achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

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

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

    What nerve!!~! How do they know if you are equipped to handle that situation, obviously we all want to fill the beds, but not every pt can be treated properly on every unit- depends on the staffing,...

  2. Nursing home LVN charge position

    achot chavi replied to lclark281's topic in Geriatric, LTC

    Oh this has been addresses so many times. Try searching for previous threads that have dealt with new charge nurses. Good

  3. Back stabbing STNA....HELP !!

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

    As you've been told already= document, and bear in mind that she is trying to catch you in a mistake or negligence. Do your work as best as you can. Have a witness for all conversations with her-...

  4. I'm not happy

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

    You are NOT their outlet and do not have to allow yourself to be abused. When presented with this behavior, I halt all care immediately, place the patient in a safe environment- like a well padded...

  5. Palliative care in the elderly

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

    Whatever you decide I can imagine the staff having emotional difficulties with this patients care, I know some of my staff would avoid the room as it would be too upsetting. I would schedule a short...

  6. Omnicare Pharmacy-discuss

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

    In Israel the pills dont come in bottles, so it would be virtually impossible to tamper with- Our local pharmacy is closed on friday aft till sun morn, even hospital pharmacies are closed. Thanks...

  7. Omnicare Pharmacy-discuss

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

    you're a hundred percent right, and we have a good relationship with our pharmacist so she signs off on it- what else can we do when the discharge is friday afternoon!!meds must be in the original...

  8. Anyone using dopplers in your facility?

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

    We have an Ultrasound for checking bladder residual. Our DON refused to let the MD teach us how to use it properly as she didn;t want the responsibility for the machine, its upkeep, or the results....

  9. Extra Nurse Duties

    achot chavi replied to ctm985's topic in Geriatric, LTC

    So I understand 60 pts in all- not a bad ratio- depending on pts care needs. Try closing your eyes and make a wish list of how you'd ideally like to see things done, make a list and then divide the...

  10. Omnicare Pharmacy-discuss

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

    Michelle. why cant your ask new admits to bring with them 2 days of pills? Ask your

  11. Extra Nurse Duties

    achot chavi replied to ctm985's topic in Geriatric, LTC

    All of these are good replies, I am unsure of how many residents you have, how many per nurse etc. I would give her QA responsibilities, Body checks for new breakdown, Organization duties etc. Make a...

  12. hired on as a unit manager

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

    Good Luck - You will need it. Job focus? You coordinate care on your unit, you set the stage- the staff will take your colors, if you are lazy or sloppy they will be too (not implying anything...

  13. Signed ADON behind my name today

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

    See post : Taking a new ADON position from 2006. I wrote there: Re: taking a new ADON position 1. As a fellow ADON I have learned to start quietly, be charming, respectful, professional and...

  14. Omnicare Pharmacy-discuss

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

    Makes me glad that borrowing IS allowed at my facility as long as we fill out a form explaining it and return it within 1 or 2 business days. With new admits esp those who come on friday...

  15. late entry

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

    Not a problem- just explain to Risk Management what you want to write , if its kosher- it shouldn't be a problem, if they refuse, just write a memo to your DON. The purpose is to write on something...

  16. RN:patient ratio in SNF in Ca

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

    ratio sound ok, dont double up and give meds at the same time - there is a reason for the different timing- but start earlier if you can. It gets easier- I promise- do assessments and treatments...

  17. late entry

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

    Agreed- better late than

  18. Omnicare Pharmacy-discuss

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

    Yesterday I got a call from a nurse- the day staff didnt order Tribemin and the patient would raise hell- the patient is blind and deaf (honestly not facetious) so I told them to give a similar round...

  19. Descrimination: A full hot meal or soup and a sandwich

    achot chavi replied to Truth66's topic in General Nursing

    Good

  20. Descrimination: A full hot meal or soup and a sandwich

    achot chavi replied to Truth66's topic in General Nursing

    Good Luck BTW, I would love to work with my hubby, but I understand why you

  21. Omnicare Pharmacy-discuss

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

    So if you dont want to borrow (cause its illegal) and dont have the medication (cause it wasnt ordered) - I guess you have to call the doc to report this and possibly send the pt to the ER. Good

  22. Descrimination: A full hot meal or soup and a sandwich

    achot chavi replied to Truth66's topic in General Nursing

    I am so sorry. Can you ask to be transferred to a sister

  23. Nursing home interview help

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

    How'd it

  24. Omnicare Pharmacy-discuss

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

    My suggestion with all these problems- document them to your DON, keep copies. Make sure the Thursday nurse checks that all the meds are available for the weekend . Can you order spare? Can you...

  25. Blowing the whistle on your facility

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

    They tried that as well by my facility and I said NO, do not put my name as part of every unit since I am not listed on the schedule. So they didn't and its a good thing as they checked the schedules...