achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. What did you say?!?!

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

    Unbelievable!, Yes I would definitely inform him that personal and/ or judgmental remarks like that are unacceptable in your facility. Unless there is a policy otherwise, he should keep his opinions...

  2. the dysfunction of LTC

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

    Obviously something doesn't sound Kosher here. Why are they saying it? Do you complain about the facility while working? Do the other nurses consider you a threat in any way? Obviously every DON is...

  3. facility acquired pressure ulcers

    achot chavi replied to CNL2B's topic in LTC: Directors, Assistant

    totally understand and believe me- if I thought that negligent care was the cause of such a thing for a family member or friend of mine, I would be kicking and screaming. If she thinks that suing...

  4. facility acquired pressure ulcers

    achot chavi replied to CNL2B's topic in LTC: Directors, Assistant

    if they have worsened so quickly has anyone done an x-ray to rule out osteomylitis? Check out: Decubitus ulcers: when to suspect osteomyelitis. [Geriatrics. 1987] - PubMed result You definitely have...

  5. How honest to be about scetchy work history during interview?

    achot chavi replied to bossynurse101's topic in LTC: Directors, Assistant

    Trauma nurse got it right, focus on the positive, if asked directly again focus on the positive, how rewarding it was to work there etc, great experience etc, if asked why you left, explain, "I want...

  6. Interview anxiety, what to wear and all that jazz

    achot chavi replied to bossynurse101's topic in LTC: Directors, Assistant

    Dress for the job that you want, you want to portray the image of a DON. Dress comfortably, neatly, and modestly (skip the low cut blouse). Definitely wear make up and appropriate jewelry. Bring...

  7. ADON'S what are your duties and what and how many hours do you work?

    achot chavi replied to Bubbles82's topic in LTC: Directors, Assistant

    as ADON of a 180-200 bed SNF, I am the DON's right hand, and basically do whatever she wants. I am responsible for QA, UR, wounds/decubiti ulcers, falls, orienting new staff, staff development ad...

  8. What to do with CNAs that sleep during the night shift?

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

    Great Story: I am contracted to make surprise nightime inspections once a month, I caught a male nurse snoring away in his 'nest' at the farthest area from the patients on the unit. The CNA gave me a...

  9. Can you really change a bad LTC?

    achot chavi replied to lisa41rn's topic in LTC: Directors, Assistant

    they dont deserve you, you did the right

  10. Degree questions

    achot chavi replied to Schmoo1022's topic in Geriatric, LTC

    Good luck in whatever you

  11. One for the books...

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

    very

  12. Another gripe

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

    dont make it so comfortable for her in your office, may I suggest a stink bomb...oh but then you will suffer...Seriously is there a nicer room you can foist her off on, like a conference room or the...

  13. Character Letter safe to write in this situation?

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

    I have also been called to give reference for nurses that I can not endorse and unfortunately for them I am more than happy to explain that the nurse was fired and why and what the new employee would...

  14. Character Letter safe to write in this situation?

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

    That's great,because we always feel so understaffed!! I usually tell nurses that feel that they are working in unsafe numbers to vote with their feet and find a facility that has better staffing if...

  15. Handling the ones that are constant fall risks

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

    Besides CYA with documentation, I would ask for a floor meeting and invite your supervisor(s), social worker, physical therapist and recreational therapist to discuss the problem and come up with a...

  16. LTC RN Experience

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

    probably not but you never know. LTC is not acute care. As to being hard, that is up to you and your attitude. If you want acute care- what are you doing in LTC?? Truth is I think you can be a...

  17. Character Letter safe to write in this situation?

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

    It is unclear to me if you are writing this letter of character as a friend, a co-worker or as a manager. If as a friend,or co-worker than it is clear, you may write a letter and specify in the...

  18. Rn's are better than lpn's???

    achot chavi replied to lisa41rn's topic in LTC: Directors, Assistant

    We will certainly be a lot better off as a profession for doing that, we should be competing over accomplishments and not who is better than

  19. DON work hours question..

    achot chavi replied to Marshall1's topic in LTC: Directors, Assistant

    CCM I can empathize with the situation. You can not allow the inmates to run the asylum ( excuse the analogy). They have to learn to adjust to doing things the way you ask them to and respecting you...

  20. Oxygen Administration

    achot chavi replied to pmnurse615's topic in LTC: Directors, Assistant

    After two incidents where 2 different CNA's transfered to an empty or nearly empty portable tank, I dont take those chances

  21. Terminated without warning

    achot chavi replied to Lonestarrn02's topic in LTC: Directors, Assistant

    Thats so true, the best part of being an ADON is not being the DON, although ours has lasted now 7 years...can you believe it? she has nerves of steel. Her career was from OR nurse to teaching...

  22. Oxygen Administration

    achot chavi replied to pmnurse615's topic in LTC: Directors, Assistant

    NOPE!!

  23. Rn's are better than lpn's???

    achot chavi replied to lisa41rn's topic in LTC: Directors, Assistant

    I find when people talk like that, they are telling more about themselves than about the others who they denigrate. As a supervisor I would pull that nurse aside and tell her that such comments are...

  24. What is your facility doing for nurses day and nursing assistants day?

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

    Good for you that you are making this effort. The truth is any show of appreciation is appropriate, in the past I organized a movie night and the facility (who is stretched financially- apparently a...

  25. Terminated without warning

    achot chavi replied to Lonestarrn02's topic in LTC: Directors, Assistant

    i am so sorry, i guess good riddance to bad rubbage, it was a bad situation and you are best out of it, just get the adm who knows you to write for you a good reference anyway if possible. you made a...