Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. Doc calls nurse coworkers monkeys...

    Anna Flaxis replied to Cola89's topic in Patient, Colleague Relations

    So you haven't actually heard this doc referring to nurses as monkeys? The PA school comment certainly sounds inappropriate, but if you weren't involved in the conversation, I say MYOB. How I would...

  2. Transfers who go POV

    Anna Flaxis replied to Lunah's topic in Emergency

    We do this quite often, as we are a small hospital and specialties are frequently unavailable. How we handle it depends. For instance, if it's an interfacility transport, we handle it like an EMTALA...

  3. ED improvement committee

    Anna Flaxis replied to Lev's topic in Emergency

    I helped start our unit practice council. Processes, since they relate to nursing practice, are very much within the scope of a unit based council. Is there a specific process you'd like to start...

  4. Irrational patients

    Anna Flaxis replied to Smilie0809RN's topic in Patient, Colleague Relations

    ^^ Ugh, Ambien comes to

  5. Irrational patients

    Anna Flaxis replied to Smilie0809RN's topic in Patient, Colleague Relations

    I am rarely caught by surprise when an otherwise sweet LOL suddenly turns into a raving lunatic. I actually kind of expect it. Some potential causes are UTI, constipation, hypoglycemia, sundowners...

  6. i love nurse

    Anna Flaxis replied to vicy's topic in General Nursing

    Selemat datang allnurses!

  7. Micromanaging

    Anna Flaxis replied to MMC.RN's topic in Patient, Colleague Relations

    I'm going to preface my comments with the disclaimer that you may not like what I have to say-but I'm going to be candid and share my impression of what I see here. There are no absolute...

  8. Nurse and MD relationships in the ED

    Anna Flaxis replied to amzyRN's topic in Emergency

    My experience is that physicians, no matter what specialty, are just like everyone else and put their pants on one leg at a time just like everyone else. You will have physicians in the ED that you...

  9. Unprofessional charting

    Anna Flaxis replied to Nurse131382's topic in Nursing Professionalism

    Agree with above ^^^ Also, I'd like to add that complaints about food or other things speak to the patient's mood, which is a part of a behavioral health assessment. If behavioral health is called in...

  10. Unprofessional charting

    Anna Flaxis replied to Nurse131382's topic in Nursing Professionalism

    I can't answer "yes" or "no" in your poll, because I don't think this is a black or white issue. If your institution has an hourly rounding policy, and documentation requirements include an...

  11. Work declining vacation request?

    Anna Flaxis replied to bunnynurse's topic in General Nursing

    Put in your vacation request and don't pay for your vacation until your time off is

  12. Patient privacy and pelvic exams

    Anna Flaxis replied to cphillipslpn's topic in General Nursing

    I work in the ER. I do the pelvic set-up, which means I set up all the necessary equipment, i.e. speculum, lube, specimen swabs, get the stirrups ready, have the patient remove underwear, etc. Once...

  13. My thoughts. Literally. Catheter. Psych Pt. ED

    Anna Flaxis replied to Ronda89's topic in Emergency

    Agreed. I agree with some of the ideals expressed, but ideals are often not congruent with reality, as is the case here. I would love it if we treated mental health crises differently, but we

  14. My thoughts. Literally. Catheter. Psych Pt. ED

    Anna Flaxis replied to Ronda89's topic in Emergency

    I agree with the bolded sentiment above. But please keep in mind, that it is not the role of the ER RN to determine this. The role of the ER RN is to provide for patient safety while they are under...

  15. RN's in my ED are having a problem with a tech, need advice

    Anna Flaxis replied to LyndsaySRN's topic in Emergency

    Go up the chain of command. Include your direct supervisor in the conversation. Have you considered using the incident reporting system to document instances of unsafe, delayed, or omitted care as a...

  16. Patient drives off after anesthesia

    Anna Flaxis replied to sungrl01's topic in General Nursing

    I would have called the police and filed an incident

  17. My thoughts. Literally. Catheter. Psych Pt. ED

    Anna Flaxis replied to Ronda89's topic in Emergency

    Okay. The process is that when the person presents to triage with a chief complaint of suicidal ideation, a risk assessment based on current evidence/best practice is performed by the triage nurse,...

  18. My thoughts. Literally. Catheter. Psych Pt. ED

    Anna Flaxis replied to Ronda89's topic in Emergency

    Let me be clear. I am not defending the OP's description of events. I think the OP's description of events is creepy. What I find disturbing isn't that the patient was gowned or placed in a safe...

  19. My thoughts. Literally. Catheter. Psych Pt. ED

    Anna Flaxis replied to Ronda89's topic in Emergency

    Agreed.

  20. My thoughts. Literally. Catheter. Psych Pt. ED

    Anna Flaxis replied to Ronda89's topic in Emergency

    Yes. This discussion is specific to the Emergency Department setting, an area in which you lack a basic understanding of the unique challenges of providing safe, competent psychiatric

  21. Role in level 1 trauma

    Anna Flaxis replied to russianbear's topic in Emergency

    Why only Level 1 Trauma Centers? Any ER can receive a trauma patient. Trauma designation only refers to what resources are available at the facility, but traumas can (and do) go to any ER,...

  22. My thoughts. Literally. Catheter. Psych Pt. ED

    Anna Flaxis replied to Ronda89's topic in Emergency

    I read it. It says: Again, it's not clear that an indwelling catheter has been placed. Time has been compressed by the narrative. We only have a sequence of events. The sequence of events...

  23. My thoughts. Literally. Catheter. Psych Pt. ED

    Anna Flaxis replied to Ronda89's topic in Emergency

    What is your experience working in the ER? With suicidal patients? Just

  24. My thoughts. Literally. Catheter. Psych Pt. ED

    Anna Flaxis replied to Ronda89's topic in Emergency

    So called "Suicide Contracts" should not be relied upon, as they are not evidence based. In fact, evidence points to the opposite- that they are unreliable and result in bad

  25. My thoughts. Literally. Catheter. Psych Pt. ED

    Anna Flaxis replied to Ronda89's topic in Emergency

    A person who is determined to harm his or herself can change their plans according to the circumstances. Pills, weapons, or sharp objects can be hidden in clothing. The goal of the initial encounter...