CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. What was the REAL reason you called off

    CoffeeRTC replied to Orion81RN's topic in General Nursing

    I had to call off once for "having a baby." She was a few days early :) My favorite of all time came from a CNA's husband "yeah, she won't be in tonight. She has a real bad yeast infection." He...

  2. Things LTC Nurses wish EMTs and Paramedics would understand.

    CoffeeRTC replied to downsouthlaff's topic in General Nursing

    While I never practiced as an EMT, I had taken the classes, did the ride alongs and got certified. I see EMS point of view. I've also been the only nurse on duty taking care of 50 residents with...

  3. Blue Urine

    CoffeeRTC replied to Carebear77's topic in General Nursing

    the blue dye in the roxinal...I'm just guessing since this is a hospice

  4. Thinking of quitting after orientation

    CoffeeRTC replied to Anonymousnurse's topic in Geriatric, LTC

    I'm not quick to say quit, but I can't see this being good. I've been in LTC for ever but I would never be able to work with that ratio. I have 50 where I am now. Most are skilled and about 10 or...

  5. Geriatric Unit

    CoffeeRTC replied to kingvonnBSN2017's topic in Geriatric, LTC

    COPD, CHF, Diabetes are our biggies. Hip and knee repairs and fractures. Dementia

  6. Preventing call-ins

    CoffeeRTC replied to Brandi,RN's topic in General Nursing

    I will try and be helpful:up: If this is LTC...it is just way to common. What are the reasons they are calling off? What is staffing like? We have been running very short. CNAs are doubling or...

  7. All about insulin

    CoffeeRTC replied to nurseonduty24's topic in Long Term Acute Care

    Giving the levimir instead of the sliding scale coverage was a med error. Was the doctor called to adjust the 9pm dose to the 15 units? why not? What was the 9pm reading? They didn't get coverage...

  8. Things LTC Nurses wish EMTs and Paramedics would understand.

    CoffeeRTC replied to downsouthlaff's topic in General Nursing

    Oh...answering the OPs question. Sometimes they might be upset that we didn't call sooner. Often times, it isn't our fault. Resident might have refused (well documented) or maybe the condition...

  9. Things LTC Nurses wish EMTs and Paramedics would understand.

    CoffeeRTC replied to downsouthlaff's topic in General Nursing

    I have been in LTC for many years and it has been ages since I had difficulty with the local EMS. We utilize private company for most transports but if they are busy or we need help stat then we...

  10. How can I avoid being the "dumb" nurse at my job?

    CoffeeRTC replied to niccyfae's topic in General Nursing

    Sounds like a horrible first day. What makes you think they are treating you that way? do they offer more help? Do the other nurses hover? I would suggest trying to be organized. Now that you've...

  11. How to protect yourself from infections after work?

    CoffeeRTC replied to NurseIAm0613's topic in General Nursing

    I agree with the others. This week with the norovirus and C diff outbreak, I've stepped up my game. Wiping my shoes and leaving them in the garage and changing as soon as I got

  12. Is my nursing CYA brain taking it too far?

    CoffeeRTC replied to Kallie3006's topic in HIPAA Challenges

    Have you ever looked at the consent forms for those trampoline parks? You sign everything away when you let your kids go

  13. Paid Time off benefits

    CoffeeRTC posted a topic in General Nursing

    Back story..I work part time in a LTC facility and have quite a few years experience at the same one. Doesn't really matter since a different company took us over about 2 years ago. I've been...

  14. Staff Development Coordinator

    CoffeeRTC replied to cbrue645's topic in Nursing Educators, Faculty

    I'll bite. I've been in LTC forever and wouldn't really recommend a SDC position for a new grad. Your masters is a nice bonus, but you really should know how to be a nurse and have experience in...

  15. Patient Cheeking Meds!

    CoffeeRTC replied to Mamachels's topic in Patient Medications

    We see a lot of these type of residents now too. We've switched them to liquid when possible and crush the meds when we can. If they complain about the taste, I use jelly instead of the pudding or...

  16. Falsifying documentation

    CoffeeRTC replied to jigi888's topic in General Nursing

    I don't think that the OP mentioned what type of facility this happened in, but it has LTC all over it. Before anyone jumps all over me, I have to say that I am a LTC nurse with many years of...

  17. Making a Mistake as a Nurse

    CoffeeRTC replied to KRSRN0930's topic in General Nursing

    Sounds like this can be a LTC facility? I'm still trying to figure out your other role. Have you approached her directly? If this is LTC, there should be an administrator or even executive...

  18. Norovirus/ C diff infection control

    CoffeeRTC posted a topic in General Nursing

    No secret that it is Norovirus seaason! A lot of times the symptoms are the same so we are ruling out both Norovirus and C Diff. What brand/ type of products are you using at your facility/...

  19. Santyl and Gentamicin ointment?

    CoffeeRTC replied to Jess3949's topic in Patient Medications

    WOW!, it has been years since I have see this! We used Polysporin and Santyl. Google it and you will find a bunch of links. Collagenase SANTYL® Ointment | The Continuous, Active Micro-debrider After...

  20. Nurse with active MRSA OR previous history caring for pts

    CoffeeRTC replied to LetsFixNursing's topic in Patient Education

    Way back in the early 90s in nursing school/ microbiology, we did this too. Many of us were colonized back then. I've rarely been sick since

  21. Disgusted. How to report...

    CoffeeRTC replied to ThrowawayAccount's topic in Florida Nursing

    OP....come back and explain yourself! Why is this so important to you? When the DR is out, does care suffer? Do other Drs pick up the slack or is there a huge delay of care? As far as worrying...

  22. But Why? Fingersticks and Common Sense

    CoffeeRTC replied to Nurse Beth's topic in General Nursing

    We have very little standing orders in LTC except with our diabetics Totally different world than acute care, but often times we get new admits that are newly diagnosed. A critical reading is...

  23. Norovirus going around!

    CoffeeRTC replied to Pharmahaulic's topic in General Nursing

    GI bug is hitting our ltc bad. Good thing I haven't been working for a while. Bad thing..3 of my kids have been down with it. Rarely to I get sick. I had it a month ago. Not sure if it is the...

  24. Fall investigation

    CoffeeRTC replied to nrsejenna87's topic in General Nursing

    Is this in addition to an event/ incident report? Why is is so long? Is is all about the falls or is there other material on the form that doesn't really apply? I've filled in for our risk manager...

  25. Medications from home

    CoffeeRTC replied to LPN9200's topic in Geriatric, LTC

    Yikes. I need to recheck our policy. We do accept meds from home, but it normally for our respite patients that are only there for a week. I don't recall using narcs from home except with a...