achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. Rn not giving scheduled meds

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

    I do not accept your contention that the facility that you work for does not have the staff to give you a proper orientation, I do not accept sloppy med carts (it leads to mistakes and other big...

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

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

    Hope you looove paperwork. I've done both and prefer the ADNS position as it entitles me to do so much and get personal with my staff, patients and families. Best peice of advice? DO NOTHING in the...

  3. Rn not giving scheduled meds

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

    i agree about the gossiping but y'all in glass houses shouldnt throw... well you

  4. Rn not giving scheduled meds

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

    It is important to know if this is a one time "mistake" or a chronic case of not not administering meds as per dr's orders (she could lose her license for that). Are narcotics missing... Is she...

  5. ethical problem... need opinions

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

    I'm really sorry about your job situation and I'm sure that you'll find a better one more suited for your talents and strengths, beleive it or not it usually works out that way- keep us posted. a...

  6. I feel I'm being sabotaged

    achot chavi replied to cleo's topic in Nurse Management

    In my experience, it aint gonna get better....and you deserve better. The right job is out there for you, it doesn't sound like this is it. Nurses in general have a hard time leaving bad situations,...

  7. the HEAT wave

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

    Yes a continuous drip of Normal Saline only (not Ringers Lactate or any glucose containing solution) limited to 500 or 1000mls (after that amount you must change insertion sites) continuous drip...

  8. the HEAT wave

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

    thats one smart

  9. the HEAT wave

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

    I don't think it is against the law!!! But if you are not comfortable with it than that is your choice of course- I thought you were looking for ideas and solutions that you might not have tried...

  10. the HEAT wave

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

    If your (generally healthy) staff is dehdrating then they aren't taking your advice to drink and rest seriously! Can you have a doctor or dietician give an inservice? Just a tip but we used to...

  11. the HEAT wave

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

    Then your missing out- its a great, more comfortable and safe method to give supplemental fluids- no IV or infiltrates to worry about, any nurse can start it and if the patient pulls it out- its no...

  12. Sundowning

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

    That's Great- you should also look into Behavior Modifying Techniques- if done uniformly (by everyone) they really can

  13. Sundowning

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

    here's to wishing you many years in excellant health and never needing to become a resident in (my) nursing home the truth is i dont need a nursing home to force me to do all those things- because:...

  14. Going to start looking for another job!

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

    While I am not sure where you live and what the law is there but common sense tells all of us that you are a danger to your patients when you work in those conditions. Besides being contagious...

  15. A Cheat Sheet ??

    achot chavi replied to kwagner_51's topic in Geriatric, LTC

    "Karen Failure is NOT an option!!" Just curious, Why is Failure not an

  16. the HEAT wave

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

    I can sympathize I hope this helps 1. Remind your CNA's to monitor for dry diapers and sudden changes in behaviors, 2. keep your eyes our for signs of dehydration. 3.Suppliment po fluids with...

  17. Sundowning

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

    You can research the topic by googling Alzheimers and Sundown Syndrome. It comes from the inability to quickly adjust to the difference between daytime activities and evening/nightime activities. I...

  18. ethical problem... need opinions

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

    I would NEVER FORCE FEED or FORCE MEDS or FORCE anything on someone else (not even my husband!!!). I am not sure where you saw that in my posting, I wrote:"We had no choice but to try feeding..." I...

  19. Are we slowly poisoning ourselves with meds when we crush them?

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

    I think that different people are sensitive and more vulnerable than others- how else do you explain that some non smokers develop lung cancer (through 2nd hand exposure) and others puff away for 100...

  20. Over-Restaining Patients

    achot chavi posted a topic in Geriatric, LTC

    I am an ADON of a 200 bed SNF (LTC). When I started my new position I was horrified to see that 90% of the patients were restrained unnecessarily because my DON wanted zero falls and convinced the...

  21. what would you have done??

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

    TRUE STORY- my DON was a new nurse when a pt came in with a fever and requesting Tylenol- the doctor TOLD her to give the Tylenol- the nurse refused until she got a written order- the doc made a big...

  22. what would you have done??

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

    Unless you have the authority to give meds without a doctors order (are you licenced...) you MAY NOT give so much as a Tylenol without an order. If the patient is suffering- I don't care what time it...

  23. "Don't Send Anyone Out!"

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

    Document ,Document, Document and do what you gotta do - tell your supervisor that you understand her/his preference but imagine how much money will be lost if the patient dies!!! At least you stand a...

  24. DPH Reportables

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

    interesting that he is more interested in the female patients and not the female cna's. we get a lot of the latter! but at least the cna's can protect themselves. i wouldn't want any old coot (no...

  25. Over-Restaining Patients

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

    You see thats why we end up over-restraining!! Nobody wants mistakes- doctors, lawyers, politicians are all allowed to make a mistake, after all they are only human! But G-d Forbid we show our human...