Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. Reopro Kit

    Anna Flaxis replied to Nurse_Ratched's topic in Emergency

    I love kits- as long as everyone takes the necessity of replenishing seriously and this actually gets

  2. Questions Regarding Endotracheal Intubations

    Anna Flaxis replied to luisf31's topic in Emergency

    Where? In the USA? Nationwide? At a specific facility? By EMS providers? I don't understand your question. Totally depends on a lot of factors. A better way than what? Your questions need...

  3. Wear gloves during assessment?

    Anna Flaxis replied to future_nurse11's topic in General Nursing

    As a rule, no, I do not. Why would you need to wear gloves to take VS or auscultate lung sounds or check pedal pulses? Exceptions: If the patient is bleeding, incontinent, has weeping/oozing wounds,...

  4. Relationships with floor nurses?

    Anna Flaxis replied to theantichick's topic in Emergency

    ^^ Yeah, at my

  5. ::vent::

    Anna Flaxis replied to LJ85's topic in Emergency

    Did you write an incident report? A near miss certainly qualifies. Perhaps in doing so, it will help you to process your feelings about it and help to prevent similar

  6. Prioritization in the ER

    Anna Flaxis replied to Lev's topic in Emergency

    I agree, chart on the fly. Keep it concise. Finish charting on your critical patient before going to see your Level

  7. Gift to nurse?

    Anna Flaxis replied to Djprepan's topic in Emergency

    I agree, tell her boss! That is the best way to thank her. A card and a shirt are nice ideas, too. On a side note, as a person with dietary restrictions, I find it frustrating when people bring in...

  8. Relationships with floor nurses?

    Anna Flaxis replied to theantichick's topic in Emergency

    What many floor nurses are not aware of is that the ED is under constant scrutiny for throughput times. We have a mandate to move patients through the ED as efficiently as possible. Once the...

  9. Workplace Cowardice

    Anna Flaxis replied to Mr. Murse's topic in Patient, Colleague Relations

    I agree. But, just to play a bit of Devil's Advocate here, many people do not have the tools or comfort level with direct, face to face communication. If you want to have a workplace where people...

  10. Rules for Triage

    Anna Flaxis posted a topic in Emergency

    Here are some of my rules. Feel free to add your own. When I ask you what brings you in today, please don't tell me your life story. I just need to know what symptoms you are having Right. This....

  11. Pt stable with a very low Bp?

    Anna Flaxis replied to sugar12's topic in General Nursing

    The person with ESRD has 10-15% of their kidney function at most, otherwise they wouldn't be on dialysis, and the damage is irreversible. Allowing asymptomatic hypotension is not going to put them...

  12. Pt stable with a very low Bp?

    Anna Flaxis replied to sugar12's topic in General Nursing

    Typically when I think of "end organ perfusion", I'm thinking primarily about the brain, heart, and kidneys. Since this patient has ESRD, I'm not going to be too worried about putting them into ARF....

  13. Sepsis

    Anna Flaxis posted a topic in Emergency

    Hi folks, just curious, how many liters of fluid do your docs typically try before starting pressors? At what point do they make the determination to place a central line? Also, do you ever hang more...

  14. Rules for Triage

    Anna Flaxis replied to Anna Flaxis's topic in Emergency

    I tend to triage up if I'm on the fence about someone's acuity. I've seen some pretty bad triaging, too, and I won't hesitate to change the acuity level if I feel it's appropriate. But, that's not the...

  15. Sepsis

    Anna Flaxis replied to Anna Flaxis's topic in Emergency

    It's not whether or not our monitors are capable- we don't even carry any transducers, so it's irrelevant. We don't have a lot of things.... I'm actually quite shocked that we can even do EtCO2...

  16. Patient fall...my first time.

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

    Listen to me. You did a good job. You reacted appropriately. These things happen and are unpredictable. Now, about that bed alarm. This is a serious safety issue. Time to go into problem solving...

  17. Charge Charting: Correcting charts after discharge for billing

    Anna Flaxis replied to Kalipso's topic in Emergency

    My manager does chart audits and has asked coworkers to complete charting when he finds deficiencies. This doesn't seem unusual to me at all. I was taught that it's fine to go back into a chart to...

  18. Sepsis

    Anna Flaxis replied to Anna Flaxis's topic in Emergency

    We do not have the technology to implement CVP monitoring in my ER. Whether the patient gets a central line placed promptly (or at all) depends on which physician is working. We don't have...

  19. Doctor or Dockworker?

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

    I'm a lot more concerned with whether they practice good medicine or not. I work with one doctor who is just a fantastic human being. People come to our ER and ask for him. They just love him. And,...

  20. Let's check everything!

    Anna Flaxis replied to psu_213's topic in Emergency

    Ah yes, the good ol' shotgun workup! One of the reasons I really like working with grey hairs. They rely on their H&P to guide their differential diagnosis, rather than just taking a stab at...

  21. What Would You Like Your Tech To Do?

    Anna Flaxis replied to friggasdistaff's topic in Emergency

    You sound like you're doing a fine job to me. The only thing I didn't see on your list is repeat vital signs at the required

  22. Are physicians that thick?

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

    I get that. I was a floor nurse before I transferred to the ER. Really, what I would do in your shoes is explain that I have exhausted all of my options and ask them if they would be willing to try a...

  23. Some of Us Are Trying to Help You...

    Anna Flaxis replied to Music in My Heart's topic in Nursing Student Assistance

    Yes, yes, no argument. And again, I interpreted the OP's written word much differently than you did. Neither of us were there, and what is missing is the student's perspective. I am willing to give...

  24. Co-workers hygiene/uniforms

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

    I guess I have bigger fish to

  25. Are physicians that thick?

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

    No, physicians aren't that thick. Some of them, however, don't see things from where you stand and will place impossible standards upon you. I deal with a hospitalist that frequently storms into our...