achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. What can you say????

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

    You were right to report- it shows that you have nothing to hide . Recently in Israel we researched the med errors and found that while most go unreported because of fear of backlash- most nurses are...

  2. call offs

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

    [i]

  3. call offs

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

    We tried a financial reward for those who respected their work schedules and made no changes (unless really justified - like being hospitalized for appendicitis and the like). Some workers enjoyed the...

  4. Admissions

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

    It sounds like a question for your boss. You don't want to be responsible for this. I was once called for an admission at 7pm when I was the only one left in the building from administration (I am...

  5. Pornographic movies

    achot chavi replied to Mrs. M.'s topic in LTC: Directors, Assistant

    I think you have to separate the two issues- by law he has a right to watch what he wants and we all have to help him (no different than lighting up a cigarette to your COPD patient -without the...

  6. Advice Please!!!!!!

    achot chavi replied to Little Panda RN's topic in Geriatric, LTC

    U did the right thing- but next time if someone is sleeping in a shift u must wake them and remind them what they are getting a salary for - I don;t care if they read a magazine )|(or better a...

  7. Advice Please!!!!!!

    achot chavi replied to Little Panda RN's topic in Geriatric, LTC

    For starters- Lots of luck- don't try to change anything right away (unless its dangerous to you or to others and u could lose ur license) . You were right to say lead by example. BE VERY PATIENT!!!...

  8. Uniforms and your appearance

    achot chavi replied to sassysteph7's topic in Geriatric, LTC

    Yes appearances R IMPORTANT and I hate to see a nurse giving off an unprofessional image ( it taints us all) but lets not 4get whats really important- proper professional behavior, judgement,...

  9. Ugh---I have to fire an employee tomorrow.

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

    Hi Y'all, Sometimes being fired is the best thing that can happen to a person especially if he is behaving in a way that is begging for it- even if he doesn't know it - he wants to be fired- What you...

  10. Disrespectful Employees

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

    YOU CAN SAY THAT AGAIN- There is no solution- just have patience u will probably outlive them anyway- it doesn't pay to let it get to you, Stay

  11. Are 12 hour shifts safe?

    achot chavi replied to psychnurse1998's topic in Patient Safety Issues

    I agree 2 is my max as

  12. Are 12 hour shifts safe?

    achot chavi replied to psychnurse1998's topic in Patient Safety Issues

    I think it's a matter of being prepared (mentally and physically) before going into that 12 hour shift and pacing yourself. Some nursing positions lend themselves better for 8 hour shifts and some...

  13. Reality in the LTC

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

    Yes 30 to a nurse is doable as long as ur organized, try bringing all ur supplies with u to avoid running back and forth ,work wit ur head not jumping around aimlessly, always know where ur staff is...

  14. Pain Meds

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

  15. Dragging 'em out of bed

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

    So many issues here- just how oriented in this patient- is she able to make her own decisions? Can she be bargained with- We will go our of bed for only one hour (and make sure u keep ur promise) Does...

  16. MDS Coordinator salaries

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

    Ok lets keep this all in perspective- I was an MDS coordinator for two LTC/SNF's in NY and am now an ADNS. The MDS coordinator is EXPECTED to work diligently and try to get the most money for her...

  17. Do you shower when you get off work???

    achot chavi replied to luvmy3kids's topic in General Nursing

    absolutely especially in the good ol days when our unit wasn't airconditioned. i still can manage a 5 minute shpritz off if the need arises. never more as i need to be on call.... showering after...

  18. Need advice - bail on my accelerated BSN for an ADN?(long)

    achot chavi replied to fleur-de-lis's topic in General Nursing

    You asked for advice although personally I think you have already made your decision, Yes your program is rigorous and I think the pressure of maintaining such a high grade point average is also...

  19. Resident care coordinator?

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

    I think that the best place for info is from the person who interviewed you, it would certainly show her/him that you are serious. No 2 facilities are identical and you should ask to speak to the...

  20. Rn not giving scheduled meds

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

    :yeahthat: I would agree but that would be an emotional response. An investigation has to be carried out to determine if the nurse got the meds from another source etc. and give the nurse a warning...

  21. Rn not giving scheduled meds

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

    OK I understand I have been out of the country and Thank G-D here in Israel the LTC's are heavily audited and generally do a good job (or lose their license and patients). But what happened to...

  22. Gone From Rn To Adon/mds Coorditator Overnight!

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

    I was sent to a course and it helped me learn to get the most for the facility (without lying of course!!). I then did MDS's for another facility part time in addition to my full time in the first...

  23. Rn not giving scheduled meds

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

    1. I worked 5 years in NY in SNF's- 1 year as a staff nurse, 2 years as a Head Nurse for 40 pts and 2 years as a PCC for 80+ patients. I guess my place was pretty good but when I started working the...

  24. oldie but newbie here ...AL question

    achot chavi replied to ladybiker711's topic in Geriatric, LTC

    You wont know till you try . There are some good sites explaining Alzheimers and Dementia dx and tx try googling and reading. I find the feild fascinating. and I only wanted to work in pediatrics...

  25. Nursing Home Nightmare

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

    aerinlpn, YES get your own liability insurance, NEVER rely on the facility- you make a mistake (and we all do) and watch how fast they desert you!! In our nsg hme we have 40 pts to 1 lpn, and 4 cna's...