achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. Over-Restaining Patients

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

    I tried, I even tried explaining that he is one of our better aides and has a special needs child at home etc. The family was just overstuffed with self-righteousness. I couldnt calm them down so I...

  2. Disclipline

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

    :yeahthat:

  3. Disclipline

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

    Long story and I can sympathize. Re the nurse who did 5 patients (CNA's job) I dont sympathize- she chose to do his job rather than deal with his insubordination. As an ADON, I know how important it...

  4. LTC careplans

    achot chavi replied to megs1's topic in Geriatric, LTC

    I was taught that Nursing Care Plans are the key to professionalism. I write most of the careplans in my facility (160-200 beds) and I love it- I beleive in careplans so that the left hand knows what...

  5. ethical problem... need opinions

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

    What a pickle, I really feel for you and thank g-d there are pt advocates like you out there. I've been in similar situations but they've never turned out the way I'd have liked. We had one...

  6. Over-Restaining Patients

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

    I'm thrilled that others feel as I do and I applaud IMISSCOCO for her foresight and efforts, I wish her all the luck. Educating staff is always the key but what do you do with CNA's who are...

  7. Over-Restaining Patients

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

    VERY HELPFUL- Mucho Gracias

  8. Over-Restaining Patients

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

    thanks these were very helpful. i had once googled and found some of them but i guess the bottom line is that our don, med director and adm really want to boast a zero-falls-at-any-cost-facility....

  9. Over-Restaining Patients

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

    The problem is understaffing or lass than ideal staff to patient

  10. Sleeping on the job..acceptable or not?

    achot chavi replied to travelnurse63's topic in General Nursing

    When I worked nights (especially hot summer nights) we couldn't use the units air conditioner (adm felt it was just for the hot afternoon and programed it so even if we tried we could not put it on)....

  11. Nurses with Diabetes

    achot chavi replied to gypsyangelrn's topic in Diabetes, Endocrine Nursing

    1.Your blood test should include an HBAIC (glycosylated hemoglobin) and go to an Opthalmoolgist to check your eyes for damage. 2.You need to see a good dietician and tell her to treat you like a...

  12. Can u believe my resident???

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

    I'll be praying for you!!! but in any case keep trying

  13. Over-Restaining Patients

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

    Thanks to you

  14. Over-Restaining Patients

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

    You think thats bad? My tired fingers and eyes let "over- restaining patients" through. I keep waiting for a :trout: I guess nurses are really forgiving people!! I once charted (in hebrew) that a...

  15. Sleeping on the job..acceptable or not?

    achot chavi replied to travelnurse63's topic in General Nursing

    There are certain things in life that go on but are not "right"- It is a well known fact that some nurses or CNA's do sleep on duty and noone can justify it. (just as noone could justify Pres Bill...

  16. Over-Restaining Patients

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

    1. What exactly are LapBuddies? 2. We all agree that restraints when used properly can be a useful tool, and unfortunately we don't have ideal staff to patient ratio to keep an eye on every patient...

  17. popliteal anerurysm

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

    can't add a word to that but I

  18. Over-Restaining Patients

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

    Thanks. I also think that the zero restraint policy is ridiculous. There obviously is a place for restraints to ensure proper sitting and safety for patients who really need them. I was referring...

  19. In New York Has Anyone Been Accepted Into Beth Israel In The Last 2 Weeks Pls. Reply!

    achot chavi replied to MUCHO MACHO MURSE's topic in Pre-Nursing Students

    I graduated good ol' PBI in 1986 (wow 20 yrs ago) and really appreciate the training I got there (on so many levels). It was a great school then, but real tough. I worked hard and floved their...

  20. Getting everyone else to sign their books

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

    I

  21. elder abuse

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

    To do so before turning to your supervisor ( or DON, ADM , SW) would not be wise and can cause you your job. You are a team player- not the Lone

  22. continence management

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

    The ideal time to have a Bowel Movement is first thing in the morning. I will explain why- a constipated patient getting an enema or suppository will probably experience pain with the resulting...

  23. ANOTHER new CMS guideline

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

    I've worked in several facilities (over 20 years) and I always make it my business to get along and befriend the administative staff (I never criticize and I stay supportive- with a little patience...

  24. ANOTHER new CMS guideline

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

    I agree with "Romie"- and we too have a care plan on every patient for activities. I consider it as important as any medication or blood test!! I'm not going to spell out the obvious benefits of...

  25. taking a new ADON position

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

    Yes the ADON position is a catch-all one that includes a whole host of responsibilities. I have good news and bad news for you- the CNA, the LPN, the RN, the PCC and the DON are ALL catch all...