achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. What is a typical day like?

    achot chavi replied to CABG patch kid's topic in Geriatric, LTC

    Did it for 7 years while my kids were very young- it takes getting used to- your body might or might not adjust. Some nurses love it - the peace and quiet... When you arrive the pts are in bed (or...

  2. Med Error Report

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

    careplans depend on the problem. you have to do an assessment of the mistake. for example (true examples) assessment: med given pg intended for one patient were mistakenly given to another....

  3. tales from the "charts" side

    achot chavi posted a topic in Geriatric, LTC

    Can you top this? When I began work as an ADON I read the following nurses note: "Pt received enema last night- too bad!! she had a BM yesterday and I forgot to chart it" I laughed for a week and...

  4. Med Error Report

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

    I make mistakes everyday- not all of them in the area of medicine administration of course ( I don't pass the meds every shift) and I don't believe in stressing my nurses out just because they make an...

  5. HIPAA question

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

    Not an expert, but in situations like this, I would consult a local expert and get it over with, maybe the student union can help her, if you google "student unions" in your state- maybe she can get a...

  6. Dental Cleanings in Long Term Care

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

    ok, you obviously know what youre doing- wish I had more like you in my facility- I have to be a watchdog for this very basic care- I know it takes time and energy and isn't fun, Of course we provide...

  7. Angry ER RN new n LTC

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

    ok- someone should have their license revoked/ Any med that is refused must be documented as refused and reported to the MD- if they repeatedly refuse- have it D/C'ed and replaced if necessary with...

  8. Care plans & sig changes

    achot chavi replied to OHIOGIRL08's topic in MDS Coordinator Information

    are you the only nurse who updates careplans? where is your staff? anyone could and should update any sig change- we do it within 48

  9. Missing Elderly Couple

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

    Wow, what a story, I am so sorry you had such a bum deal- although you turned out pretty good and as I say- from some people we learn how to do things and from some we learn how NOT to do things- I am...

  10. answering call lights in a reasonable time

    achot chavi replied to littlebit1's topic in Geriatric, LTC

    how can you answer every call within 2 minutes? we have a computer tracking calls and how long it takes for us to answer- depending on the time of day and whats going on- we answer right away- and...

  11. Ridiculous waste of time

    achot chavi posted a topic in Geriatric, LTC

    Recently our pharmacist has asked that we get a doctors order and prescription for every time we use vaseline (like to protect chapped lips) or skin cream ( for dry skin) or zinc-oxide based...

  12. Missing Elderly Couple

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

    too true- just sad....regarding the lost part- I agree in holding onto their independence as much as possible until such a thing occurs. Was it better when we all lived in one big teepee? probably...

  13. Missing Elderly Couple

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

    who says they asked their children? not everyone has children who care- we say a mom can raise 10 kids but 10 kids cant raise a mom... The neighbors should have raised a red flag and gotten a SW...

  14. Ridiculous waste of time

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

    I am hoping that is what will happen here- I hope the doc does my work for me and

  15. What is a typical day like?

    achot chavi replied to CABG patch kid's topic in Geriatric, LTC

    ltc is a great opportunity to develop long term relationships and set goals that you couldn't do in a hosp setting. you want to focus on holistic care- seeing the whole patient instead of just parts,...

  16. Ridiculous waste of time

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

    because the pharmacy wants a medical diagnosis, a stop order and charting to justify this,. They dont understand that the problem is chronic and recurrent- maybe today the skin is fine but tomorrow it...

  17. Ridiculous waste of time

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

    Thats what I'm hoping for- we are a 200 bed facility and the time it would take to order, write prescriptions and copy orders would be greater than the cost- don't forget then we'd need a separate...

  18. Input needed

    achot chavi replied to Lpn1997's topic in Geriatric, LTC

    I respect that, and totally understand ...was that her opinion as well? This is clearly something that should be discussed earlier on as it is such a personal thing. Hopefully and according to...

  19. New Nurse in LTC

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

    This is your chance to be imaginative when giving treatment in order to get cooperation. Families are also a consideration. You need to be patient and helpful, you want to make an ally out of the...

  20. Input needed

    achot chavi replied to Lpn1997's topic in Geriatric, LTC

    I agree however tube feeding is worse. WE don't allow syringe feeds, but if families want to do it we discourage it but have them sign responsibility. We teach them to allow only 15cc at a time and...

  21. What would you do in this situation?

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

    I have never heard of that rule- "No staff nurse (rn or lpn) can just pick up the phone and call a doc- we have to go through our supervisor." Is this a written policy by you? Does the doc know? We...

  22. I need to vent

    achot chavi replied to evilolive07's topic in Geriatric, LTC

    Hope you find what you're looking for - Good Luck with

  23. What would you do in this situation?

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

    What about bloodwork- are her protein/albumin levels holding their

  24. Weekly weights

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

    Don't you just love that family knows best

  25. Weekly weights

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

    Do you have enough scales? are they user friendly? If this is a problem you can ask for another scale bought to accommodate this new demand. I would also track the weights for a month to prove that...