Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. IM injections

    Anna Flaxis replied to Guest838984's topic in General Nursing

    I'm aware of the rationale, thank you. Still, different facilities have different policies, and one should follow their facility's P&P. If the P&P needs to be updated, that's a different...

  2. Really, is this real?!?!

    Anna Flaxis replied to FlossyRN's topic in General Nursing

    Just for a little perspective, I'm going to lay it out on the table. I got two weeks' orientation on a busy cardiopulmonary tele (unofficially also complex medical/ICU stepdown) unit with three...

  3. IM injections

    Anna Flaxis replied to Guest838984's topic in General Nursing

    ^ Sometimes a provider will order Bicillin if the patient is unlikely to cooperate with oral antibiotics, for whatever reason- ie "compliance", N/V, etc. But it's not really one of our "go-to" meds,...

  4. Really, is this real?!?!

    Anna Flaxis replied to FlossyRN's topic in General Nursing

    Nursing isn't for the faint of heart, for sure. The working conditions you describe don't sound out of the realm of normal reality. The one thing that stands out, though, is the lack of teamwork....

  5. A fib with rvr

    Anna Flaxis replied to ksparks's topic in General Nursing

    That's a good point. However, the OP's charge nurse should be aware of all of these things as well. I believe the OP works on a step-down

  6. IM injections

    Anna Flaxis replied to Guest838984's topic in General Nursing

    You can use NS or 1% lidocaine to reconstitute Rocephin for IM administration. However, I would follow your facility's protocol. Your pharmacy would be the best resource for this. Next time you...

  7. A fib with rvr

    Anna Flaxis replied to ksparks's topic in General Nursing

    You noticed a change in patient condition, notified the physician, received orders, implemented those orders, assessed the effectiveness of the treatment, and attempted to notify the physician of the...

  8. Difficult Patient - Definition

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

    As other posters have pointed out, what makes a patient "difficult" is totally subjective, and I think that's okay. We are all human, and what might be difficult for me to deal with might not be an...

  9. RN scope of practice for mixing Chemo

    Anna Flaxis replied to RNview's topic in General Nursing

    I would suggest checking with your State BON as well. I've mixed lots of drugs, as we don't have 24/7 pharmacy available. But I don't know about chemo. When I've administered chemo, it has been...

  10. Frustrating case at clinical

    Anna Flaxis replied to Jrhemming's topic in General Nursing

    PT/INR is of no value in determining therapeutic drug levels with Eliquis. D-Dimer is of no value here, as the pt is already being treated for PE. No, Eliquis is not a thrombolytic- it simply acts...

  11. New Nurse, am I doing enough??

    Anna Flaxis replied to hopemedsurg2picu's topic in General Nursing

    I'm not sure what your question is. It sounds like you're really insecure right now, which would be completely normal for a new nurse. Many if not most new nurses spend their entire first year in a...

  12. Unsupportive boss? Is it worth quitting over??

    Anna Flaxis replied to Cola89's topic in General Nursing

    OP, I could have written this post myself a few years ago. The CNAs got away with behavior that boggles the mind, because of ineffective leadership. I left, and am much

  13. The Nurse on the Other Side

    Anna Flaxis replied to sheilagood52's topic in General Nursing

    I think you misunderstood. I did not say I am offended, because I'm not. I simply disagree with the premise that nurses are entitled to any more respect than any other patient, and I simply shared my...

  14. The Nurse on the Other Side

    Anna Flaxis replied to sheilagood52's topic in General Nursing

    I've taken care of a lot of nurses and physicians and their family members, and I treat them the same as all of my patients. I don't assume that they know more than the average person about their...

  15. The Nurse on the Other Side

    Anna Flaxis replied to sheilagood52's topic in General Nursing

    I disagree with the premise that you should be treated with respect because you are a nurse. I think you should be treated with respect because you are a person. Nurse, baker, janitor, fast food...

  16. Medical Decisions

    Anna Flaxis replied to poodah33's topic in General Nursing

    Thank you for clarifying. I use Up To Date, Medscape, Epocrates, and ACEP primarily, not necessarily in that order. I have a free subscription to Medscape that is easy to access on my smart phone,...

  17. Why is everyone hating on ED?

    Anna Flaxis replied to canche's topic in Emergency

    Just let it roll off. ER nursing is so much different from floor nursing, those who have never walked in your shoes will never understand. Some of the things they fail to realize on the floor are...

  18. Chronic Extreme Emergency Department Shortstaffing

    Anna Flaxis replied to LEFTFLANKPAIN's topic in Emergency

    Getting out.

  19. New OR RN - Surgeon Yells

    Anna Flaxis replied to NewORNurse1's topic in General Nursing

    Because you're dealing with a surgeon. Don't work in the OR. Learn to give as good as you

  20. Medical Decisions

    Anna Flaxis replied to poodah33's topic in General Nursing

    I don't understand your question. Medical decision making is the realm of the physician in my area of practice. While it's true that the physician's medical decision making can be heavily influenced...

  21. An open letter to the #NursesUnite movement

    Anna Flaxis replied to disillusionedrn's topic in General Nursing

    Yup. But some of those memes are pretty darn funny! They make a great distraction from all the human suffering I witness on a regular

  22. IVP vs Drip

    Anna Flaxis replied to Matt8700's topic in Emergency

    The one and only time I've seen the "Reglan Crazies", it was administered in a minibag, on a

  23. RN that doesn't want to be an NP

    Anna Flaxis replied to Matt8700's topic in Emergency

    I started out in nursing because I felt I had missed my window of opportunity to go to medical school, and nursing was a far more realistic and attainable goal. When I started nursing school, I...

  24. What to teach in EMS class?

    Anna Flaxis replied to Cohiba's topic in Emergency

    Seems as if you're focusing an awful lot on negative experiences you've had. That would be really off-putting to me were I in the class listening to you. How about talking about the things that your...

  25. Adenosine administration

    Anna Flaxis replied to sreynolds's topic in Emergency

    Check your protocols. In my facility, even though we are all ACLS certified, we still need a physician order to administer adenosine. It doesn't state the physician has to be in the room, but I...