Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

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

    Anna Flaxis replied to Ronda89's topic in Emergency

    Where does anyone say it was an indwelling catheter? I had assumed this was an in-and-out cath from the beginning. What did I

  2. No pain meds in ER??

    Anna Flaxis replied to ShaneTeam's topic in Emergency

    Yes, they absolutely do, and whether their pain was adequately controlled is one of the survey

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

    Anna Flaxis replied to Ronda89's topic in Emergency

    Because the patient couldn't provide a urine specimen. A urine specimen is required by the inpatient psych facility, to rule out drug intoxication. The inpatient unit will not take the patient until...

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

    Anna Flaxis replied to Ronda89's topic in Emergency

    Secure Transport taking the patient from the ED to the inpatient psych unit. They will sometimes use handcuffs if they don't feel they can safely monitor the patient and drive the vehicle...

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

    Anna Flaxis replied to Ronda89's topic in Emergency

    Sorry. The original

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

    Anna Flaxis replied to Ronda89's topic in Emergency

    Wow. Projection

  7. The challenge of new leaders...delegation

    Anna Flaxis replied to klone's topic in Nurse Management

    I think it's a balance. On the one hand, you don't want to be the type of leader who won't get their hands dirty. But on the other hand, you don't want to give the message that you don't have...

  8. COPD and O2 use, am I wrong?

    Anna Flaxis replied to tsm007's topic in Medical-Surgical

    Ah, I see where the disconnect is. "Baseline", to me, refers to the overall big picture of what is happening on a regular basis - not necessarily what is happening most of the time. For instance, from...

  9. Answering Call Lights

    Anna Flaxis replied to Laurus Nobilis's topic in Medical-Surgical

    I think the idea is to create the perception in patients that their call lights are answered promptly. The flaw in this is that this doesn't necessarily mean that the patients' needs will be met...

  10. COPD and O2 use, am I wrong?

    Anna Flaxis replied to tsm007's topic in Medical-Surgical

    Did you have orders for oxygen? What did the orders say? In someone with a history of sleep apnea and mild lung disease, I would expect that he probably drops down below 88% in his sleep on a regular...

  11. No pain meds in ER??

    Anna Flaxis replied to ShaneTeam's topic in Emergency

    I think folks should read the article before commenting. They're not doing away with pain meds in the ER. They're not doing away with opiates in the ER. What they are doing is using a more targeted...

  12. Triage question

    Anna Flaxis replied to gvrn13's topic in Emergency

    This kind of behavior can be so detrimental to good teamwork and morale, but unfortunately, it happens all too frequently. In my experience, the best doctors are the ones who understand how important...

  13. 6 months in the ED -- should I "get it" by now?

    Anna Flaxis replied to dee789's topic in Emergency

    Have you only had the one preceptor this whole

  14. About to quit med-surg

    Anna Flaxis replied to Newbie_1's topic in Medical-Surgical

    Sometimes when you post questions, different people will see different angles. That doesn't make them an a-hole. To try to answer your questions, yes I think leaving a job after only 3 months will...

  15. What happened to the "Emergency" in "Emergency Room?"

    Anna Flaxis replied to Emergency.RN's topic in Emergency

    In our neck of the woods, a lot of PCP's offices don't even triage the person over the phone - they immediately refer them to our ED regardless of what is going on. Call your PCP for a stubbed toe?...

  16. What happened to the "Emergency" in "Emergency Room?"

    Anna Flaxis replied to Emergency.RN's topic in Emergency

    Well, pretty much as I stated, except without the part about not dragging them in off the street. That doesn't look too good on those customer satisfaction surveys. But seriously, I just politely and...

  17. Why 1/2 normal saline?

    Anna Flaxis replied to tsm007's topic in General Nursing

    No, water goes into the cell. Hyponatremic encephalopathy is due to the swelling of the brain cells with water. Serum sodium levels decrease due to dilution. Psst! You guys are way overthinking...

  18. Nurse to patient ratio

    Anna Flaxis replied to Harley's mom's topic in Emergency

    I don't think that ED nurse staffing should be based on ratios. The ED is a dynamic, ever changing environment and it's just not possible to predict what the census will be on any given day or at any...

  19. Peritoneal Dialysis in the ED?

    Anna Flaxis replied to robrn1123's topic in Emergency

    Peritoneal dialysis isn't that difficult. People do it at home all the time. In fact, many of your PD patients can probably show you how to do it. Do you happen to work in a small-ish community...

  20. Why 1/2 normal saline?

    Anna Flaxis replied to tsm007's topic in General Nursing

    0.45% NS is a maintenance fluid. Its purpose is to replace insensible fluid loss (water loss through the skin and respiratory tract). The fact that the serum sodium is normalizing indicates that the...

  21. per diem as a new grad???

    Anna Flaxis replied to Tina_kh's topic in General Nursing

    I'm less concerned about per diem status for a relatively inexperienced nurse than I am about two weeks' orientation for three different areas. At some facilities, per diem employees can work full...

  22. Disagree with hospital philosophy

    Anna Flaxis replied to kdc290's topic in General Nursing

    I'll share some thoughts. I've worked inpatient, outpatient, Emergency, and more recently, Administration. Wow, what an eye opener! Not knowing the specifics of your particular facility, I will say...

  23. Is this weird?

    Anna Flaxis replied to kistigirl84's topic in General Nursing

    I would imagine this is due to the high incidence of bacterial pneumonia as a complication of

  24. Negative Post on Facebook About New Nurses - I'm Fired Up!

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

    Basically, she has made this all about her. It wasn't her health crisis. It wasn't her hospitalization. If she truly wanted to advocate for her family member, she completely missed the boat. This...

  25. Negative Post on Facebook About New Nurses - I'm Fired Up!

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

    I'd also like to add that a post like this would be against my employer's social media policy and grounds for immediate