achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. Anti-psychotics and geriatrics

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

    I agree, there are many recorded court decisions where the nurse was helld responsible for mistakes in the doctors orders and giving Seroquel 2000 mg to a geriatric patient would be wrong. But we...

  2. "LPNs should be done away with altogether"

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

    Oh please, now I am nauseous!!! WHAT DIFFERENCE DOES IT MAKE WHAT COLOR A PERSON OR THEIR PARENTS ARE- WHAT WE SHOULD BE FOCUSING ON IS THE PERSONS ACCOMPLISHMENTS, ABILITIES AND DECISIONS. Can we...

  3. Anti-psychotics and geriatrics

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

    Legally speaking I wouldn't take it on myself the responsibility for what the doc orders or not, i would pass on (in writing) the pharmacists message to my DON, med director and unit physician . I...

  4. Advice on difficult resident/vent - sorry for length!

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

    try giving the dose at night just before going to sleep so the side effects are less disruptive to him. We have a guy like that gets a loading dose at 8pm and goes to sleep in the morning gets a...

  5. Does staff use transfer belts?

    achot chavi replied to Pooksmom1996's topic in Geriatric, LTC

    there is such an unfortunate gap between what they are supposed to do and what they actually do, if I don't stand guard, they neglect the seatbelt on the showerchair as well. I have to be such a...

  6. "LPNs should be done away with altogether"

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

    And you recommend doing away with LPN's license????? Personally I thing there is room for

  7. "LPNs should be done away with altogether"

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

    I know I will get flamed- but that is a bunch of crock- opportunity and advancement exists for everyone regardless of gender, color, race etc I have seen good and bad in everyone. In nsg school we...

  8. how much time for AM med pass?

    achot chavi replied to retread71's topic in Geriatric, LTC

    read the whole thread- I wrote this already: Is it a winter or summer

  9. music in the nsg home

    achot chavi replied to travel50's topic in Geriatric, LTC

    as a patient or an

  10. Anyone with small children?

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

    Wishing you well and an easy pregnancy- share the good news when it

  11. hired on as a unit manager

    achot chavi replied to bebop1's topic in LTC: Directors, Assistant

    So nice to hear your enthusiasm, you are obviously enjoying your new job!! I am sure it will keep up- stay

  12. music in the nsg home

    achot chavi replied to travel50's topic in Geriatric, LTC

    Heartwarming story alert: We have an old Russian woman, very sick after a life of chain smoking, already lost here right leg, has a colostomy, no family visits, suffers from chronic pain (gets...

  13. LPN nurse manager in LTC

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

    Certain procedures can only be done by RN's ( and of course there are procedures that can only be done be MD's etc., etc.). Depending on the facilities license (SNF, or LTC or ALF) dictates whether...

  14. LPN nurse manager in LTC

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

    When an LPN holds a DON, ADON or Head Nurse position and an RN is working under her ( as staff nurse) , then yes, an RN is working under the supervision of an LPN, ( reread the original post)....

  15. DON and filling in for staff

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

    As Adon I work the units twice a week, My DON hasn;t worked a unit in about 4 years and would have difficulty with the meds and stuff, she is too far removed. I am the bridge btwn the units and...

  16. DON and filling in for staff

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

    As

  17. Infection Control practices in Long term care

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

    I guess our families are illiterate or dont know how to identify a nurse ( we all wear white) cause we've got those signs up too and they keep ignoring them- LOL I've tried to careplan noncompliance...

  18. Scheduled toileting program

    achot chavi replied to Emerald0507's topic in MDS Coordinator Information

    Why both before and after meals? We just give hours- 7am,10am,12:30, 4pm, 6:30 pm and PRN work for most patients, others are catered to their unique schedules. We have the CNA sign on the toileting...

  19. What do you wear?

    achot chavi replied to catnip3's topic in MDS Coordinator Information

    well we wear our sense of humor when we come to work

  20. Advice on difficult resident/vent - sorry for length!

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

    Exactly we give the am dose of 50 mg, then the pm dose at 8pm of 200 mg. When he doesn't take it--- OOOOh Watch out- paranoid

  21. state reportables

    achot chavi replied to travel50's topic in LTC: Directors, Assistant

    Thank you, I now appreciate my Medical Director even more than ever. He understands how much he needs us, he works with us, listens when we say we can handle something and when we say we cant....

  22. Advice on difficult resident/vent - sorry for length!

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

    We've got one geri with Schizophrenia taking 250mg Seroquel a day. And its fine (for him) Thanks for the website

  23. state reportables

    achot chavi replied to travel50's topic in LTC: Directors, Assistant

    CCM- we operate like travel50- also many of our pts beg not to be sent out- so we deal with things like this in-house. The question is if you have the ability and coverage to do it. If you are a...

  24. Infection Control practices in Long term care

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

    We keep hand sanitizers on all med and tx carts and outside of rooms that have pts with MRSA or Cdif or VRE or whatever. Important detail. Some aides go overboard at first then calm down. We had to...

  25. Advice on difficult resident/vent - sorry for length!

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

    Is your facility the best place for him? If he is bothering everyone , he might need a different sort of place. I am sure you thought of the psych consult on your own. If he gets too agitated-...