CoffeeRTC

CoffeeRTC BSN, RN

Member

  • Content

    3,734

  • Visitors

    24,807

  • Followers

    0

  • Likes

    54

All Content by CoffeeRTC

  1. Who does what in your building?

    CoffeeRTC posted a topic in Geriatric, LTC

    I'd love to hear your break down of duties. I work in a 50 bed facility with a census that hangs around 40-41 but can dip to 38. We have two nurses for 7-3 and 3-11 and one for 11-7. When census...

  2. Can an ADON be an unlicensed Person?

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

    Are they and ADon or assistant to the director of nursing? I'm willing to bet that if they are calling themself an assistant to the director and they are doing clerical tasks, that it might be okay....

  3. Strategies for HAPU prevention

    CoffeeRTC replied to ThrivingSince2017's topic in General Nursing

    LTC nurse's view.... I second the previous posters. Look at the entire patient and get the entire team involved. Braden scores are helpful but only if completed accurately. Repositioning is...

  4. Inserting Indwelling Catheter with No Foley Kit

    CoffeeRTC replied to 1luvJesus's topic in General Nursing

    LTC nurse and infection control preventionalist here..... I agree! The waste of opening up other items to make it work isn't effective and is very risky. I help with ordering supplies. Most of our...

  5. Organization tips as RCM

    CoffeeRTC replied to Valcorie34's topic in Geriatric, LTC

    if you keep the 802 and 672 up to date, those forms have a good bit of information on them. I will also make lists from

  6. TB testing 2020, good riddance?

    CoffeeRTC replied to NPbyDay's topic in General Nursing

    All new employees must do a two-step (unless they had a two-step done within the last 6 months and then it becomes just a one-step) We do annual screenings and annual facility risk assessment...

  7. Why do RNs choose to work in nursing homes?

    CoffeeRTC replied to usethehaldol's topic in General Nursing

    Why do some choose med surg, ICU, ER, L&D, home care, Peds, OR, Pacu ??? Um...because! Pay....RN's are well compensated in my area in LTC. I never thought I would choose LTC. 20+ years ago I...

  8. What am I missing?

    CoffeeRTC replied to Glycerine82's topic in Geriatric, LTC

    I've guessing section means to do an involuntary commitment to a psych unit? Lotsa questions? What was the resident's background? History of physical aggression? Behaviors? Was this random or...

  9. When residents want you to save thier food.....

    CoffeeRTC replied to litbitblack's topic in Geriatric, LTC

    What is the dietary department manager saying? Where would you store

  10. If I say "how stupid are you" will they take it as a challenge??

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    The floor nurses obtain consent for the psych meds in PA. It can be done over the phone with a family member too. I don't have the form in front of me, but it lists the class of meds and general...

  11. Documentation Inservice

    CoffeeRTC posted a topic in Geriatric, LTC

    Does anyone have a great site or resource for an in-service? We have so many issues with even the basics. We use PCC so it is either a skilled note or nursing progress note. Oh, the things I've...

  12. Blood cultures from a PICC

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    Hmm. I will def go and check our P and P but we do draws off of the single lumens. In this case, maybe they are looking at the iv as the

  13. Advised by supervisor and unit manager to write up co-worker. new charge nurse mobbed as ***-stirrer now???

    CoffeeRTC replied to 2018nurseandbeyond's topic in Patient, Colleague Relations

    I'm confused. How is this not your resident/ patient if you are the charge for all 40. If the aid was assigned to that resident and knowingly left the unit without reporting off then there should be...

  14. What important paperwork do you use at work and would recommend to a new grad (Consents/orders etc...)

    CoffeeRTC replied to LogicalCoconut's topic in Geriatric, LTC

    I'd start by getting a copy of what is needed for an admit, a transfer to the hospital and a discharge. There might not be many actual papers since most things are done on EHR and then just printed...

  15. When They Don't Want To Pay

    CoffeeRTC replied to CapeCodMermaid's topic in Geriatric, LTC

    OUR BOM/ social worker meets with the family regularly and lays out the expectation of private payment and also starts getting the discharge plan ready. There is an expectation of some form of...

  16. Infection Preventionist

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

    I'm doing the one from the CDC and it was

  17. Documentation Inservice

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    I was planning on changing information so as to not identify the resident or the nurse. You are very correct, public shaming isn't professional or effective. I've also started a collection of...

  18. Major shift in practice...

    CoffeeRTC replied to 42pines's topic in Geriatric, LTC

    Is it a skilled facility? What is the structure of the facility? How many nurses vs CNAs? Do you have 24/hr responsibility or is there a

  19. Any way you could stay over and work a few hours

    CoffeeRTC replied to guest974915's topic in General Nursing

    Yep, they just negotiated a new contract with our new company. I'm soooo glad I'm not part of the union. It is insane. The longtime employees are comfortable with their rate and raises. A...

  20. Any way you could stay over and work a few hours

    CoffeeRTC replied to guest974915's topic in General Nursing

    This post screams our LTC staffing. What ruins it are the ones that love to pick up OT until they don't. I developed real thick skin and great avoidance of the "can you help out for a few hrs?"...

  21. DNR care questions

    CoffeeRTC replied to guest825264's topic in Geriatric, LTC

    They should have a POLST form or advanced directives https://polst.org/polst-and-advance-directives/ The old "when in doubt, send them out" is a thing of the past. DNR doesn't mean, don't treat....

  22. I charted something I shouldn't have and I'm terrified I'll lose my nursing license

    CoffeeRTC replied to newbie2018's topic in General Nursing

    Agreed! This would be a good item to take to Qapi and do a PIP about

  23. Continuing Education --Getting staff to complete it

    CoffeeRTC posted a topic in Geriatric, LTC

    HELP! We use Relias for our education. Unfortunately, we do not have many computers for the staff to complete these on in the facility. I do have all of the modules in paper form so that there is...

  24. Continuing Education --Getting staff to complete it

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    Well....a good bit has changed in the last year! We are now owned by a new company that requires completion of Relias modules on a monthly basis. We do have more laptops and computers as we are...

  25. Skills/Competencies

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

    Does anyone have a great website for