achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. tales from the "charts" side

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

    laughed so hard, fogged up my computer

  2. self scheduling

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

    They keep threatening us that they'll do it. A hospital near us did- and its not a bad idea- if you stick to it and make no changes. It will be fair to all....no special

  3. Meal Intakes on MAR

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

    We keep a CNA book with pages for meal intake. BM's, showers, ambulation by CNA's, Bathroom assistance, weights, hygiene care (nails, teeth, etc), T&P, Assistance of 2 to transfer . We keep these...

  4. Co-worker Taking OVer

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

    i DON'T THINK THAT SHE IS MICROMANAGING!! The other nurse is!!!! Tell the other nurse that while you appreciate her help on Wednesdays- if families come to her ANY OTHER DAY- she is to tell them that...

  5. Co-worker Taking OVer

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

    HELLO! Open up ur eyes- if you don't KNOW about problems on your unit while your off or if problems are not reported to you - let alone not documented- you can be sued for things you had no idea...

  6. chart review

    achot chavi replied to littlebit1's topic in LTC: Directors, Assistant

    I would suggest you make a list of what needs to be checked from a to z then hold a meeting with your head nurses and give them a check list...You might have to ask for overtime to get this done...

  7. Dental Cleanings in Long Term Care

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

    I'm into results not excuses- I in- service my staff once a year on dental hygiene and follow up PRN if teeth are being brushed. However plaque can still build up and there is terrible noncompliance...

  8. Delivering narcotics to outside buildings should i be responsible?

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

    Piece of advise- if you are asked about your previous experience or specifically about this job - I wouldn't go on and on about how terrible they were- I would be very concise and unemotional. Better...

  9. Time Management

    achot chavi replied to 311ltc's topic in Geriatric, LTC

    The best way to prove that there is a problems is to keep a time diary one day where you write all that you did every quarter of every hour. Any client that needs more care- is not longer ALF-...

  10. What is community-based geriatric care?

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

    like most things its different things for different people... As the population (read community) ages- I guess we'll see more of it- whatever it

  11. Delivering narcotics to outside buildings should i be responsible?

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

    You deserve a better job-- I strongly disagree with this DON. In this day and age you have to be crazy to do what she is asking. BTW- What does she expect you to do if something happens to YOUR...

  12. Please help me come up with a name for a New LTC facility!!

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

    hi, i don't know what he knows and doesn't know...i only meant for the good- i apologize if i offended you, that was certainly not my intention, i too, intended only to assist. hope he enjoys much...

  13. What happens after med error?

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

    Report it!!! In one hospital here, the facility put in hidden cameras (in the med cart!) and caught so many unreported med errors. I always respect my nurses who are honest. Of course please try to...

  14. Wound Care in LTC

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

    While I agree with all that is written here- it is my experience that unfortunately you will probably not be effective in making a change unless you enlist the support of your DON. I would make an...

  15. Pets at work

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

    So why are you asking?- you set policy based on DOH guidelines!! There are pro's and con's to what you want to do- animals make for great therapy and I am personally in favor. We had a pet corner...

  16. Bed Sores & Contractures

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

    If the pressure sores came from admissions or hospitalizations-not in-house- why would they shut you down? Most of our sores are less than half an inch by half an inch - stage 1 to 2 that heal within...

  17. Doing away with side rails?

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

    [quote from michelle126: now most of our beds have two little hand bars up on the tops...they are called enablers. as far as falling out of bed....low beds are the answer. depending on the...

  18. Bed Sores & Contractures

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

    Hi, I've read through the thread- and agree with much of what is written- I do believe that ultimately management is responsible for problems- they should be doing a QA eval and finding non compliant...

  19. Rotating Halls??

    achot chavi replied to lexibear99's topic in Geriatric, LTC

    We do rotations but only so the staff is familiar enuf to cover a call-in. We never rotate more than one person at a time to ensure that most of the staff are seasoned and can help orient the "new"...

  20. Dementia specific Dining

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

    Yes isn't it funny how they will suck the life out of their fingers and protest when you pull them out and put good food instead. QUESTION: at what point do you consider an N-G tube or a gastro

  21. Mds Nurse And Actng Don

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

    I can sympathize with your husband- I am sure youre working urself 2 the bone, promise to take a vacation when all the dust settles and make it up to him. Best of luck on the survey- they are so...

  22. Dementia specific Dining

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

    in addition. quiche goes well by us- ,as well as veri cutlets, muffins, eggrolls, knishes, pita and hummous, STAY CLEAR of peanut butter on white bread!! (choking hazard) we put soup in cups (also...

  23. Advice for the new Nsg. Supervisor

    achot chavi replied to bsrn0523's topic in LTC: Directors, Assistant

    Get the best orientation you can and keep your eyes open, and mouth shut in the beginning. I kept a notebook with ideas and notes and that was very helpful. I keep another notebook with a page for...

  24. Mds Nurse And Actng Don

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

    I was obviously referring to problems that were made by her predecessor including policies or decisions that were problematic. Why should she be blamed for them? I should have been clearer- of...

  25. Start new LTC job tomorrow in a huge facility

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

    Don't give too much importance to what others say- you might find something in that unit that they didn't. Give your all to the job- do the best you can and don't compare what you're doing to others,...