achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. What time do you expect your relief nurse to show up?

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

  2. What time do you expect your relief nurse to show up?

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

    no need to go into so much detail, no one needs to know why you need to clock in on time and leave on time- its your right and you need not justify it or it becomes a contest as to whose needs are...

  3. director of nursing responsibilites LTC

    achot chavi replied to nice2's topic in General Nursing

    to stay calm when all heck is breaking loose...to set standard and policy in accordance to DOH and your facility director- understanding that both may not necessarily want the same

  4. What time do you expect your relief nurse to show up?

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

    It is accepted in our field to arrive early to receive shift and allow the nurse you are relieving to catch her bus or whatever. I was once asked to stay a half hour every morning to allow a certain...

  5. PAY RATE ISSUE

    achot chavi replied to sunset1986's topic in Geriatric, LTC

    depends on how badly u need the job and I assume there is nothing better out

  6. ADON getting by on Charge nurse's license

    achot chavi replied to mercy1975's topic in LTC: Directors, Assistant

    Its taking stupid chances like that, that find good RN's losing their licenses for no reason of their

  7. Question for those who work the 11pm-7am shift

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

    \ for starters,LTC is not critical care, but 60 is a heavy load, I was once pressured by my DON to be the only nurse for 90 pts!!! (with only 3 CNA's with me) I left that job. However, I agree...

  8. Help with Care Plans!!! What all to care plan???

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

    I add it to the ADL care

  9. too specific or not specific enough?

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

    I agree with your new place, I write "adm Psych meds as per MD order" and havent had much of a problem with it, if you are too specific you really have to have someone update the care plan with every...

  10. Automatic Blood Pressure Machines (portable)????

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

    Good

  11. Help with Care Plans!!! What all to care plan???

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

    Our careplans are multidisciplinary so we include EVERYTHING done for the patient, from dietary and medicine to PT and SW and of course all the nursing stuff. EVERYONE gets a care plan on risk for...

  12. differences between RN and LPN in ltc

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

    It differs from facility to facility, state to state, you should check with your state regs. Certain responsibilities can only be done by an RN, some facilities get away with it by having an LPN...

  13. Re-directing tips needed for Alzheimer's/behavior pts

    achot chavi replied to bluegeegoo2's topic in Geriatric, LTC

    We just got another winner- a neighbor with a dog (with collar, leash and muzzle not to mention shots etc) comes a takes a different pt out while he walks the dog- calmly. The pts love the dog and...

  14. Arbitration

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

    If you are too passionate, it might look like you are an extremist, you have to tone down the case to the OBJECTIVE portions alone, leaving your two cents at home, ( my humble opinion) . You may add...

  15. Drug addicted patient at a nursing home and only 46 years old

    achot chavi replied to roro13us's topic in Geriatric, LTC

    Rereading these posts, and I understand that this is a controversial issue, those in favor of medicating as per the pt request and doctors orders and those in favor of minimizing pt need for...

  16. Drug addicted patient at a nursing home and only 46 years old

    achot chavi replied to roro13us's topic in Geriatric, LTC

    What a sad story, there by the grace of G-d go we all, I would give the drugs PRN after evaluating (according to her own words) what her complaint is, charting the complaint, the med given as per MD...

  17. Help! narcotic key turnovers

    achot chavi replied to ez2000's topic in Geriatric, LTC

    There is always a nice way to say no, for example, "I would love to help you but I come early because I need the time to do my work properly and cant manage with the added responsibility of your...

  18. need advice on keeping colostomy on alzheimer's patient

    achot chavi replied to dbsue1954's topic in Geriatric, LTC

    I agree, and then cover over it, and try to keep her occupied with other things , enlist the assistance of your Recreation staff, inform all staff that you are trying to keep her busy so she wont...

  19. Need some encouragement

    achot chavi replied to Skeetersmom119's topic in Geriatric, LTC

    I understand your situation, I also understand why you want to keep this job and that has its merits, You have two choices, either to look elsewhere understanding that the grass is not always greener...

  20. jobless: new honest advice

    achot chavi replied to Big Smurf2007's topic in Geriatric, LTC

    Congratulations, I am so happy it worked

  21. jobless: new honest advice

    achot chavi replied to Big Smurf2007's topic in Geriatric, LTC

    Answer one: you were in a very emotional state and responded emotionally to a poorly executed firing from your DON who should have invited you to a meeting the next morning and discussed your work...

  22. OMG...not again

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

    O.k., I am not above a spelling mistake or two but today we have spell checks!!! Life should be easy and better!! There is no question that today's kids have no idea how to spell- remember Dan Quayle...

  23. jobless: new honest advice

    achot chavi replied to Big Smurf2007's topic in Geriatric, LTC

    I read most of it, sounds like you had a rough patch of it, and was juggling so very much- I am so sorry. You really had a curve ball thrown at you. I am sorry that the facility couldn't have been...

  24. Morale of the Nursing Home

    achot chavi replied to Nikki69's topic in Geriatric, LTC

    Do you have a staff room? We eat together so one Head Nurse decorated the room, put up pictures of the staff smiling in various poses and surprise shots, added a toaster and brings in cookies or mini...

  25. New Grad RN. First job need advice encouragement !!!!

    achot chavi replied to RNgrrl09's topic in Geriatric, LTC

    Try : allnurses.com/general-nursing-discussion/night-shift-workers-228837.html allnurses.com/general-nursing-discussion/help-how-do-174148.html...