CoffeeRTC

CoffeeRTC BSN, RN

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  1. Do you always state that you are a nurse?

    Rarely if ever. I might speak up if only to sympathize with them or offer help. (changing, feeding, lifting up in bed, etc) Most of the time I'm out of my element anyway...Peds and OB are very...
  2. Baby Evacuation Device

    LOL....I might consider this one...I'm having my 5th baby in 2
  3. Nurse Practitioners at SNFs as huge health reform tool

    I've worked in a few places that had NPs. It did save a lot of hospital trips and it was soooo easy to get treatments and care ordered. I like this idea. I just wonder how profitable it could be...
  4. Supervisory Training for LPN

    Great question! Years ago when I first started with this company, we had a supervisor training inservices. Yeah, the analogies and stories we went thru were kinda stupid, but looking back at all of...
  5. Is there a RN to patient ratio for a nursing home?

    look on the states health web site. It should be around there some where. I think there is a link to all of the staffing ratios or something like that in the LTC
  6. Well, anyway you can ask the DON to stick around for a 3-11 shift or do a time study? I have to agree...each shift is busy with its own. I wokr 3-11 but have also done days and nights. 3-11 seems...
  7. Ummm, I think the patient looks bad....

    Sooooo What happend?
  8. Sleep overs

    Nope...not unless they are gravely ill or are having behaviors and need a sitter type of thing do families stay over. We only have a few private rooms and the rest are semi....so you get into the...
  9. Nebulizer treatment

    Yep, our neb thingys are green. Never seen anything but clean fluid and we've been doing rep treatments as nurses in LTC for the last 12 yrs or
  10. How do you handle an unprofessional nurse?

    You might not be able to change them, but just keep doing things that you are doing. Try to give a good verbal report, insist on counting narcs and the rest is up to them. If they don't listen, it...
  11. Faxing or not faxing

    If it doesn't need a STAT response and you follow up on these faxes at the end of your shift or the next shift is following up on them, then I see no problem. What does the doc say/
  12. In your experience have you seen this happen?

    Hey...even at my house we have "odors" at diaper change. To me, when someone says "reek" they mean all the time, every day. One place I worked at could have been clasified as reeking (or maybe it...
  13. Nursing home not able to admit medicare patients

    Obviously, they have been repeatedly cited from the state. If I was new, I probably wouldn't want to come into a situation like that. Have you looked up the surveys online to find out what or
  14. Nurses whom give overly detailed reports...

    Hey...I would just love to get a semi decent report. I get the "unchanged" or "no issues", walk in the room and find IVs, wound vacs, tube feedings etc that were not ordered the last weekend I...
  15. how to change a s/p cath

    Yep...same and if you needed to change a feeding tube...same way
  16. "Eyes & Thighs"

    I'm on baby #5 and I don't think I was ever formally informed of what happens to the baby (as a nurse, I know) Maybe push the obs to include this in prenatal care
  17. Feeding Tube Problems

    It has been ages since I've seen a clogged tube. Def needs a tube change. How old is is? What does the tube look like? Push the family/ pt to get the tube changed. The cranberry "juice" we get...
  18. Check Out This Doc

    wow....no way I would let anyone I knew go back to this doc. SRSLY, waiting that long? 5-7 hrs? Is that for real? If you made an appointment they still make you wait? Wow. As far as the...
  19. Sediment in Urinary Caths

    I work LTC. It seems like some residents need their caths changed every 2 weeks. Our standard is every month or prn changes. Aside from increasing fluids..what can be done do prevent or reduce...
  20. I work LTC. I think that 52 is doable for an 11-7 shift. We have 47 beds. Mixed LTC pts...a good bit of skilled rehab with some LTC patients. To all the other posters that said no way....think...
  21. I always love follow up posts too
  22. Afebrile, profuse diaphoresis, pleuritic pain: WHY?

    Me too....pain meds did this to
  23. How far can a patient go?

    I've never heard of anyone removing a patient from the unit. They would/ could be discharged to home or a nursing home for care when stable. (yep...Those are the admits we love in LTC....NOT) When...
  24. "Star System"

    So it is forced mandation. How do they rotate who gets picked? We (LTC) ask for volunteers first, then it would be on list of
  25. Ahhhhhhhhhh Cancelled AGAIN!!!!

    That is why we are seeing alot of acute care nurses picking up shifts at our LTC. We never