CoffeeRTC

CoffeeRTC BSN, RN

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  1. Dopamine drips in SNF?

    I've seen it before..we would take anything. Wasn't pretty. We can't even get routine vitals and weights done on heathy
  2. Pittsburgh area...LTC to acute setting

    Didn't AGH send the OB to West Penn? I thought they would be doing better since they are Magnet
  3. Turn every two hours

    Please, Please, Please keep doing what you are doing. I can't tell you how many patients we get from the hospital with bed sores. Preventable bed sores. Yes, sometimes even with the best care, you...
  4. Does her family know how sick she is?

    Yep...not too much to add on this one. I did have the same type of experiece this week tho. We LTC nurses are real actual nurses. We develop the relationships with our residents over time and get...
  5. Who plays the "I'm a Nurse Card"?

    I've been visiting family and if they mention I'm a nurse, my response is..."Yes, I'm a nurse, but I'm not a nurse here....I'm your
  6. Tidbits, facts, save-your-butts...for new nurses in LTC

    Never "just an aid"! Great advice! If more nurses would listen to what the CNAs have to say and follow up on things........ I'm not at my job to make friends, but working together as a team and...
  7. Tidbits, facts, save-your-butts...for new nurses in LTC

    20- 60 patients....just can't be done in a LTC
  8. UPMC how did you get in?

    Call the unit and ask who the manager is? What about any Docs in your LTC? Do any of them work at the hosptials you would consider? I'm thinking that I might try that route if needed. I've worked...
  9. Pittsburgh area...LTC to acute setting

    Thanks for responding!!! I'm surprised you don't see much in your LTC. We have tons of skilled care..I'm kinda getting tired of taking care of so many of these and have to think that my time...
  10. falls

    Yes...In my place that should warrent an incident report. I think we need to come up with other names for these things...they really aren't falls. To me a fall is when the resident is not being...
  11. Do nurses at your LTC facility text the docs?

    Don't cell phone companies keep a record of text messages? Not too much privacy in that, huh? What about an attorney getting ahold of them? I don't mind a faxed order. Sometimes we fax things to...
  12. Do nurses at your LTC facility text the docs?

    Um...heck no. I like the good old fashion talking thing. Until this becomes policy and we have the equiptment in place etc. No. Are they using their own
  13. facility acquired pressure ulcers

    It really doesn't take that long for a pressure ulcer to develop...I know you know this, but it can be hrs, days and weeks. Comparing 18 months to the years that PP has been in a WC doesn't...
  14. 2010 survey focus

    Dating a dressing while it was on the resident....dignity
  15. facility acquired pressure ulcers

    I think I get what the OP was saying about $$$. Thru and thru, I'm frugal. Sorry, but it is true. Not knowing about the payment source of the OPs Gramma, if I was paying out of pocket and had to...
  16. Compliance nurse driving us CRAZY!!!!

    How's this for the opposite end of the spectrum. I would kill for some type of compliance nurse or something of the type. Where I work, it is out of control. Some nurses don't chart at all and when...
  17. Take your spouse to work day.

    Srsly, I would love him to see what I go
  18. facility acquired pressure ulcers

    I'm not afraid to respond either. The facilty could be 100 % responsible BUT... First off, since you are not the POA and your MIL? is, you will need to get the permission or ask her and the resident...
  19. Most Common LTC Meds?

    Srlsy...just look thru the geriatric
  20. Mandatory cut-off age for being a bedside nurse?

    Have to second the fact that some of the best nurses I work with are older than me...much older! As nurses, in most states now, we have to maintain a certain level of CEUs so continuing ed is
  21. Quick question for night-shift nurses

    Come into my room and shine a flash light in my face and you might get hit :) Most places have some type of low lighting to
  22. Glucometer / Infection Control

    I'm in PA and we were told we need to wipe our glucometers down in between residents. We were given alcohol based wipes. Does anyone have the actual regs or the place to find them? Anyone have...
  23. I worked with a nurse that worked at least 2 months straight with maybe 4 or 5 days off a month and did at least 12 and mostly 16 hrs each day. Yep...the quality of work wasn't there, but of course...
  24. I've done it before while working as a DNS in LTC and working the floor. 14-12-14 hr days were common. Needless to say, I'm "just a nurse" now and spend tons more time with my family at home. Lots of...
  25. what do you think of this pain med schedule?

    Now I'm confused...are you talking about MS Contin? That is long acting and so is the oramorph. Morphine isn't that long acting? Reguardless...you can call the pharmacist and ask what is the dose...