CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. Long Term Care Nursing is Lame

    CoffeeRTC replied to purplegal's topic in Geriatric, LTC

    I've been a "lame" LTC nurse for almost 20 years. I used to think I need to try acute care to get the "real nursing" experience but have since wised up. I wonder what people think of when they hear...

  2. out with injury and more

    CoffeeRTC replied to nursesaysay's topic in General Nursing

    LOL...my facility would probably put you to work. Do you still do paper charting? Can you help with Monthly change over or with medical records. I would ask, but don't get your hopes

  3. Nurses asked to work as aides

    CoffeeRTC replied to Ptav65's topic in General Nursing

    "other duties as assigned" I agree with the above poster. Some days it a welcome change. If management wants to pay me more than twice what they pay a CNA and I don't have to deal, then hey... I...

  4. Change in condition documentation

    CoffeeRTC replied to Samanthatbo12's topic in Geriatric, LTC

    I really hope this is homework. Chart what you saw and what you did. I hope the MD was notified for some type of orders. Something is going on. You didn't mention what the resident did on the...

  5. What Is the Problem???

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    Wow. I would love to work with those ratios. A secretary and unit manager? Sign me up. We max out at 48 residents and normally hang out around 46. They just took the unit manager position away...

  6. Moving to Pittsburgh! Help??

    CoffeeRTC replied to Rani-87's topic in Pennsylvania Nursing

    If you are still interested. There is a Facebook Pittsburgh Nurses group that is somewhat active. You might be able to ask on there. I have no clue. I've been in LTC

  7. Medication Routine

    CoffeeRTC replied to futurepsychrn's topic in General Nursing

    Do you have any CNAs or pcts? or are the nurses doing total

  8. Corporate took over my facility...

    CoffeeRTC replied to Mysilver1's topic in Geriatric, LTC

    Do you mean sub-acute? When you say acute care, I'm thinking hospital/ med-surg unit. Staffing for acute care is different than sub acute snf, skilled care or LTC. The regulations are very...

  9. Cloth chux vs. draw sheets?

    CoffeeRTC replied to Tiff2000's topic in General Nursing

    We got rid of chux (paper and cloth) years ago. The folded draw sheet works just a well. I've seen not change in our pressure ulcer rates with or without them. What is the reasoning behind not...

  10. RN super , code super fail...

    CoffeeRTC replied to guest114's topic in General Nursing

    Wowsa! As an agency nurse, I would make sure you know where the AED is in every facility. I give offer that info to all agency staff I tour/ orientate to our facility. I would think that not being...

  11. Those of you who transitioned from LTC

    CoffeeRTC posted a topic in Medical-Surgical

    What was the biggest hurdle besides actually getting the job? How did you manage to get your foot in the door? Many of us who have done LTC / skilled nursing and even semi sub acute are very...

  12. Narcotic Discrepancy!!

    CoffeeRTC replied to Gericare25's topic in General Nursing

    I see the reasoning. Morphine SL at .25-1ml will go a long way. I'm guessing they have two bottles of it on hand so it is there in case two different people need an after hours dose. I have one...

  13. Incontinence/UTI in SNF/AL

    CoffeeRTC replied to dxbcoaching's topic in Geriatric, LTC

    We try to toilet residents every two hours. Same for the incontinent residents...check and change every two hours. Does this always happen? Sad, but no. Staffing is the biggest barrier we...

  14. Staff Development Woes

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    and I was thinking about taking a sdc/ Risk Manager job

  15. DON asking me to correct her disciplinary action

    CoffeeRTC replied to bymysoul2squeeze's topic in LTC: Directors, Assistant

    Why can't the DON just rewrite

  16. Family member died in the hospital...too many questions

    CoffeeRTC posted a topic in General Nursing

    As the title stated, I had a family member die in the hospital. Not recently, it was about 2 months ago. I still have so many questions. Questions the rest of the family do not want to ask. It was...

  17. Family member died in the hospital...too many questions

    CoffeeRTC replied to CoffeeRTC's topic in General Nursing

    I realize that we would need my mother in law to proceed. She was POA and the next of kin. She is a very reasonable woman and has relied on her faith to get her through this period and I think, for...

  18. How long does it takes a 11-7 nurse to pass medication.

    CoffeeRTC replied to debbyw's topic in Geriatric, LTC

    What are you giving at 1 am?? I would kick someone if they woke me up for meds. We have 50. I might start at 5:30 am and be done at 7. This would be accu checks, synthroids, prilosec, iv meds and...

  19. Med error for missing an incorrect chart check

    CoffeeRTC replied to countrygirl1234's topic in Geriatric, LTC

    Yes, med error for you and the nurse taking off the order. if you don't know what a particular med is, then look it up. The nurses following made the error, but they wouldn't have know the med was...

  20. Nurses,what is the highest BP you've ever seen recorded on a pt.?

    CoffeeRTC replied to nobody067's topic in General Nursing

    read the Terms of Service....we cannot give you medical

  21. Don't wake that patient!!

    CoffeeRTC replied to lovingnurse1967's topic in General Nursing

    For the most part, we do not wake the residents just to check them. Sometimes there is not need to wake them to check on them. Unless they are on vital signs q shift or more frequent, there is no...

  22. Policy and Procedures for Cycle Meds...

    CoffeeRTC replied to PierreB's topic in Patient Medications

    Your pharmacy should have a policy in place. I work LTC. We get meds delivered from an off site pharmacy. The case comes in and has an inventory sheet. We are supposed to verify that we get is on...

  23. Do all LTC facilities have RN's?

    CoffeeRTC replied to cgb937's topic in Geriatric, LTC

    No. Our company is unofficially pushing it too. Is it better for the QIs? They seem to think there will be better care. I've met my fair share of LPNs that can do circles around the

  24. Do all LTC facilities have RN's?

    CoffeeRTC replied to cgb937's topic in Geriatric, LTC

    I never thought I would see the day, but many LTCs in my area are now pushing to have mostly RNs on staff with the

  25. Geriatric Unit

    CoffeeRTC replied to kingvonnBSN2017's topic in Geriatric, LTC

    I work in a LTC facility with 50 beds. Some days I'm supervisor and have two LPNs other days I'm on a cart and have the facility plus a 24-26 resident assignment depending on what hall I take. As...