achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. Microphones and Web Cams

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

    YES dealing with relatives in LTC (this is the LTC forum isnt it?) is quite different from Recovery Room. Does ANYONE out there involved in LTC often invite the family to assist with the care? I find...

  2. Med Pass Timing in LTC

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

    OTOH, no one likes to be woken up to take their meds at 10pm, what I do is ask the patient what time he wants his sleeping pill (if that is appropriate) It isn't legal to give a 9pm med at 5pm but if...

  3. Are all LTC's Created Equal

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

    The focus in LTC is in treating the patient in holistic manner. For example, we don't just focus on the diabetes but also in skin care, pain management, nutritional , self- esteem issues, social...

  4. Are all LTC's Created Equal

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

    I wish you'd take your breaks and lunches - you deserve them, and when you don't, it isn't good for the rest of us who are human and need our breaks. Supernurse died a long time ago, besides taking...

  5. Do you carry liability insurance?

    achot chavi replied to MrsMommaRN's topic in General Nursing

    plenty of good advice already given, I will only add that there have been crazy stories where a doctor messed up and the nurse paid the price. Since we never know how things will fall- and we all...

  6. Are all LTC's Created Equal

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

    I am so against changing assignments everyday- especially for a new nurse. Maybe you can ask for a more consistent assignment until you've found your sea legs. It shouldn't be taking you 8 hours to...

  7. worried

    achot chavi replied to Ms.RN's topic in Geriatric, LTC

    Notifying the doctor of every change in your patients condition is always a good idea I doubt if you will have trouble from this- but we learn from each situation. I am sure you reported to the...

  8. Chain of Command

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

    The question is why are they doing this? I would have a general meeting with your staff and explain that there is an accepted chain of command for problems and ask if anyone has a problem with this....

  9. ANOTHER new CMS guideline

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

    WELCOME BACK!! Piece of advise? Don't take it too seriously that you burst- find out what turns you on- what will help you relax between crisis to crisis- a spa treatment, good music, a long weekend -...

  10. DON Offer

    achot chavi replied to mercy1975's topic in LTC: Directors, Assistant

    Absolutely.

  11. are you required to call DON first before calling MD?

    achot chavi replied to Ms.RN's topic in Geriatric, LTC

    Get this policy in writing and be grateful you have such a hands-on DON who then takes responsibility (and the heat) for difficult situations. With all due respect- you don't know how upset families...

  12. Ornery resident

    achot chavi replied to twister431's topic in Geriatric, LTC

    Try Behavior Modification. I would sit down with him- ignore the curses- tell him that we don't talk this way in our facility and we cant take care of him as long as he is cursing or abusing the...

  13. Microphones and Web Cams

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

    I agree- only the Power of Attorney has that right. If the family persists- I would invite them for a discussion and if necessary- invite the

  14. physician orders

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

    One piece of advice- never sign off on an order that isn't written correctly- or the dosage is unclear or unusual (i.e.-Tylenol 515 mg or 3500 mg....). All dosage with decimal points have to have a 0...

  15. Microphones and Web Cams

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

    In NY it is ok if at least one participant of a conversation is aware of the taping for it to be admissible in

  16. Microphones and Web Cams

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

    CCM To begin with I am glad you solved the problem as I wrote the best way to deal with this is to sit with the family. But we have to know that incidence like this will keep on cropping up. The...

  17. Microphones and Web Cams

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

    If they are the power of attorney, they have that right- just as parents have a right to leave a hidden camera in their child's bedroom if they suspect a caregiver of something wrong. I understand...

  18. Microphones and Web Cams

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

    Because the work that we do doesn't always look as elegant as the families would want it to. You try transferring a 200 pound plus paraplegic who refuses a hoyer lift and make it look good!!! If...

  19. Microphones and Web Cams

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

    I had a situation where the family was taking pics with their phones of OTHER patients. while a picture is worth a thousand words- in our field each picture requires a thousand words of explanation....

  20. Phsycian Refusal to write med orders

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

    My recommendation is to keep a diary of the problems you are having with this physician and the conversations/ requests you have had to have with him just in case he turns the tables and complains...

  21. need help

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

    Lots of Luck- Do yourself a favor and write down now why you want to be a DON or CNO because I doubt you will remember later

  22. MDS Coordinator salaries

    achot chavi replied to Nascar nurse's topic in MDS Coordinator Information

    see I knew there were good things in store for you!!! thanks for your perspective- i never thought of it as if they wanted me to leave as I had such support from the DON, more like- they wanted to cut...

  23. MDS Coordinator salaries

    achot chavi replied to Nascar nurse's topic in MDS Coordinator Information

    Get in line- I worked for 7 years my b--t off for a privately owned facility. Was very respected for my efficient work and skills and the patients and families loved me- they knew I took their...

  24. New Rn Fired For Bgl Issues

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

    Just curious- how many beds in your SNF- because at my SNF- of 200 beds- we cant afford to give a 6 week orientation where you schedule the new nurse for 6 weeks work above the regular allotment of...

  25. Filling in MAR holes

    achot chavi replied to Laurab14's topic in Geriatric, LTC

    I'm sorry- who are you responding