Anna Flaxis

Anna Flaxis BSN, RN

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All Content by Anna Flaxis

  1. Thread spinoff: denied time off and vacation approval notice

    Anna Flaxis replied to sistrmoon's topic in General Nursing

    I don't understand why the switch would be denied if there was no overtime as a result of it. When I worked scheduled shifts, I used to put in for vacations six months in advance due to limitations on...

  2. Would you have called out?

    Anna Flaxis replied to Angeljho's topic in General Nursing

    No, I wouldn't have called out. It doesn't matter to me whether or not I would be caught. It's about my personal integrity. I do not call out unless I am ill or have a family emergency, both of...

  3. Nurses forced to work as aides

    Anna Flaxis replied to NewYorkerGirl's topic in Nursing Professionalism

    No, you inferred that meaning. She never said any such thing. To infer that she is a crappy nurse who thinks that "CNA work" is beneath her, simply because she stated that she does not want to...

  4. Of your patient load..

    Anna Flaxis replied to Libby1987's topic in General Nursing

    That's the thing. We see sick and injured people from all walks of life, and each has a unique individual set of circumstances. I couldn't give you a simple broad definition for something so varied...

  5. I miss trauma..sigh

    Anna Flaxis replied to hella_RN's topic in Emergency

    I've had a similar experience. A per diem job at a trauma center might not be a bad idea. But, also know that you will see occasional trauma, sometimes severe, because people sometimes panic and...

  6. My ER Rant

    Anna Flaxis replied to us2uk4u's topic in General Nursing

    I like taking care of healthy kids, so on a self serving level, I really don't mind when concerned but clueless parents bring their healthy kid in. It gives me a chance to hand out crayons and...

  7. Of your patient load..

    Anna Flaxis replied to Libby1987's topic in General Nursing

    I guess I wasn't under any illusions in nursing school about the types of people I'd be providing care for. There is a huge diversity in the human population, and each person and their circumstances...

  8. Nurses forced to work as aides

    Anna Flaxis replied to NewYorkerGirl's topic in Nursing Professionalism

    Short staffing and call offs are labor issues that we have every right to have a voice in regards to, and we have a choice in whether to continue working for an employer that is unresponsive to our...

  9. Nurses forced to work as aides

    Anna Flaxis replied to NewYorkerGirl's topic in Nursing Professionalism

    I think some folks are being a little hard on the OP. I don't see where she said that CNA work is beneath her. I have worked as a CNA and as an RN, and while it's true that as an RN you will still...

  10. COPD and O2 sat

    Anna Flaxis replied to Soran's topic in Emergency

    I think you did the right thing. Using just enough supplemental O2 to achieve an O2 sat of 89% or greater in the initial stage is correct. Of course, you will also be giving steroids, bronchodilators,...

  11. Nurses forced to work as aides

    Anna Flaxis replied to NewYorkerGirl's topic in Nursing Professionalism

    I dislike assisting with ADLs. Fortunately, it is only a small part of my normal daily work flow. However, if I were to show up for work and be expected to only assist with ADLs for my entire 12...

  12. Grief - how can we avoid it as nurses loosing a patient?

    Anna Flaxis replied to lnxyourxeyez's topic in General Nursing

    Losing. You don't avoid grief. While you can't go around sobbing all day while at work, you can take a moment to allow yourself to cry in the bathroom or something, then come back out ready to be the...

  13. Nurses,what is the highest BP you've ever seen recorded on a pt.?

    Anna Flaxis replied to nobody067's topic in General Nursing

    350s systolic- intubated trauma patient whose arm had been nearly ripped

  14. If you wear Danskos.... How often do you replace shoes?

    Anna Flaxis replied to dannygirl04's topic in Scrubs, Uniforms, Gear

    I have a soft spot for Danskos, but I find the footbeds to be really hard, and the height of the sole tends to make it easier to roll my ankle. I still wear my Dansko mary janes sometimes, but for...

  15. Overflow in the er

    Anna Flaxis replied to medic978's topic in Emergency

    ^ Yes, that's part of it. Spending a good portion of your shift trying to appease patients and families over something you have no control over can be incredibly taxing. I can only apologize so many...

  16. Where's the infection?

    Anna Flaxis replied to LMH2687's topic in General Nursing

    To recap: Other things can elevate WBCs, from tobacco smoking to intravenous glucagon (I did some poking around and found out that glucagon raises WBCs, including neutrophils and bands). Inflammatory...

  17. Where's the infection?

    Anna Flaxis replied to LMH2687's topic in General Nursing

    ^ That. I remember when I worked cardiac, it was completely expected that post MI patients would have elevated WBC counts. Some other less obvious sources of infection can be osteomyelitis (not...

  18. IV bolus ordered because pt hypertensive

    Anna Flaxis replied to Are Enn's topic in Patient Medications

    We don't know that he's septic. A single positive preliminary blood culture does not confirm the diagnosis. There isn't enough information to come to the conclusion that he has

  19. IV bolus ordered because pt hypertensive

    Anna Flaxis replied to Are Enn's topic in Patient Medications

    The more I think about it, the more I am convinced that the patient might not have been septic at all, and that there was something else going on. As Muno pointed out, false positives are not...

  20. To tell or not to tell!

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

    This makes no sense. The purpose of wearing gloves to administer a blood transfusion is to protect the nurse in case of accidental exposure to the blood product. It does nothing to protect the...

  21. To tell or not to tell!

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

    Sadly, "orientate" is a word. I wish it weren't true, but it is. ~Sigh~ Orientate -

  22. To tell or not to tell!

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

    How does not wearing gloves when starting a blood transfusion adversely affect the patient? Just

  23. Moved to a new ER, now I don't feel like I'm a real ER nurse anymore

    Anna Flaxis replied to Catch22Personified's topic in Emergency

    Thank you for reminding me of why I prefer my small community hospital ER! But seriously, there is no one size fits all response here. Some people say give a new job at least a year before you decide...

  24. Being an individual

    Anna Flaxis replied to Circulate's topic in Men in Nursing

    I like to wear socks with bright colors and crazy patterns. It is often an ice breaker with patients and can help lighten the mood in a place where it's pretty easy to be serious. I find that...

  25. Taking Up Extra Shifts!

    Anna Flaxis replied to NGYSUN's topic in General Nursing

    The house supervisor has to turn every stone to find adequate staffing to cover shifts. That means calling/texting everybody. There is nothing personal about it. If you don't want to come in extra,...