CoffeeRTC

CoffeeRTC BSN, RN

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  1. Do family members know how annoying they can be?

    CoffeeRTC replied to Ling07's topic in Geriatric, LTC

    true..those same families start off in the acute setting and are transfered to the ltc with the patient. one big difference is that you have security and other support

  2. Call Bell Over Use (Abuse?)

    CoffeeRTC replied to 311ltc's topic in Geriatric, LTC

    psych consult?

  3. Cussed out and disprespected by CNA

    CoffeeRTC replied to tattooednursie's topic in General Nursing

    Lemme guess...LTC? BTDT, got the T shirt. I started off when I was younger than 24 and today I still look 24ish, so it is hard at times. BUT....things have worked their way out. Its all going to...

  4. Call Bell Over Use (Abuse?)

    CoffeeRTC replied to 311ltc's topic in Geriatric, LTC

    What about having family involved? will they go to

  5. Any Ethical Issues here? Would the facility care?

    CoffeeRTC replied to heathert_kc's topic in General Nursing

    It happens alot in our area. Sometimes the resident comes first, sometimes the nurse, LOL. I think it says alot about the facility and care you

  6. do you work 8's or 12's in you LTC, and do the managers work 8's?

    CoffeeRTC replied to 4treasures's topic in Geriatric, LTC

    most of the managament or non floor nurse 12 hr positions are supervisors that work the weekends doing

  7. name that hospital and its starting salary

    CoffeeRTC replied to krazaygerl's topic in Pennsylvania Nursing

    Those would be LPN rates in the Pittsburgh

  8. RN in Long-Term Care

    CoffeeRTC replied to Katie5's topic in General Nursing

    Exactly what I would have said! I might be the charge nurse or supervisor,but the LPN I work with holds her own. There is and RN and LPN in the building. Each have thier own pt and CNAs. She does...

  9. Dealing With the Patient in Pain

    CoffeeRTC replied to mbrnstudent's topic in General Nursing

    Great post. I do the same thing too. Since I work in LTC, we have a good bit of docs who either don't know or don't want to order adequate pain meds. Looking at the whole pic and involving the...

  10. Best way to prepare for what's ahead...

    CoffeeRTC replied to CrystalClear75's topic in Geriatric, LTC

    Another good thing to do is ask for the roster/ matrix thingy that they give to surveyors when they come in. It gives you a picture of what all the residents have. Keep an eye on the last survey...

  11. breastfeeding gone wrong

    CoffeeRTC replied to adpiRN's topic in Ob/Gyn

    Never heard of suffocation while nursing. TMI, but I am rather large in the chest and have nursed all my babies (currently on #5 baby at 1 month old)..never had that problem. I'd like to hear more...

  12. What would you do in this situation?

    CoffeeRTC replied to arelle68's topic in Geriatric, LTC

    Well, more often than not, the previous nurse prob missed it or just didn't do it. (at least in my building) No s/s or complaints...I would wait till the am to call the

  13. Smoking in LTCF

    CoffeeRTC replied to jschut's topic in Geriatric, LTC

    Res rights seem to trump

  14. So...who gets the job?

    CoffeeRTC replied to flashpoint's topic in General Nursing

    Anything goes in LTC,

  15. So...who gets the job?

    CoffeeRTC replied to flashpoint's topic in General Nursing

    Huh? I'd like an explanation on the legality/ need to give the person the job back. Once you turn in a notice, I would think that is it. If something would happen, then you need to restart the...

  16. IV fluids in LTC setting?

    CoffeeRTC replied to CrystalClear75's topic in Geriatric, LTC

    CrystalClear....we are from the same area (I think) and from my experiences, it just all depends. Mostly we get a good bit of IV antibiotics, mostly treating wound infections or sepsis. A lot of...

  17. diabetes protocol for LTC facilities

    CoffeeRTC replied to wiley6coyote's topic in Geriatric, LTC

    I would think that first off, critical thinking or nursing judgment should come into play. If you have a diabetic that hasn't eaten...the doc needs called or as a nursing measure...push fluids/ carbs...

  18. Omnicare Pharmacy-discuss

    CoffeeRTC replied to ktwlpn's topic in Geriatric, LTC

    When it nears the end of the month, someone should check the cards to make sure that we have enough until cycle change. We pull the sticker and fax it to pharmacy telling them how many we have left...

  19. Want to be a psych nurse in pittsburgh pa, don't know where to start...

    CoffeeRTC replied to CrystalClear75's topic in Pennsylvania Nursing

    UPMC has a psych

  20. Nursing home experiences?

    CoffeeRTC replied to PA_CoffeeFreak's topic in Pennsylvania Nursing

    go appy to upmc..what is to lose? I know a few South Hills area LTCs...pm

  21. Unlicensed personell administering medication.

    CoffeeRTC replied to MurseMan1's topic in General Nursing

    Only in assisted living places have I heard of this. Never in a skilled nursing or LTC center or higher. Call the BON to ask if you can't find it

  22. DVT protocols

    CoffeeRTC replied to lleamon's topic in Ob/Gyn

    Interesting. Remembering my Csection a few yrs ago..I don't remember any prevention for DVTs except being allowed oob as soon as the epi wore off and the cath was pulled. I was in bed for at least 18...

  23. Vag exams with sterile gloves or regular gloves?

    CoffeeRTC replied to RNBelle's topic in Ob/Gyn

    Going in for my 39 week check up tomorrow and I'm going to watch what they use. From what I remember as a non ob nurse/ mom of 5...non sterile at the docs and sterile while at the

  24. I'm in serious need of some sound advice

    CoffeeRTC replied to nurse_clown's topic in General Nursing

    Oye...this is a typical younger LTC patient. I agree with all of the above...get the MD involved, document out your but and what about the rest of the IDT? SW, therapy, dietary, etc? They should...

  25. What is Long Term Acute Care?

    CoffeeRTC replied to Spartan05's topic in Long Term Acute Care

    Yep...we have more and more pts with extensive wound care, trachs, some places have vents (the one I'm at doesn't), more intensive rehab..IV threapy for complex infections and TPN and stoma...