Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. Depressed self-referral to ED

    Whether or not the person has a plan is only one piece of the overall risk assessment. Risk assessment tools intended for use by ED staff are not a substitute for an evaluation by a qualified mental...
  2. Dumbest thing a doctor has done/said to you

    Next time, look into High Flow Nasal Cannula. It has some advantages over BiPap in the setting of
  3. Depressed self-referral to ED

    ^ That. Once you've said the magic words, you can't un-say
  4. Depressed self-referral to ED

    For anyone presenting with suicidal ideation, a risk assessment using a standardized scale should be performed at triage. This will help determine what appropriate suicide precautions should be...
  5. Accused by patient of stealing his percocet

    Documenting hearsay (Nurse X told me that the patient told her that I did not give the ordered Percocet) in the medical record is not appropriate. Documenting biased opinions (Patient is a frequent...
  6. Accused by patient of stealing his percocet

    I probably wouldn't do anything at this point, since it is in the past and the information is second hand. If you are assigned to care for him again in the future, I would be sure to document...
  7. Micromanagement of Nurses

    Can you give an example of what types of things you are receiving feedback about, and what "scolding" looks
  8. Hand Hygiene

    I work in an old facility, where the rooms weren't designed how they would have been had it been built more recently. The sinks are across the room from the door and have separate hot and cold...
  9. Catheterization, Proper Sterile Technique..

    Yes, the catheter itself is touching the urinary meatus. That is unavoidable. However, it is possible to avoid touching the skin with the sterile hand. Would I stop and start all over again if my...
  10. Dumbest thing a doctor has done/said to you

    So many things come to
  11. What's it like being a nurse?

    Today it's awesome. Yesterday it sucked. Ask me again
  12. Is being a CNA imperative?

    Not imperative, but it can be
  13. Micromanagement of Nurses

    Define "micromanaging". To some, any amount of supervision, even if appropriate, feels like "micromanaging". For others, a hands-off approach feels like not getting enough support. Feeling...
  14. Do you agree this was unethical?

    I think it was bald faced and flat out wrong. She lied in order to get what she wants. I don't admire people like that at all. I admire people who work hard just like everybody else, and stand out...
  15. How do you think I will fare as a CNA?

    This is an inaccurate
  16. Catheterization, Proper Sterile Technique..

    You are correct that Betadine reduces microbial burden, it does not truly sterilize the skin. Catheter associated UTIs are a huge problem, and although prolonged dwell times are the most significant...
  17. Do you agree this was unethical?

    Based on what you have posted, I think this was dishonest and
  18. Really, is this real?!?!

    Wait...what?!? I've been operating under the assumption that in a partnership, both people's needs are important. Have I been doing it
  19. When you just don't want to go to work....

    Two words: Per
  20. No injections through a tattoo?

    I've always gotten mine in the
  21. Being cross trained wthout a choice.

    No. As a tele nurse, you ought to be able to handle step-down patients. A ratio of 1:4 doesn't sound bad at all, especially if you have a CNA to assist with routine VS, I&Os, and ADLs. What is...
  22. Okay, folks, Anna Flaxis is getting into management. Lord help us all. A little about me: I want to be liked, I hate conflict, I have high expectations of myself and others, and I've been known to...
  23. Why are CNAs not held to professional standards?

    I'm curious if you can give an example of the type of behavior you're referring
  24. The Nurse on the Other Side

    True. And clearly, your skill set does not include a high degree of insight into human behavior. The reponse you have received here was predictable. You should have seen it coming a mile away. Or...
  25. How do YOU handle these situations?

    I would follow the nursing process and recheck a full set of VS personally, do a head to toe assessment, and depending on my observations, I would A) Try nursing interventions such as pulmonary...