CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Knocking a Patient Out, a bad thing?

    CoffeeRTC replied to CaLLaCoDe's topic in General Nursing

    I get the gist of the OPs suggestion. I see this alot on LTC setting. Yes these people have prns ordered and on occasion they need them, but not every night certain people work so that the next day...

  2. ER to LTC

    CoffeeRTC replied to mc123's topic in Geriatric, LTC

    Well, I've seen good and bad reactions to LTC. Since working in the ER, you are prob excellent at time management, assessment, advocating for pts, being independant and knowing your "stuff" and...

  3. Res. who is constantly falling

    CoffeeRTC replied to ExtraShotNoWhip's topic in General Nursing

    Sounds like he is very stubborn and no matter what you do, he will keep doing what he wants? Careplan and document everything. How about family? Would they be able to have a talk with him? Of...

  4. Do nurses make the worse family members or patients ?

    CoffeeRTC replied to NurseLoveJoy88's topic in General Nursing

    I dunno. I treat everyone the same. When I find out a pt or family member is an nurse, I always ask them what type of nurse and will judge how much they might/ might not know. I still explain...

  5. laws regarding narcotic boxes

    CoffeeRTC replied to metfan's topic in General Nursing

    YOu make sense, but the situation doesn't. LOL. I've never worked in place where they didn't trust the nurses to keep all the meds on the cart. The extra box situation makes more room for error or...

  6. laws regarding narcotic boxes

    CoffeeRTC replied to metfan's topic in General Nursing

    I'm confused too. Why do you have a big box of narcs in the med room? Are they the emergency

  7. Ethics of patient bathing

    CoffeeRTC replied to discontentment's topic in General Nursing

    THis is such a big issue in LTC. Management thinks every one must get a bath as scheduled or else. LOL. Hey, you ask, remind them that is is best for xyz purpose or that you might not be able to do...

  8. Midline IV

    CoffeeRTC replied to 1Grateful1's topic in General Nursing

    Midlines are still very popular in LTC. They can be inserted at bedside and don't need an Xray for placement checks..much cheaper than PICCs. Check your facility P and P for flushing and dressing...

  9. Something fun: What would you REALLY like to say to new PARENTS?

    CoffeeRTC replied to BabyLady's topic in Ob/Gyn

    Step away from the computer. There are quite a few websites that are like chat boards (like this one) that are for moms and pregnant ladies. One I've been to is babycenter. OMgoodness....Some of...

  10. Patient Satisfaction: Where Does it Start?

    CoffeeRTC replied to dRkazN's topic in General Nursing

    As soon as they walk or roll in the door. Think back to when you might have been a pt at the docs office, ER, hospital etc. When you were signing in or admitted was the staff polite? did they...

  11. jean

    CoffeeRTC replied to LIjeany's topic in Geriatric, LTC

    Are you an employment at will

  12. Mentally ILL in SNF's: Danger to the Elderly

    CoffeeRTC replied to Neveranurseagain's topic in Geriatric, LTC

    When you see allergies to haldol, thorazine and a slew of other pshych meds, should make you wonder what they were dx with in the first place...then when you did and actually see the dx with...

  13. Technology question

    CoffeeRTC replied to travel50's topic in LTC: Directors, Assistant

    Little mini hand held computers. Personal data assistant? I've seen adds for them in the Long Term care magazine or something like that that would be realted to LTC. MDS charting, Charting at...

  14. Incident Reports and Staff

    CoffeeRTC replied to drknyko's topic in Patient Safety Issues

    have to agree with all of the above. Just give the

  15. Oh tell me this is wrong!!

    CoffeeRTC replied to Fancy Face's topic in Geriatric, LTC

    I'm not sure I get it. Was is just a staffing change or an emergency? I've done it with an emergency. The nurse who has left will count, give a really quick report, sign off and leave. Again, this...

  16. Is working as a new grad in nursing home a bad career move?

    CoffeeRTC replied to nursedani08's topic in General Nursing

    Yes and no. Yes..some LTCs are just that..LTC until death. Some are good places and some are bad. Some days it is SSDD, but in our area things are changing. I am seeing so many younger pts that...

  17. Is working as a new grad in nursing home a bad career move?

    CoffeeRTC replied to nursedani08's topic in General Nursing

    I think it all depends on the job market in your area. Where I live, it wouldn't matter much and you would be able to get a job in acute. Some places maybe not. As far as the work load..yes, it...

  18. Patient ID Bracelets in LTC?

    CoffeeRTC replied to kwvath's topic in Geriatric, LTC

    Bottom line is that the facility needs a way to id each resident. What way they choose is probably up to them, but the requirement is still the same. Most poeple have posted already about the...

  19. DON states she can't work as a nurse in LTC facility.

    CoffeeRTC replied to LHH1996's topic in Geriatric, LTC

    So if a pt fell to the floor and needed CPR and she was the only person standing there she wouldn't be able to

  20. "Take care of my mom!"

    CoffeeRTC replied to miko014's topic in General Nursing

    That is abandonment and is abuse. If she was a resident of a care facility..they should be looking for her too. I would call SS and get them involved. No different from them dumping them off in the...

  21. Grounds for termination

    CoffeeRTC replied to kstec's topic in General Nursing

    Over half of my facility would need to be fired. Sad Huh? The union would get them their job back tho. Again..sad. Seems like some LTCs will let this go on just so that staffing is okay. I...

  22. Working closely with PT and OT and ST...ever want to tell them to shut up?

    CoffeeRTC replied to Jo Dirt's topic in General Nursing

    Years ago, therapy ruled the LTC when medicare was paying more. Their role has shifted a bit since and they still play an important role in LTC. I totally understand where the OP was coming from....

  23. Post-op amputation dressing changes *LONG!*

    CoffeeRTC replied to detroitdano's topic in General Nursing

    Haven't done acute care in yrs, but I go along with Blee's

  24. Maybe giving it all up

    CoffeeRTC replied to HopelessinLTC's topic in Geriatric, LTC

    BTDT. I have to agree with what everyone else has said. YOu didn't cause the fracture, him falling from bed did. The state will not take your license. What they will do is look at what was...

  25. Horrible experience...

    CoffeeRTC replied to sarabear's topic in Ob/Gyn

    My gosh...I ahad very similar problems with my first pregnancy and I couldn't imagine going about it without a good nurse for support. I ended up with a fast csection for that one and being so sick...