CoffeeRTC

CoffeeRTC BSN, RN

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  1. RN jobs in Pittsburgh area

    Merner Plenty of LTCs in the area you might be able to work at while still looking. Even at part time you can make some money and get some
  2. LTC job from hell! Are they all like this?

    What the heck??? NO, NO , NO. All places are not like this! What type of place is this? Assisted living or LTC/ nursing
  3. Leaving Meds at the Bedside?

    In this case, we have an order that may leave at bedside for resident to self
  4. What is an MDS nurse?

    Pay rates varry with experience. A lot of these positions are salaried, but if this is only 16 hrs that probably isn't the case. I believe most get paid at the same rate as the staff nurses. In my...
  5. retaliation after resignation?

    Are the retaliations just on unit stuff like a harder assignment or more diffucult pts? Your co workers will ask why you are leaving. How you answer might affect how they treat you. Don't tell...
  6. Restraint-free facility = FALLS GALORE

    So, some of you are still using side rails? I kinda thought we were the last one to get rid of them. We remodelled about 2 yrs ago and finally got rid of the hand crank beds. Thank goodness. Yes,...
  7. Orienting an experienced RN

    What type of unit did this nurse work on before? Did she take a break from nursing? We are getting tons more nurses in LTC who are either changing careers or picking up extra hours. For the most...
  8. Nursing the old fashioned way

    Love this thread! I've only been an nurse since 96 and oh how things have changed in LTC. Most of the residents had demtian, contractures, restraints, full side rails, bed sores, foley or were...
  9. Are some states really laxed on their surveys?

    There is a big old book of the rule and the rules for the state surveyors and that is what they should be going by. Sometimes the Feds will come by and watch the state inspections. Big joke where I...
  10. Help! I need some advice!

    Seat belt? LOLOLOLOLOL They are self releasing seatbelts if you have them at all and that only takes 2 seconds for them to unbuckle. Yes, one person should be able to do a lift using a hoyer, but...
  11. Help! I need some advice!

    Is this LTC? There is no such thing as 1:1 in ltc unless they actually bring in a sitter or have someone delegated to this and this task alone. I don't think the "fall" or "asssist to the floor" is...
  12. Noting physician orders

    Are you on orientation? Have you spoken to your DON about this or even went to the nurses that should be training you? What happenes when you come off of training...you will be lost. Every...
  13. Postpartum nursing judgment

    Would take 2 seconds to have her sit up or roll over to check the epidural site. Then check the bp. They can both be done together or within a few
  14. I work LTC and a lot of the families bring something for the nurses. I don't feel that it necessary, but if they do..I like that they consider ALL shifts. What I really like is a smile and a "Happy...
  15. I'm exhausted...it's ridiculous (and unsafe)

    I'm confused. Have you ever worked LTC before? 58 pts for an 11-7 shift is kinda the norm. At my place we have 50 and do everything. Meds, tx, blood sugar checks etc...it is totally crazy esp in...
  16. Medication incident reports

    Technically, yes. It is a med error if they didn't get the meds. Have you tried speaking with the nurse leaving the
  17. Danger to self? help!

    Is she being covered by an actual hospice or just pallative care by your LTC. If she is on hospice, they should have been called and they could have gotten the meds faster. As far as the 7 hour...
  18. Extendicare Care Dress Code

    In PA and OH they wear any color scrubs. You need to call them and
  19. Giving PRN at family request

    Ugh. Are these new families or have you developed some trust with them? If it is absolutly going to harm them then I put my foot down and say sorry, that isn't what the drug is for. If it is ever a...
  20. Saw this on Facebook. Felt the need to share.

    I am a nurse and was a night turn nurse for years so I totally get it. Yes, the glove box does need changed at 1am. That is the only time restocking can get done BUT do two housekeepers or whoever...
  21. What do you say?

    Ugh...I get this a bunch where I work. I appologize, listent, tell them what I can do for them right now. Sometimes their complaints might leave you speechless and I just tell them that. "I'm...
  22. I have elderly patients curse at doctors alot. Quite a few times they've deserved it too.
  23. Resident Care Conferences/Staffings

    Yes, care conference isn't the time of place for this. How about a family meeting aranged at a different time? You can do a more one on one and have more time to discuss things. We have a Caring...
  24. ADON misleading title? Rant from DON

    As DON are you not the one in charge of nursing? How about taking a look at the job descriptions and sitting down with the ADON and PCC. That write up is nonsense. Are they trying to retaliate?...
  25. I feel out of the loop.

    It might be just that. Maybe they just want you to focus on the basics of med pass and treatments? I've worked as the "cart nurse", unit super and house RN. The only way that all of these nurses are...