Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. MI post heparin drip

    I agree with the above. Whatever the reason, it most likely had nothing to do with the
  2. Increased Patient Volume - Suggestions needed

    You need to develop your nurse initiated protocols! At least this way, much of the workup will already be completed by the time the doc darkens the
  3. Fake call outs irritate me

    I'm of two minds on this. Yes, it absolutely blows to work short, and when you know your coworker who called in sick isn't really sick...well, it is irritating. I'm not a martyr and I don't expect...
  4. OB ultrasound...foley or no?

    Nope, never placed a foley for an OB US. I would think it strange as
  5. Help me understand....

    I work in an area where there is a high percentage of the population that eschews Western medicine in favor of homeopathics and/or herbalism. I don't have an issue with either of those things per se,...
  6. Help me understand....

    "She" didn't believe the child was in enough pain to warrant giving an unnatural
  7. Ideas for improving flow...

    Sorry if this has been discussed before, but I'm looking for ideas on improving the flow in a small community ER during really busy times. We are a small, 7 bed ER with no charge nurse, and we...
  8. On Negative Feedback

    There are tangible rewards and intangible rewards for showing up and doing your job. Tangible rewards are things like your paycheck. Intangible rewards might include camaraderie, a sense of...
  9. On Negative Feedback

    What Is Behaviorism? (How It Works & Its
  10. head laceration

    The OP stated the bleeding had stopped, so she placed a new sterile pad on the lac. This is just
  11. On Negative Feedback

    I haven't read any of the other responses, but as a behaviorist, I'm cringing at the use of the term "negative feedback" here. Aside from that, sometimes I feel that people who defend their...
  12. Do you think too tight pants causes abdominal problems?

    I don't have any evidence based studies to share, but it's not difficult to find information on the problems caused by constrictive clothing such as acid reflux and meralgia
  13. head laceration

    You did
  14. Beating a dead horse...bu seriously, when will it stop?

    Why would the hospital turn away customers? Even a BS complaint is a potential revenue source. We on the front lines just have to grin and bear it. I simply will not prioritize minor complaints over...
  15. "Your ER sucks!" and other pleasantries...how you handle them?

    Sometimes I think people like this have had a really rough time with their/their spouse's illness, and perhaps they've had a really negative experience with the healthcare system in general. It...
  16. Still Reeling From This

    in the absence of an advance directive, if the patient cannot speak for his or herself, then the next of kin will often become the proxy. I don't disagree with your take on this- from your description...
  17. Ideas for improving flow...

    I agree with this. It makes such a huge difference when working with someone who can see the big picture, remain calm and composed, and make appropriate decisions regarding flow. I think one of the...
  18. OK, bare with me plz, but IDK wat the big deal is. I mean, nobody is gonna loose they're license over it, so why would anyone care less? If you cared so much about proper spelling, you should of...
  19. "Your ER sucks!" and other pleasantries...how you handle them?

    She sounds like a thoroughly miserable person. Just be thankful you're not married to
  20. Sitters

    What's a "sitter"? LOL. We don't have staff in my hospital to provide this. We're barely keeping our doors open. But yes, it is ideal to have one on one observation for anyone who is at risk for...
  21. What's you're best drug seeker?

    Young lady known to us arrives by ambulance reporting that some house guests had stolen her prescription. Naturally, it's a Saturday, so her prescriber's office is closed. Doc comes into the room...
  22. What is so difficult about this question?

    ...or how about "It's in my
  23. How would you handle this?

    Being responsible for supervision and delegation isn't the same as the person working "under your license". They have their own certification or license that they are working under. In the ER,...
  24. How would you handle this?

    I could be wrong, but the tech isn't working under your license. He is working under the Medical Director's license, just like you are. How is he getting access to your logon? If you're leaving...
  25. Thank you for coming back to clarify. Edited to add: Sorry, I was typing up a response when I got interrupted. I do not work in Risk Management, so I don't really know what I'm talking about, so take...