achot chavi

achot chavi

acute care and geriatric

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All Content by achot chavi

  1. Lets be careful how we use Med Aides

    achot chavi posted a topic in LTC: Directors, Assistant

    http://www.medscape.com/viewarticle/776075 According to this article, it is mostly in LTC where med aides are used and apparently abused by being asked to perform tasks that are beyond the scope of...

  2. Doesn't It Make You Want To Scream, part two

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

    On our Alzheimers unit we had a sweet but disturbed Holocaust survivor. I was called one evening to his room as he tried to slit his wrists on the shards of a broken mirror. As I took care of the...

  3. Is this abuse? Emotional blackmail?

    achot chavi replied to lucinda1518's topic in LTC: Directors, Assistant

    I would make sure that the residents know that she was just kidding and of course they should feel free to speak their minds at all times, they should be assured that even if they give "bad reviews"...

  4. New On Call procedure. Need ideas, suggestions

    achot chavi replied to gerRN23's topic in LTC: Directors, Assistant

    When staff work short, they must be made to feel appreciated, and compensated for the extra miles they have to go that day, Compensation need not be monetary, although some nice extra to the unit like...

  5. New On Call procedure. Need ideas, suggestions

    achot chavi replied to gerRN23's topic in LTC: Directors, Assistant

    Strategies I have seen work: 1) On every unit have a nurse who really wants work full time but tell her you can only give 75% hours for now and will build up but you will consider her for every call...

  6. New On Call procedure. Need ideas, suggestions

    achot chavi replied to gerRN23's topic in LTC: Directors, Assistant

    Inkydorei, et al, with all due respect, what profession did you sign up for?, Guess what- we are not working in a clothing store, a museum or NASA, in our business the show must go on, 24/7 NO MATTER...

  7. Med Pass

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

    I dunno, We had a pharmacy that filled a month worth of pills on cards- a different card for each medication so that if the pt had 10 dif meds, they sent 10 cards for the month etc. How many times...

  8. ADON interview help

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

    Not knowing the DON and what she is looking for that is hard. I can only tell you that an ADON plays an important part in implementing and assisting the DON in her duties and responsibilities. You...

  9. New nurse in ADON position. Advice needed.

    achot chavi replied to gerRN23's topic in LTC: Directors, Assistant

    CCM I can agree with you, but know that logistics play a certain amount in the structure of each facility. I think it is a miserable idea to send the ADON to eat in her car. When you make managerial...

  10. New nurse in ADON position. Advice needed.

    achot chavi replied to gerRN23's topic in LTC: Directors, Assistant

    Personally I think it was poor judgement on the DON to make you ADON, but I have to believe that she had her reasons. You got some good advice on previous posts, criticize in private etc. As ADON...

  11. Coworker nurse trying to ruin my reputation...

    achot chavi replied to HM7380's topic in Patient, Colleague Relations

    How do you know the rumors you are hearing are even true? How do you know she went to the DON? If multiple sources are telling you this, and there is strong evidence of " where there is smoke, there...

  12. Some days I just wanna bang my head against a wall

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

    I blame Dr House!! I've been told that when kidney and liver failure kick in that is when the miracle cure is found

  13. What NOT to say during an interview

    achot chavi replied to Teacher Sue's topic in Job Search, Interview, Resume

    Well I am glad you did not hire her, not because she insulted you, your skin is thicker than that and your ego more secure. But because if she lacks tact on a job interview can you imagine the crazy...

  14. Lost It At Work: Sent Home for a Four Day Weekend to Gather My Thoughts (rant, vent)

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

    You sound so much better, I am glad that you put your time to good use. Your success reflects on all of us!! We are all behind you. Somewhere out there, Florence Nightingale is clapping her

  15. Lost It At Work: Sent Home for a Four Day Weekend to Gather My Thoughts (rant, vent)

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

    You need to set a management policy for correcting professional behavior. For example, in our facility, if something was not done or done not according to policy or good nursing practice, first they...

  16. Patient asking for something at the wrong time...

    achot chavi replied to Joe V's topic in Nurses Rock

    Unfortunately there are narcissistic folks out there. In our nursing home, where a patient could be ours for over 30 years (yes, I am not exaggerating!) we have had the above scene acted out (more...

  17. Preparing food on the nursing unit

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

    CCM, I know that the recipe is from the dietitian, I probably wasnt clear, the cook who prepared our shakes was not following the recipe and skimped on the protein ingredients (which are more...

  18. Preparing food on the nursing unit

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

    CCM, you will have to prove that your shakes are effective by monitoring protein levels, weight, iron levels etc. I am sure you do it anyway. As you already have a recipe from your dietitian I would...

  19. MDS nurse from home

    achot chavi posted a topic in MDS Coordinator Information

    Question: can you do the MDS work from home by computer? If the facility is computerized and the nurse has access from the house, and you get the info you need from the chart can you do the MDS work...

  20. Resident Rights

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

    Hi, this is a sticky problem. I would call in the patient and family to find out why they dont want so and so and why they do want so and so. If there is a legitimate reason that has to be addressed...

  21. Deleting nurses notes

    achot chavi replied to Rugford5LPN's topic in Geriatric, LTC

    Wrong on so many levels, as previously mentioned, there should still be a record of it even if they deleted it. If you don't want to start a job search, I would ask for a meeting and politely ask...

  22. Need a Cranial Deimpaction of the Writing Kind!

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

    How about something cheerful like the positive affects the holidays have on people and how this influences their health. Unless you want to go the opposite direction and discuss the increase suicide...

  23. It shouldn't have happened this way....

    achot chavi replied to nerdtonurse?'s topic in Hospice, Palliative

    I am so sorry - there arent words for this, All I can do is take your story and bring it to my staff as a lesson for us all. I have long since learned that what goes on by you , goes on (or could)...

  24. new to management..Need help

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

    check the history of Allnurses, there are other posts on this (you can even google it) Good luck in your new position!! I have found this to be a great resource and support

  25. Don't You Just Want To Scream?

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

    So what do you do or say to these nurses who make these blatant (and dangerous) errors? How do we put the fear back into their practice? Do you make one into a scapegoat? Do you report