CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Opinions on new "rule"

    CoffeeRTC replied to sillylil's topic in Geriatric, LTC

    Um...not a totally bad idea, but like Ruby said...we need more

  2. Really? Really

    CoffeeRTC replied to Dawnkeibals's topic in Geriatric, LTC

    UGHHHHH. I can just scream about this issue. Can you tell I'm dealing with a similar issue? I find it amazing that the vital signs are done without the equipment moving from the desk. Amazing!...

  3. What's wrong with me??

    CoffeeRTC replied to vxxen's topic in General Nursing

    This actually sounds like the acuity of my SNF/ LTC facility. I've been doing it for 20 years and I still have crazy days! I've learned to have a real good sense of humor, because if i'm not...

  4. LTC Wound Care Kit

    CoffeeRTC replied to notanumber's topic in Geriatric, LTC

    I'm not sure what you mean by a wound care kit? We do not use these. As far as what supplies to order, would depend on where you order supplies. Does your facility have a wound care policy in place...

  5. Office position available-overqualified for

    CoffeeRTC replied to litbitblack's topic in Geriatric, LTC

    Sounds like they want to save money by using an LPN in that position and their mind is made up. i don't thnk it would hurt to ask

  6. LTC's no longer accept "limited duty" or just my LTC?

    CoffeeRTC replied to Blackcat99's topic in Geriatric, LTC

    Yep. (I started mid 90's) Light duty was never a think unless you were injured at work or you might have had a desk job to begin

  7. Advice for Promotion

    CoffeeRTC replied to Just_Kidney's topic in General Nursing

    Most SNFs I've worked at are very relaxed when in comes to these things. You could submit a letter to the DON, but what about just asking for a meeting? Go in and tell them you want the position and...

  8. What works for your facility!?

    CoffeeRTC replied to Lpn1226's topic in Geriatric, LTC

    Honestly? It is the pay that keeps me coming back. I've worked other places PRN, so I realize that it is the same type of problems in alot of the facilities. I'm starting to wonder though,

  9. Liar liar pants on fire

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    Um, No. I'm all for team player and helping out, but this seems excessive. Aren't there other unit managers that could be filling

  10. Dispensing meds from a punch card?

    CoffeeRTC replied to Brady29's topic in Geriatric, LTC

    If you are prn, I woun't rock the boat. As long as the meds are given, that is what counts. When we did montly refils, we used to go by the date. I loved this for my OCD, lol. Now it is a free...

  11. getting rid of your PRN shifts?

    CoffeeRTC replied to Irini20's topic in General Nursing

    What type of place schedules that far in advance? Why would you need to give that much notice as a PRN employee? 2 weeks to a month is standard. Quit putting yourself

  12. NS with KCl 20mEq ordered; 0.5% Dextrose and .45NaCl with KCl 20mEq given

    CoffeeRTC replied to wrst's topic in Patient Medications

    I think people were asking if it was homework because most experienced nurses would see that it is a med error. At first it just screamed "homework assignment" IVFs are medication. Giving the wrong...

  13. Does nurse have to review recaps or can any staff?

    CoffeeRTC replied to Sheshe11's topic in Geriatric, LTC

    What is POS? ED and AED? We are still paper charting. Only nurses check them every month to make sure the orders are

  14. Time management, Patient ratios and Moral turpitude in Rehab/LTC

    CoffeeRTC replied to cyc0sys's topic in Geriatric, LTC

    I think that is a great breakdown of the shift work. I think the ratio really depends on the acuity of the residents. If they are more LTC and less skilled, then you might have more meds, but less...

  15. Non-profit Nursing Facilities: A place to heal from burnout

    CoffeeRTC replied to MarylandMomma's topic in General Nursing

    I am glad you found your happy place. My experiences have only been in LTC. I'd just like to mention that not all nonprofits are the same. I worked for a huge for-profit chain. While at times, it...

  16. I am needing to write a paper for a care conference

    CoffeeRTC replied to Nicholespn's topic in Nursing Student Assistance

    I work in LTC. The Assessment coordinator/ RNAC or the social worker sends home a form letter to the family letting them know that a care conference will be held on a certain date. We ask that they...

  17. Tylenol for 10/10 pain?

    CoffeeRTC replied to notanumber's topic in Patient Medications

    Sounds like she needs something more than just when the pain is unbearable. I would have given the tylenol and then called. What ended up happening? did you get a different

  18. Help me set boundaries

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

    I am considering taking a Risk Manager position in a smaller facility. Being pulled to the floor is one of my concerns. (I'm actually a staff nurse there now) Sound like the ADON needs to go and...

  19. Public Health Called Me At Home

    CoffeeRTC replied to Guest 973412's topic in Geriatric, LTC

    I've had a similar thing happen to me. Its been a while so I don't remember the exact details. I reported missing narcotics and it was reported to the state. Someone from the department of health...

  20. How would you react? Body odor discussion.

    CoffeeRTC replied to Nurse-rachet1's topic in General Nursing

    ^^^^ This! I have had to have this conversation before....many times. I've never had an issue or have been

  21. Want to hear from experienced LTC nurses

    CoffeeRTC replied to CKPM2RN's topic in LTC: Directors, Assistant

    It all depends. Pressure ulcers are preventable. We all know that. In a perfect world with adequate and above average staffing, great food, plenty supplies, restorative nurses where all the...

  22. Sleeping on job?

    CoffeeRTC replied to Nursing617's topic in Geriatric, LTC

    If you went to the DON, have you gone up the chain to the Administrator

  23. Cardiac RN picking up in a SNF

    CoffeeRTC replied to madareebrahim's topic in Geriatric, LTC

    It looks like you will be in charge of the unit but also working the cart. That is a good staffing mix. We have 50. 1 RN and 2, maybe 3 CNAs. We have quite a few skilled patients and a frequent...

  24. Tips for delirium behavior management

    CoffeeRTC replied to CCU BSN RN's topic in General Nursing

    I have 3-4 of these type of patients in my SNF right now. Very

  25. My coworker was high and got away with it

    CoffeeRTC replied to Volley88's topic in General Nursing

    420 is a police code for pot/ Marajuana. Edibles are an edible form of pot. Could be gummy bears or brownies. I think it is funny that I'm responding to this. I honestly have no experience. I...