achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. Discipline or Discrimination

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

    punitive is not the issue, noone punished her, but she has to take responsibility for her mistakes and learn from them- you have to see if from the patients point of view- and they will sue if they...

  2. Overweight nurse unable to physically manage her responsibilties

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

    I like some of the ideas so far, esp being creative to find her work that doesn't require a dependence on her having to run and do CPR. As to the idea of calling her in and having a talk---, to what...

  3. IV in LTC?

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

    We too start our own IV's and take bloods- sometimes our MD's help (though we are more experienced) We have a messenger pick them up every morning, we dont send stats during the day, in 4 years we...

  4. Interview apparel ?

    achot chavi replied to Rascal1's topic in MDS Coordinator Information

    dress is important as is personal hygiene, nails, hair teeth must be clean, nails trimmed , hair appropriately combed etc, once had an applicant come in hair all over the place, nails chipped and...

  5. am I the only one who gets nervous when states are here?

    achot chavi replied to Ms.RN's topic in Geriatric, LTC

    Even the most seasoned nurse gets nervous in these circumstances and I think CCM's idea about not facing them alone is a good one, better to have a witness so that facts can't be twisted out of...

  6. IN CA it is out of scope for an LVN to supervise RN's

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

    I dont think this is an issue of who knows more and who is more talented however, this is an issue of setting boundaries of responsibilities and just as with every other field- nurses are limited to...

  7. Incident report on residnet who went out door. Advice

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

    I agree, reporting is good but doesn't replace a written incident report, and from what you describe I think this warrants a written report even if no harm came of the patient as it establishes an...

  8. On the verge of quitting...

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

    I don't care who she is getting heat from, the ADON should come to the unit instead of calling and see frst hand how hard you work and why you havent the time to finish your editing, I would keep a...

  9. jean

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

    Are you offering her a better job? sometimes better a "crappy job" than none at all...and sometimes not!!! Jeans

  10. jean

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

    Hi Jollydog, I am so glad that there are so many people wanting to help Jean, we need to be there for each other, When yousay that all she complained about is yawning then I realize that you forgot...

  11. How Do I Research Persons for In Home Care for My Aging Father?

    achot chavi replied to michelle.json's topic in Geriatric, LTC

    I hate to say it- but you really cant trust anyone, so I would get as many referrences as I could and do many surprise visits. Make your needs and requests clear, write down as much as u think will...

  12. Fax doc ONLY labs?

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

    I agree- you do what you gotta , cause you have a licence you worked hard for and want to keep it!( BTW congrats , ) Let him scream- just makes him look stupid- if there is something to know-...

  13. Subacute Rehab nurse/patient ratio

    achot chavi replied to blueeyes87's topic in Rehabilitation

    I agree that you could use more staff, and in truth it all depends on how you are handling things, if the DON sees you sitting for coffee/cigarette breaks all the time then you can complain all you...

  14. Oh tell me this is wrong!!

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

    In principle I agree but we have had situations of nurses fainting and we have to do whatever is necessary. I don't know both sides of the story or why you were pulled when you were, I would let the...

  15. Mentally ILL in SNF's: Danger to the Elderly

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

    Agreed, we see that as well We've even had some come back on Tylenol and suddenly spike temps after a couple of hours! Who do they think they are

  16. jean

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

    This is why it is never a good idea to share too much information with your coworkers and superiors, better to have said "Won't happen again, you can count on me..". Regarding your orientation, I...

  17. Mentally ILL in SNF's: Danger to the Elderly

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

    Another reason for careful monitoring and reporting any slight abnormality or problem. It might seem like nothing but requires follow up. I don't know if its better to be overly cautious or not...

  18. Oh tell me this is wrong!!

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

    We do what we gotta do and go with the flow... unfair as it seems..

  19. Unit Manager Salaries

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

    My experiences run along the lines of CCM, I was offered UM of a subacute once for the same salary as the UM for the regular units- refused it as it obviously involved much more responsibility, work,...

  20. Today's interview

    achot chavi replied to johnst10's topic in Geriatric, LTC

    Congrats, and Good

  21. new grad RN in LTC- overwhelmed!

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

    Is there no RN on the morning shift??? No one you can call with question s and problems? I would tread carefully

  22. new grad RN in LTC- overwhelmed!

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

    If you dont feel comfortable, you have an obligation to consult with the DON and tell her, Is the DON on call at night so you can call her with any problems? Is the staff helpful? Is a certificate...

  23. Today's interview

    achot chavi replied to johnst10's topic in Geriatric, LTC

    You can say that again, I have seen seasoned CNA's come with their hair disheveled, missing buttons on their shirts, I once had a nurse say that after a night shift she is tired and will require a...

  24. Quit LTC after 6 weeks and without notice

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

    Listen, you are going through a rocky period in your personal life, I wish you all the best in dealing with it and will add you and your family to my prayers, That has to be your priority right now,...

  25. Today's interview

    achot chavi replied to johnst10's topic in Geriatric, LTC

    If you are not interested and not planning on staying long- what do you care?. The facility can designate whoever they want (think is capable) to interview- there are no restrictions that say that an...