CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. What should be included when Charting?

    CoffeeRTC replied to Nursebabe2009's topic in General Nursing

    Head over to the LTC forum for some support too. Ask your Assessment Co-ordinator (care plan or MDS nurse) about this. I'm sure they will have a few cheat sheets to give you. Most of what they do...

  2. Do you think they'll hold a grudge? (a bit lengthy rant)

    CoffeeRTC replied to lllchillylll's topic in General Nursing

    No...it happens all the time. Sad but true. That is a tough environment to work in. If you are per diem, then it means you don't need to work that much. If you want to keep working at that place...

  3. Salary positions

    CoffeeRTC replied to Inquisitive one's topic in Geriatric, LTC

    I'm sure that an LPN can be salaried. I would think it would make no difference btwn LPN and RN for this matter. BTDT as an RNAC, acting DON, and unit manager. I went well over my 40hr week, but...

  4. ethics issue - $$ gifts

    CoffeeRTC replied to perianmellon's topic in General Nursing

    Calling HR was the best thing to do. I work in a small nursing home and pts and families get to know you...esp after a few yrs of working with them. Easy to find my address.... As far as money....

  5. Is it worth going to school to be an LPN?

    CoffeeRTC replied to Shawn7997's topic in General Nursing

    Yes, for all the reasons other posters listed. I tell alot of the CNAs I work with it would be a great step. Some of them are fearfull of school or not really sure or just want more money and to...

  6. Confrontation with a Visitor

    CoffeeRTC replied to Jo Dirt's topic in General Nursing

    If it was that uncofortable or weird of a situation, I would have called the DON on the spot. I'd rather err on the side of

  7. Is it worth a shot? (getting my job back)

    CoffeeRTC replied to Jo Dirt's topic in General Nursing

    So, you would leave or take your kids with you? I still don't get how this could even work out unless you move and have things lined up ahead of

  8. Writing Clarification Orders

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

    A clarification is to clear up a previous order. What she is doing is making an origional order. You are right. Most often our clarification orders are because docs write 1-2 tabs ever 4-6...

  9. would like your opinion...

    CoffeeRTC replied to spunky1281's topic in General Nursing

    Wow...having worked 11-7 as a CNA and nurse, I know what a hectic shift it can be. As the PP stated, unless that resident was a high risk for aspiration, you did what you should have. If you had...

  10. Is it worth a shot? (getting my job back)

    CoffeeRTC replied to Jo Dirt's topic in General Nursing

    I have to agree with the above poster too. We all love to try and help each other here. Heck...that is why we are here, but you need to make some decisions. I'm just wondering how things will work...

  11. New Children's Hospital in Pittsburgh

    CoffeeRTC replied to oramar's topic in Pennsylvania Nursing

    Yes, please let us know what it is like. Knock on wood, I don't want to find out first hand. I've been able to stay away from there up until this yr with one of my little ones. Seeing the place for...

  12. Seniority question and WWYD in this situation?

    CoffeeRTC replied to mondkmondk's topic in Geriatric, LTC

    Not a issue of seniority, but job descriptions. The only way a title has an effect is if you are expected to be the supervisor over her. Any way, you should know what your and her duties are for...

  13. Has Your Facility Ever Tried to Have a Set Schedule?

    CoffeeRTC replied to flashpoint's topic in Geriatric, LTC

    We actually have a few that would do either every other or every weekend with a baylor type of pay package. It is getting the M-F people hired. I think this would help with continutity of care

  14. MOM vs. Suppository?

    CoffeeRTC replied to nursealanarae's topic in General Nursing

    Yep..MOM first (unless it is a need to get it out now BM) then we give a suppository, then enema if the others don't

  15. Has Your Facility Ever Tried to Have a Set Schedule?

    CoffeeRTC replied to flashpoint's topic in Geriatric, LTC

    Sounds fair to me. If they were given a bit of notice on the start of the new scheduling system..it should be doable and actually work out for the best. Question for everyone on this same subject....

  16. Dilaudid shortage - anyone else seeing it?

    CoffeeRTC replied to roosmom's topic in General Nursing

    Haven't seen it yet, but I believe

  17. How do you know when a pt. is actively dying?

    CoffeeRTC replied to mjm1979's topic in General Nursing

    Excellent post Leslie! Start off by looking at the chart too. LTC pts have a ton of dx listed, look at the primary or what they are being treated for at the present. I only word prn, so often...

  18. Incident report on residnet who went out door. Advice

    CoffeeRTC replied to ElderCare Nurse's topic in Geriatric, LTC

    What is a VA? If a resident leaves and no one sees them leave, then we do incidents. All of our doors except the front have alarms on them. They all lock with a wanderguard. Sometimes a person...

  19. Changeover

    CoffeeRTC replied to evilolive's topic in Geriatric, LTC

    What kills me is when they have an agency nurse (not an attack against them) scheduled for this shift. SRSLY, they are supposed to know what they are doing? I normally have to stay after my 3-11 to...

  20. Is it the nurse obligation to stay ovetime when you can't find to replace?

    CoffeeRTC replied to ari3sdog's topic in General Nursing

    Happens alot in LTC esp since you might be the only nurse on duty and they only need one more nurse to come in for the 11-7

  21. Changeover

    CoffeeRTC replied to evilolive's topic in Geriatric, LTC

    Gosh, I used to hate it too. What stinks is that normally our checks are thrown together at the last minute and you really have to look at them when you change them over. Yrs ago when I worked...

  22. 3 questions here (Please answere any you can) :)

    CoffeeRTC replied to californiaRNstudent's topic in General Nursing

    Hep or saline lock and flush per protocol. In LTC just about all of our pts with IVs are intermittent. They are flushed with each med given and or q shift to maintain the site. This is for...

  23. specialty air mattresses

    CoffeeRTC replied to hds51403's topic in General Nursing

    Only the beds with air flow or a pump that circulates the air would be one of those type of beds that should get minimal sheets. Remember the Clinitron beds...those have alot of air flow. Some air...

  24. I m in big trouble! I think I failed my drug screen

    CoffeeRTC replied to alex68's topic in General Nursing

    Yeah....

  25. LPN taking home meds

    CoffeeRTC replied to Angela.RN2B's topic in General Nursing

    Do you know anyone who works in this nursing home or do you? I might also contact the Administer. I would definately call the BON. The ADM if notified should be calling the police to make a