CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Making Acetylcysteine bearable?

    CoffeeRTC replied to kaliRN's topic in General Nursing

    I dunno...we give it and just open the window a bit. Thats about all you can

  2. what do you think of this pain med schedule?

    CoffeeRTC replied to Ms.RN's topic in General Nursing

    You can always call the pharmacist too to ask questions. As far as running out...it is the nurses job to look at the meds and look at how much the pt it taking and pull the re order tag and get it...

  3. How to Document

    CoffeeRTC replied to foreverhopeful's topic in General Nursing

    YOu should have forms to document these area. Don't you have an admit skin assessment? After doing those, I would call the RN or if the LPNs do it in your building, call the doc and let them know....

  4. Can you really change a bad LTC?

    CoffeeRTC replied to lisa41rn's topic in LTC: Directors, Assistant

    I've read this with interest and yes I do think it starts with the "fish head". I think our fish head is the corporate staff. We've had our share of great (and poor) DONs and ADMs that seem to get...

  5. Is this common?

    CoffeeRTC replied to Finallydidit's topic in Geriatric, LTC

    I would be making sure this person is getting a snack at night

  6. Got a call from a LTC facility... sched to take pharm/med math exam. Need advice

    CoffeeRTC replied to naomi712's topic in Geriatric, LTC

    I've never taken a med test for LTC. Not a bad idea tho. I would think it would be right before the interview or during the interview. Most LTCs are so hard up to find staff. As far as meds..you...

  7. Want more hands on skills

    CoffeeRTC replied to Schmoo1022's topic in Geriatric, LTC

    What is Kane? Are you in PGH area? If so PM me. I would look into whatever is cheapest or gives you the best re education. Some times local colleges have the refresher and will get you a job in...

  8. Is this common?

    CoffeeRTC replied to Finallydidit's topic in Geriatric, LTC

    No that is not common. I've never given metaformin at hs and our sliding scales don't start till the 130s. I would be calling the doc asap to get a

  9. HIPAA

    CoffeeRTC replied to texastea's topic in Geriatric, LTC

    There are tons of violations in the LTC setting since most of the residents spend a good bit of time together. Semi private rooms, group therapy sessions...Speaking with family members that come to...

  10. trach patient

    CoffeeRTC replied to Ms.RN's topic in Geriatric, LTC

    We all know what the right answer is to this question.

  11. Pharmacy is now doing our MARS...

    CoffeeRTC replied to Finallydidit's topic in Geriatric, LTC

    Um....why are they doing this? Pharmacy prints our orders each month and then we review them and correct them and adjust the times as

  12. LTC- resident in clear distress

    CoffeeRTC replied to anonymous1919's topic in General Nursing

    That is what I would have done! (Skip the supervisor part since I am the supervisor) add in reassess after the O2 and neb tx. Most LTCs do not have standing orders due to the

  13. New Grad Ethical Difficulties

    CoffeeRTC replied to theycallmeking's topic in General Nursing

    How is handing a resident their pills a HIPAA violation? Now if you are talking loudly "Here is your coumadin, here is your colace"...yeah, I see a HIPAA violation. I've worked LTC and sometimes...

  14. Documentation Questions

    CoffeeRTC replied to tripletmomma's topic in General Nursing

    I've never seen different oder forms in LTC. Most of our orders are telephone orders. Yes, you could fill in the demographic type of info on an order. If you felt funny about it you could call the...

  15. What would you do?

    CoffeeRTC replied to the_alchemist's topic in General Students

    I've seen my share of falls in LTC. Unless it was facility protocol, I wouldn't have called 911 in a stable patient. If transport would have taken 45min to hr, then maybe I would have called them....

  16. does working as an lpn stop the clock for rn experience?

    CoffeeRTC replied to smartnurse1982's topic in General Nursing

    This it LTC? In just about all LTCs there is little difference between an LPN and RN. The RNs might do a bit more IVs and supervision and need to sign off on some of the LPNs work (MDS?) , but thats...

  17. Can a doctor ask a nurse to write the order when she is standing right there??

    CoffeeRTC replied to Parul's topic in General Nursing

    Yep...we do that. In LTC we do alot of telephone orders

  18. Your advice unit managers

    CoffeeRTC replied to montinurse's topic in Geriatric, LTC

    Do the ICU. I've been in LTC and I love it BUT..if things were different and it was a few yrs ago...I would choose the ICU. LTCs are run so much different than a hospital and boy..this can lead to...

  19. can't listen to his stories how to I get out fast?

    CoffeeRTC replied to Kitty Hawk's topic in Geriatric, LTC

    I've had my share of these residents. People may say psych consult. Okay...some of them have had psych care and do have OCD, some don't or this isn't the option. Having someone call you will work...

  20. LTC Nightmare

    CoffeeRTC replied to LuvScrubs2's topic in LTC: Directors, Assistant

    Now that you have the other job I would call the HR at the first place and do an exit interview with them. Let them know why you left. The HR person might not know that the DON is psycho...maybe...

  21. Yelled at a patient

    CoffeeRTC replied to KalipsoRed's topic in General Nursing

    Trust me...I've had my fair share of patients like this and working in LTC, I wish I could just not take care of them. One patient like this and 20 others. It seems like we are getting younger and...

  22. HELP: quit LTC without 2 wk notice and ED treatened to report me to BON

    CoffeeRTC replied to hgal's topic in Geriatric, LTC

    If you didn't leave in the middle of the shift and worked your shift out...NO it is not abandonment. What if you were hit by a car and couldn't come to work? Would they report you then?? Call the...

  23. Sharing Personal Information at Work

    CoffeeRTC replied to Urban_Durga's topic in General Nursing

    LLG has great advice. You could answer a basic question and then use some humor "wow..twenty questions, huh?" and then turn your attention to the person asking.."hey, how about you..are you...

  24. Frustration with "Assisted Living"

    CoffeeRTC replied to Leda1st's topic in Geriatric, LTC

    Find out what the regs are in your state. In our state, they've changed a lot of regs for Assisted

  25. Should Your DON Talk to You After You Give Your Resignation?

    CoffeeRTC replied to flashpoint's topic in Geriatric, LTC

    I think I get what you were asking or where you are coming from. In most of the LTCs I've worked in..big or small...eveyone knows just about everyone's business. The DON knows you are leaving....