achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. Care plan help

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

    Careplans can be a very important tool in managing quality nursing care for your patients, its all how you do it and how it is implemented. When I came to this facility the NCP's were pathetic, After...

  2. What is normal / typical?

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

    I am sure that must have been a difficult move but a brave one, and you are right, it is not the nursing staff or the CNA's but management at the core of this specific problem and I understand your...

  3. What is normal / typical?

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

    add my name to the list of answers advising you to report and consider a better facility. We too try to limit diapers to 3 a day (Q8H) and allow a 4th for PRN/BM. BUT, we stock multiple sizes and if...

  4. Is It Me?? Some people are too much...

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

    People- what happened to common courtesy? I know a DON who comes to the units and begins straightening wall hangings and pictures that she imagines are crooked ( spends an hour doing it) and then...

  5. Is It Me?? Some people are too much...

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

    Why do you respond to every stupid comment, rise above

  6. Doing away with side rails?

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

    In theory I agree but in the real world with budget cuts and minimal staffing, this is close to impossible unless the nurse works on her own time - as I have often said- there is plenty of time to do...

  7. Taking work home

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

    Cute! although I understand that that is how lawyers build their fees!! and yes I do spend some time on the phone with work related questions, and dont get paid for

  8. DON position

    achot chavi replied to Schmoo1022's topic in LTC: Directors, Assistant

    Dont worry, I am sure another good opportunity will arise and you will be better prepared for it. Keep ur chin

  9. Where are all the nurses?

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

    Dont you love the new nurses who know it all. I welcome all comments and recommendations, but arguments? Besides if she disagrees with the older more experienced nurse, she can speak to you for...

  10. DON position

    achot chavi replied to Schmoo1022's topic in LTC: Directors, Assistant

    Schmoo I was disappointed that you got cold feet, but I am sure you did what was right for you at this time. You need to work on that self confidence of yours, we need good people for DON and you...

  11. Rationing Health Care for Seniors

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

    A bit harsh, dont you think, I too have been a nurse for over 20 years, most of them in geriatrics (both hosp based and SNF/ALF) and have seen the hospitals discharging pts to die in the nsg home....

  12. What would you do in this situation?

    achot chavi replied to arelle68's topic in Geriatric, LTC

    Check Vitals esp rectal temp, Send urine for C&S. Why did the dr want this done? Routine or in response to a problem. You didnt ,mention if the pt has a Foley Cath or other urinary related...

  13. Meetings

    achot chavi replied to carrieMDSrn's topic in MDS Coordinator Information

    too broad of a question!! Do you mean unit staff meetings, multidisciplinary meetings, weekly meetings with the DON, Budget meetings, Violence prevention and report meetings???? Usually a meeting is...

  14. Staff Ratios at Nursing Homes

    achot chavi replied to pat8585's topic in Geriatric, LTC

    Yes it would be great to have ideal staff to patient ratios, and if u have the choice, choose to work in places where that is possible, However most of us dont have that choice unless we start our...

  15. What time does your LTC facililty start getting residents up?

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

    when you have a situation like that,where a pt rises at 9 and misses her 7am...just ask the doctor to change the order to reflect the pts requested schedule. Thereby the 7am becomes 9 and the rest is...

  16. What time does your LTC facililty start getting residents up?

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

    My problem is with the rest of your staff, it is reasonable to believe that the CNA had the spray bottle before you caught it, did others look away? Yes 4am is a ridiculous hour to be pulling these...

  17. What do you think???

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

    sounds like you have things under control and the problems are temporary. Lots of luck but try not to burn the candle at both

  18. What do u do as a rn in a ltc facility??

    achot chavi replied to Cutebutpsycho1022's topic in LTC: Directors, Assistant

    WOW! What dont we do, you are gonna love LTC, you get to develop long term relationships with your patients and make a real difference in their lives, what you do is less important than HOW you do it....

  19. What do you think???

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

    you need to separate the two issues and remove the emotional responses. Understand that your DON's response is actually a compliment reflecting how much she needs and relies on you. A good nurse is...

  20. as DON/ADON ....do you help or hinder your staff?

    achot chavi replied to sasha2lady's topic in LTC: Directors, Assistant

    I am glad that you have had only good experiences, and maybe its people like you who give LTC a good name but unfortunately there are some poorly run facilities out there - less than there used to be...

  21. as DON/ADON ....do you help or hinder your staff?

    achot chavi replied to sasha2lady's topic in LTC: Directors, Assistant

    Good for u, obviously not the kind of place you want to work

  22. Long Term Care Facility has 5 nurses and roach infestation

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

    and why again did you want to work there? as long as you are there, dont drink or eat from food that was left unprotected (uncovered)!!! while roaches can happen anywhere, the lackadaisical attitude...

  23. Rationing Health Care for Seniors

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

    excellent

  24. I love my residents/facility/job

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

    a positive outlook is the sign of a healthy well-adjusted mind. I am so happy that you find satisfaction with your work, I too love what I do ,,, who was it that said when you love what you do , you...

  25. as DON/ADON ....do you help or hinder your staff?

    achot chavi replied to sasha2lady's topic in LTC: Directors, Assistant

    I am sorry that your DON seems unappreciative of your super human efforts to do a good job, but in truth as long as your pay checks are on time and of the correct amounts that is all the compensation...