achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. Nurse Managers in LTC

    achot chavi replied to lisa41rn's topic in LTC: Directors, Assistant

    Dr. Rabbi Abraham Twerski He wrote many books but try "Lifes too short- " check it out 2nd hand at : http://www.alibris.com/search/books/author/Twerski,%20Abraham%20J. or:...

  2. Nurse Managers in LTC

    achot chavi replied to lisa41rn's topic in LTC: Directors, Assistant

    BTW, I personally know a successful Psychologist- noted author, speaker, successful practice, founder and administrator of many amazing programs ,father of a large and wonderful family, He writes an...

  3. Problems in LTC- Texas

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

    BTW next time you call the regional nurse consultant ( and there will be a next time) keep the conversation objective and dont mention your Adm or anyone else, give the facts of the situation without...

  4. Problems in LTC- Texas

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

    How many beds in your facility? it may be against the law for a DON to be charge nurse In any event, if you want to keep your job, I would be very cautious, respectful and careful with this Adm. I...

  5. Nursing home staffing and floating question

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

    Normal is such a subjective word, havent seen much "normal" in my years of practice- but thats nursing!!! It is difficult to float to an unfamiliar floor- once did it to a 48 bed alzheimer's unit-...

  6. who are the corporate?

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

    like it or not you have to be respectful and avoid arguing with your bosses- they do have something to do with your pay check.... Do your job the best you can, and let your DON deal with them. If they...

  7. batcha gero/lpn

    achot chavi replied to clbatiste3b's topic in Geriatric, LTC

    I would report any and all accusations of abuse from pts , families or staff in writing ( a memo or letter) to your SW, MD, DON and charge nurse and /or head of Abuse Committee (if not one of the...

  8. Nurse Managers in LTC

    achot chavi replied to lisa41rn's topic in LTC: Directors, Assistant

    I don't understand, what makes you think you are responsible for the mans PE...you informed the surgeon and did all within your ability and scope of practice...if anyone should feel guilty its the...

  9. For all you night owls

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

    Our night staff does it at 6:30am with rounds, but if the pt is due a bath, its done by am staff. Sundays I do dec rounds so all dsgs are done by am staff. I guess the surveyers here where I live were...

  10. Overdone with LTC....

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

    How about private

  11. Tips for Jump-Starting Dying LTC

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

    By greeting everyone by name, by being positive and energetic, by focusing on productivity and fixing problems rather than by placing blame and causing arguments and competition, by decorating the...

  12. Private Rooms

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

    The problem with first come first serve is that certain situations usurp that and we shouldn't make promises that will make the pts (not so secretly) wish others will die so they can get their rooms....

  13. DON and filling in for staff

    achot chavi replied to mercy1975's topic in LTC: Directors, Assistant

    does that mean the DON can be Janitor, CNA or launderer? I think the essence of the ;law is that when a facility has more than 60 pts, its DON responsibilities outweigh the ability to be both DON and...

  14. Private Rooms

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

    All our rooms are private too- if you ignore the other lady or man in the room :-) and since many of our pts have some sort of dementia, that isn;t hard to do!! The only problem with all private rooms...

  15. Oooh I could strangle the MD and NP!

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

    You know what sometimes there is something to be said about dying in a familiar bed and not being moved around, I had a 102 yr old who was clearly dying and still somewhat oriented , we wanted to send...

  16. Anti-psychotics and geriatrics

    achot chavi replied to michael79's topic in Geriatric, LTC

    Not just that, it could be side effects of meds like morphine, it could be an undetected infection, or B12 deficiency etc. Sometimes a new admit will have behavior problems till they settle in and if...

  17. MDS - Keeping up skills so you can return to "real nursing"

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

    Kim, You can only try and find out- it will depend on how desperate they are. Whats the situation in your area? As you put it "accidents" happen. Maybe apply as a private duty nurse in the hospital...

  18. Private Rooms

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

    This is a toughie- I'm sure your administrator would be happy to give it to the top bidder and there is logic to that as long as the happy recipient understands (in writing) that the room has to be...

  19. Anti-psychotics and geriatrics

    achot chavi replied to michael79's topic in Geriatric, LTC

    Exactly- well

  20. Anti-psychotics and geriatrics

    achot chavi replied to michael79's topic in Geriatric, LTC

    Discussed this with our Psychiatrist, His claim is that if a person is a long term user of Risperidal or Seroquel or the like they may safely continue using the anti psychotic. For a geriatric pt...

  21. tube feed and skilling

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

    The skill is in the ability to REMEMBER to flush the tubes, not to give meds through the bag but using a syringe, to put ice in the pouch in the hot summer when the rate is 50 cc/hr, to keep the head...

  22. "LPNs should be done away with altogether"

    achot chavi replied to missjennmb's topic in LPN, LVN Corner

    1.Not every nurse has the time and money to go for her BSN. 2. All nurses care about their salaries some are too scared of losing it to stand up 4 themselves. 3/ you are not JUST an ADN nurse , you...

  23. Need some extra money

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

    Why not, you might have to declare them both in your taxes etc. Good

  24. Need some extra money

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

    Too bad, sounds like fun :chuckle BTW I thought it weird when a DON demanded the same in another facility, Is it

  25. Anyone with small children?

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

    Lets face it - a male nurse has his own challenges, and what he can and cant do depends on his family situation and dynamics, maybe he would take time off and let his wife go back to work or maybe he...