achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. Have we sunken so low? Would you?

    achot chavi replied to achot chavi's topic in Geriatric, LTC

    you totally misunderstand me, i am all for personal choices, and this situation will repeat itself outside of the czech republic after this publicity (so go for it if that is your thing) i just feel...

  2. Have we sunken so low? Would you?

    achot chavi replied to achot chavi's topic in Geriatric, LTC

    sure we dont need money, .....we need breast implants and liposuction... I guess I just find it degrading that when faced with difficulty staffing the clinic, instead of offering a better salary...

  3. A Question to the DON ?

    achot chavi replied to Rascal1's topic in LTC: Directors, Assistant

    I absolutely think you should. Alcoholism is an illness. If you had left your previous position due to absenses from a different illness like cancer and had made a recovery, would you hesitate to be...

  4. Have we sunken so low? Would you?

    achot chavi replied to achot chavi's topic in Geriatric, LTC

    According to the article: "But woman rights activists say motivating nurses with offers of breast implants is equal to turning them into “prostitutes.” “If any institution offers this...

  5. Irrigating foleys 3x's a day- not sterile!

    achot chavi posted a topic in LTC: Directors, Assistant

    We have a pt with chronic blockage in his foley, they doc ordered irrigations 3 times a day- OK. Someone from supplies complained that the staff was using too much supplies for this, so the doc...

  6. Have we sunken so low? Would you?

    achot chavi replied to achot chavi's topic in Geriatric, LTC

    I think they have to commit to 3 years, not wait the 3 years... I agree with "we could tell the pts, by experience, what they were going to go through." But dont think every nurse has to go through...

  7. Preventing falls from low beds

    achot chavi replied to BoopetteRN's topic in Geriatric, LTC

    floor mats we use rarely. prefer low beds as fewer problems with low beds. Endorse frequent round by staff. BTW we hate the alarms, wakes everyone up!!! Nurses that trip on them should take care to...

  8. Irrigating foleys 3x's a day- not sterile!

    achot chavi replied to achot chavi's topic in LTC: Directors, Assistant

    He has a 3 way foley, does that change things in terms of sterility, should we be doing constant irrigations? How often would you change the 3way foley as they are more expensive

  9. Have we sunken so low? Would you?

    achot chavi replied to achot chavi's topic in Geriatric, LTC

    Yes, but cosmetic surgery is not without risks. As a professional nurse, I hate the thought of being hired for my good looks and bubbly personality!!! Any why stop at the nurses, shouldn't the...

  10. Have we sunken so low? Would you?

    achot chavi replied to achot chavi's topic in Geriatric, LTC

    I guess if you work in a place where aesthetics is paramount, you feel the pressure to have these surgeries, I am not against the facility giving financial considerations to their staff who are also...

  11. Cold blooded administration

    achot chavi replied to Aviationurse's topic in Geriatric, LTC

    DONT tell anyone that you plan on reporting the situation, that will just backfire, and if you feel afraid, just walk away and dont report it yourself, it doesn't pay to live your life looking over...

  12. Questions on State Visits

    achot chavi replied to Oranges3420's topic in LTC: Directors, Assistant

    Congrats, you deserve it and worked hard, you gotta reward your team- take em out for brunch or something! and how ridiculous is that - surveyors not nurses!!! I guess the tax auditors lack a...

  13. Will you work during a Pandemic?

    achot chavi replied to Goju's topic in Disaster Preparation

    Well the rest of us need the gloves and gown and mask, if not just to protect ourselves, but to protect the other patients as well. PPE stuff may be annoying, but you get used to it and I wouldn't...

  14. Cold blooded administration

    achot chavi replied to Aviationurse's topic in Geriatric, LTC

    There is good and bad, I am so sorry you had to go through this, you sound very upset and rightfully so, I once worked at a facility where there was abuse, and when I reported it, they fired me with...

  15. Need advise/Retire or stay

    achot chavi replied to violetrose's topic in Geriatric, LTC

    I would ask to limit myself to one full time position( 5 eight hour shifts), and stick to it- like Cinderella, leave when your shift is over. If you have sick days coming to you, use them when you...

  16. LTC PM shift staffing and responsibilities

    achot chavi replied to mar326's topic in LTC: Directors, Assistant

    I dont think that CCM implied that she doesn't care, I am sure she does, she was just spelling out the reality that we all (even outside of the USA) are dealing with. We have no control over when...

  17. Drug Holiday

    achot chavi replied to Tooshay's topic in LTC: Directors, Assistant

    Back in 1990 I was part of a study in a nursing home in Flushing Queens New York where we did drug holidays once a week for everything but Digoxin, Synthroid, antibiotics and certain psych meds. We...

  18. Will you work during a Pandemic?

    achot chavi replied to Goju's topic in Disaster Preparation

    If you are sick, you shouldn't work period. If you are needed at home to care for a loved one and there is no one else, then of course you cant go to work, DONT bring really sick relatives to work...

  19. Sleep overs

    achot chavi replied to CapeCodMermaid's topic in Geriatric, LTC

    Your husband should never need a nursing home, you both should live long and healthy lives...BUT.....What if he were in a room with 2 other pts? would that be fair to the others?,...WOuld you want...

  20. Opinions please on for-profit LTC facilities

    achot chavi replied to Moogie's topic in Geriatric, LTC

    Worked for both, prefer the nonprofit, but as was mentioned, there is good and bad and it fluctuates, a lot depends on the DON (the ADON is just working for the DON, so don't blame her if there are...

  21. any recruiter ready to hire a new RN

    achot chavi replied to smartypant's topic in LTC: Directors, Assistant

    Keep sending your resume, broaden your search, even to areas that you wouldn't consider, take courses if possible...Good Luck and yeah, CCM is right, fix your image, your post doesn't reflect...

  22. MRSA again- Are You Kidding Me???

    achot chavi replied to WannaBeNrse's topic in Geriatric, LTC

    with all due respect- I treat every wound, urine and feces with Universal Precautions, safer that way, and if a pt is coughing, move back- 3 feet or more, there is more MRSA than we know, why take...

  23. I got people fired where I work, and now hate my job

    achot chavi replied to shannieliz's topic in Geriatric, LTC

    If there is no RN coming on shift, the RN from the previous shift has to stay and remove the picc. As to reporting it, anyone can report it, it is then up to management to investigate its...

  24. One on one supervision

    achot chavi replied to BoopetteRN's topic in Geriatric, LTC

    All the more reason for doing your homework before the admit and checking out the potential resident if you are equipped to handle him or not. If not , dont admit him.... Unfortunately if we are...

  25. Sleep overs

    achot chavi replied to CapeCodMermaid's topic in Geriatric, LTC

    The roommate never complained? even so, it is wrong to the roommate. Our SW would be setting limits, would she have liked it if the roommate had brought his family to sleep next to him... We also...