CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. k..disimpaction?

    CoffeeRTC replied to erin01's topic in General Nursing

    Gosh...yrs ago we had to do this alot in LTC. Thank heavens for bowel regimes and new meds. I would have disimpacted then and there and like Leslie said..F/u with a good bowel program. Prevention...

  2. How do you get aides to give good peri care?

    CoffeeRTC replied to geriNurse1's topic in Geriatric, LTC

    How about popping in the room when they are doing it and "help" out. I do mean help and also observe and spot check them. Make sure you place is supplying them with enough of the proper supplies...

  3. New Grad with no experience, starting in a LTC. HELP!!!

    CoffeeRTC replied to ChickenJoyRN,BSN's topic in Geriatric, LTC

    Never, ever agree to do that again. Ever. It is hard enough for an experienced nurse to start at a new facility and jump right in working without an orientation to that place. BTDT and have the t...

  4. The reality of educating patients about their meds

    CoffeeRTC replied to DolceVita's topic in General Nursing

    I work LTC and do a good bit of education. Since our LTC doesn't = a warehouse for old people, alot of our residents are having shorter stays and going home faster. Not a lot of time for education,...

  5. Narc count---missing meds...

    CoffeeRTC replied to michelew/oneL's topic in General Nursing

    Sometimes we get in a rut about things and just over look them because that is the way it is done. I've learned my lesson on this. We don't use computers and sign off the meds by hand. Sometimes...

  6. Long term care or clinic job?

    CoffeeRTC replied to shine123's topic in General Nursing

    Okay...I re read the OP post. I prob would take the clinic job too. Esp since I have kids. It would be nice to work day light hrs and have a set schedule. I do think you pick up tons of experience...

  7. Being Questioned by Paramedics? Why?

    CoffeeRTC replied to jayde_RN's topic in General Nursing

    I refuse to get involved in the us vs EMS debate. We both haave equally important jobs. Some of us get cranky at times (most of them work 24hr shifts) and that shouldn't be an excuse. I do my part,...

  8. Long term care or clinic job?

    CoffeeRTC replied to shine123's topic in General Nursing

    32 for an 11-7 shift is great. In the LTC you will get tons of experience in time management, staff managment skills, wounds, delegation

  9. Gtube flushes

    CoffeeRTC replied to babiesbreath's topic in General Nursing

    Unless they are being watched for fluid volume overload and are on I/ O I would give the flush order as due and then the extra flush needed for the meds. Your facility should have a P and P in place...

  10. New Grad LPN causing problems

    CoffeeRTC replied to Lovely_RN's topic in Geriatric, LTC

    BTDT....these type of nurses normally dig their own hole. I've been at the same place for years, but only work part time. I tend to be more "by the book" but also have learned to pick my battles...

  11. What do you think, or what would you do?

    CoffeeRTC replied to evilolive's topic in Geriatric, LTC

    Yep...."family wants xyz" that gets them going. I love to document out the but on cases like this too. I bet it was the age factor in the PCP delaying

  12. Challenging Residents

    CoffeeRTC replied to Neats's topic in Geriatric, LTC

    Nope....you have to set limits. I would also chart about refusal of care. If I have 20 or so other residents, I can't be coming back and doing that for

  13. Good care with staffing ratios?

    CoffeeRTC replied to Pooksmom1996's topic in LTC: Directors, Assistant

    I will agree with you on this...you must multitask and plan and organize. Years ago, this would have been much easier to handle since most of our pts were LTC or just regular skilled. Today..it...

  14. No nurse is going to answer this honestly but here it goes........

    CoffeeRTC replied to c_beshore_rn's topic in General Nursing

    Well...I work in LTC, if I wrote up giving meds late..I'd be doing it every single shift I

  15. Im beginning to dislike geriatrics

    CoffeeRTC replied to DivaNurse2007's topic in General Nursing

    Yep...it is everywhere. Ruby Vee..sounds like they are loosing their son and just can't control that so they are trying to control everything else that they can. Same for the OP situation. Yeah,...

  16. CNA Week

    CoffeeRTC replied to florianslove's topic in Geriatric, LTC

    How about when you have the lunches etc, make sure that someone is covering their call bells etc. Or even a all hands on deck and help the CNAs with a meal pass

  17. Proper administration

    CoffeeRTC replied to lp_825's topic in General Nursing

    Agh...the LTC med pass. No recapping after you give the injection. The needles should have some type of safety device. Yes you should try a few times to give the meds. I normaly keep them in the...

  18. SAD!

    CoffeeRTC replied to pretty70's topic in LTC: Directors, Assistant

    Heavens no...the med pass is long

  19. Good care with staffing ratios?

    CoffeeRTC replied to Pooksmom1996's topic in LTC: Directors, Assistant

    Well...I think acuity has a lot to do with it too. Would be nice if we could staff based on that. Somedays the 24 residents I have is totally doable, others..heck no. Having a desk nurse would help...

  20. Advice for newer RN to LTC supervisor position

    CoffeeRTC replied to AddieRN's topic in Geriatric, LTC

    I think it is good to train on the floor as a nurse first, then do the supervisor training. There are a few good threads on the LTC forum for advice

  21. UPMC McKeesport School of Nursing LPN program

    CoffeeRTC replied to bagheera1005's topic in Pennsylvania Nursing

    Never knew that McKeesport had the program. I'm not sure what LPNs are making in the area. There is a big need for them in LTC,

  22. LPN AND PROUD OF IT

    CoffeeRTC replied to florianslove's topic in Geriatric, LTC

    I think the RN vs LPN issues vary in the different areas of the country. I've never felt I was superior or above anyone. I do see some LPNs that seem to think they need to play the less superior...

  23. Lantus and NPH question

    CoffeeRTC replied to MDS_Coordinator's topic in General Nursing

    NPH at breakfast and dinner and normally Lantus at night. They might also be on a sliding

  24. When a patient is dying, am I expecting too much?

    CoffeeRTC replied to ShayRN's topic in General Nursing

    Shay.....I GET it. Really. I'm not a hospice nurse per se, but see excactly that in LTC setting. (we get old and young pts) When they tell me they want to be there when they die and I tell them...

  25. Lantus and NPH question

    CoffeeRTC replied to MDS_Coordinator's topic in General Nursing

    I've seen both