achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. MY nurses are the best!

    I need the source for that ASAP- We have a meeting coming up and I want to include that info I didn't know it was official (although I suspected it) as I tell my nurses who else responsible for the...
  2. MY nurses are the best!

    I can write a book with these heartwarming stories- it keeps me satisfied with our profession- after all its the little things that matter so much. We have a charity fund for buying the patients...
  3. Mrsa

    Good For You- I always say the best way to deal with weak facilities is to vote with your feet. They must have more than a clue about skilled nursing- after all they hired you!! I had not noticed the...
  4. in LTC have you ever...

    Oh I have patients like that- pretend they are confused and do crazy stuff!!! Keeps us in
  5. Mrsa

    Here's ur opportunity to write the policy. In my facility all MRSA's are put together or alone , simply because the families would freak out if they find out that they were mixed- despite the...
  6. LPN nurse manager in LTC

    There are two aspects of every admit- the administrative part and the professional part. Anyone - even a secretary (no disrespect intended) can do the administrative part as long as they are properly...
  7. LPN nurse manager in LTC

    i hate to be sucked into this but if you look up the definition of lvn you will get: "an lvn is a licensed vocational nurse which is a nurse that is licensed by the state to provide routine patient...
  8. "Nursing Home Mentality"

    CTM985- you just keep doing your job, ignore the others who are in essence abusing their position and patients by neglecting their responsibilities, I promise you that in the end good work will get...
  9. LPN nurse manager in LTC

    I think you have a legitimate dilemma,. I would double check with the facility as to how much responsibility you will have in the event that the LPN manager makes a mistake in judgment. I would get...
  10. LPN nurse manager in LTC

    I
  11. in LTC have you ever...

    I have had this pleasant experience- it is certainly unlike anything you learn in Nrsg Schl, I have had sons who were drug dealers and yelled at the staff for stealing all his mothers money so she had...
  12. Filing PT/INR results

    We keep a flow sheet with Dr's orders plus nurses signatures (which must be legible) for the Coumadin and INR results. The doctors get the blood results by computer so the doctor writes in the result...
  13. Salsa anyone ? !

    I Googled it, actually this site and page was listed fifth!!, didn't find anything worth posting- there are salsa style nursing uniforms, there are nursing homes that have salsa classes and parties,...
  14. Blowing the whistle on your facility

    Based on my experience, I would either have a frank and nonjudgemental talk with the DON, Perhaps outside of the facility and based on how that goes, I would either decide to look for a better place...
  15. Bed making

    You know with the improved diapers, most of our patients don't use absorbent pads under anymore- only when we have running diarrhea, or an extremely obese patient who is a heavy
  16. Bed making

    Let them put the absorbent pad under the drawsheet and see how they have to change that sheet every time the pt wets it!!! They will learn real fast that the pad goes on top of the
  17. What do these family member expect

    Good point!! even though I feel it is the SW's responsibility to update phone numbers and contacts, if we have the time best to
  18. CNA's and prescription Treatments

    Nurses do the treatments although I admit to cheating with a rash on the male private parts and I allow a CNA (male) to do it under my guidance and supervision. I have no problem with the area but...
  19. What do these family member expect

    When faced with such a situation, I do as you did but also inform the SW and if she is unavailable I inform our Adm. because I know 9 times our of 10 the families ignor messages and then blame
  20. How to get out of LTC !!!! Need Insight Please!

    Whoa- the law is that you deserve and can take your vacation- it is the facilities job (read DON) to find the coverage- They make you find your own coverage? No wonder your burnt out!!! How many days...
  21. Intimidation in the workplace

    Try: "Mrs. X needs her diaper changed, she had a BM" or " Physical Therapy wants the wrist brace put on Mr. Y. every morning, I don't want them to see that we are neglecting that" That way you're not...
  22. Intimidation in the workplace

    nothing new- we are always obligated to report
  23. Intimidation in the workplace

    I think this problem is rampant, when faced with it I remain calm, say as little as possible in response, write up the incident stressing that the poor behavior was done in front of a patient or...
  24. invoke hcp

    CCM wrote:"Somehow I don't think I'll have to worry. I've already been told by most of the facilities around here that they would never admit me because I'm so noncompliant!" End quote. As the KING...
  25. how much time for AM med pass?

    Are yo stopping along the way to answer questions, take phone calls, do dressings? are the tubes patent or clogged? Do you have difficulty organizing your supplies? do you have to stop to order...