Anna Flaxis's Activity: Liked

By Anna Flaxis

Joined Oct 15, '10. Posts: 2,207 (64% Liked) Likes: 5,752

Topics and comments that Anna Flaxis found helpful or appreciated. (Note: Only topics/comments submitted in the past 12 months will be displayed. Max. 50)

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  1. When I start with "what is your emergency this morning" and the reply begins something like "oh, it's not really an...
    Anna Flaxis
    Forum: Emergency Nursing
  2. Drive me up the wall as well. My 13 y/o has it and the only thing that drives me up the wall more is the incompetency of the...
    Anna Flaxis
    Forum: Emergency Nursing
  3. You need do perform a complete assessment your PICC line or any CVC the patient may have.Part of that assessment is to...
    Anna Flaxis
    Forum: General Nursing Discussion
  4. CVP? Hell, I'm happy if the bedside tele works.
    Anna Flaxis
    Forum: Emergency Nursing
  5. Sounds like my ER sepsis bundle. I'm in a huge level 1 trauma ER and very very rarely do we use CVP monitors.
    Anna Flaxis
    Forum: Emergency Nursing
  6. Our bundle includes 2 IV's, blood, paired blood cultures and a lactate. Fluid resuscitation is 30ml/kg. Maintain MAP >60. If...
    Anna Flaxis
    Forum: Emergency Nursing
  7. Unfortunately the antibiotic won't cover the resistance to abx caused by overuse. And it won't cover the crazy mutated...
    Anna Flaxis
    Forum: Emergency Nursing
  8. Agree with MunoRN's post above: treatment is not necessarily a linear path from BP ---> fluid ---> pressors. Good info...
    Anna Flaxis
    Forum: Emergency Nursing
  9. Ideally whether or not to start is pressors is based on CVP and BP, so a central line is required not just for pressors but...
    Anna Flaxis
    Forum: Emergency Nursing
  10. Yes ......if is is compatible with NS it is compatible with 1/2 NS. NS has 154 meq/L sodium and 154 mEq/L of chloride and...
    Anna Flaxis
    Forum: Nursing and Patient Medications
  11. I think it's great that the hospitalist came to get the labs herself! The plight of the foor nurse is often that an access...
    Anna Flaxis
    Forum: Nurse Colleague / Patient Relations
  12. I completely understand what you are saying here, but it doesn't have to be an either/or proposition. What the...
    Anna Flaxis
    Forum: Nursing Student Assistance
  13. There was a pt in med/surg who was confused, had a very distended belly, felt awfully bloated (ended up as a complete SBO)...
    Anna Flaxis
    Forum: Emergency Nursing
  14. But the presence of crackles is strongly correlated with poor outcomes. If the nurse called me win report in this patient...
    Anna Flaxis
    Forum: Cardiac Nursing
  15. To those talking about communication between nurse and student about what they can and cannot do, I had some great nurses...
    Anna Flaxis
    Forum: Nursing Student Assistance
  16. We must be reading different posts, because I saw no "high pressure tactics" - just an accurate picture painted of the...
    Anna Flaxis
    Forum: Nursing Student Assistance
  17. I feel like I'm posting in an alternate reality. I've been here for more than a decade, and I haven't noticed that the place...
    Anna Flaxis
    Forum: Nurse Colleague / Patient Relations
  18. I totally agree with Emergent. I don't think anyone was out of line in that thread. And I think that some people were...
    Anna Flaxis
    Forum: General Nursing Discussion
  19. I just read the thread that seems to have affected Singing in my Heart so deeply. I think he overreacted. Someone took...
    Anna Flaxis
    Forum: General Nursing Discussion
  20. The so-called "never" list is simply a short list of procedures that a school does not want their students performing. For...
    Anna Flaxis
    Forum: Nursing Student Assistance
  21. You may hear incidental disclosures. You may ask only what you need to do to do your job. You may not discuss it outside...
    Anna Flaxis
    Forum: HIPAA and Nursing Challenges
  22. I'm getting verklempt. Talk amongst yourselves. Mikey31079's nursing assistant is neither nursing nor an...
    Anna Flaxis
    Forum: Nurse Colleague / Patient Relations
  23. We try to avoid using the word "appears" but rather chart exactly what we see. We also don't chart "sleeping, or asleep,...
    Anna Flaxis
    Forum: General Nursing Discussion
  24. Bye ♪♫ in my ♥ -I've enjoyed your participation around here, too. Hope you return but if not best wishes to you!
    Anna Flaxis
    Forum: Nurse Colleague / Patient Relations
