CoffeeRTC

CoffeeRTC BSN, RN

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All Content by CoffeeRTC

  1. How to be the best LTC Nurse I can be

    CoffeeRTC replied to HELLONURSE2b502's topic in Geriatric, LTC

    Don't stop caring and remembering why you are there. It is so easy to focus on the daily tasks and responsibilities and get over

  2. Ordering controlled meds, then refusing prescription?

    CoffeeRTC replied to mystory's topic in Patient Medications

    ...and I'm the nurse that gets those patients admitted to my SNF for rehab....minus the Ativan, minus the Ambien, minus the Dilaudid/ Percocet/ Vicodin. Yep, they were on all of those in the morning...

  3. Advice needed; SNF v. Hospice decision

    CoffeeRTC replied to dogmom2016's topic in General Nursing

    Do it!!! I've been an RN in LTC for ever, so I see where you are coming from. If you are worried about the less pay...you can probably pick up hours prn at your current facility or any

  4. Can nurses do more for patients coming from ECFs with stage III pressure ulcers?

    CoffeeRTC replied to Axmann, RN, BSN, NREMT-B's topic in General Nursing

    I can't agree more!!! One thing to note, is that if the discharge planners at the hospital get wind of a high pressure ulcer rate or falls or some other indicator of poor care at a facility..they...

  5. Critical thinking

    CoffeeRTC replied to coconut3431's topic in Geriatric, LTC

    Ruby Vee hit the nail on the head. Critical thinking....is asking why and what else? In LTC, you do more focused assessments and a lot of times you can miss the big picture. It is also about...

  6. Nurse Manager/Admissions Coordinator

    CoffeeRTC replied to GeriatricNurseJen's topic in Geriatric, LTC

    How big is your unit/ facility? I am in a 50 bed facility. MDS nurse should do just that. I can't imagine having enough time to do anything but MDS, care planning and updates for managed care....

  7. Handing over Report in Nursing Homes

    CoffeeRTC replied to Turks Nurse's topic in General Nursing

    Definitely head over to the LTC section to read up. Report is going to be vastly different than acute care and will depend on two things. Has the nurse had the assignment before and are there new...

  8. Agency; time worked vs time paid?

    CoffeeRTC replied to inaniel88's topic in Geriatric, LTC

    Um, no. I''m only signing for the hours they came in to

  9. "Observed" urine drug screen

    CoffeeRTC replied to thisgirldrums's topic in General Nursing

    As sad as this may sound, I wish there was this much scrutiny at my last

  10. Do mandated reporter laws cross state lines?

    CoffeeRTC replied to quazar's topic in General Nursing

    Sounds like a really tough situation. Won't most places keep the name of the person filing the abuse tip annon? At the very least, I would file the complaint. There will be a file or trail...

  11. Transferring Bariatric

    CoffeeRTC replied to joannavn's topic in General Nursing

    I have to agree, he is probably weaker in the evenings and requires more assistance. How is he being taken care of when he is OOB all

  12. Re-eval orders

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    I think the MAR is appropriate place to have it noted and boxed off. I think it should probably be more specific too "Call/ notify MD with an update on recent behaviors or xyz" I also place a note...

  13. When to sign MAR

    CoffeeRTC replied to nursedarrah's topic in General Nursing

    Pop the pills out of the bubble while checking against the MAR. Initial MAR, walk in room to give to patient. If they take all of them...good. If not, we circle initial and not on the back of the...

  14. Signing off on another nurses paperwork

    CoffeeRTC replied to cb9115's topic in General Nursing

    Doesn't everyone love a change of shift admit? LOL. 3-11 is the best shift for admissions...1 okay, 2 is iffy and when we get 3 or more...forget about it! Prioritize what needs to get...

  15. Abandonment

    CoffeeRTC replied to farmdog's topic in General Nursing

    Well, you have us all confused with the little details. I'm going to try and guess at a few things. MDS nurse....so you work in LTC? Was it false documentation from another nurse? Did they use...

  16. Do you press "1" for Doctor?

    CoffeeRTC replied to Glycerine82's topic in General Nursing

    Yep. I press #1 for provider if it will skip the wait time. I work in a LTC and we are the ones who call things in for the MD. Never had a

  17. Can I be a DON with no nursing home experience?

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

    Could you or should you? You can do anything you put your heart into, but should you....probably

  18. Do I have a case against my employer?

    CoffeeRTC replied to Kmcnabb's topic in Geriatric, LTC

    Reports of abuse must be dealt with by the director. I would absolutely follow up on that

  19. Emt problems

    CoffeeRTC replied to Brandie333's topic in General Nursing

    In my 20 years of LTC, I've never had EMS refuse a transport to the hospital. We call 911 for emergencies and all others we call a local transport agency that is staffed with both EMTs and...

  20. What Can Be Done to Avoid this error?

    CoffeeRTC replied to callienewh's topic in Patient Safety Issues

    We still use paper charting in our facility. We have a separate order in the MAR that says Check PT/ INR before administering coumadin. It is timed for the 3-11 shift. The 11-7 nurse redlines...

  21. Advice/Help for a new grad nurse

    CoffeeRTC replied to calexis20's topic in Geriatric, LTC

    Wow...stick with that place if you get the 40 days. That is very generous! There are many threads on this subject in this section..browse thru them to get a little more. I would make a time line...

  22. Only Crusty Old Bats will remember..

    CoffeeRTC replied to Pepper The Cat's topic in General Nursing

    What sad is that some of these things are still common in a good bit of LTC facilities and the VA

  23. Had baby, need 8-10 hour shift, can't decide SNF/doc office/homecare/other

    CoffeeRTC replied to Noodle28's topic in General Nursing

    Home health would probably be more flexable. How about dialysis? They do 10 hour shifts around here and have nights, Sundays and holidays off. LTC/ SNF... if you have a choice in your area, do...

  24. Irrigating a Suprapubic catheter?

    CoffeeRTC replied to Ash0315's topic in Geriatric, LTC

    Check your facility policy and procedure manual. It might be under irrigating a foley. Are you sure it is a bulb syringe and not a piston

  25. Clinical Judgement Call...Not sure if I did the right thing

    CoffeeRTC replied to AvaRose's topic in General Nursing

    We have nitro in our emergency box...no EKG machines. All LTCs have some type of EBox. It should include