Latest Likes For Anna Flaxis

Latest Likes For Anna Flaxis

Anna Flaxis, ASN 23,242 Views

Joined Oct 15, '10. Posts: 2,858 (67% Liked) Likes: 8,576

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  • Sep 25

    A headache certainly can be an emergency, although I do agree that most of the time, it is not. But this is what the triage process is for - to use the tools at our disposal to determine whether we suspect an emergency condition exists and get that patient in front of a doctor sooner, or if it is less likely that an emergency condition exists and the patient can wait.

    I went to the ER last night & was diagnosed with an ear infection. Are you telling me that I should've waited until Monday to see my PCP? I think we both know that, that's a bad idea.
    Yes, assuming that you are not immune suppressed, you could have waited until Monday to see your PCP. Treating uncomplicated ear infections with antibiotics right away is no longer the standard of care, and a wait and see approach is reasonable. If, after 48 hours, there is no improvement or there is a worsening of symptoms, it would be reasonable to call your family doctor.

    Migraine sufferers need help right away. It's not a life threatening emergency, but their suffering is profound.
    As a person who suffers migraines and as an ED nurse, my opinion is that a person with chronic migraines should be under the care of a primary doctor who can prescribe medication for their condition, and they should try this before seeking further treatment. An Urgent Care clinic is capable of providing effective treatment for a migraine headache. While it's understandable that there may be issues with insurance or hours of operation that drive people who have migraine headaches to the ED, the ED should be the last resort. Unfortunately, many use it as a first resort, before they've explored other reasonable alternatives. I think, for some of us, that is where the frustration lies. It's like the person who has a PCP, who vomits one time and comes to the ED without even calling their doctor's office - calling your PCP and trying simple home care measures for the first 24-48 hours is appropriate for most simple and non-life threatening illnesses.

  • Sep 21

    Quote from feelix
    This should be an incident report. Don't let doc get away with it. He is supposed to know more than you do.
    He does know more than you do, and I&D is not a sterile procedure.

  • Sep 20

    I don't understand. If they're not on a hold, they have the right to leave.

  • Sep 19

    Quote from feelix
    This should be an incident report. Don't let doc get away with it. He is supposed to know more than you do.
    He does know more than you do, and I&D is not a sterile procedure.

  • Sep 19

    Quote from Been there,done that
    Per NIH "no compelling evidence for routine cultures or empiric treatment with antibiotics. Further research is required." This is my kid we are talking about. Use sterile procedure, culture that green and yellow stuff, determine if and what antibiotics are necessary. I would expect the same for my patients.
    Everybody is somebody's kid. Doesn't change anything.

  • Sep 18

    Quote from canoehead
    Is it bigger than a bread box?
    I love that! Gonna have to remember that one...

  • Sep 16

    I don't understand. If they're not on a hold, they have the right to leave.

  • Sep 7

    Quote from Been there,done that
    Per NIH "no compelling evidence for routine cultures or empiric treatment with antibiotics. Further research is required." This is my kid we are talking about. Use sterile procedure, culture that green and yellow stuff, determine if and what antibiotics are necessary. I would expect the same for my patients.
    Everybody is somebody's kid. Doesn't change anything.

  • Sep 5

    Hmmmm, I don't know....maybe a complete overhaul of the health care system?

  • Sep 5

    I fantasized about quitting almost every single day during my first year. I'd look at those elevators and daydream about getting on and not coming back. For me, nursing school was fun. It was all about learning things that really interest me, and during clinicals, I didn't feel the full weight of being solely responsible for the patients. I could take time with patients and get to know them a little better. Once I hit the floor as a NURSE, not a nursing student, the experience changed completely. It was a complete culture and reality shock, going from the safe little bubble of nursing school with my instructors to hold my hand, to the real world of what nursing is really like. I remember how the anxiety would begin hours before my shift started; how the sense of impending doom would become more and more intense with each step I took from the locker room to the report room.

    Five years in, I don't think about quitting nursing altogether, but I am ready for a change of scenery. I'd like to get out of the hospital, where I feel so rushed every second of the day that I feel like I've accomplished something if I've had time to actually interact with my patients instead of running from task to task, and work in an area where the interrelational is the focus.

    It's really strange that I feel that way, because I'm a very linear, rational, logical person, and do a lot better with blood and guts than the feelings stuff. I don't understand it.

  • Sep 3

    Quote from Been there,done that
    Per NIH "no compelling evidence for routine cultures or empiric treatment with antibiotics. Further research is required." This is my kid we are talking about. Use sterile procedure, culture that green and yellow stuff, determine if and what antibiotics are necessary. I would expect the same for my patients.
    Everybody is somebody's kid. Doesn't change anything.

  • Sep 3

    Quote from feelix
    This should be an incident report. Don't let doc get away with it. He is supposed to know more than you do.
    He does know more than you do, and I&D is not a sterile procedure.

  • Aug 31

    Quote from Been there,done that
    Per NIH "no compelling evidence for routine cultures or empiric treatment with antibiotics. Further research is required." This is my kid we are talking about. Use sterile procedure, culture that green and yellow stuff, determine if and what antibiotics are necessary. I would expect the same for my patients.
    Everybody is somebody's kid. Doesn't change anything.

  • Aug 31

    I&D is a clean procedure. C&S is unnecessary for simple abscesses, as most abscesses heal without antibiotics.

  • Aug 30

    Quote from Been there,done that
    Per NIH "no compelling evidence for routine cultures or empiric treatment with antibiotics. Further research is required." This is my kid we are talking about. Use sterile procedure, culture that green and yellow stuff, determine if and what antibiotics are necessary. I would expect the same for my patients.
    Everybody is somebody's kid. Doesn't change anything.


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