Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. No more phlebotomist in the hospital?!

    I've worked cardiac and ED, and I've never done my own EKGs. We page EKG when a patient presents with chest pain at triage. Our hospital is so small, it only takes a minute or two for the EKG tech...
  2. We don't have an official policy. I typically will use a narrative, start to finish type of report where I start with name, age, admitting diagnosis, why the person originally came and how they got...
  3. How often do you study/read up?

    All the
  4. I started out as a CNA, because my nursing program required CNA certification in order to be accepted. They have since removed that requirement, which I think is a big mistake. As a CNA, I learned...
  5. Break Room Ideas

    Good luck with
  6. Getting a meal break

    In my previous ED, we had a float RN who would do lunch relief. Everybody would sign up for a time, then the float RN would go down the list and relieve each one in turn. On shifts where we didn't...
  7. The point is that it's not just a matter of the ED being a busy place; it generally is, and this is a big contributing factor. But the other factor that makes a big difference are the processes...
  8. Sometimes, the hospitalist comes in, writes the time on their order sheet, then goes to see the patient and spends an hour in there. Then they come out and spend another hour writing orders, so at...
  9. Sometimes what happens where I work is that the patient comes in, and because of their condition we already know they're going to be an admit, so we give the house supervisor a heads up so he or she...
  10. Wild Day

    Strange how things come in clusters sometimes, isn't it? Whenever that happens, it's almost like someone decided to have a theme day and forgot to tell
  11. Gosh, what about how disrespectful and inconsiderate it is to the *patient*? I have never knowingly sent a patient to the floor soiled, but sometimes when we're getting killed down there and it's all...
  12. No more phlebotomist in the hospital?!

    Six telemetry patients with no CNA is a heavy load, even for night shift. I don't blame you, OP, for being less than thrilled about this change. It does seem to be the trend these days to cut...
  13. "Get out of here... go do some 'doctor' stuff..."

    I once had a hospitalist clean up a code brown so I could work on the admitting process. I was
  14. Politeness in the face of rudeness and cellphone use

    I excuse myself and tell them I'll be back in a few minutes, unless we're slammed and I really need the room. In that case, I stop speaking and stand there looking at them until they get the hint and...
  15. The Zoll Defibrillator for dummies: explain this thing!

    Unfortunately, some people take ACLS and then never review the material until it's time to recertify. It's really important to review your algorithms regularly. Also, it's important to look at the...
  16. How do you respond to rude patients?

    I don't think there is a one size fits all response. Some patients can be rude at the beginning, but once they see that you are listening and that their needs are being met, they begin to relax and...
  17. Nurse to patient ratio in ED

    OP, your staffing ratios do indeed sound dangerous. The reason your concerns are not being addressed is the bottom line, plain and simple. I applaud you for wanting to change things instead of just...
  18. Team nursing in the ED

    The main reason I prefer primary nursing is that with primary nursing, the physician knows who they need to communicate with. It drives me nuts when the physician thinks they can just talk to the...
  19. The Elephant in the Room

    His name is Trauma, often. Sometimes it's Alienation, Pain, or
  20. Any Apps available for mixing IV drugs?

    Does this help? DILTIAZEM (CARDIZEM ®) -Â Intravenous (IV)
  21. What are your pet peeves?

    We must all have the same turkey sandwiches. There must be a factory somewhere in the
  22. I want to be a CVIC nurse.

    In my neck of the woods, experience on a tele floor will really help make you more marketable to a CVICU position. Get comfortable working with post-interventional patients, arrhythmias, etc. Get...
  23. How do you know when it's time to move on?

    And that is where you lost me. Perhaps it was just a bad choice of words on your part, and you don't *really* feel, as your post implies, that you are superior to your co-workers on med/surg, nor do...
  24. Lab draws off PICC

    There are a lot of potential causes for hemolysis, so it's impossible to say what is causing this in your particular case. My suggestion is to review the literature on proper blood collection...
  25. Butterfly Injections

    I've only ever used butterfly needles for draws, but yes, you can inject through them as well. Kind of a hassle, though. I'd have gone IM