  25. My daughter was diagnosed with CVS at the age of 8 but she'd had symptoms since she was 2. It started on "vacation" at my...
    Anna Flaxis
    Forum: Emergency Nursing
  26. Good advise, Stargazer. Yes, I recently spent hours with one of our 'persons who vomit'. Her personality just annoys me,...
    Anna Flaxis
    Forum: Emergency Nursing
  27. Automatic BP cuffs can become inaccurate when there's an irregular rhythm or when there's some beat-to-beat variability...
    Anna Flaxis
    Forum: Cardiac Nursing
  28. Sorry to go off topic but this an important distinction. It's not actually "practicing medicine w/o a license" for a nurse...
    Anna Flaxis
    Forum: Cardiac Nursing
  29. Throwing a clot and developing CHF. CHF can develop insidiously.. until BAM... fulminating pulmonary edema.
    Anna Flaxis
    Forum: Cardiac Nursing
  30. I think over time we all end up with those primary examples we immediately recall with perfect clarity for the major ER...
    Anna Flaxis
    Forum: Emergency Nursing
  31. Perhaps my most disturbing code was also my first as the only nurse in the room at a tiny, critical access hospital. The...
    Anna Flaxis
    Forum: Emergency Nursing
  32. I'll forgo the public self-incrimination but I lost my cool today :={ Totally understandable but not OK... This job...
    Anna Flaxis
    Forum: Emergency Nursing
  33. Critical thinking skills is what is needed here. The patient presented with... incontinence, that is not a diagnosis.. it...
    Anna Flaxis
    Forum: Cardiac Nursing
  34. I haven't taken an admission for quite a long time. Not since we switched our EMR software for sure. BUT... as I'm quite...
    Anna Flaxis
    Forum: General Nursing Discussion
  35. Soooo time consuming, and it's such a guessing game. "Did you take your tacrolimus this morning? The Prograf? The one to...
    Anna Flaxis
    Forum: General Nursing Discussion
  36. I'm sorry for your loss, I've been there too. As a palliative/hospice nurse in LTC I have seen plenty of loss at both ends...
    Anna Flaxis
    Forum: Nurse Colleague / Patient Relations
  37. Also, sometimes medics will bring the pt in and report a syncopal episode. When talking to the patient, he/she will say "no...
    Anna Flaxis
    Forum: Cardiac Nursing
  38. We are required to get vitals which invariably leads to a potty patrol, while the CNA's wait for a call light. It is...
    Anna Flaxis
    Forum: Nurse Colleague / Patient Relations
  39. To notdone yet, Nip this in the bud by giving the CNA clear expectations. These pts will need you to help them to the...
    Anna Flaxis
    Forum: Nurse Colleague / Patient Relations
  40. I don't have any answers for you, but I feel your pain. I actually got into trouble with my manager once because the CNAs...
    Anna Flaxis
    Forum: Nurse Colleague / Patient Relations
  41. Argh. I had a shift from HELL yesterday and it has left me in quite a funk. I am on a PCCU floor and the patients are...
    Anna Flaxis
    Forum: Nurse Colleague / Patient Relations
  42. What amazes me is when grown adults come in that didn't take anything for fever or pain. I had one lady tell me she...
    Anna Flaxis
    Forum: Emergency Nursing
  43. Are you an NP, who is being told by supervising physicians to order opioid analgesics? I just wanted to clearly...
    Anna Flaxis
    Forum: Nurse Practitioners (NP)
  44. This is where a CVP can be useful. It's possible for a patient to have excessive fluid outside of their vascular space,...
    Anna Flaxis
    Forum: Emergency Nursing
  45. It's pretty rare that I place 22g in adults but on occasion I do and generally, I'm able to pull labs off of them for the...
    Anna Flaxis
    Forum: Emergency Nursing
  46. Don't even get me started on how different CT techs will accept different IV gauges/placements for CTAs.
    Anna Flaxis
    Forum: Emergency Nursing
  47. I have drawn acceptable/non-hemolyzed specimens from adults using 22g or even 24g IV catheters in the thumb/knuckle/inner...
    Anna Flaxis
    Forum: Emergency Nursing
  48. I disagree. All (neonatal, pediatric, adult) of our transport nurses can intubate and do crics. To maintain their skills...
    Anna Flaxis
    Forum: Emergency Nursing
  49. We don't have computer charting. I just tell the patient's story, as I remember it, and whip through the chart as I talk to...
    Anna Flaxis
    Forum: Emergency Nursing
  50. ESI is a well-validated tool to indicate both patient acuity and the amount of "resources" that are likely to be required to...
    Anna Flaxis
    Forum: Emergency Nursing


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