Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

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

    Anna Flaxis replied to JenniferG rN's topic in Emergency

    I knew you were being facetious. Did you not see my

  2. Hypothermia Protocol

    Anna Flaxis replied to jrodhuskers's topic in General Nursing

    Shivering can occur during rewarming, since it is most likely to occur between temps of 34-36. Plus, shivering can be subclinical or

  3. Starting an ER job with no orientation?

    Anna Flaxis replied to LostnNakedNursing's topic in Emergency

    I know this was a difficult decision for you. I understand you need a job, but I think you'll sleep better at night having made this decision. Good luck in your future

  4. RNs: How much vacation time do you get?

    Anna Flaxis replied to SummitRN's topic in General Nursing

    I am per diem, so I do not earn ETO/PTO. I must be available to work 8 months out of the year for at least 40 hours per 4 week scheduling cycle, and one holiday per calendar

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

    Anna Flaxis replied to JenniferG rN's topic in Emergency

    An ED nurse can't have an understanding of fluid and electrolyte balance?

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

    Anna Flaxis replied to JenniferG rN's topic in Emergency

    There is no inhibition of potassium uptake. Potassium is flowing into the cells just fine. The problem is that magnesium blocks potassium secretion back OUT of the cell, and with low intracellular mag...

  7. What do you think about this? Giving narcan to addicts, their friends and family.

    Anna Flaxis replied to Mulan's topic in Patient Medications

    What have been the outcomes of similar

  8. PICC line blood draw

    Anna Flaxis replied to greyL's topic in General Nursing

    Okay, I just thought of a more supportive way to communicate that last part of the above message, but the window of time for editing is past, so I'd just like to say that I'd like to encourage you...

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

    Anna Flaxis replied to JenniferG rN's topic in Emergency

    Mmmm, sort of...intracellular Mg2+ modulates the transport of K+ *OUT* of cells by blocking secretion of K+, so if there is a deficiency of intracellular Mg2+, then more K+ is secreted by the distal...

  10. PICC line blood draw

    Anna Flaxis replied to greyL's topic in General Nursing

    If hep locking is your facility's policy for PICC lines, then the heparin flush should be part of the PICC order set and entered into the computer. I know this is gonna sound harsh, but what's...

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

    Anna Flaxis replied to JenniferG rN's topic in Emergency

    I wondered that too, but it's pretty common practice to run things in one at a time on stable patients because if they have an adverse reaction, you can be pretty certain which medication they're...

  12. PICC line blood draw

    Anna Flaxis replied to greyL's topic in General Nursing

    That's great! For me, the sharps container is way across the room from the patient care area, and it's not portable. I think having a routine is the key, whatever routine works for

  13. What are your plans for Thanksgiving?

    Anna Flaxis replied to Brian's topic in Nurses Rock

    One of the perks of being per diem, I have the day off.

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

    Anna Flaxis replied to JenniferG rN's topic in Emergency

    Well, while I'm not sure I agree with the other RN's verbiage, she is correct that hypomagnesemia can make hypokalemia refractory to treatment, so hanging the mag first would be the correct action, as...

  15. Fentanyl Patches

    Anna Flaxis replied to Devon Rex's topic in Patient Medications

    Do you need a witness to administer Fentanyl IV? No, but you do need a witness to waste it. Same

  16. Desperate 2 become a NURSE

    Anna Flaxis replied to rainbowprincess's topic in Nurse Disabilities

    I'm going to give you honest feedback. It sounds to me like your anxiety is still a current and very significant issue in your life. I'm not sure how you expect to function as an RN. What is it about...

  17. Immediate emergency ?

    Anna Flaxis replied to McBambi's topic in General Nursing

    Lots of shades of grey here. What other s/s is the patient exhibiting (airway obstruction, fever, change in mentation?), is the patient immune compromised? How old is the patient and in what setting...

  18. Charcoal/NG tubes

    Anna Flaxis replied to Sassy5d's topic in Emergency

    I've given charcoal exactly once, and exactly for that

  19. Reporting Critical Value..

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

    We don't carry phones in my ED (Hallelujah!!!!), so whichever nurse is closest to the phone at the nurses station takes the call, as the primary RN may be in with another patient, on the other line,...

  20. PICC line blood draw

    Anna Flaxis replied to greyL's topic in General Nursing

    Oooh, good point. I have a system that I follow every blood draw that helps me to not do this. I place the waste syringe on the far right corner of the work surface away from me, and the draw syringe...

  21. PICC line blood draw

    Anna Flaxis replied to greyL's topic in General Nursing

    What is your facility's written policy? It is not necessary to flush prior to drawing blood (unless your facility's policy says otherwise). 4-5mL waste is sufficient (again, unless your facility's...

  22. Your Experience with Your Hospitals Cath Lab Personnel?

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

    That is a good point. Transradial approaches went from being a rarity, the trademark of one particular cardiologist we had on staff, to a more common occurrence, maybe about 25-30% of cases, in just...

  23. Reporting Critical Value..

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

    Same

  24. What do you think about this? Giving narcan to addicts, their friends and family.

    Anna Flaxis replied to Mulan's topic in Patient Medications

    What are the chances that a mother or father who just found their son or daughter ODd on heroin will fail to call 911? There are a lot of hypotheticals, but I think the act addresses a lot of the...

  25. What do you think about this? Giving narcan to addicts, their friends and family.

    Anna Flaxis replied to Mulan's topic in Patient Medications

    What happened to evidence based practice? Do some research on harm reduction, and you'll see that it is more effective than moral outrage at reducing the costs to individuals and society that are...