Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. what to do if you are told not to come back to clinical site?

    Anna Flaxis replied to HoneybadgerFTW's topic in General Students

    Excuse me?!? What makes you qualified to question whether the OP is in the right profession? I'm honestly asking. 3 miles is completely appropriate for an 8 hour night shift in the ER. I pull 12s in...

  2. ER pain treatment after accident without ID on the person?

    Anna Flaxis replied to aquestionhere's topic in Emergency

    What you were told is false. Are you sure she wasn't referring to prescriptions for controlled

  3. had an AWFUL night

    Anna Flaxis replied to momof3al RN's topic in Medical-Surgical

    The OP didn't say an EKG wasn't done in the ED, or that the troponin hadn't been drawn. STAT EKG and blood draw are standard of care for any chest pain patient, and I find it a stretch to believe...

  4. had an AWFUL night

    Anna Flaxis replied to momof3al RN's topic in Medical-Surgical

    First, it sounds like you did a fine job. It's completely reasonable to second guess yourself in hindsight, and when that helps you figure out what you can do better next time, that's useful- but...

  5. Rant about horrible shift

    Anna Flaxis replied to gemmi999's topic in Emergency

    To me, this is encouraging. It sounds like you work with a great team. You will get faster, and one day you will be the one offering to help your co-worker who is drowning. Accept the help, say...

  6. So fed up with my coworker

    Anna Flaxis replied to Rainy day RN's topic in Patient, Colleague Relations

    I'm coming to the party late, and admittedly haven't read the whole thread. I work PRN precisely because I don't want to work very much- but I do want to work. I have bills to pay, and I enjoy the...

  7. Tension between Nursing Home Nurses and Acute/Critical Care Nurses! Lets visit!

    Anna Flaxis replied to downsouthlaff's topic in LPN, LVN Corner

    My apologies for inferring

  8. Bad job reference from my school...now what?

    Anna Flaxis replied to Dreamscometru's topic in First Year After Licensure

    I'm not sure that I can agree with this sentiment. Nursing takes a wide repertoire of skills- it is not either/or. I'm sorry you got a bad job reference, but I don't think your life is ruined....

  9. Tension between Nursing Home Nurses and Acute/Critical Care Nurses! Lets visit!

    Anna Flaxis replied to downsouthlaff's topic in LPN, LVN Corner

    A) My question wasn't for you. It was an honest question for the OP. Your response is both snippy and unhelpful. B) Neither do

  10. Tension between Nursing Home Nurses and Acute/Critical Care Nurses! Lets visit!

    Anna Flaxis replied to downsouthlaff's topic in LPN, LVN Corner

    Thank you for answering my question. We will call the ambulance for transport, or a taxi if the person is ambulatory. We do have medical transport available, but only for limited hours, and often it...

  11. Tension between Nursing Home Nurses and Acute/Critical Care Nurses! Lets visit!

    Anna Flaxis replied to downsouthlaff's topic in LPN, LVN Corner

    I typically do not receive report on patients brought from LTC. The medics bring copies of the MAR, face sheet, resident info sheet, advance directive, etc. I might call if I have questions that...

  12. Ancillary Staff with Tunnel Vision

    Anna Flaxis replied to applesxoranges's topic in Emergency

    Yes, this drives me nuts, too. When beds are at a premium, an organized, strategic approach to patient flow is necessary. One person should be in charge of this. Nobody should be independently...

  13. ED Unit Based Council

    Anna Flaxis replied to lumberjackAZRN's topic in Emergency

    You don't need money to form a Unit Based Council. You set a meeting date, and at the meeting you choose the chair person and the secretary and draft a charter. Thinking about funding projects...

  14. I need an ER nurse to answer this question for me (pt with HIV related)

    Anna Flaxis replied to Risan's topic in Emergency

    Your HIV status is protected health information, meaning (in a nutshell) that it is on a need-to-know-basis. You do not have to reveal to me (the triage nurse) that you are HIV+ in triage unless your...

  15. IVs in the breast

    Anna Flaxis replied to kasekin's topic in General Nursing

    I work in a facility where at times, there is the temptation to practice like that. We don't have a lot of resources, and not all of our providers are comfortable inserting central lines. Until...

  16. How do you deal with being called a "snitch" by your co-workers?

    Anna Flaxis replied to 1Jessie86's topic in Patient, Colleague Relations

    I think your mistake was in not speaking to your coworkers directly as your first move. If a co-worker had an issue with me, I would prefer that they approach me prior to going to management. If I...

  17. IVs in the breast

    Anna Flaxis replied to kasekin's topic in General Nursing

    No, you are quite right, if the patient needs a vesicant medication, ultimately they need a central line. I was thinking in terms of crystalloids and non-vesicant meds when I wrote that (about EJs)....

  18. New Grad, disciplinary woes

    Anna Flaxis replied to furelite's topic in General Nursing

    Pick yourself up, dust yourself off, and keep putting one foot in front of the other. Sorry to be so cliche, but sometimes it's

  19. IVs in the breast

    Anna Flaxis replied to kasekin's topic in General Nursing

    Hmmm, I didn't get the sense that iluvivt was equating standards of care to legal standards, but rather, was illustrating how a failure to follow a standard of care could get a person into legal...

  20. I Don't Get the Anxiety Part of Nursing

    Anna Flaxis replied to missmollie's topic in General Nursing

    The way I see it, each of us falls somewhere on a continuum. On one end is a very low threshold for distress, and on the other end is the opposite. Most of us don't fall on one end of the continuum...

  21. IVs in the breast

    Anna Flaxis replied to kasekin's topic in General Nursing

    I don't know of a specific contraindication to giving D50 intraosseous to the adult patient, but if you are concerned about risks, you could run D10, which is just as effective as D50, and is not a...

  22. hypokalemia causes hypoglycemia? or other way around?

    Anna Flaxis replied to seks's topic in General Nursing

    Yes, I'm assuming mmol/l also. Normal range is 4-6. 2-3 would be 36-54

  23. IVs in the breast

    Anna Flaxis replied to kasekin's topic in General Nursing

    Good luck. As far as I am aware, there is no evidence to support this practice, and the risks outweigh any potential benefit. In my opinion, this practice should be

  24. Do you agree this was unethical?

    Anna Flaxis replied to Nurse_CrystalRN's topic in Nursing Career

    I don't agree. Mainly because the term "righteous lie" has religious overtones, and I am an atheist. I do agree that there are times when telling a lie is the right thing to do- the obvious example...

  25. Dumbest thing a doctor has done/said to you

    Anna Flaxis replied to WorriedNurse25's topic in Patient, Colleague Relations

    Was the patient post reperfusion