achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. budget crisis-how is it effecting you and your residents?

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

  2. Helping Someone "Let Go" At Time of Death

    achot chavi replied to Passion4Compassion's topic in Geriatric, LTC

    There are no right or wrong answers here, You sound like you are doing as well as anyone can expect As you already know, the situation requires a lot of love and patience- from everyone. This is...

  3. budget crisis-how is it effecting you and your residents?

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

    We too have cut out agency nurses, when I cant fill a call-in , I explain sweetly to the staff that we will have to close the unit and then they will all be out of jobs, or we will have to combine...

  4. How do you deal with an insensitive CNA?

    achot chavi replied to arelle68's topic in Geriatric, LTC

    Unfortunately you have to understand the politics involved, a DON or Administrator is more likely to listen to the seasoned , elderly CNA than a new nurse (unfortunately - sad but true) and its all...

  5. ADON pay scale

    achot chavi replied to Schmoo1022's topic in LTC: Directors, Assistant

    Good luck in your new position, where are you working (state wise)? How many beds? How many SNF,or acute care? How many other ADON's with you? How is it

  6. How do you deal with an insensitive CNA?

    achot chavi replied to arelle68's topic in Geriatric, LTC

    \speak softly and carry a big stick, Try not to overreact, it will only blow up in your face. Document what you have seen and witnessed as abusive behavior, write down other witnesses as well, Invite...

  7. what a day last wednesday.

    achot chavi replied to pretty70's topic in Geriatric, LTC

    Took the words outta my mouth. Names of staff go into the internal incident report which is not an integral part of the pt chart. NEVER write a staff name on the chart, better to write, found by...

  8. Need advice from experienced LTC nurses.

    achot chavi replied to arelle68's topic in Geriatric, LTC

    My vote is with those who say, find a better place to work, what they are asking of you will only backfire. Have faith, there are better places. Good

  9. Blood glucose protocol in LTC facilities

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

    consider urslf clarified

  10. Lpn in ltc assessment

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

    again, what makes you think that she doesn't know what it means to push a med cart, or know her nurses, and she never said that there aren't good lpn's out there, please reread her op...she...

  11. Abandoning Patients

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

    CCM - take this all the way, its nurses like that who give our profession a bad name. Refusing to help by saying the patient isn't her responsibility- What a GALL!! Leaving for 2 hours? ANYTHING could...

  12. Blood glucose protocol in LTC facilities

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

    No one is arguing the advantages of a seasoned RN over an MD resident. Its just a matter of protocol and level of responsibilities. Of course the OP did the right thing and saved the patients life...

  13. Blood glucose protocol in LTC facilities

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

    "The DON is correct" sad...but true!!! So lets all learn from this to get standing orders for such an emergency to cover us. As CCM stated, we all know the doctors who have our backs,... but I'd...

  14. Problems in LTC- Texas

    achot chavi replied to jackiemc08's topic in LTC: Directors, Assistant

    She already posted that she did just

  15. what can I say to a family member?

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

    I personally disagree with the thicker skin issue, I think it is very special that you feel for your patients and went somewhere appropriate to vent, maybe the situation brought up other feelings that...

  16. Applied for ADON and DON is a new nurse

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

    I would have turned her in!!! What unmitigated gall!!! still green not just behind her ears.... She doesn't deserve her position and I pity the patients left in her care. I am glad you didn't take...

  17. IV in LTC?

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

    We have a doctor on site from 8am to 6pm and they are too busy to insert the IV's (though they will help if needed). Beleive me they do not twiddle thumbs!!! I think its terrible to have a doc come in...

  18. Overweight nurse unable to physically manage her responsibilties

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

    Meah Culpa if I unintentionally insulted anyone,I know that school nurses and office nurses do need to get around, but I understood that this nurse still does that(just with a cane and I don't...

  19. budget crisis-how is it effecting you and your residents?

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

    I wouldn't be complaining, after all as you wrote, even in your own home you have to take fiscal responsibility seriously or you can go bankrupt. I would try to be a good team membr and see where...

  20. HELP! Afraid to lose license after fired!

    achot chavi replied to indylpn08's topic in Geriatric, LTC

    At the risk of sounding harsh and I dont mean to , because I truly beleive that we eat our young and your DON was wrong in firing you, she should have used the incident as a learning experience, after...

  21. "So you work in a nursing home; you can't possibly know what I'm asking" (GRRR)

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

    I get the same, as an ADON, my mother still thinks I am only an expert at bedpans and bedmaking,,,, I have given up years ago, let her think what she wants, her problem not mine, I am proud of what I...

  22. IV in LTC?

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

    I hear you, but truthfully, some men (for religious reasons or otherwise) really dont want women insertng foley's , we try to respect their sensitivities when that

  23. " I dont have to be better than the others"

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

    Pleased to report that because of this incident we were given budget go ahead to go check all potential new admits in person- so the above wont happen again and we will be able to ensure proper...

  24. Overweight nurse unable to physically manage her responsibilties

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

    I can relate, I would ask the Adm to get legal advice on what to do with this nurse. You sound like you really empathize with her and maybe you can help her find an appropriate position in another...

  25. Discipline or Discrimination

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

    well put..... and an important point. I hate supervisors who treat their 'friends' differently and hold them to a lower standard or look away at their mistakes. Consistency is key to good...