CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Catch 22 situation

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

    Geri psych stay?? Danger to self (hygiene issues that can lead to serious infections) and danger to others with the hitting, bitting, and bruises. Of course you are doing event reports for the...

  2. Double Briefing

    CoffeeRTC replied to CuriousCNA's topic in General Nursing

    ^^^ This^^^ You will not find it wrintten specifically "no double briefing" but it is a dignity and neglect tag. We've had "heavy wetters" before and I've seen CNAs do different things...full...

  3. Double Briefing

    CoffeeRTC replied to CuriousCNA's topic in General Nursing

    A catheter for convenience is never going to happen. Nor should

  4. Risk Managers

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    I miss being a part of a big company. We had programs for everything. I'm sure I can come up with a spreadsheet of some sorts but just didn't want to re-invent the

  5. Charged with abuse for causing skin tears

    CoffeeRTC replied to ceneil76's topic in General Nursing

    I see that this is an old post, but updated. You would have known by now if it was reported to the state and if there was any actions against you. As far as suspected abuse. If the CNA saw a nurse...

  6. Assignment Despite Objection (ADO) in SNF/Sub-Acute Facility

    CoffeeRTC replied to ronzrivera's topic in General Nursing

    I have never seen these in SNF or in my

  7. Re-testing for TB after 1 week hospital stay

    CoffeeRTC replied to geriatricRNBSN's topic in Patient Education

    Post in the LTC forum for more answers. This is a great question. We do a two step PPD on all

  8. Been thought of as the bad guy?

    CoffeeRTC replied to Amethya's topic in School

    True just about everywhere. Not a school nurse, but I'm the bad guy where I work. I'm in LTC and refuse to let the residents smoke unattended outside and keep their lighters in their room. BTDT...

  9. RN Screener for LTC

    CoffeeRTC replied to teelatice15's topic in LTC: Directors, Assistant

    I personally haven't worked as an admissions coordinator, but share the office with ours. Ours is called a referral manager. She is not a nurse. Her job is definitely more sales and marketing. As...

  10. SubQ injections

    CoffeeRTC replied to Trinity.Rn's topic in Patient Safety Issues

    NO, No, No!! Only thing I've seen in an emergency epi pen given this

  11. Irritated MDs: to SBAR or not to SBAR?

    CoffeeRTC replied to Melanin's topic in General Nursing

    Is it one Dr that gets upset or different ones? Working part-time in LTC as the charge, i'm often calling doctors on off shifts and getting an on call. Some of them may have see the patient before...

  12. Agency Use? How Much & Staffing Solutions

    CoffeeRTC replied to Chris Caulfield RN NP-C's topic in LTC: Directors, Assistant

    We just started using agency to supplement our CNA staffing. We are a small facility with 50 beds. Some days it is up to 3 agency CNAs we are using. Our pay rate is horrible and the benefits stink....

  13. Timeline for a bruise

    CoffeeRTC replied to iamoph's topic in Geriatric, LTC

    Are you investigating a bruise or trying to determine when an injury

  14. Employee Motivation

    CoffeeRTC replied to LTCEducator1966's topic in Geriatric, LTC

    Great question! We have the same issue but with a much smaller facility. Couple questions for you. Do you have computer access for your staff to complete the modules at work? Do you set aside time...

  15. What makes a good DON

    CoffeeRTC replied to imjstme's topic in Geriatric, LTC

    Viva and Capecod some to mind..... Experience. Fair management abilities. Compassion for the residents...not forgetting that they are why we are working. Common sense and critical thinking...

  16. Pittsburg in the news

    CoffeeRTC replied to ruby_jane's topic in School

  17. Requesting Extra Orientation?

    CoffeeRTC replied to Newgurl17's topic in Geriatric, LTC

    Yeah, I don't think most places would accommodate you on this one, especially since this is the overnight shift. We often have nurses pick up a different shift. If they come in 15 minutes early,...

  18. MDS

    CoffeeRTC replied to Lovetobenurse's topic in Geriatric, LTC

    Care plans can be updated at any time. As soon as we add or change the interventions, we update the care plan. At risk for falls is still an acceptable problem. They will almost always be at risk...

  19. 8 Dead at Florida Nursing Home without power after Hurricane Irma

    CoffeeRTC replied to Blackcat99's topic in Nursing News

    I just can't imagine. How horrible. I do have to ask, "what was the staff thinking?" I understand that the adm might not have wanted to sound the alarm and send these people out but the nurses??...

  20. Re wrapping splints?

    CoffeeRTC replied to Shellaaay10x's topic in School

    Athletic directors can be anyone with a sports background and don't always mean they have any medical or athletic training. My husband is an AD and he is clueless on these

  21. Wrote up for CNA

    CoffeeRTC replied to Sh4y's topic in Geriatric, LTC

    I'm confused. Were you written up or do you want to write up the CNA? Sounds like the CNA needs more of an orientation or help with time management. Is she new to the job and new to being a

  22. New RN Charge nurse

    CoffeeRTC replied to ltcnurse4u's topic in Geriatric, LTC

    Wowsa! So many things to say about this one!!! How do the other RNs feel about her?? As an RN, I would love to have a few words with her. I'm not sure anything you say to her would help....

  23. Come to work or get fired-Hurricane Irma!!!

    CoffeeRTC replied to Blackcat99's topic in Geriatric, LTC

    OP, please come back and update us when you can. I'm interested in finding out how things are

  24. Do mom's still use Sitz baths ?!

    CoffeeRTC replied to BSNbeauty's topic in Ob/Gyn

    Never offered one with any of my 5 kids. Now aged 18-8. I do remember the peri bottle. Life

  25. Video RN screaming, dragged into police car d/t refused blood draw on unconscious patient!

    CoffeeRTC replied to SummitRN's topic in General Nursing

    I would love to hear responses from the law enforcement side. This is just so