
  9. Wash cloths and linned aren't my concern...look into the laundry and you will see that they wash and dry at very hot temps. The privacy curtains, matresses and pillows..I'm not thinking about...
  10. What time is PM and HS med pass typically?

    We have a 5pm pass and an 9pm med pass. The 9pm med pass is for the hs meds. check your policy. If you have residents that go to bed before the last med pass..you might need to make an order that...
  11. Is there a regulation that facilities must screen residents for this? Differ by
  12. Does a pressure ulcer = incident report???

    We actually have a section on our froms for skin issues and I think (I'm having a brain issue) it has a part for pressure
  13. P&P for Infection Control

    Huh...would have never thought about needing a P and P for this. What does it
  14. No Narc count????

    Always keep the keys with you. Don't get lazy and go along with what they are doing. I'm wondering if this could be a reportable offense to the state or BON? I wonder what the DON does if there is...
  15. Is this really the norm?

    If they are sane, no dementia and able to control themselves...I just walk away and tell them that I refuse to listen to them. If they want care from me, I will be back when they are calm and...
  16. Does a pressure ulcer = incident report???

    This is what we do. Why would you have to fill one out for an admit? They are new and admitted with it and it fall under what you are treating them
  17. Moving to Pittsburgh

    I have no clue about the time it will take for the license. As far as agencies...there are quite a few. If you are an new grad it might be best to start off somewhere where you will get experience...
  18. No Narc count????

    I would say "Well, I'm funning like that...talk all you want, but just give me a few minutes for a count." Don't take the keys until it is counted. Even if you trust each other 110%, mistakes can...
  19. giving report to a SNF

    Gosh...this is what gives the rest of of LTC nurses a bad name. I would go with the speak to the supervisor route. Sounds like it was a bigger LTC center and you got bounced around to a bunch of...
  20. Blister Pack Blues & The Dreaded Med Pass

    How are meds re ordered and when is the cycle change. Find this out first. We pull stickers when they are low and have a sheet that we fax to pharmacy. The pharmacy gives us a date that they will...
  21. Advice to the LTC nurse...

    As a LTC nurse, when I read alot of the post with anger towards the LTCs from the ER or EMS staff, I have to agree with them. I can't get over some of the stories I have heard. As you know, the...
  22. can they use this against my license?

    I agree with the above posters. Not sure what setting this was in, but in a LTC setting you could have 10 or more with 25-26 pts. Say it is the 3-11 shift and you have doc orders, two admissions...
  23. From full time to per diem

    If they hired you at FT, this would be a bad thing to do right away. They need a FT nurse..not a per diem or they would have hired you as per diem. Wait a while, put some feelers out, then
  24. is it Legal for DSD to give information

    I'm the worst when it comes to spelling and grammer, but can you fix your post a bit? I couldn't finish reading it. You will get more help this
  25. Mother Hen

    I dunno...I agree with it being somewhere in the middle. I'm not sure what type of nursing you do but in LTC the CNAs do the bulk of the pt care. A good group of CNAs make or brake the type of shift...