Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. Help Me Love My Job again in the ER/ED!

    I think there are many layers to this. I can't pinpoint one particular thing that I think is contributing to your distress. Your home life. This impacts every other area of your life, and it sounds...
  2. Hard Time Dealing With Patient Rights

    Apples and oranges. In the OP's example, a competent adult patient refused to allow her lungs to be auscultated by a nursing student, and the nursing student proceeded anyway. In your example, an...
  3. Hard Time Dealing With Patient Rights

    Okay. Well, it is a fact that a competent patient has a right to refuse nursing care, and that if you proceed against the patient's wishes, it is
  4. Hard Time Dealing With Patient Rights

    In the first scenario, the patient shook her head "no" and continued to shake her head "no" and the student touched her anyway. Are you saying this is
  5. Hard Time Dealing With Patient Rights

    If the patient is capable of making their own decisions, then you must honor their refusal of nursing care. To disregard their refusal of such care and do it anyway is unlawful and unethical. If a...
  6. Hard Time Dealing With Patient Rights

    In neither example was this a concern, especially considering that the OP is a student and patients have a right to refuse care by students. I stand by my
  7. Hard Time Dealing With Patient Rights

    The patient has the right to say no, and you should honor
  8. Triage Practices

    You can't assign an ESI level without a set of vitals. This triage practice sounds very unsafe to me. I would think long and hard about working
  9. Open up....Spoonfed report

    What would happen if you just stopped accommodating her and gave a concise
  10. Have you ever puked/fainted/etc at work?

    Nope.
  11. Drug Seekers

    I think you took my comment much more seriously than I meant it. I'm sorry if my use of the word "Duh" rubbed you the wrong way, but it is what came to mind at the time. I do not hold myself to the...
  12. Drug Seekers

    Oh, good, I'm glad you found my comment "telling". It was meant to be. I tire of being reminded of basic concepts that every ER nurse already knows, as if the idea of referring these patients to...
  13. Drug Seekers

    And, I wanted to add but couldn't edit my post because too much time has passed, this is a big "Duh". Any ED nurse is totally aware of how we "should" handle patients with substance abuse problems....
  14. Drug Seekers

    These services aren't readily available. Inpatient rehab can have long waiting lists and be unaffordable. Outpatient services can be few and far between. Plus you can't force anyone to use them....
  15. Drug Seekers

    As I stated in my post, I do understand why people mis-use the ED, and as I also stated, I might find myself doing the same were I in their circumstances. Also as I stated, I see no reason to be rude...
  16. Drug Seekers

    I'm sorry that your mother has Lupus, but the ED does not typically diagnose Lupus for a number of reasons. In most cases, the ED physician is "ruling out" immediate life threats. This is not the...
  17. Drug Seekers

    The flaw in this logic is that the *purpose* of the L&D unit is to deliver babies. The *purpose* of a pediatrics unit is to care for sick kids. The *purpose* of home health is to care for people...
  18. Walked in on a pt rolling a joint

    I never said I don't swear. In fact, just the other day at work I was reminiscing with a coworker about the first time I ever dropped the F Bomb in front of a little old lady. But that is neither...
  19. How is ER charting different than floor?

    No, we have that in the ER
  20. Walked in on a pt rolling a joint

    Well of course I "know what you mean", but actually, I really dislike it when other nurses give me their judgments of a patient's character in report. I don't really need to know if the other nurse...
  21. Full Moon Friday the 13th

    You did not just say
  22. Walked in on a pt rolling a joint

    Is whether he enjoys his medications "a little too much" really germane to the discussion? Not a bit. It is, in fact, a judgment, and not an objective finding, and so, OP, you are being called out...
  23. Walked in on a pt rolling a joint

    I didn't find your original post judgmental in general, and I think you handled it just fine. However, the "a little too much" comment did stand out to me, and I could not help but infer at least a...
  24. Walked in on a pt rolling a joint

    If I were dying, I'd want to get
  25. Walked in on a pt rolling a joint

    The guy is dying. What do I care if he likes to smoke a little pot? Of course, I would explain that smoking is prohibited indoors. Other than that, I'd turn the other