Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. Nurses promoting faux alternatives to medicine

    Anna Flaxis replied to mhy12784's topic in General Nursing

    Crunchy granola type here, and guess what? My kids had all of their childhood immunizations. Come into my ED with a nasty lac and you don't know when your last Tdap was? You betcha I recommend a...

  2. Scrub the Hub

    Anna Flaxis replied to ManNurseBear's topic in General Nursing

    I cannot think of any situation where taking 3 seconds to scrub the hub is going to result in a bad outcome. On the other hand, I can easily imagine that repeatedly accessing a VAD without even a...

  3. Scrub the Hub

    Anna Flaxis replied to ManNurseBear's topic in General Nursing

    I think there is a difference between forgetting to scrub a hub every great once in a while, and consciously disregarding hub decontamination and rationalizing it. We all screw up every once in a...

  4. Scrub the Hub

    Anna Flaxis replied to ManNurseBear's topic in General Nursing

    Unfortunately, I don't think there is any way we can answer that question with any certainty. It really depends upon a lot of factors, like how contaminated was the hub? What is the patient...

  5. disconnecting i.v. for a shower

    Anna Flaxis replied to tinasuojoki's topic in Infusion, Intravenous

    Not ours. They are instructed on how to shower safely with the device. Especially those with a recent history of

  6. I felt belittled by a Dr.

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

    Tag, you're it! It'll be someone else's turn tomorrow. Edited to add, I've been there. Read on:

  7. disconnecting i.v. for a shower

    Anna Flaxis replied to tinasuojoki's topic in Infusion, Intravenous

    True, but what do you suppose people on a 6-8 week course of IV antibiotics using an ambulatory infusion pump in the home setting

  8. Low HR

    Anna Flaxis replied to joe007's topic in Patient Safety Issues

    Asymptomatic bradycardia I would report to the physician, but I certainly wouldn't do so in a confrontational manner. Just more of an FYI, here is a situation I thought you'd like to know about. It...

  9. Would you do that?

    Anna Flaxis replied to garciadiego's topic in General Nursing

    If that's what was called for, as in an opioid overdose where the person has a pulse but is simply not breathing effectively, yes I would. While it might be kind of icky, the chances of "catching...

  10. disconnecting i.v. for a shower

    Anna Flaxis replied to tinasuojoki's topic in Infusion, Intravenous

    I think it's okay for the nurse to use judgment as to which would be better. Theoretically, every time you access a VAD, you risk introducing pathogens into the bloodstream. And yet conversely by...

  11. I'm Tired - A Rant

    Anna Flaxis replied to mmciv's topic in Emergency

    Sounds like a recipe for a sentinel

  12. Unsafe ED

    Anna Flaxis replied to HeartRN13's topic in Patient Safety Issues

    In both the EDs I've worked in, the physicians do have to dispo their patients before they leave, but not for the reason you state. Unlike hospitalist service, where patient loads are transferred...

  13. Didnt attemp CPR to a rigor mortis patient

    Anna Flaxis replied to Nar09's topic in General Nursing

    I don't understand why anyone would do CPR on a person in rigor mortis who has a DNR order. Am I missing something

  14. CABG in am and on Plavix? I don't get it

    Anna Flaxis replied to Mrsjonesgilbert's topic in Cardiac

    Ah,

  15. Dealing with calls from work

    Anna Flaxis replied to Katniss88's topic in General Nursing

    I don't answer the phone unless I am actually interested in going

  16. Am I making a mistake?

    Anna Flaxis replied to robinrene1212's topic in Nursing Career

    I don't understand why doing a job you enjoy would be a mistake. If you're happy in your current job, count yourself as

  17. So, as a nurse it's my #1 priority to serve your narcs on a platter...

    Anna Flaxis replied to Nola009's topic in Patient Medications

    Yep, they come see us for constipation, altered LOC, and falls. But back to the topic at hand, to have an expectation that every pain med will be delivered at a certain time, on the dot, when you have...

  18. In Need of Nursing Advice

    Anna Flaxis replied to nursinglife10's topic in General Nursing

    We can't offer any legal advice to you, but I will say that it sounds to me like you are appropriately horrified and have learned a valuable lesson that even if you are doing a minimal assessment...

  19. Who loves their job as an RN in the ED?

    Anna Flaxis replied to SHANNONDESIRE's topic in Emergency

    I do! I've been an ED nurse since 2009. It started out as way to broaden my experience, working with different age groups and diagnoses, intended to be a stepping stone to something else. I got out...

  20. Less than a year of experience and don't know what to do...helpppp!!

    Anna Flaxis replied to tenacious_rn's topic in First Year After Licensure

    Nurses with little to no acute care experience get hired into acute care positions all the time. Think about how your experience in the plasma center can transfer over to acute care. I'm certain...

  21. APPENDICITIS

    Anna Flaxis replied to KYARNP's topic in Emergency

    I recall reading about this a couple of years ago, where the move was more toward letting it play out a bit first- that many cases would resolve on their own without complications. More of a watchful...

  22. CABG in am and on Plavix? I don't get it

    Anna Flaxis replied to Mrsjonesgilbert's topic in Cardiac

    Plavix is a platelet aggregation inhibitor. Heparin is an anticoagulant. Both work to prevent clots, but in different parts of the process. Platelet aggregation triggers the clotting cascade, so...

  23. Puzzled over a recent patient's visit to an Emergency Department.

    Anna Flaxis replied to DeannaMiller's topic in Emergency

    As I previously mentioned (post #4), mottling and itching in the hands can be caused by Raynaud

  24. Sad & Angry

    Anna Flaxis replied to brenda1234's topic in Patient, Colleague Relations

    That was an expression, meant to illustrate the air of superiority that you seem to feel toward this other person. If you had as much class as you claim, you wouldn't be allowing this other person to...

  25. Interventions without MD orders

    Anna Flaxis replied to Novo's topic in General Nursing

    Splitting hairs. We are not in a deposition. You know what I