Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. Pull until full triage

    Anna Flaxis replied to Mirnew's topic in Emergency

    At my old ED, we had 3 triage rooms, where the triage nurse would hop between the three rooms, getting a chief complaint, a set of vitals and the reg clerk would to a quick registration. Then the...

  2. Conscious sedation in the ER

    Anna Flaxis replied to merilynRN's topic in Emergency

    Oh, okay, that explains it! I was really confused there for a

  3. Conscious sedation in the ER

    Anna Flaxis replied to merilynRN's topic in Emergency

    Did I miss something? What paralytics have people referred

  4. Dealing with difficult patients over the phone

    Anna Flaxis replied to Mrs.LaDuke09's topic in Patient, Colleague Relations

    When you feel yourself getting triggered and you're not sure what to say, just hear the person out, and calmly tell them "Let me find out what I can for you. I need to put you on hold for just a...

  5. "I need my Lipitor!"

    Anna Flaxis replied to 1fastRN's topic in Emergency

    Yeah, the pharmacy can bring them to us, too, or if the pharmacy is closed, the house supervisor can. But typically they're not in our ED long enough for me to offer that option, like I said, unless...

  6. FFP infusion

    Anna Flaxis replied to EmeryRN's topic in General Nursing

    We have outdated policies too. Getting them changed would take an act of

  7. Pt sent to cath lab for NSTEMI

    Anna Flaxis replied to tg982's topic in Cardiac

    It can depend on a lot of different things. It can depend on where they're coming from, who the provider is, etc. Sometimes the gtts will just be started in the cath

  8. How does your ED handle stocking

    Anna Flaxis replied to That Guy's topic in Emergency

    The nurses in my ED do all the stocking (we don't have techs). Usually night shift does it, but all of us will do it if we notice we're running low on

  9. "I need my Lipitor!"

    Anna Flaxis replied to 1fastRN's topic in Emergency

    We don't hold them long enough to have an issue most of the time (thank goodness). Usually what I tell them is that in the Emergency Department, we only stock drugs related to emergency situations,...

  10. V tach leading to an MI

    Anna Flaxis replied to Katniss88's topic in Cardiac

    Esme is spot on. Another point that I don't know if anyone else has made is that this patient could have been having runs of VT all the time at home, but since he was asymptomatic with them, never...

  11. How does your ED treat chest pain?

    Anna Flaxis replied to dsherman's topic in Emergency

    Nurse initiated protocols: EKG within 10 minutes of triage. 18g. in the RAC. CBC, CMP, Troponin, CK-MB CXR ASA 162mg. PO if no true allergy and no ASA already taken O2 @ 2LPM NC NTG and/or morphine...

  12. Migraine treatment in er

    Anna Flaxis replied to dsherman's topic in Emergency

    ^ That's my understanding, too. Not that narcotics cause rebound headaches, but that evidence shows that they just don't work as well as other meds (I wrote this in response to CodeteamB's post,...

  13. Are you good at charting in "real time?"

    Anna Flaxis replied to Ativan's topic in General Nursing

    Yes, in the ED, charting in real time is de riguer. However, when I worked on the floor, I struggled with this, too. I had my own brain sheets where I would make notes of any exceptions, then go into...

  14. FFP infusion

    Anna Flaxis replied to EmeryRN's topic in General Nursing

    I second Altra's post above. You can definitely run FFP in a 22g., and one unit over 30 minutes is a standard rate. You did just

  15. Migraine treatment in er

    Anna Flaxis replied to dsherman's topic in Emergency

    twss2323, Toradol for the pain, Compazine for the N/V, and Benadryl for the potential akathisia caused by the

  16. What could this have been?

    Anna Flaxis replied to dandk1997RN's topic in Cardiac

    Unequal pupils are a late sign of IICP, and a bleed severe enough to cause such a severe headache and unequal pupils in such a short amount of time would certainly have been visible on a head CT....

  17. What could this have been?

    Anna Flaxis replied to dandk1997RN's topic in Cardiac

    Adverse reaction to the

  18. Dealing with stress, guilt, and emotions

    Anna Flaxis replied to 1fastRN's topic in Emergency

    Self care means different things to different people. For me, self care means getting enough sleep that I feel rested, drinking enough water, eating fresh, whole foods, being physically active, like...

  19. Extended Peripheral Catheter Dwell Time

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

    Nope. Still 3 days at my

  20. Seriously?!?!

    Anna Flaxis replied to emtb2rn's topic in Emergency

    One of our doctors got in trouble for saying

  21. Migraine treatment in er

    Anna Flaxis replied to dsherman's topic in Emergency

    Toradol, Compazine, Benadryl, and a 1L NS

  22. The Elephant in the Room

    Anna Flaxis posted a topic in Emergency

    We know that lifestyle choices affect our physical health. Smoking, drinking alcohol to excess, eating too much junk food, inactivity....these things cause real physical problems for many people. The...

  23. Coding patient without paging code overhead?

    Anna Flaxis replied to rse3's topic in Emergency

    ERP=ER Physician, correct? If the only reason to overhead page codes in the ER is to get the resources there, and the patient didn't need those resources, then paging overhead was not

  24. Do you calculate drip rates anymore?

    Anna Flaxis replied to goingback's topic in General Nursing

    I frequently calculate drip rates in my small community ED. I think it is something nurses should know how to do. Not every place is operating in the 21st century with state of the art

  25. When Hospitalists Attack

    Anna Flaxis posted a topic in Emergency

    Just venting. Pt. in persistent AF c RVR. Had two doses of Diltiazem, was on a Dilt gtt, got 0.5 of Dig. Slowed down for a little while after each med, but after a bit was back to his old tricks in...