Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. Seriously? If I had a dollar for every time I heard this and got it on the first stick, I'd be retired.
  2. Huh? I have no idea what you are asking.
  3. Legal elderly abuse

    Hi Steve123, At face value, this is a very disturbing story. Some questions I have are: Are you certain this patient has no indications for Vanco? Are you certain that the physician was being "honest" vs. making a sarcastic, jaded comment? If the s...
  4. Forcibly removing piercings in psych patients

    Again, what harm does swallowing a nipple ring do? Sure, there is potential for harm, but most of the time, they pass without incident.
  5. Forcibly removing piercings in psych patients

    What harm have you seen swallowed nipple or navel rings cause? I'm trying to understand this, because it's not a button battery or a magnet. It's a small foreign body that will most likely pass with no adverse sequelae. Am I missing something? I'...
  6. Totally normal! If trial by fire works for you, you'll do well. Give it six months to a year before you don't feel like a complete idiot, cry your whole drive home, and lie awake at night re-living all of the things you did wrong. You'll do great!
  7. Verbal order-Denied by resident

    Sounds like a real cluster, and you were thrown under the bus. I'm glad the attending apologized.
  8. ESI question

    I would have made this patient a 2, but not because of the reason cited by your supervisor. Your supervisor is playing a dangerous game making triage decisions based on how often the patient presents. The reason I would have made this patient a 2 i...
  9. Forcibly removing piercings in psych patients

    I think it's appropriate to have patients expressing SI/HI dress down and to remove personal belongings from the room. This can include removing jewelry if the jewelry is of a nature where it could be used to cause harm to self or others. However, ...
  10. Ethical issue?

    What??? Why not? It is completely within your scope of practice as a professional R.N. to provide this information. Granted, I might advise taking the family members aside and gathering more information about why they feel the need to deceive their l...
  11. Action plan

    I think it really depends on the way this is implemented. I see nothing wrong with an action plan, per se. If the director is participating in a supportive manner to assist the employee in coming up with an action plan, assisting with the formattin...
  12. New Grad feeling like I can't do anything right!

    Words of wisdom: It's normal to feel like a complete incompetent idiot as a new grad. Take your co-workers' "ambushings" as opportunities for improvement. Pick yourself up, dust yourself off, and come back and do it again the next day.
  13. New grad RN in Northern CA

    Well, then there ya go. I would suggest applying to an agency, but I have really strong feelings about new grads taking agency work, so I won't. Good luck to you!
  14. Refusing to change/toilet pts

    Hi, I've been on both ends of this. More than once when I was a CNA did the RN say within my earshot that "The CNA will do that" when they were in the freakin' room. More than once have I changed the soiled bed of a dependent patient *by myself*. D...
  15. Like job, hate city

    If you've given it a chance for six months but still hate it, you're never gonna love it. Just my opinion. Start looking for work elsewhere.
  16. Socially needy coworkers

    "I get the feeling that she is socially starved." Ya think? Maybe find a way to compliment her once in a while. Find something about her that you appreciate and tell her so. Humor her kitty pics, but hold her accountable for unprofessional behavior...
  17. New grad RN in Northern CA

    I don't know about anyone else, but I don't consider that Northern California. That's the Bay Area, as far as I'm concerned. The previous poster was correct in this being an employer's market and not being licensed yet. What caused you to move to ...
  18. nurses not using stethoscopes

    Admittedly, I have skipped all of the replies. You do you. One of the first things I ever learned as a new RN was to do an assessment you can take to the bank. Now that I'm not so new, I feel a bit more comfortable with shooting from the hip. But...
  19. Appendicitis? Really???

    Young person, early 20s, classic presentation of periumbilical pain, onset 3 days ago, localizing to RLQ today. No fever. No white count. ESR not ordered. Abdominal CT with triple contrast negative. Pt. appears nontoxic. Doctor admits for appendi...
  20. Female catheterization with possible retained tampon

    What did the OB-GYN have to say about this?
  21. Desperately need advice!

    Gero-psych certainly wouldn't hurt anything. We see a ton of that in the ED, so having some experience with it wouldn't be a bad thing at all. But to be honest, if your passion is ED, then go for ED-with one caveat... if you don't expect much more ...
  22. Pushing metoprolol IV w/o tele..?

    Depends on the clinical picture. Is this a new medication for the patient, or have they been taking it for a while? If it's new, I agree that it would be safest to have them on the monitor for at least the first few doses. If they've been on meto...
  23. Alert and oriented but drowsy

    What are your thoughts?
  24. impaction treatment

    The doctors do it where I work.
  25. Called a code for a seizing patient

    Of course, just as I think that when citing evidence to make a point, one should verify that such evidence is reliable. :-)