Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. Rhythm debate

    Anna Flaxis replied to MendedHeart's topic in Cardiac

    The rhythm is sinus tachycardia. Can't say this is an MI. We can't see all the leads, what we can see does not meet Sgarbossa's Criteria, and we don't have an old EKG to compare it

  2. Are ER Patients Getting More Ridiculous?

    Anna Flaxis replied to us2uk4u's topic in Emergency

    Small community

  3. Adult ER nurse....advice on Pedi patients

    Anna Flaxis replied to danggirl's topic in Emergency

    I love this: http://www.health.ny.gov/professionals/ems/pdf/pediatricreferencecard-04.pdf As far as providing care, learning about developmental stages could be helpful. For example, toddlers are...

  4. No babies for this NICU nurse

    Anna Flaxis replied to angrykitten's topic in NICU, Neonatal

    I think this is perfect. As for the Dad of Six Kids, he was just rude. It's not about you. He probably treats everybody that way. Don't give it another

  5. PVT: Question of Character?

    Anna Flaxis replied to oldandintheway's topic in NCLEX Exam, Programs

    You have made my point beautifully! Thank

  6. PVT: Question of Character?

    Anna Flaxis replied to oldandintheway's topic in NCLEX Exam, Programs

    I'm with you up until the "immoral" part. For me it has nothing to do with morality, but the quality of a person's character who chooses short term gratification over exercising patience and delaying...

  7. Adenosine administration

    Anna Flaxis replied to sreynolds's topic in Emergency

    There isn't consensus on adenosine dosage. AHA ACLS protocol recommends 6mg then 12mg, and you can repeat the 12mg if needed. Others state to just start with 12mg, while others state 18mg....

  8. PVT: Question of Character?

    Anna Flaxis replied to oldandintheway's topic in NCLEX Exam, Programs

    I'm not even concerned with what is legal in regards to the PVT. To me, if something is legal, that is not synonymous with ethical or moral. Whether or not it is legal to engage in certain conduct...

  9. what to do when your pt has high bp?

    Anna Flaxis replied to AmandaAlldrin's topic in General Nursing

    An isolated BP reading of 180/108 without any symptoms is not a reason to send to the ER. However, this definitely warrants a phone call to the patient's primary care provider to get them an...

  10. Shortness of Breath

    Anna Flaxis replied to SilleLu's topic in General Nursing

    ^^^ That. Even attention seekers can have something going on. Believe me, in the ER, when treating that frequent flyer coming in for the fifth time this month for the same dang thing, the one time...

  11. Spice?

    Anna Flaxis replied to AZQuik's topic in Emergency

    Thank the gods the real deal is so easy to get here that people generally don't use synthetic stuff. Our substance issues are your run of the mill opiate overdoses, ETOH intoxication, and meth...

  12. ER NURSE PEEVES

    Anna Flaxis replied to wojoRN's topic in Emergency

    When I'm in triage, and they answer every question with "It's in my chart". I can't see your chart from the triage screen, plus there are things I need to review with you at each visit. When I ask...

  13. What is your most and least favourite area/specialty of nursing and why?

    Anna Flaxis replied to CaffeinePOQ4HPRN's topic in General Nursing

    Favorite: ER! I thrive on the chaos. Plus I don't like having the same patients the whole shift. Two hours is plenty of time to get to know someone. :-) Least favorite: Inpatient unit. Too much...

  14. Shortness of Breath

    Anna Flaxis replied to SilleLu's topic in General Nursing

    And this is exactly why you report it to the physician

  15. Adenosine administration

    Anna Flaxis replied to sreynolds's topic in Emergency

    Rarely, but it has happened. Clinically significant brady and tachyarrhythmias, as well as VF have occurred after administration of adenosine, but these are rare. In general, adenosine has a pretty...

  16. Shortness of Breath

    Anna Flaxis replied to SilleLu's topic in General Nursing

    Did you mean subjective? Symptoms are subjective. They are what the patient feels. The patient feels short of breath. Signs are objective. They are what we observe. You painted a pretty good...

  17. PVT: Question of Character?

    Anna Flaxis replied to oldandintheway's topic in NCLEX Exam, Programs

    I agree with you, OP, but like TheCommuter, it's not a hill I want to die on. To me, it's really similar behavior to those classmates of mine back in nursing school who would always ask "Is this...

  18. You're Not Dehydrated.

    Anna Flaxis posted a topic in Emergency

    "I'm so dehydrated!". Your H&H are normal. Your BUN & Creatinine are normal. Your urine specific gravity is on the low end of normal. Your urine is pale yellow and clear. Your mucous membranes...

  19. Patient safety and narcotics

    Anna Flaxis replied to jay082's topic in General Nursing

    I think you did the right thing to hold the medication when the patient appeared to be over-sedated. People will experience signs of over-sedation before they experience respiratory compromise, so...

  20. Vent: treatment of new grads!

    Anna Flaxis replied to IHeartPeds87's topic in General Nursing

    The hiring process can really move at a snail's pace. That's not you being treated badly, that's just the way it

  21. Initiating Intravenous Access

    Anna Flaxis replied to TheNGTKingRN's topic in General Nursing

    I usually survey potential sites prior to applying the tourniquet. When advancing the catheter, you are not withdrawing the needle. You are sliding the catheter forward off the needle. If you have...

  22. Tough point in my life

    Anna Flaxis replied to BearFeet's topic in General Nursing

    The original post had no paragraphs and many run-on sentences. Someone went in and edited

  23. You are NOT allergic to...

    Anna Flaxis replied to BuckyBadgerRN's topic in General Nursing

    I wore a cap at my pinning ceremony, but I can't imagine wearing one while giving patient care! I do too much bending and stooping and moving around in general. I think it would drive me insane. Our...

  24. You are NOT allergic to...

    Anna Flaxis replied to BuckyBadgerRN's topic in General Nursing

    I took care of a retired ER nurse last night. She was telling me about how she used to wear the white dress and the cap, and how her cap would always get tangled in the privacy curtain! We compared...

  25. You are NOT allergic to...

    Anna Flaxis replied to BuckyBadgerRN's topic in General Nursing

    Sigh. Proofreading is becoming a lost art, along with