Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. 8 months as a nurse and I am failing miserably

    Anna Flaxis replied to RN119's topic in First Year After Licensure

    Maybe the patient isn't on Comfort Care, but has a POLST with Comfort Measures Only. This would refer to end of life, and if the patient isn't at end of life, or if they are still able to communicate...

  2. Are RNs allowed to arterial stick at your hospital?

    Anna Flaxis replied to Deetail's topic in General Nursing

    We can do it for

  3. Does the entrance med dosage calculation test in hospitals allow calculators?

    Anna Flaxis replied to TheLiftedButterfly's topic in General Nursing

    I have no idea. I've never had to take a dosage calculation test for any job. Have you asked the

  4. Medication deviation... Patient right to know?

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

    Thanks for the clarification. It sounds to me like this is a frequent enough occurrence that some process improvement is needed here. Do you have any ideas for how to change the process so that this...

  5. Medication deviation... Patient right to know?

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

    When I worked inpatient, we had an hour on either side of the time the med was due, so a two hour time window within which to give the med. If your facility has such a policy, then as long as the med...

  6. tubex vs. syringe

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

    http://www.medscape.com/viewarticle/773246_5 I really like carpujects. It saves me the step of drawing the medication up, which is really nice when time is of the

  7. Question about scheduling...is it the same for you?

    Anna Flaxis replied to HeatherGurl84's topic in General Nursing

    This isn't really a scheduling question, it's more of a paycheck question. If you don't get paid for your lunch break, and it is 30 minutes, then you'd get paid for 34hrs/week during the weeks that...

  8. Fired from my first nursing job, before one year

    Anna Flaxis replied to mightynurse1's topic in General Nursing

    Okay, I'm going to chime in here. Honestly, I don't think cutting a pill with scissors, nor discharging a patient with an IV catheter in place, are fireable offenses. I don't think those are the...

  9. Bad experience with CAGE protocol patient

    Anna Flaxis replied to Stcroix's topic in General Nursing

    First of all, thank you for spelling "withdrawal" correctly! Second: Always, always, ask when their last drink was! Also, "a couple of scotches" is really nonspecific. He could mean a couple of...

  10. How do I know the correct vial for blood draws??

    Anna Flaxis replied to Newgirl9376's topic in Infusion, Intravenous

    I agree with the above, if in doubt, check with the lab who will be running the

  11. Scope of practice in the ER

    Anna Flaxis replied to Fiona the Bull's topic in Emergency

    I hate to tell you, but you're expected to care for patients that are -1 second old, i.e. still in the womb. That's the beauty of being an ED nurse, is we take care of people from cradle to grave....

  12. Drug Seeker Stories

    Anna Flaxis replied to ER-RN2's topic in Emergency

    Yes, that is how I found out about the trick where they come in requesting a refill of their SSRI. People take large doses of SSRIs to combat the serotonin depletion r/t ecstasy

  13. Humor me

    Anna Flaxis replied to Sassy5d's topic in Emergency

    Okay, yes there is a difference, as stated in the post above. However, it is possible to have diverticulitis without radiologic evidence. So even though the CT said "diverticulosis" does not mean the...

  14. What was the MOST ridiculous thing a patient came to the ER for?

    Anna Flaxis replied to JUSTYSMOM's topic in Emergency

    Even if it was ring worm, that's no reason to go to the

  15. IM Ketamine policy

    Anna Flaxis replied to Guest219794's topic in Emergency

    At my current facility, procedural sedations on kids under 12 are done by anesthesia, but where I worked previously, we did lots of IM Ketamine on kiddos, for one thing because one IM injection was...

  16. No teamwork in ED

    Anna Flaxis replied to hella_RN's topic in Emergency

    I have the opposite problem. With the exception of trauma activations, I'm used to being alone with busy patients doing everything myself, so it's still a little strange to have another nurse come in...

  17. Humor me

    Anna Flaxis replied to Sassy5d's topic in Emergency

    I'm not sure what you're asking, but the diagnosis of diverticulitis can be made based on history and physical alone, with labs and imaging to rule out other causes of the symptoms. So if the...

  18. Starting an ER job with no orientation?

    Anna Flaxis replied to LostnNakedNursing's topic in Emergency

    I agree wholeheartedly with the

  19. Does Anyone Actually LIKE Being a Nurse? (Slight Venting)

    Anna Flaxis replied to j_tay1981's topic in General Nursing

    I've tried a few different things, and for me it's bedside nursing that just isn't my cup of tea. I've found that the ED suits my personality and aptitude a lot better. I'm on my 4th job in 6 years...

  20. Nursing 101: Your Passive Aggressive Nurse Co-Worker/ Classmate

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

    By not engaging, what I mean is to not get sucked in to the drama that the person is attempting to create with their behavior. By definition, passive aggression is aggression disguised in such a way...

  21. Iv mag or k+ which do I hang first?

    Anna Flaxis replied to JenniferG rN's topic in Emergency

    Lev, thank you for clarifying. That does make a lot more sense. No, you wouldn't wait, but that's not really the point. The point is that you can pour all the potassium you want into the patient, but...

  22. Iv mag or k+ which do I hang first?

    Anna Flaxis replied to JenniferG rN's topic in Emergency

    The OP never told us what the serum K+ was. The 1.9 came from post #15, which was written by a different member and actually makes my point, that you give the mag first. Go back and re-read

  23. Holding admitted patients in the ED

    Anna Flaxis replied to hella_RN's topic in Emergency

    A lot of ED nurses don't like giving routine meds. It's a pain in the behind. We're stuck in the mentality of treating the immediate needs, and everything else can wait. Plus, a lot of the time we...

  24. I Like It

    Anna Flaxis replied to OCNRN63's topic in General Nursing

    Okay, I'll compromise. Since I went to nursing school for 2 years and did pre-nursing pre-reqs for a year while working as a CNA, I'll add 3 years to my experience. But since I haven't been in any...

  25. Holding admitted patients in the ED

    Anna Flaxis replied to hella_RN's topic in Emergency

    I will add that in my experience, patients generally want to get out of the ED as soon as possible. It's no picnic for them,