CoffeeRTC

CoffeeRTC BSN, RN

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  1. Depends (diapers) at night?

    CoffeeRTC replied to Town & Country's topic in Geriatric, LTC

    I care for a father with alzheimers that we put in depends at night. He is suffering from very red, itchy skin as a result. Are you saying that you would let him sleep with no depend at night? There...

  2. Skilled nursing in a hospital

    CoffeeRTC replied to prinsessa's topic in Geriatric, LTC

    I've never worked on a hospital skilled care unit, but I think it would be a good opportunity. As long as you get more support (a unit clerk, etc) I would think it would be good experience and you...

  3. Sex offenders/ residents screening?

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    I've been doing LTC since forever and I can't figure out how we are supposed to manage/ deal with these residents. Over the years, we've had residents that were supposed to be watched more...

  4. Sex offenders/ residents screening?

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    I don't think there is a reg for this either, just wondering if I missed it. Yeah, you can do a good bit of screening at the hospital and read the chart etc, but sometimes these behaviors show up and...

  5. Agency LTC or Staff LTC

    CoffeeRTC replied to grateful2010's topic in Geriatric, LTC

    If you are new to LTC....no agency. I cringe at the thought of a new grad or new to LTC nurse doing agency. Def get the experience in a LTC as staff and then you can move on. Even if you have the...

  6. When is enough enough?

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

    I think knowing when enough is enough is important. Being burnt out or tired and continuing to work isn't helping anyone. Granted this was years ago and I was younger, I up and left management. It...

  7. Angry mom made me cry last week

    CoffeeRTC replied to MA Nurse's topic in NICU, Neonatal

    20 yrs in the NICU? You know you are a good, no awesome person/

  8. Cough Syrup via PEG Tube

    CoffeeRTC replied to MisMatch's topic in General Nursing

    OMGee me too. It kills me when there are residents that look at me like I'm stoopid. Now...if you were taking honey or something to coat your throat and prevent coughing....thats another

  9. Residents who are constantly on the call bell... help!

    CoffeeRTC replied to rainbowsandsunshine's topic in Geriatric, LTC

    Yeah, there is something called a bed hold policy that all facilities must have. I agree with the above...suggestions. After all needs are met,you need to "ignore" then calling out. What about...

  10. How do you chart verbal aggression by a client?

    CoffeeRTC replied to RxOnly's topic in General Nursing

    Charting verbally agressive is not good enough. You must put it into quotes. What is verbally agressive to one person, might not be to the next....or at least that is what someone reviewing the chart...

  11. Noting orders VERY late...legally, what happens?

    CoffeeRTC replied to nervousnurse's topic in General Nursing

    Ugh...is this long term care? Something like this happened to me before and now I'm known as the chart Nazi. Yeah...those who work with me know they better not be taking the chart off the unit for...

  12. Verbal assault by a pt.

    CoffeeRTC replied to imintrouble's topic in General Nursing

    I think what capecod was trying to say it that you do have to have a thick skin. Have I been yelled at before...yes. Did it bother me....yes, for a few minutes. Will I be yelled at again....yes....

  13. Top Tips

    CoffeeRTC replied to lpnwkids's topic in Geriatric, LTC

    LTC tips. Remember why you are there. Yes it is about the pay check or we wouldn't work at all, BUT...you are taking care of someone that needs long term care. No one wakes up and says one morning...

  14. LTC retention

    CoffeeRTC replied to UpinawayRN's topic in General Nursing

    Pay isn't an issue in our area. I make a good penny that I prob wouldn't make in the acute setting. I agree with The Commuter's point. Reimbursements are not always covering the care that we give....

  15. I work at a great facility.......?

    CoffeeRTC replied to randomlymade88's topic in Geriatric, LTC

    I have that many residents and a mix of acutity too. I also do the meds, tx, orders, etc..we have had trachs before and I have to agree, unless they are fresh and or having problems (frequent...

  16. When was the last time higher management gave you a sincere Thank you.

    CoffeeRTC replied to tobesmartt's topic in General Nursing

    I get a thank you from the DON and ADM and I do see them pitching in to help and I totally respect it BUT what I'd really like to see a solution to the problem or at least an attempt to fix it....

  17. Do you think it's right for nurses that are going to school do their homework at work

    CoffeeRTC replied to tobesmartt's topic in General Nursing

    Ilde hands....LOL I'd rather see someone doing something like the homework than skimming thru magazines or surfing the net or gossiping. If there is free time, pt needs are met.....why not???...

  18. IV push meds

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

    Wow...I guess I never realized how regional things are. We are a smaller facility and operate with at least one RN on duty at all times (sometimes not on 11-7 tho) We've been doing iv pushes for...

  19. I have a question to nurse that smoke

    CoffeeRTC replied to BOOYARN's topic in General Nursing

    LTC that I've worked at doesn't have smoking orders from the doc. The CNAs lend cigs to the residents all the time. The only thing I have an issue with is them taking them from the residents. In...

  20. Odor Query

    CoffeeRTC replied to Kooky Korky's topic in General Nursing

    LOL....there is a point when you ask yourself "Did I really just drink that much

  21. Odor Query

    CoffeeRTC replied to Kooky Korky's topic in General Nursing

    It might or mignt not be something to get checked out. I notice something like this too. Maybe it is just feeling yucky from being up all night, dry etc. I just try to freshen up. splash some water...

  22. So many ways to mess up!

    CoffeeRTC replied to NamasteNurse's topic in Geriatric, LTC

    Wow...you can come work with me! Srlsy..The nit picking some supervisors do drives me crazy and drives good nurses from

  23. What can I do to help?

    CoffeeRTC replied to slrberry's topic in Geriatric, LTC

    I think you are doing great and doing what you can. Being a new nurse in LTC, it is hard enough to stay afloat with the nursing duties alone. Do what you can when you can and you will see (as other...

  24. What is your policy on.....

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

    Do you all have an actual written policy on this? I've never seen one. If it is a cultural thing, then that is different. Ask first, be

  25. If you could do it all over.....

    CoffeeRTC replied to GeminiRN2007's topic in Patient, Colleague Relations

    Yes, I probably would still choose nursing. Right now I'm stuck in LTC. Don't get me wrong, I like what I do, but I don't LOVE it. I'm only stuck because of my family situation..working PT/PRN I...