CoffeeRTC

CoffeeRTC BSN, RN

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  1. Tylenol max/safe dosage

    CoffeeRTC replied to Gabby-RN's topic in General Nursing

    Yes!!!! 10 days worth of taking the break thru meds like clock work means the long acting meds need to be titrated up. I would have (and have had to) do the

  2. Please help me, I'm in trouble.

    CoffeeRTC replied to ShellyRn1117's topic in General Nursing

    I am just dumb founded by all of this. You've been at the same place for 5 yrs and this is what happened? How can they afford to treat you this way? Sounds like something else is going on. Has...

  3. LTC nurses, need your input

    CoffeeRTC replied to Annewr's topic in Geriatric, LTC

    It really will vary on the size of the building and what shift. If you can let us know we might be able to give you a better guess on what to expect. I work in a smaller facility with 50 beds. The...

  4. Abused by A&O Residents

    CoffeeRTC replied to MisMatch's topic in Geriatric, LTC

    Limit setting and care planning. We also have residents in a contract type thing. They must do xyx and we will do xyx. They are not allowed to yell, scream etc or staff will xyx. If they are...

  5. nursing process & LTC...impossible?

    CoffeeRTC replied to lesliel's topic in Geriatric, LTC

    It can be done. You already know that you assess a different way in LTC than you do in acute. You don't have the time nor reason to to a head to toe on everyone and most often just do a focussed...

  6. Who is in charge of making the incident report?

    CoffeeRTC replied to lvnnars1's topic in General Nursing

    sounds like

  7. What Would You Do?

    CoffeeRTC replied to westieluv's topic in Geriatric, LTC

    Do it...give two weeks notice and go, run...to the hospice. This is coming from a LTC nurse of 15 yrs that would love to do hospice! Would you be willing to keep your options open at the LTC for a...

  8. Anyone else share this pet peeve?

    CoffeeRTC replied to LibraSunCNM's topic in General Nursing

    I think we've all encounterd these people. I wish I had the nerve to just say "oh..do you mind doing that before you leave?" or..."I'll count with you after you finish

  9. Does Staff Consistency Contribute to Better Patient Care?

    CoffeeRTC replied to limey's topic in General Nursing

    Yes and no. I'm PT in LTC and sometimes I seem to move around alot. I don't always get the best report either, so I do try to seek out the CNAs and find out what is going on, spend a few minutes...

  10. JHU and AGH/West Penn Deal

    CoffeeRTC replied to AWanderingMinstral's topic in Pennsylvania Nursing

    Didn't West Penn Partner with JH for a med

  11. Abused by A&O Residents

    CoffeeRTC replied to MisMatch's topic in Geriatric, LTC

    Really, an A & O x3 resident kicking and biting you? Do they have a mental illness? You gotta ask why? With the absence of a MI or MR...No...that is not acceptable. Can I ask how or when this...

  12. Why Don't Companies Care About Their Patients/Residents??

    CoffeeRTC replied to westieluv's topic in Geriatric, LTC

    Most LTCs are not making as much money as what they have in the past due to the fact that reimbursments are down. I realize this, but to staff the way they do and to accept the type of pts they do is...

  13. Why Don't Companies Care About Their Patients/Residents??

    CoffeeRTC replied to westieluv's topic in Geriatric, LTC

    Oh...the nurses do have 6 pts a piece...they count the CNAs in that !!!!!! I've seen that done before....unbelievable, huh? We've been getting the knees and hips at pod 2.5 or 3. I might have...

  14. setting alarm clock to take pain meds?

    CoffeeRTC replied to brownbook's topic in General Nursing

    but if your sleeping you are not in pain. Couldn't resisst that one. I wake my pts to assess for pain and offer pain meds. I will also make sure they take meds in the am before getting out of bed...

  15. Beds

    CoffeeRTC replied to nursingcares's topic in Geriatric, LTC

    A few years ago, my facility was trying to replace a few beds at a time. Last year or so, we did a remodel of the place and we got the rest of the beds. Night and day!!!! LOve them and love the...

  16. SL Nitroglycerin, O/C MD Blues

    CoffeeRTC replied to suzem's topic in Geriatric, LTC

    Looks like you now need parameters for this med. Most often we see it as give X3 then notify md. I probably wouldn't have called if the first was effective, but I wouldn't fault anyone for calling....

  17. range order rationale

    CoffeeRTC replied to MunoRN's topic in General Nursing

    Everyone's pain is different. We just make them rate it in the form of the number scale so that we can try to treat it effectively. To be honest...I would try to give another prn that might not be...

  18. LTC facility-TAKE DOWN THAT ARTWORK NOW!!!

    CoffeeRTC replied to juzme's topic in General Nursing

    Yep...care plan it, but how? I guess you can have a care plan on the people that did the art work.. but I would fight it first off with the state. I'd like to see the exact reg that it is...

  19. range order rationale

    CoffeeRTC replied to MunoRN's topic in General Nursing

    In LTC we are not permitted range orders either and clarify the orders to be like the above. I would see if they had any other orders for tylenol, motrin or ultram and see if one of them can be...

  20. needing a prescription for vaseline??

    CoffeeRTC replied to lalalalexi's topic in General Nursing

    Welcome to what we deal with in LTC. You like to suck on cotgh drops like Ludens because you have a dry mouth...you need an order for it. You like to use vick vapor rub because you are stuffy...you...

  21. Question about Magnesium Oxide

    CoffeeRTC replied to gentlegiver's topic in General Nursing

    Call the pharmacist and ask them what they suggest or what alt med/ dose they

  22. Calling residents affectionate names?

    CoffeeRTC replied to LPNweezy's topic in General Nursing

    We ask the resident and family what they like to be called. Simple and done. Oh...it should be put on the care plan too. We had a resident that like to be called Gram or Gramma. State hit us for...

  23. Can't get a hold of Dr.!

    CoffeeRTC replied to txdon's topic in Geriatric, LTC

    I've had situations where I couldn't reach the primary doc/ answering service was called and he was on call himself. Tried the medical director and that doc had a doc on call for her...called that...

  24. Doctors orders

    CoffeeRTC replied to new_worker's topic in Geriatric, LTC

    I try to call the family with med changes. (yes, some people have tons of them too). Normally, I will let them know if it is a new order because it is a new problem. Infections/ antibiotics...Psych...

  25. Best way to ask MD for reference?

    CoffeeRTC replied to WWRN's topic in General Nursing

    I would say ask in person. Try and work a couple extra shifts when you know they will be on or