Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. why give this patient magnesium sulfate??

    Anna Flaxis replied to mb2995's topic in Patient Medications

    Hypokalemia is associated with hympomagnesemia about 50% of the time, and judging from the low K+ and Ca and elevated Chloride, it's a safe bet that this patient has low magnesium levels, most likely...

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

    Anna Flaxis replied to Mulan's topic in Patient Medications

    According to the article, EMS response times in this area can be slow. Waiting for EMS to arrive could mean the difference between life and death. Also, the medication will be accompanied by a...

  3. Your Experience with Your Hospitals Cath Lab Personnel?

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

    Maybe it's different where you work, but cath lab personnel are paged with the initial STEMI Alert activation, which is done on scene by paramedics the moment they have a 12 lead showing a STEMI....

  4. How Hard is it to Start in the ER?

    Anna Flaxis replied to madisenclaire's topic in Emergency

    In my neck of the woods, yes it is difficult to get into the ED as a new grad. At my old workplace, they never hired new grads right into the ED. They only hired transfers from other units within...

  5. Is 1-year ED experience enough to apply elsewhere?

    Anna Flaxis replied to RunawayN's topic in Emergency

  6. Your Experience with Your Hospitals Cath Lab Personnel?

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

    Not gonna happen. The cath lab is at another facility 12 miles away. Our goal is to get them to the receiving facility no later than 45 minutes of initial presentation in our ED. In the meantime,...

  7. Your Experience with Your Hospitals Cath Lab Personnel?

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

    We just have to make sure they're naked underneath their gown, but we're not expected to prep the groin. I did groin prep when I worked an inpatient interventional cardiology unit, but it has never...

  8. Starting an ER job with no orientation?

    Anna Flaxis replied to LostnNakedNursing's topic in Emergency

    ..because they think you're not experienced enough to know any

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

    Anna Flaxis replied to Mulan's topic in Patient Medications

    Instructions for Epi-Pens include calling 911 if the pen is used. Narcan would be no different. The family/friend would use the Narcan for immediate rescue and call 911, same as with

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

    Anna Flaxis replied to Mulan's topic in Patient Medications

    This is a great example of the harm reduction model in action. I think it could be a good thing.

  11. Your Experience with Your Hospitals Cath Lab Personnel?

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

    Mmm, not really. If there is any delay in cath lab personnel arrival, we are starting Angiomax and Nitro gtts, placing a 2nd IV,

  12. Starting an ER job with no orientation?

    Anna Flaxis replied to LostnNakedNursing's topic in Emergency

    Thank you for answering my question. Just because the ED is small does not in any way, shape, or form, mean that you will not get really sick people. I'm sure you will be bypassed for traumas,...

  13. Your Experience with Your Hospitals Cath Lab Personnel?

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

    Surely you are talking about scheduled procedures here. You cannot possibly be advocating increasing door to balloon time in order to bathe the patient? In my previous ED, the IV site requirements...

  14. Starting an ER job with no orientation?

    Anna Flaxis replied to LostnNakedNursing's topic in Emergency

    I'm curious to know what YOU

  15. Your Experience with Your Hospitals Cath Lab Personnel?

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

    I haven't worked Cath Lab, but I've hung around and observed a few times when I've taken a STEMI patient there, and everyone was friendly toward

  16. Your Experience with Your Hospitals Cath Lab Personnel?

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

    Thank

  17. Your Experience with Your Hospitals Cath Lab Personnel?

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

    RCIS=???

  18. What are your pet peeves?

    Anna Flaxis replied to forgop's topic in Emergency

    When people call a PCI "heart surgery". It's a non-surgical procedure. I find people usually call it surgery in order to overdramatize it and garner more attention/sympathy than they otherwise

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

    Anna Flaxis replied to JUSTYSMOM's topic in Emergency

    Bister. On the thumb. He wanted a

  20. A med-surg RN learning the ED way

    Anna Flaxis replied to APRNReneeJ's topic in Emergency

    Conscience

  21. Charting things done by others...

    Anna Flaxis replied to mindlor's topic in General Nursing

    This is the real

  22. Do I have rights? libel per se

    Anna Flaxis replied to KristenHuerta's topic in General Nursing

    Okay, I don't want to sound mean here, but you showed very poor judgment sending out a mass email, and you're showing it again by divulging all these details on the internet, using your real name....

  23. What field are you in??

    Anna Flaxis replied to FieryPsychRN's topic in General Nursing

    Why, Emergency Nursing, of course! I like being a calm presence for people who are scared, and I like starting

  24. Shouldn't that patient go the ICU??

    Anna Flaxis replied to psu_213's topic in Emergency

    Besides being way uncool, this is not an appropriate entry for the chart. Have you spoken with your manager about

  25. Calling in sick on 4th shift

    Anna Flaxis replied to greyL's topic in General Nursing

    Yes, but unless you have a collective bargaining agreement, then your employer can pretty much do what they want scheduling wise as long as it doesn't violate labor laws. So in essence, when you...