CoffeeRTC

CoffeeRTC BSN, RN

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  1. other rn mama's ..going back to work after

    CoffeeRTC replied to erin01's topic in General Nursing

    I've done it 5 times now...5 kids. I only work part time and 8 hour shifts so it isn't that bad (every other weekend and PRN). Is your husband afraid of the baby or are you afraid of what he will/...

  2. Did you ever see a patient taking two laxative at the same time

    CoffeeRTC replied to Blackheartednurse's topic in General Nursing

    Metamucil, 1 C prunce juice, 30 cc mineral oil and a dash of lemon juice. This is the cheaper older cocktail that seemed to always work. Now days it seems everyone is on Mirilax...isn't that...

  3. Nursing homes' bad reputation

    CoffeeRTC replied to luvmydogs84's topic in Geriatric, LTC

    I respect your opionon, but wonder what type of place you work at that it isn't fast paced? I tend to think that after 14 yrs + in LTC, I know what I'm doing. I've yet to really have the time to...

  4. Refusing unsafe workload?

    CoffeeRTC replied to Ginger80's topic in General Nursing

    Good for you! What happened? Did someone else come in to work? I work in a 50 bed and there is one nurse and 2 cnas. I have a ton of 6 or 7 am meds to pass and a few 12ams and of the prns. How is...

  5. Did you ever see a patient taking two laxative at the same time

    CoffeeRTC replied to Blackheartednurse's topic in General Nursing

    Head over to the LTC forum and check out some posts. I have alot of people on more than one med..I know a lot of pregnant moms taking bowel meds too. Think about how each med works....one will...

  6. Would you have reported this med error?

    CoffeeRTC replied to IowaLPN's topic in General Nursing

    I would question it. There could be many other explanations for it, but still...question it. Maybe they used another OTC supply for another pt? Maybe the nurse didn't give it but forgot to circle...

  7. Postpartum Sleeping Pill

    CoffeeRTC replied to Jemma's topic in Ob/Gyn

    Wow...they are really offered? I guess if they've had really bad time falling asleep, but as a woman who has gone thru 5 labors...sleep just comes

  8. Nursing homes' bad reputation

    CoffeeRTC replied to luvmydogs84's topic in Geriatric, LTC

    Assessment skills (esp the demented elderly that cannot tell you anything), assessing and determining what is wrong without having all the fancy equiptment and other personel aval that an acute care...

  9. I lost my job.

    CoffeeRTC replied to pretty70's topic in Geriatric, LTC

    One extra week off? I don't think you should have been fired. Is there more to the work story? Who took the job? Someone that they wanted all along? How long did you work for them? Were they...

  10. Common LTC no-no's (part vent, part question)

    CoffeeRTC replied to Zergasaurus's topic in Geriatric, LTC

    Borrowing is bad and it shouldn't be done. I think we all know that........ I will call the pharmacy and get it sent out ASAP BUT....ASAP might be hours if we are lucky. We do have a back up plan, but...

  11. Should I refer to my new RN director as Ms. Newboss?

    CoffeeRTC replied to klondike's topic in General Nursing

    Oh...I get it. She wants to be Ms so and so but others are Mike or Sally and not Mr Smith and Mrs Jones. I call people by what ever they request or what ever is proper. I think that it works both...

  12. Common LTC no-no's (part vent, part question)

    CoffeeRTC replied to Zergasaurus's topic in Geriatric, LTC

    Assytole..I'd be interested in knowing what pharmacy your facility uses and what type of LTC you work in? Have any of you had a chance to read the thread on Omnicare? You will see a a lot of these...

  13. Pacifying a difficult family that will not listen to reason??

    CoffeeRTC replied to Work in Progress's topic in General Nursing

    Oye. I'm the nurse in the LTC that will be getting this pt and the family. Trust. Grief. Denial. The family is dealing with the grief/ denial issues and lost trust with the nursing staff....

  14. Wound question,

    CoffeeRTC replied to Finallydidit's topic in General Nursing

    The wound could have gotten dark and soft, but not hard and necrotic looking in just a day or so. Srlsy...this person wasn't getting skin assessments and the CNAs were

  15. Who is to blame

    CoffeeRTC replied to Finallydidit's topic in Geriatric, LTC

    Ugh....I just feel like screaming. Why oh why must a person be fired over this? I know it wasn't the option that the OP gave us, but still....makes me want to scream. I work LTC and have seen this...

  16. brittle diabetic pt

    CoffeeRTC replied to mtam_01's topic in General Nursing

    I figured this was LTC. We don't have the lab to check a venous sample or for ketones in LTC. The IDT ( RNAC, DON, dietary, etc) needs to get involved and good care planning needs to happen. Good...

  17. brittle diabetic pt

    CoffeeRTC replied to mtam_01's topic in General Nursing

    This is a brittle diabetic. Did he get a snack at bed

  18. What have you done without a Dr. order?

    CoffeeRTC replied to PureLifeRN's topic in General Nursing

    Wow. On admission, we check off orders for tylenol for pain or temp, our bowel protocol that includs MOM, ducolox supps and enemas and a skin tear dressing order (its not always appropriate) These...

  19. What have you done without a Dr. order?

    CoffeeRTC replied to PureLifeRN's topic in General Nursing

    In LTC (at least my state) there are no standing orders. None. If someone is in rep distress you need an order for O2. Sooooo this is a holiday or late shift and you are trying to get ahold of a...

  20. Ratted out a co-worker and now feel guilty

    CoffeeRTC replied to NurseLoveJoy88's topic in General Nursing

    This happens a good bit in LTC with the card of meds. Esp if just about everyone is on vicodin or the same med. What did your DON say was the correct way of dealing with

  21. Can I lose my license for being nude on internet?

    CoffeeRTC replied to climbs's topic in Pennsylvania Nursing

    Heck...if you are a warm body and willing to work, I know quite a few LTCs that would hire you in a minute.

  22. Orientation with 55 residents

    CoffeeRTC replied to starletRN's topic in Geriatric, LTC

    How many do you normally have? 55 on an 11-7 shift is about

  23. Ratted out a co-worker and now feel guilty

    CoffeeRTC replied to NurseLoveJoy88's topic in General Nursing

    Just wondering...was it for the same med? Is this long term care? did she punch out of the wrong card? It didn't need to be a cover up...she should have just written a note or when to the DON and...

  24. what would you do?

    CoffeeRTC replied to jk6805's topic in General Nursing

    yea..that. As far as the meds...Even if it was a busy, busy day (LTC is hectic) if the next day they came in and remember to call...they should of. Sometimes beter late than never. Is the...

  25. Angry ex-boss and applying for new jobs (Help!)

    CoffeeRTC replied to NICU Kristen's topic in Medical Assistant, CNA/MA

    I've done some hiring in LTC. Call the nursing home and just explain that you'd like to make them a do not contatct reference. Give them a few names of coworkers if they want them. don't sweat