CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Reducing ED transfers from SNF

    CoffeeRTC replied to HelenaHandbasket's topic in Geriatric, LTC

    Gosh...we have a whole new P and P and system in place for this. I'm not sure what the name of it is SBAR? or something. There are algorithism and forms to fill out if there is a change in...

  2. How to help my CNAs

    CoffeeRTC replied to SneakySnake's topic in Geriatric, LTC

    I had a resident say potty before and she caught herself and laughed saying that she has been watching her grandkids too much. Must be

  3. Working in a "toxic" workplace

    CoffeeRTC replied to Catch22Personified's topic in Patient, Colleague Relations

    I think you will find diffucult residents/ patients no matter where you go? Trust is a big issue for the residents. How often do you work there? They might keep asking for prns (them constantly...

  4. Experience with Extendicare?

    CoffeeRTC replied to aprilfresh's topic in Geriatric, LTC

    I would try and ask local too. Each facility is different. I do like the programs that they have in place. There is a program or form for everything. You know how you hear of people asking about a...

  5. How to help my CNAs

    CoffeeRTC replied to SneakySnake's topic in Geriatric, LTC

    I help when I can. If I don't know the resident (work part time) I will ask the CNAs how do transfer/ toilet/ feed them. If you have time and are willing to help....just ask the CNAs! If someone...

  6. When is patient education TOO much?!?

    CoffeeRTC replied to Nursey103's topic in General Nursing

    I have to agree with this. I work LTC, but it isn't old people we are taking care of any more. We see alot of pts with multiple issues and have a med list as long as my arm. Giving a pain med with...

  7. HIPAA VIOLATION

    CoffeeRTC replied to bc808's topic in HIPAA Challenges

    um...block the

  8. Signing a nurses note for another nurse

    CoffeeRTC posted a topic in LTC: Directors, Assistant

    I know the answer to this (or at least I think I do) but is it ever okay as a DON to fill out an assessment and sign another nurse's name? This could be an admit assessment, transfer form or...

  9. IM Morphine

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    LOL...sorry, I had to laugh. I agree that at the very least there should be one pulse ox in the facility. Let me correct that by saying at least one working pulse ox. We have one, but it doesn't...

  10. IM Morphine

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    I haven't given an IM shot for pain in years! We have sub acute post op day 2 or 3 residents, but they have IV meds for severe pain or po. Chronic pain..they are put on a patch, or long acting po's...

  11. Signing a nurses note for another nurse

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

    Thank you!!! I know I'm not crazy. The DON would replace documentation too and sign our names as if we did it!!! :eek: We got dinged on something by the state and corp nurses and now he wants to...

  12. How do you manage hospitalized dementia patients at night?

    CoffeeRTC replied to beeble's topic in General Nursing

    This works alot of the times. I realize this is two different worlds, but if they are coming from LTC, alot of times this is what we will do with these pts. Call the LTC and ask if there is any...

  13. Fighting family in Long Term Care

    CoffeeRTC replied to ADPIE1's topic in Geriatric, LTC

    I did the same thing. As a 25 yr old nurse that looked 16 at the time...they didn't beleive me. Boy...they didn't like it when the local police came. They were very loud, arguing with each other...

  14. You're Kidding..........

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

    I applaud you all for saying no to these admissions. I've worked in places where they take them. Yes..the very same type of residents that you described above.

  15. Please suggest topics for student presentations

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

    all great suggestions!!. How about the new trend in youger pts in LTCs? Totally different issues to deal with psych/

  16. Understanding limited DNR

    CoffeeRTC replied to me2shugar's topic in Geriatric, LTC

    I've been doing LTC for over 15 yrs and have never seen this. We have a facility form that is Yes, no or I don't want to make the decision now for CPR. Yes and no decision = start CPR. In the...

  17. Is this professional?

    CoffeeRTC replied to Jenni811's topic in General Nursing

    Um...she needs a head band. If that is all that you have against

  18. RN jobs with high amount of patient/family teaching

    CoffeeRTC replied to Junebug0710's topic in General Nursing

    Be surprised, but in LTC/ rehab there are tons of teaching opps. Diabetic care/ diet, cardiac care, rehab, adls. Most of our pts are short term and younger and are very uneducated about there new...

  19. The CEO said WHAT!!!!

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

    Well..soon we won't need nurses in LTC. We now have a entire system set up that tells us when to call the doctor and what to do. Yes, it is a 10 page form that we have to fill out and a huge book of...

  20. Just noticing nowdays the nurses in a lot of the homes

    CoffeeRTC replied to Vtachy1's topic in General Nursing

    There are a bunch of posts/ threads on this topic. It is no disrespect intended. Look around for the discussions....might be in the LTC fourms. There is one resident that we call "Gramma" it is...

  21. A Funny Moment in LTC...

    CoffeeRTC replied to westieluv's topic in Geriatric, LTC

    I miss my dementia residents! We have more short term rehabs now and not many of these stories

  22. Pain Management

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

    Wow...total need for a pain management inservice. Could you have a pharmacist or someone from a hospice come in and do this or maybe just even you or your staff development. Critical thinking is...

  23. "The Nurses and HCA's will be responsible for...

    CoffeeRTC replied to Guest233447's topic in General Nursing

    I think the Eden Alternative is a great direction for LTC BUT for real? Housekeeping duties? I'm all for pitching in and cleaning some messes, but not every cleaning function. Nope...no

  24. Postpartum pericare

    CoffeeRTC replied to rn4babies63's topic in Ob/Gyn

    I've had 5 babies in 3 different hospitals and it was all the same..peri bottle was given and routine. The Dermoplast, hydrocortisone and tucks were given, but I think I had to ask for them once or...

  25. Ironic:No Healthcare for Nsg Homes

    CoffeeRTC replied to achot chavi's topic in Geriatric, LTC

    The union employees at my facility haven't had benefits for years...Yeah, great union. I don't know how a facility that is part of a large chain can do this and expect staff to stay when the next...