Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. IV bolus ordered because pt hypertensive

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

    Sounds like maybe a patient with a cardiac history and sepsis. Without knowing more, it's really hard to say with certainty what was going on, but this is my best

  2. Problems with ER

    Anna Flaxis replied to ReggieN's topic in Patient Safety Issues

    Actually, that happened to me today! I dropped off a patient smack dab in the middle of shift change report on the Med/Surg floor, and you know what kind of response I got when I tried to explain...

  3. Conscious Sedation in ED

    Anna Flaxis replied to foragreatergood's topic in Emergency

    We usually use Propofol for procedural sedation. Sometimes you have to do a jaw thrust or bag a little, but it does wear off

  4. Problems with ER

    Anna Flaxis replied to ReggieN's topic in Patient Safety Issues

    Reading between the lines, it sounds like your hospital is trying to reduce ER throughput times, and that delays in giving nurse to nurse report have been identified as a factor. I agree that no...

  5. The HARD Truth for most nurses

    Anna Flaxis replied to Humaneclowninscrubs's topic in Nursing Professionalism

    Bedside nursing isn't for

  6. Pseudoseizures and screening for sexual abuse

    Anna Flaxis replied to Lev's topic in General Nursing

    I would imagine that any sort of severe emotional trauma, not just sexual abuse, could manifest as pseudoseizures. Generally speaking, in the ER, we treat the distress, but it's not really our role to...

  7. safe assignment

    Anna Flaxis replied to martymoose's topic in General Nursing

    Rules about staffing vary from state to state. Some states mandate that hospitals have staffing committees responsible for formulating staffing plans. Does your hospital have one? Are nurses missing...

  8. Conscious Sedation in ED

    Anna Flaxis replied to foragreatergood's topic in Emergency

    As described, this was not a procedural sedation because a depressed level of consciousness was not

  9. first code/compressions

    Anna Flaxis replied to buckeyeRNED's topic in Emergency

    When I do compressions, I usually have to get up on a stool. Even a gurney at its lowest position is too tall for me to be able to do effective compressions. Yes, it should go without saying that you...

  10. Pain relief without fostering addiction

    Anna Flaxis replied to Emergent's topic in General Nursing

    Chronic or repeated use of proparacaine can cause scarring of the cornea and vision loss. There is a story at my workplace about a guy who pocketed the bottle that had been left at the bedside, and...

  11. I'm starting to feel like I'm done

    Anna Flaxis replied to TheOldestNurseOnUnit's topic in General Nursing

    Maybe a change of

  12. Pt threw a bedpan...

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

    Depends. Is she trying to decrease the behavior or pooping in the house, or increase the behavior of pooping outside?

  13. I HATE Nurse Practitioners

    Anna Flaxis replied to Angeljho's topic in Nurse Practitioners, NP

    You received that kind of response and you think it would be a good idea to bring it up again? Good luck with that,

  14. Pt threw a bedpan...

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

    ^ Good point. I was

  15. Pt threw a bedpan...

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

    But it relates! To immediately focus attention on the thrower of the bedpan is giving reinforcement to the behavior (keep in mind, we're not talking about an agitated disoriented/psychotic person...

  16. Pt threw a bedpan...

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

    I'm not trying to claim that at all. Aversives do work. But unfortunately, they can be very damaging, particularly when applied imprecisely or with a poor understanding or execution of timing, among...

  17. Pt threw a bedpan...

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

    I am very familiar with operant conditioning. I am a former dog trainer. I don't think it means what you think it means. A pile of poop in the living room is not a behavior. It is a pile of poop in...

  18. Back Pain in Nursing Student

    Anna Flaxis replied to meganec17's topic in General Nursing

    More and more facilities are going "lift free", but back injuries among nursing staff remain a huge problem, and I would imagine more so if you already have existing back problems. Another angle to...

  19. Bullying

    Anna Flaxis replied to LisalaRN99's topic in General Nursing

    I'm sorry you've had that experience. It's worked very well for

  20. Pt threw a bedpan...

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

    Actually, operant conditioning is very powerful and works both with humans and non-human

  21. Pt threw a bedpan...

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

    Okay, we're going off topic here, but I couldn't help but comment. Yes, it is abusive, and clearly you lack an understanding of reinforcement theory. "Positive" and "Negative" do not refer to good...

  22. Bullying

    Anna Flaxis replied to LisalaRN99's topic in General Nursing

    I don't see it that way. To me, the ability to set aside the need to be right for the sake of maintaining a good working relationship is a mark of maturity, not a sign of

  23. ER Burnout

    Anna Flaxis replied to babyblue6691's topic in Emergency

    We all have days like that. I hope you have some days off coming

  24. Bullying

    Anna Flaxis replied to LisalaRN99's topic in General Nursing

    Attempting to resolve a conflict with a co-worker is not "sucking up". It's called being an adult. No matter who is right or wrong, the one who offers the olive branch is the bigger person. You can...

  25. Bullying

    Anna Flaxis replied to LisalaRN99's topic in General Nursing

    No, it's not bullying, but would it kill you to try and smooth things over with her? Even though she is being childish, you still have to deal with each other, and it wouldn't hurt anything to try...