Anna Flaxis

Anna Flaxis BSN, RN

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All Content by Anna Flaxis

  1. Called a code for a seizing patient

    Anna Flaxis replied to thesimplenurse's topic in General Nursing

    Assuming this is not a rhetorical question, to put it simply, the smaller the sample size, the less precise the information is. Say, for example, you receive a shipment of 500 widgets, and the...

  2. Called a code for a seizing patient

    Anna Flaxis replied to thesimplenurse's topic in General Nursing

    First, please note that this is a single study with an n=20. This is not a large enough sample size to be statistically significant. Second, please note that in Group 1, the group in which radial,...

  3. Called a code for a seizing patient

    Anna Flaxis replied to thesimplenurse's topic in General Nursing

    In my experience, a Code Blue is for a cardiac or respiratory arrest, and I'm not sure why one would perform chest compressions on an adult with a pulse. It is reasonable to call for assistance if...

  4. Mental health patients and smoking

    Anna Flaxis replied to lhall92's topic in Emergency

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

  5. I&D...sterile procedure?

    Anna Flaxis replied to deefizzle's topic in General Nursing

    Everybody is somebody's kid. Doesn't change

  6. I&D...sterile procedure?

    Anna Flaxis replied to deefizzle's topic in General Nursing

    He does know more than you do, and I&D is not a sterile

  7. Does anyone work PRN?

    Anna Flaxis replied to BSN16's topic in General Nursing

    I work PRN exclusively. My orientation was as brief as I could possibly make it, as I am an experienced RN and have little tolerance for having my hand

  8. I&D...sterile procedure?

    Anna Flaxis replied to deefizzle's topic in General Nursing

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

  9. I need to vent! Frustrated ADN

    Anna Flaxis replied to amari's topic in General Nursing

    Hmmm, I've gone as far as I wanted with my ADN. I've worked in cardiopulmonary/post-interventional/telemetry, emergency, infusion services, and administration. I've been approached for...

  10. Being called an idiot

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

    I love that! Gonna have to remember that

  11. Trying to learn from mistakes

    Anna Flaxis replied to Learningtobenurse101's topic in General Nursing

    A simple incident as you described wouldn't normally result in management having to choose between you and your preceptor. It really could be a matter of a simple corrective action- or not. If they...

  12. Patient NOT a nurse with a ???

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

    Hi there! As others have stated, it is reasonable and prudent to check on a patient who is on the commode. However, I would knock on the closed door and ask how it's going through the closed door....

  13. Trying to learn from mistakes

    Anna Flaxis replied to Learningtobenurse101's topic in General Nursing

    In some settings and under some circumstances, medication administration can be delegated to a PCA. "Borrowing" medication from another patient is common practice in some settings. Since you used...

  14. What would you do in this situation? (If you know it all ;) )

    Anna Flaxis replied to Emergent's topic in Emergency

    #3. That she is on "high doses" of Lasix at home tells me she most likely has severe CHF, that she is out of her home Lasix tells me she didn't go to the pharmacy for her refill, that she is "well...

  15. Subtle deterioration on the floor

    Anna Flaxis replied to Lev's topic in General Nursing

    I think that the failure to recognize early signs of deterioration is a worthwhile issue to explore, but before you implement process improvement measures, it is important to find out what is at the...

  16. Blood administration and lasix

    Anna Flaxis replied to Tiya4's topic in General Nursing

    Am I correct in assuming that you mean that there was a small amount of red blood cells in the tubing? Think about the science behind why we do not add anything to a blood transfusion other than the...

  17. Should mean people be allowed to be mean at work?

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

    Most workplaces have written behavioral expectations and processes in place to address when an employee fails to meet them. The first place to start would be to identify these things, then go from...

  18. Has pain scale contributed to opiate problem?

    Anna Flaxis replied to Emergent's topic in General Nursing

    Since the purpose of the Emergency Department is to rule out/stabilize life threatening injury/illness, we are concerned primarily with acute pain. The numeric pain scale is one dimensional. It only...

  19. Did I stick a tendon?

    Anna Flaxis replied to GaJenRN's topic in General Nursing

    It sounds to me like you hit the median nerve which caused the patient's pain, and the clear fluid could have been lymph fluid. I would highly recommend avoiding the wrist area for IV starts due to...

  20. IV Dextrose in Hyperkalemia

    Anna Flaxis replied to bear14's topic in Emergency

    If you push D50 through a peripheral line, the rationale for going slow is that D50 is a vesicant, so it should be pushed through a running line, and checked for patency periodically by aspirating for...

  21. Phenergan dilution

    Anna Flaxis replied to EDnatasha's topic in Emergency

    First, think about the reason that it is recommended to dilute Phenergan for IV administration. It is because this medication is a vesicant. This means that this medication can cause tissue damage...

  22. Restoring Order

    Anna Flaxis replied to SpookyRN764's topic in Nurse Management

    I've never been in your position, but I have other leadership experience. First, listen. Just listen. Meet with each individual, like you plan, and just hear them out. Don't offer solutions or...

  23. How do you deal with Doctors that insult nurses?

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

    Can you define

  24. Question about fent OD?

    Anna Flaxis replied to benmca13's topic in CCU, Coronary, Cardiac

    Yeah, no. Of all the potential precipitating events, the fentanyl is the least

  25. I love a nurse

    Anna Flaxis replied to johnsbro's topic in Emergency

    Let her vent without offering your opinion. And foot rubs. Lots of foot