CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Demanding resident-vent

    I've been doing this for years and have seen my share of demanding residents and super demanding not even gonna back down type of residents. I think we all have dealt with one of them or the...
  2. Ativan...do i hold or give?

    Yes, yes, yes! This was a great answer. Remember, that the Fentanyl is probably just kicking in around the second day. If you hold it one day, you will still need to remember that maybe the next...
  3. In your opinion, how many pts is too many in SNF/rehab?

    Me, personally, I can handle 25 or so. On 3-11 we have 2 nurses and 50 residents. Most, if not all of mine, are short term rehab and are like the ones you all have mentioned above. Post op knees...
  4. Facebook almost cost me my job

    Can't you set your privacy settings to only friends? That assumes that your friends are real
  5. My health is suffering..vent I guess...

    I'm back on the wagon (aka Weight Watchers) because I'm sick of being tired and sore. I've got young kids with crazy schedules work and yada yada yada. I'm also fat. After you go to the doc and...
  6. Dining room vent.

    Um....sometimes people eat more when watching TV. We had the same issues..when food is sent back alot, they tend to get it right the
  7. Silly family members, Trix are for kids!

    Is mom in a private room? We deal with these families by telling them that the roomate needs privacy / quiet time too. We have open visiting hrs too, but with respect for the
  8. reamed out for using soft wrist restraints

    so...when you get anorder for restraints in the acute setting..are they still only good for 24hrs? We don't even have restraints in ltc...I'll never forget someone trying to write me up for putting...
  9. reamed out for using soft wrist restraints

    Gosh...I haven't used a physical restraint in at least 10 or so years. I'm comming from a LTC perspective and I'm willing to bet that this pt will be there in a day or so and they would be dealing...
  10. kardex

    Just wondering...what is the average length of stay? I dunno...I was an assessment co-ordinator and all I did was care plans. Yes...they do serve the purpose of planning care, but I will admit to the...
  11. Antiementics for the elderly

    In your experiences, what are the best meds to give? I'm not talking about the occasional N/v, but post op or chemo related or other post sugical issues...I'm working in LTC and that is the bulk of...
  12. Antiementics for the elderly

    Wow on my spelling:rolleyes: We are on the opposite end as far as getting docs to order something for the nausea. (I'm not talking about just a one time episode). Yeah, we've used ativan in low...
  13. Please help me, I'm in trouble.

    Hmmm...I'm willing to bet they might look into the DON...on my way out, I might call the 1 800 corp compliance line anon if you have one. Yeah, stay...do your job..cross the ts and dot the i and...
  14. You're TERRIBLE at IV starts?? omg!

    Starting IVs or drawing blood isn't what nursing is all about. That is just one skill in the entire package. That said....I stink at it. I don't get the opportunity that often to start them or...
  15. How to approach a GNA about taking long breaks....

    Perfect advice. Look up the break policy too and have it handy. That way if she questions you about it, you have it in writing. Be prepared for "But xyx nurse never tells me
  16. oh, sooo true. What about when we have the ocd resident that it takes them 45 minutes to take 3 pills or the dying resident that needs the extra attention or the staff issues that crop up. When we...
  17. What subject or subjects would you take out

    I see the OPs point to a an extent, but I have to agree...the more education the merrier. How about...whay type of classes/ electives should we be made to take? I needed 4 credits in an elective...
  18. Whose fault is it?

    Did the student question the fact that he or she hasn't had the chance to pass meds? Why didn't student have a chance to give the meds? Passing medication is a super important part of
  19. what do you say when they are right?

    I would never lie. Heck..they see that it is bad. Try to fix what ever needs done asap. I would even agree with them (the truth is the truth) and apoligize. Give them the next higher up person,...
  20. Welcome back to nursing. LTC has changed, so be prepared! (I've been doing it for 15 yrs and have seen it change) I would put down
  21. When the MARs are printed from the pharmacy, all of the diabetic orders are on the same page. The order is on the left then we write in the next column..inital, blood suger, units and site. This gets...
  22. What specific tasks do you do as a LPN in a nursing home?

    They are the same in a lot fo facilities. I can push an IV med...that is the only difference..I'm also the shift supervisor, but other than that....no real
  23. What do you do for daycare?

    I have 5 kids, so I get it~ Right now I'm doing weekend work and that way hubby can have the kids when I'm a work. This whole child care thing is what is holding me back from FT
  24. Please help me, I'm in trouble.

    There are tons of couponing websites out there, but the two easiest are couponmom.com and hotcouponworld.com...hot coupon world has tons of areas on saving not just for
  25. Hourly rate for RN's, LPN's, CNA's in Your State

    wow...most LTCs don't pay more for BSNs (at least in this area) I haven't seen mention of SW PA....anyone? I've been at the same place for so long I wouldn't know what is average. I do know that...