achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

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

    achot chavi replied to Truth66's topic in General Nursing

    Perhaps we should be grateful for the digoxin and lasix that we are given from the pharmacy in order to give to our patients, maybe we should provide that out of pocket too!!! WE ARE PEOPLE NOT...

  2. invoke hcp

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

    you have your own care plan and HCP????on your fridge??? What a way to

  3. skilled charting

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

    Yesterday at a staff meeting we broke down what has to be charted and assigned it by the day- it has worked before, if everyone is committed it will

  4. Elder Abuse

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

    Apropros, we just this week had an incident where one of our experienced nurses aides- a stable family man with grandchildren who had come to our staff events, weddings, vacations etc- one of our best...

  5. Can I do volunteer work as a nurse?????

    achot chavi replied to katr1313pay's topic in Geriatric, LTC

    You may volunteer but may not be covered legally for professional nursing responsibilities- you may feed and help as any volunteer but may not distribute meds or do treatments. Good for you that you...

  6. Elder Abuse

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

    Glad you reported the abuse, you did the right thing!!! As "Biff" said in Death of a Salesman: Society treats us older adults like oranges- eating the meat and throwing out the peel that is left...

  7. skilled charting

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

    Yeah, but whats true is

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

    achot chavi replied to Truth66's topic in General Nursing

    I cant agree more. When we accept less, we get even less than that!!! However I don't think Madoff had a hand in this situation although I am furious at what he did and so many are suffering because...

  9. skilled charting

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

    Nice!

  10. Pressure relieving devices, etc

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

    I do spot checks and ask the staff to check the mattresses and wheelchairs cushions at every shift change. I don't think 90% is fair- but if you think its a problem in your facility- ask CNA to be...

  11. Where do you keep your care plans?

    achot chavi replied to BEDPAN76's topic in MDS Coordinator Information

    We used to keep them in a separate 3 ring binder all together and they were untouched. I insisted on putting them in the chart with the report so that when a nurse charts she can peruse the care plan...

  12. skilled charting

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

    This is why we are constantly reminding them this important detail- chart or we will close the

  13. Elder Abuse

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

    We have an in service yearly given by our SW, in addition, all the staff sign as part of their orientation that they are familiar with Pts bill of rights, are aware that the facility has a Abuse Dept...

  14. invoke hcp

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

    I thought you needed 2 docs to sign off on a HCP? I could be wrong. I would also ask the

  15. how much time for AM med pass?

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

    Of Course it gets easier!!! Good Job on your first med pass,Good luck on your new

  16. book recommendations

    achot chavi posted a topic in Geriatric, LTC

    Hi, I love a good book- there are so many that deal with nursing homes- like Fried Green Tomatoes at the Whistle Stop Cafe by Fannie Flagg , and Water for Elephants by Sara Gruen, and Tuesdays with...

  17. book recommendations

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

    I;ve read the Red Tent, interesting fiction, liked it and it was well written. I try to be careful when reading historic fiction that infuse biblical characters with personalities and actions that may...

  18. How to get out of LTC !!!! Need Insight Please!

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

    Just curious how many vacation days have you got? can you take a vacation? I had a nurse who quit and lost her pension because of it- when we all encouraged her to take 6 months off and come back....

  19. God Bless LTC Staff

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

    Its a tough job but someones gotta do it

  20. how much time for AM med pass?

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

    I was referring to the severely disoriented and confused Alzheimers patients, I can tell 'em, but it wont make a difference. As long as I say it with a wide smile, they will take whatever igive 'em....

  21. Orientation in LTC?

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

    We give as long as they need and ongoing support. It depends with every situation. Some nurses need only 2 days as they have lots of experience, some need 3 weeks and even then still need support. If...

  22. LPN nurse manager in LTC

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

    Depends on the

  23. book recommendations

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

    Just read a little book by Mitch ALbom-" The 5 people you meet in Heaven"- really touched me. try

  24. For all you night owls

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

    Michelle reminded me- work nights for a while - come in during the day for whatever reason and visit the unit- YOU WILL NOT RECOGNIZE THE PATIENTS. They look so different by day than by night!!!...

  25. LPN nurse manager in LTC

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

    i don't understand , why couldn't the lpn unit manager call the doctor herself and send the pt for a ct scan or er