Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. Scary co-worker. What to do?

    Anna Flaxis replied to blondenurse12's topic in Nurse Practitioners, NP

    If you work for a large company, you probably have a corporate compliance

  2. Depressed self-referral to ED

    Anna Flaxis replied to jana82's topic in General Nursing

    ^^^ And this is why the ED RN is NOT the QMHP that makes the call. This is why we have standardized screening tools to assist us in determining the level of precautions to take. This is why the RN...

  3. Scary co-worker. What to do?

    Anna Flaxis replied to blondenurse12's topic in Nurse Practitioners, NP

    Do you have a corporate compliance

  4. Depressed self-referral to ED

    Anna Flaxis replied to jana82's topic in General Nursing

    I went back over the discussion, and what it appears is that we're talking about different things. Not once I did I advocate that the restraint described in the OP were okay- in fact, I've...

  5. Accused by patient of stealing his percocet

    Anna Flaxis replied to Nursebb1942's topic in General Nursing

    Documenting observable behavior in the moment is charting on behavior. Documenting hearsay after the fact is not. The OP did not witness the behavior in question, but was told about it later by...

  6. Depressed self-referral to ED

    Anna Flaxis replied to jana82's topic in General Nursing

    Again, I'm struggling to see the disconnect here. If the physician has determined that the patient presents a danger to themselves and requests a mental status exam by a QMHP, they certainly *can*...

  7. Depressed self-referral to ED

    Anna Flaxis replied to jana82's topic in General Nursing

    Yup, that's where the "per physician's discretion" part comes in.... what am I

  8. Depressed self-referral to ED

    Anna Flaxis replied to jana82's topic in General Nursing

    Well, that may be, but I've read the statutes from my state, and we are allowed to keep a person from leaving pending evaluation by a QMHP per physician's

  9. Depressed self-referral to ED

    Anna Flaxis replied to jana82's topic in General Nursing

    ^ Again, this varies from state to state, which is why it is important to be familiar with your state's statutes. I always make sure to emphasize that anything I do is for the patient's safety, and...

  10. Depressed self-referral to ED

    Anna Flaxis replied to jana82's topic in General Nursing

    Just want to add, it's not hard to be lethal at all. I take every claim of SI seriously because I do not want to be that nurse that receives that phone call that that patient who jumped off a...

  11. Depressed self-referral to ED

    Anna Flaxis replied to jana82's topic in General Nursing

    Sigh. Okay, so here's the thing. Someone who comes to my ED telling me that they're considering self harm is going to at the very least be asked to dress down into a gown. That means removing socks...

  12. hypokalemia causes hypoglycemia? or other way around?

    Anna Flaxis replied to seks's topic in General Nursing

    You know, I was surprised not too long ago when that wasn't done in the field for a hypoglycemic patient that came to the ER. But then, when I did a little research, I learned a lot. Pushing an amp of...

  13. hypokalemia causes hypoglycemia? or other way around?

    Anna Flaxis replied to seks's topic in General Nursing

    Lots of things can cause hypoglycemia, and lots of things can cause hypokalemia. Treatment is aimed at correcting the cause. We can temporarily give dextrose for the hypoglycemia, and temporarily...

  14. Depressed self-referral to ED

    Anna Flaxis replied to jana82's topic in General Nursing

    So, OP, was the patient naked or

  15. Depressed self-referral to ED

    Anna Flaxis replied to jana82's topic in General Nursing

    Invitale said: I'm going to be lazy here and quote LadyFree28, because she summed it up well: Also, laws vary from state to state. It's important to have an understanding of the laws of the state...

  16. Does everybody want to be a NP?

    Anna Flaxis replied to Cola89's topic in General Nursing

    No....

  17. Depressed self-referral to ED

    Anna Flaxis replied to jana82's topic in General Nursing

    I think it's a bit unfair to take AZQuik's comment so far out of

  18. Depressed self-referral to ED

    Anna Flaxis replied to jana82's topic in General Nursing

    This story does not add up. Something is really fishy

  19. Is being a CNA imperative?

    Anna Flaxis replied to chloeluvsutoo's topic in General Nursing

    I work in a small hospital, and our techs can start the triage process if the nurse is tied up with another task. The RN must complete the triage, however, by assigning a chief complaint and ESI...

  20. Dumbest thing a doctor has done/said to you

    Anna Flaxis replied to WorriedNurse25's topic in Patient, Colleague Relations

    This is a nice article on that topic:

  21. Depressed self-referral to ED

    Anna Flaxis replied to jana82's topic in General Nursing

    Viva, I am sorry for what you went through, but I am glad you felt that you were treated with dignity during your experience. When I ask a patient to dress down, I always explain that it is for their...

  22. Depressed self-referral to ED

    Anna Flaxis replied to jana82's topic in General Nursing

    Am I understanding that you felt more unsettled about the patient being asked to dress down than you did about her being

  23. Depressed self-referral to ED

    Anna Flaxis replied to jana82's topic in General Nursing

    I'm having a hard time understanding what exactly you strongly disagree

  24. Glucose Competency: testing your own blood sugar?

    Anna Flaxis replied to kaylee.'s topic in General Nursing

    I can poke people with needles all day, but I have zero desire to be the pokee. I would hate

  25. Dumbest thing a doctor has done/said to you

    Anna Flaxis replied to WorriedNurse25's topic in Patient, Colleague Relations

    ^ CPAP and BiPap have a really good track record of heading off intubation, and are often worth a