Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. Calling in sick on 4th shift

    "You signed up for it" is an expression. It means that when you accepted the job, you accepted the conditions that came along with it, such as being mandated to work a 4th shift every other
  2. Calling in sick on 4th shift

    Well yes, there is that, but I didn't get the sense that that was the OP's concern. I do agree that falling asleep at the wheel is a legitimate hazard that comes with working long shifts and driving...
  3. Calling in sick on 4th shift

    I do it all the time. Since I practice good hand hygiene and follow infection control protocols, I don't feel "infested" unless something unusual happens, like I get a 400lb patient with C-Diff or...
  4. Charting things done by others...

    I frequently chart things that were done that I didn't necessarily do. I'm not charting that I did them, just that they were done and at what time. I work in the ED and so I usually am aware of...
  5. Drug Seeker Stories

    Had a guy admitted to the inpatient unit for chest pain, to undergo cardiac angiography the next day. On a heparin gtt and everything. He was getting morphine 2mg q 1 hour as well as lorazepam PRN,...
  6. Impossible standards

    What??? Noooo... a finger lac is a 4 unless they need IV access and a plastics/hand surgeon. Anyway, I agree with most here, level 3s are Q2, unless they are in the lobby. In the lobby, they are Q1,...
  7. Hired for one shift but scheduled for another!

    In my neck of the woods, New Year's Eve is not a holiday. Here, the winter holidays are Thanksgiving Day, Christmas Day, and New Year's Day. How many of those you have to work will be dictated by...
  8. Evaluate this situation. What did I miss?

    I would have called for a temp >/= 38.5, orders or
  9. Honestly? I don't lose any sleep over MAs. They occupy zero of my consciousness. I'm not sure what your question is. As far as your work climate, I see no reason for people to be unpleasant to one...
  10. OP, if you don't absolutely LOVE cleaning butts, then you have no business going into nursing school! I mean, the
  11. Triage Nurse, No Experience

    Yikes. I'm guessing you're probably doing telephone triage for a service/medical office? Do they at least have decision trees/protocols for you to follow, or are they relying on your nursing...
  12. change of vocation and not sure of terminology?

    I have no idea what you're talking
  13. Not doing well in nursing school?

    It is completely possible to get As in nursing school. I did it working full time and raising teenagers. What it meant for me was that during my waking hours, I was doing one of three things;...
  14. What would you have done?

    I would have advocated for my patient, and if I felt the physician was missing some info, I would have filled him in. Some docs can be asses and act out, but that shouldn't prevent you from providing...
  15. New Graduates who don't welcome feedback

    I wonder where the OP went? Did they not welcome our
  16. I can't believe the MD did that

    I'd be curious to know for sure. I think it's entirely possible that there is more to this clinical
  17. I can't believe the MD did that

    I'm curious, was the patient anticoagulated? It sounds as if this patient was a poor candidate for deep sedation, and perhaps for anticoagulant therapy as well. Maybe the thought process was that the...
  18. New Graduates who don't welcome feedback

    When I was a new grad, once off orientation, I wanted to be left alone to get my feet under me and learn and practice and become a better nurse. I chose my mentors based upon who on my unit had a lot...
  19. What are your pet peeves?

    A pain score greater than 10 on the 0-10 scale. Three minutes explaining why they're here when "my stomach hurts" would suffice. Food requests for people with abdominal pain whose workup isn't even...
  20. Incompatible medications and IV tubing, IV's.

    Try not to overthink it.
  21. Would you commute an hour to a job you wanted?

    I do.
  22. Incompatible medications and IV tubing, IV's.

    Again, I was just theorizing. According to the Infusion Nursing Standards of Practice, 2011, under Standard 43, Practice Criteria II, Section D: When compatibility of infusates is verified, use of...
  23. Incompatible medications and IV tubing, IV's.

    The main difference that I can think of is that the primary generally has continuous forward flow of an IV fluid such as NS (or K+/dextrose containing fluid, but nevertheless, still forward flow of an...
  24. I really dislike working with doctors that think of nurses as "low". I would hate to think of anyone going into medicine for the