achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. Hourly Rate For LPNS

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

    Have you read through the post-? of course you are comparing and hoping to raise your salaries and you should- as I wrote you are worth it!!! I too would love to go back to school to get my masters-...

  2. Hourly Rate For LPNS

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

    [color=deepskyblue]i am so sorry - of course i meant to encourage not demean (g-d forbid) a very honorable profession, i am the first to point out that there are lpn's who are worth more than md's and...

  3. Need advice and/or maybe shoulder to cry on...

    achot chavi replied to Beary-nice's topic in Geriatric, LTC

    Thanks for reminding me how important it is to get positive feedback on your job- I always end a shift by telling the CNA's that it was a pleasure working with them today (obviously if it really was-...

  4. Hourly Rate For LPNS

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

    has anyone in this post mentioned that the best way to get a pay raise is to get your rn license? come on people- your worth it- get your

  5. Weekly weights

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

    CCM I agree with you on this, I would do daily weight if the situation justified it but...lets not abuse the CNA's for no reason. IF the weight is stable for 4 weeks- go to monthly. You can always...

  6. I need to vent

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

    Ok, I really really know what you're going through- we too had a similar situation, empty beds... so I was asked to cover 2 units on different floors total SNF 90 patients- of them 20 with PG feeds...

  7. LTC Smell?

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

  8. LTC Smell?

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

    Come visit mine- we open windows (even in the winter and no one gets sick) wash bottoms well, get rid of dirty laundry quickly and have automatic air freshners all over the place , (as well as use...

  9. your 2cents please

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

    Where I work you can take an unpaid leave for a few months and try LTC to see if you like it better or if its more suited for your needs at the present. At the end of the unpaid leave you can decide....

  10. Teamwork or not

    achot chavi replied to nurse4117's topic in LTC: Directors, Assistant

    They used to hoard by us too- we put a stop to it with surprise inspections all over the place. My boss is known to throw out expensive sneakers if they are left in a patients room ( some CNA's are...

  11. New nurse to start in Nursing Home...

    achot chavi replied to short1978's topic in Geriatric, LTC

    They are all right- getting your license is just the beginning of your education- you have so much to learn- find the best place near you - hosp or whatever- work hard keep your ears and eyes open,...

  12. Need advice and/or maybe shoulder to cry on...

    achot chavi replied to Beary-nice's topic in Geriatric, LTC

    Hi, glad to hear you get out your frustrations and stuff- I know that you appreciate being close to home for your kids and kudos for putting them first. Remember we work in order to live, we don't...

  13. It's not so bad!

    achot chavi replied to dmarie (GA)'s topic in Geriatric, LTC

    Oh come on there is good and bad in every field- the best thing about nursing is that we have so many choices!!! When I worked pediatrics, I was 20 and looked 16, the parents were so skeptical leaving...

  14. To debride......or not to debride

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

    it depends on if you see more than the ankle in the picture- most of our pts signed a release (yours too- probably- ask your SW), in any case you can ask if they mind before you click. Yes sometimes...

  15. Per Diems

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

    Take a look at their contract to see exactly what they signed on for- if it specifically states no holidays or not, When I was per diem (when I first started it meant I get paid per day at a higher...

  16. Question for ALP nurses

    achot chavi replied to debi49's topic in Geriatric, LTC

    We have it - barely use it- the meds have to be reordered when they expires and it gets expensive but where i live its mandatory. We all take CPR courses which include use of the defibrillator - once...

  17. tales from the "charts" side

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

    Thats OK, I once had 2 patients who required a lot of my time- one died and i spent some more time consoling the family, the other one burnt herself with a cup of tea her son brought to her. It was...

  18. Weird Interview...What do you think?

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

    ...and why again do you want this

  19. To debride......or not to debride

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

    Do not debride!!! This is a medical decision at any rate, I think you should send the pt for a dupler/duplex ( checks circulation) to assess any venous or arterial blockages. You must control the...

  20. What would you do in this situation?

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

    Sometimes the Gtube is the problem, it could be in wrong - (it could have been fine when they put it in and turned around while in the stomach). I would ask for a Gastroenterology consult. I the...

  21. I'm loving my new job so far...knock wood!

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

    Great story: Family comes to the entrance to town and asks an elderly fellow sitting there-if the neighborhood is a good place to live because they just bought a house there. Elderly man asks how...

  22. Lab work connected to which medicaiton!!

    achot chavi replied to Singlemom40's topic in Geriatric, LTC

    for coumadin we just check the PT/PTT (INR)levels we used to check Quinidine levels too but havent seen that on a pts chart in years. BTW you can ask that your doctors be responsible for this ( ask...

  23. fired

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

    the two stories are totally different. yes managers are always looking to replace expensive (read - experienced) nurses with new grad (who cost the same as babysitters)and ask the don to be...

  24. fired

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

    I agree that you don't have to disclose what isn't specifically asked- but they will probably ask or at least ask for references and its usually better to be up front and -as I said- concise (don't...

  25. fired

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

    I couldn't disagree with you stronger- although I understand your point. I doubt that replacing her with someone cheaper was the reason. I agree with the other posts- admit your mistake- we all do...