achot chavi

achot chavi

acute care and geriatric

Member

  • Content

    980

  • Visitors

    10,654

  • Followers

    0

  • Likes

    5

All Content by achot chavi

  1. "You're not responsible"!!!!!

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

    Thanks, We have given the CEO an official complaint on this one- turns out the SW didn't know about it till I came to her. When we spoke she pretended as if she knew about it- she was covering...

  2. Doing away with side rails?

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

    on the documentation thing- and continue documenting it- we have to write in the pts chart once a week and renew the dr.'s order for restraints every 48 hours. Re the young woman- If this is a...

  3. Dementia Patient Frequent Faller

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

    Thats Great- I had such a patient but it turns out she was a hooker(not making this up) - any ideas to help her?

  4. Inservice ideas

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

    For nurses, CNA's Volunteers? Who is this for? I get ideas from In The Know CNA inservices ( I have no connection with them except as a customer ) In the Know, Inc. 5501 Fortunes Ridge Drive Durham,...

  5. Surprize!!

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

  6. Dementia Patient Frequent Faller

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

    I think you need to sit with an interdisciplinary team of nurses, docs, SW, PT and whoever else you got and invite the family for a frank discussion about this patients future. One serious fall and...

  7. Help! Problems At Work Re: Diabetic Pt, Rights

    achot chavi replied to debow261's topic in Geriatric, LTC

    My pts dont drive- if u feel that a pt is unsafe driving- report immediately to the dr. and SW Pts will come 2 the hospital epecting care- not drama. If u dont want to deal with revolving door pts -...

  8. Help! Problems At Work Re: Diabetic Pt, Rights

    achot chavi replied to debow261's topic in Geriatric, LTC

    Ok, comparing paternalism with regard to a pts diet and and giving speeding tickets to bad drivers doesn't hold water in my books. The former is only hurting herself- the later can kill others. My...

  9. Surprize!!

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

    Re the smoking-ABSOLUTELY!! One violation of your ultimatum and he'd better be out! I would have the nurses hold onto his cigarettes and give them to him when he's in a smoking area. Can't believe...

  10. Surprize!!

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

    I would ask the SW to find these things out- under the guise of preventing another mishap. The bigger question is "Since you rejected him in the first place- do you still want him?" Where was he...

  11. Boundaries question-- moved post

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

    I go and visit- esp. if I know that the patient has no one- I have many Holocaust survivors as patients- some have no or few family members/friends. As you put it - in LTC the relationship is...

  12. Help! Problems At Work Re: Diabetic Pt, Rights

    achot chavi replied to debow261's topic in Geriatric, LTC

    I agree with what your saying but disagree with taking a paternalistic approach to providing care. In LTC it is not about being a meanie , We should never bully a patient, we can only encourage in an...

  13. Med Error Report

    achot chavi posted a topic in Geriatric, LTC

    Hi I am updating our report of med errors- I want to include points for each error- for example if the medication is Tylenol it gets one point, if its antibiotic it gets 3 points etc. Do any of you...

  14. Med Error Report

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

    I am copying and pasting a reply from YAHSALAG from a different post : Angry ER nurse... I'm a med/surg nurse who has tried LTC on 3 different occasions. Both times were horrible. I will never do it...

  15. i feel so tired...

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

    again

  16. Help! Problems At Work Re: Diabetic Pt, Rights

    achot chavi replied to debow261's topic in Geriatric, LTC

    Our patients are not our kids, They have the right to smoke if they want even if they have COPD etc. They have the right to refuse meds. they have the right to refuse treatments that we feel are...

  17. Med Error Report

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

    never said you were- you had misunderstood my post about care planning a med error and it not being a part of the pt record. Sorry if I hurt your

  18. Med Error Report

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

    I'm an American, trained in New York - licenced RN from there, currently living , We have many Russian trained nurses

  19. Med Error Report

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

    i am the

  20. Med Error Report

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

    Re the room change- I never said to change rooms, just change bed positions in the same room. I agree that it would not be fair to the patient and family to change rooms for our convenience- just to...

  21. Surprize!!

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

    Elton John said it best..."Mama told me there'd be days like this...strange days indeed!" We all get 'em- why your nurses don't understand that it is beyond your control- just tells you why you hold...

  22. i feel so tired...

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

    You're doing great and I applaud you, take a deep breath and remind yourself that youre only human- 2 hands, 2 feet, one set of eyes and ears etc. Try to stay calm when the storm hits, your boat will...

  23. Med Error Report

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

    I hear what your saying- as I explained - this care plan is for the incident report- not the patient chart, it gets signed by the involving parties themselves. It is an internal document. It...

  24. Med Error Report

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

    That's the way things were done when I first came to the facility I work at, I have taught the SW's to tell the families that other than real emergencies, the nurses cant be interrupted during med...

  25. Med Error Report

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

    Not a part of the patients record, silly!, but a part of the med error report. The way I figure it- it clearly analyzed the mistake, and plans how to prevent them. I could care plan anything in...