Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. Do I throw down the Gauntlet?

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

    Yes, I think you have to throw down the gauntlet. I'm sorry, you're probably right that it's not going to have the outcome you'd like to see, but I think it's important to be consistent and follow...

  2. Cannabinoid hyperemesis syndrome

    Anna Flaxis replied to Emergent's topic in Emergency

    I've seen this diagnosis a few times. It is distinct from

  3. Interventions without MD orders

    Anna Flaxis replied to Novo's topic in General Nursing

    There are literally hundreds of nursing interventions that are independent of physician orders. However, yes, as nurses we do have limits on our scope of practice, such as that we do not diagnose and...

  4. Worried about getting blacklisted if I complain about care - what do you think?

    Anna Flaxis replied to visionary123's topic in General Nursing

    OP, I don't want to minimize your daughter's experience, but something is nagging at me. I guess I'm just a skeptic at heart, and I don't take things at face value without doing some critical...

  5. My impressions on the ER so far

    Anna Flaxis replied to Catch22Personified's topic in Emergency

    If at first you don't succeed, try, try

  6. Worried about getting blacklisted if I complain about care - what do you think?

    Anna Flaxis replied to visionary123's topic in General Nursing

    I would obtain copies of the medical records for that visit so I could see the labs and diagnostics for myself prior to proceeding with any

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

    Anna Flaxis replied to DeannaMiller's topic in Emergency

    As a result......? What were concerned might have been going on with this patient? Remember that in the ED, often diagnosis is that of excluding acute life threatening illness. Once AMI, PE, aortic...

  8. Dealing with arrogant staff

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

    When attempting to change well established patterns, things will get worse before they get better. That is because people think that what has always worked before will still work now, and they will...

  9. Unsafe ED

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

    You just made me cry a little. Thank

  10. Unsafe ED

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

    No, you are absolutely correct that those things should have been addressed in the ED. If things like this are happening on a regular basis, then I agree with you that it certainly appears that there...

  11. The experience of an ER nurse?

    Anna Flaxis replied to Cpf9's topic in Emergency

    We use travelers in my ER, and we really need them to be experienced and knowledgeable. We count on that. We don't have time and resources to devote to orientation. Basically, you need to be ready...

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

    Anna Flaxis replied to DeannaMiller's topic in Emergency

    That is all very true, except keep in mind that the patient's symptoms began 5 days ago, which is plenty of time for Troponin to become elevated, and are described as "intermittent", which makes it...

  13. Assertive with your providers.

    Anna Flaxis replied to Sassy5d's topic in Emergency

    I admire this- I really do. But, for some of us, when we're in the moment, we can sort of "freeze up" and not really know how to respond. It is only in hind sight that we're able to see how we could...

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

    Anna Flaxis replied to DeannaMiller's topic in Emergency

    dayna.tulip, the stress test was from November of 2013. DeannaMiller, Please remember that the role of the ED physician is not necessarily to provide a definitive diagnosis. Once an immediate life...

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

    Anna Flaxis replied to DeannaMiller's topic in Emergency

    I'm not sure what kind of feedback you're looking for. I don't see any EKG. His hand symptoms sound like they could possibly be Raynaud's Phenomenon, which can be associated with autoimmune

  16. Assertive with your providers.

    Anna Flaxis replied to Sassy5d's topic in Emergency

    First, let me say that I'm really sorry that happened to you. Although I haven't been publicly humiliated by a doctor in the workplace, it has happened to me in another setting, and it is really an...

  17. How to treat?

    Anna Flaxis replied to uRNmyway's topic in Emergency

    Toradol

  18. I need help vs do it for me

    Anna Flaxis replied to Sassy5d's topic in Emergency

    Sometimes I ask for "help" when I don't really need it- like placing a foley in that young, extremely anxious female or dropping an NGT when it's been a really super long time since I've placed an...

  19. Unsafe ED

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

    We get the runaround from the floor All. The. Time. If they tell me they're really busy and could I just hold onto the patient for another 30 minutes, I try to respect that if I can. Sometimes the...

  20. Honesty & heart

    Anna Flaxis replied to brenda1234's topic in Spirituality, Religion

    People complain about silly things sometimes. Many times, their complaints are totally unfounded. However, if you are frequently the target of complaints, no matter how seemingly insignificant, I...

  21. I need help vs do it for me

    Anna Flaxis replied to Sassy5d's topic in Emergency

    I hear you. When I'm working with a nurse like that, I just spend as much time as I can in my patient

  22. need some insight on if I should become a nurse or not...

    Anna Flaxis replied to direwolf's topic in General Nursing

    Go with your

  23. Torn

    Anna Flaxis replied to mlj6226's topic in General Nursing

    Take what I have to say with a complete grain of salt. I am just an ER nurse who is happy with my station in life and has no plans to further my education or to make any upward career moves- although...

  24. Unsafe ED

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

    The patient may have been good to go, but what else was going on in the ED? Do you know? You waited over two hours from the time you got your SBAR until you called down there to ask when the patient...

  25. Something bothered me today in the Emergency Dept.

    Anna Flaxis replied to Wrangler156's topic in Emergency

    No, I didn't think of you as being lazy. I thought of you as sounding like a very caring person. It was nice of you to sit with