Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. Ideas for improving flow...

    No, not every cardiac arrest needs to go to the cath lab, but a frequent cause of V-Fib arrest is AMI, and those patients need emergent PCI. Why bring a cardiac arrest to a small community hospital...
  2. I would tend to agree with this. We are a nation of fear. It is so
  3. With this I agree. Fear can be useful, as when it prevents us from taking unnecessary risk that can put life and limb in danger- but it can also prevent us from taking those risks that can lead to...
  4. Honestly, I don't expect an immediate Ebola-plague-epidemic to wipe out half of the U.S. I think this will have repercussions later on down the line, like twenty years from now when we find out that...
  5. Unsafe ED

    Ugh, I'm sorry this happened. Frankly, your entire facility sounds terribly unsafe. I'm glad you got out. Good luck in your future
  6. New Grad in the ER

    I work in a tiny ER also, and I must say that I'm surprised they hired a new grad. Although on the other hand, those tiny ERs can be hard to staff, and maybe there was something about you that made...
  7. To me, critical thinking means not just accepting blindly what I am being told to believe. I am a skeptic. I question everything. "Oh, well the CDC says ________ so it must be true" is just not in...
  8. How do we know anything? We only know what we're being told. I wonder what we're NOT being
  9. NPR quoted Samaritan's Purse spokesperson Melissa Strickland stating that Dr. Brantly followed strict protocols and that "It would take at least thirty minutes to get that suit on properly". Also,...
  10. I find it interesting that Dr. Brantly was meticulous with his PPE and yet still he was infected, and that Nancy Writebol didn't actually provide any patient care, and yet she became
  11. Cleanser for catheter placement

    The "iodine allergy" is a bit of a myth. Simply because a person states an allergy to iodine does not automatically mean that they will have an adverse reaction to the iodine used to prep for foley...
  12. "Horrible rash" x2 days to left upper extremity. "9/10" pain. No rash noted on inspection, just a slightly pink spot from where the patient had been rubbing it. Doc even came out of the room to ask...
  13. Ideas for improving flow...

    I understand your concern. Typically we do not receive CPR in progress, since they need to go to the cath lab which we don't have- unless of course, the medics can't get an airway and we're the...
  14. First a bit of background. There are a lot of posts about not having time to take rest and/or meal breaks- about working straight through a shift without even having a chance to use the restroom. I...
  15. Ideas for improving flow...

    I've been looking at other EDs who have done things like implementing "pull until full" and eliminating zone doctoring (which doesn't apply to us since we only have one doc on at a time), and having a...
  16. Ideas for improving flow...

    Duplication of care, like I'll be in medicating a patient, then another RN comes into the room with the same meds, not knowing that I was in there already. Or two RNs show up with a sling or...
  17. Oh, LOL!!! I totally didn't get that! That's pretty funny,
  18. Must....not....snark.....must....not...snark......*sitting on
  19. Ideas for improving flow...

    We run a pretty traditional triage, up at the front window, then to the waiting room to wait to be called back. If we're not busy, we can just bring the patient right back and basically "pull until...
  20. Yes, that was a little snarky of me, but I am not taking away anyone's opportunity to express their opinion just by being a little snarky, LOL. I just thought it odd that she quoted me to express her...
  21. Okay...good for
  22. I definitely don't equate nursing with martyrdom. The way I see it, if I don't take care of myself, I can't take care of anyone else. To recklessly throw myself in harm's way is doing a disservice...
  23. I don't think it's the same thing at all. Driving a car is a necessity in our society, unless you have the luxury of arranging your life differently, or if you live in NYC. ;-P Making the decision to...
  24. Turfing patients to other hospitals

    We transfer (we do not "turf") patients to other facilities when we cannot provide the level of care the patient needs. For instance, we do not have a cath lab, so STEMIs go to the nearest hospital...
  25. I want to be supportive here. Really, I do. But what I am about to say might not sound like it. I'm willing to take that risk in hopes that you will give me the benefit of the doubt that I am not...