Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. Burnout tips?

    Anna Flaxis replied to ParalyticAgent's topic in Emergency

    I found that no amount of vacation helped me. I got out. Now I work in a small community ED, and it's different. It's more personal and people don't get away with acting like asses. Of course, I...

  2. How long did it take you to master inserting an IV?

    Anna Flaxis replied to RunawayN's topic in Emergency

    I still haven't mastered it, and I've been an ED nurse for a few years. I'm not terrible at IVs, I'm actually pretty good, but anybody can have a bad day. As others have said, you just have to...

  3. Non-compliant patients

    Anna Flaxis replied to tpecina's topic in General Nursing

    Also, I've noticed that whether the person is Type 1 or Type 2 makes a difference as well. Type 1s tend to be diagnosed at an earlier age, during their development where peers have the most...

  4. Best CNA experiences

    Anna Flaxis replied to abbaking's topic in General Nursing

    Honestly, my negative experiences with CNAs outnumber the positive. I can honestly say this even though I myself was a CNA for three years. There was one CNA I worked with, though, who really made an...

  5. Non-compliant patients

    Anna Flaxis replied to tpecina's topic in General Nursing

    First, we should do away with the label "non-compliant". Erase it from your mind. Find out what the patient knows about diabetes and what his belief systems are regarding health maintenance. The...

  6. Incompatible medications and IV tubing, IV's.

    Anna Flaxis replied to MunoRN's topic in Patient Medications

    Interesting question. I'm new at my facility, so I'm not sure what the policies are for Med-Surg and ICU, but for the ED, which is where I work, I haven't actually seen a "policy" per se. I look up...

  7. Honestly, what does documentation get you?

    Anna Flaxis replied to Sassy5d's topic in Emergency

    You are not going to single handedly "fix" this person. Even if she came in and the doc didn't order any IV pain meds, she'd just come back another time and get a doc who does. If you research...

  8. Curious about how to handle this situation..

    Anna Flaxis replied to MilliePieRN's topic in General Nursing

    So this camp has no medication administration policy and no medically trained personnel on site? This is a huge liability, and if I were your husband, I'd have nothing to do with it. Who is doing...

  9. The benefits of therapeutic hypothermia in a comatose pt after arrest?

    Anna Flaxis replied to thatoneguyRN's topic in CCU, Coronary, Cardiac

    Just re-read your post. Your charge nurse had a valid point that since the patient was not comatose following ROSC, that would disqualify him from therapeutic hypothermia (assuming his GCS was...

  10. Looking for a job for over a year.....part time opportunity?

    Anna Flaxis replied to HeatherGurl84's topic in General Nursing

    Part time is better than no time! Personally, I prefer part time work. If you can swing it financially, you might find you like it

  11. Tips for a New ER Nurse

    Anna Flaxis replied to melmacrn's topic in Emergency

    Congratulations on your new job. How very exciting! This question has been asked ad nauseum here on AN. Just type "tips ER" into the search engine and you'll get a page full of links to those...

  12. Taking away chairs from nursing station

    Anna Flaxis replied to pinkessence_58467's topic in LPN, LVN Corner

    Too much standing also has detrimental health effects. The current ergonomic school of thought is that alternating sitting and standing and walking is the most beneficial approach. It seems to me...

  13. Cardiologist ordered nitro spray for pt with critical AS

    Anna Flaxis replied to lazz1's topic in Cardiac

    At low doses, nitro doesn't exert significant effects on the arteries. It'll be at higher doses, like if the person is on a continuous nitro gtt that you will see those effects. Even if,...

  14. The benefits of therapeutic hypothermia in a comatose pt after arrest?

    Anna Flaxis replied to thatoneguyRN's topic in CCU, Coronary, Cardiac

    My understanding is that most of the data is from out of hospital arrests, and that in-hospital arrests are not well studied. There are a lot of pathophysiological processes that occur as a result of...

  15. Cardiologist ordered nitro spray for pt with critical AS

    Anna Flaxis replied to lazz1's topic in Cardiac

    I'm confused by this statement. Since the aortic valve contains no smooth muscle and is made up of connective tissue (and is calcified in the person with AS), I'm wondering how nitroglycerin exerts...

  16. Cardiologist ordered nitro spray for pt with critical AS

    Anna Flaxis replied to lazz1's topic in Cardiac

    I'm curious where you are getting the idea of nitroglycerin relaxing the aortic valve? The pathophysiology of nitrate-induced syncope has to do with reduced preload caused by peripheral vasodilation,...

  17. Terminated! Now what?

    Anna Flaxis replied to BellaaSoleil's topic in General Nursing

    Our EMR has different screens for different disciplines. When a CNA opens it up, they can only see orders that apply to them, such as routine vitals, turn Q2, diet orders, etc. Anyway, OP, did you...

  18. Need Advice... Nurse stealing non-narcotic medication

    Anna Flaxis replied to JSSCELI's topic in General Nursing

    OP, it sounds to me like you handled the situation just fine. Since you have not seen her take anything, at this point it is just a conversation, which again, you handled appropriately. I would let...

  19. patient on IV Amidorone and PO Amiodorone at the same time?

    Anna Flaxis replied to raindrop's topic in Cardiac

    Amiodarone has a potential for fatal toxicity and has no antidote. I'm guessing the resident's concern about the 24 hour cumulative total dose was related to this. If the patient was elderly, the...

  20. broken nurse

    Anna Flaxis replied to medsearcher1's topic in Cardiac

    What kinds of things are you missing? A little more info would be

  21. Cardiologist ordered nitro spray for pt with critical AS

    Anna Flaxis replied to lazz1's topic in Cardiac

    Just to play a little Devil's Advocate here, while I can certainly understand why you might question an order to give nitroglycerin to a patient with aortic stenosis, nitrates are not absolutely...

  22. IV push

    Anna Flaxis replied to greyL's topic in General Nursing

    What about

  23. IV push

    Anna Flaxis replied to greyL's topic in General Nursing

    To the OP, your facility should provide you with a drug guide, either as a book located in the med room where meds are drawn up and prepared, or as an online resource that you can access prior to...

  24. Dealing with chronic suicidal pts in the ED

    Anna Flaxis replied to danggirl16's topic in Emergency

    The way I see it, people who want to harm themselves are in pain. They are hurting from whatever horrible thing or multiple things that have happened in their lives, and they don't know how to cope...

  25. Coworker rant!

    Anna Flaxis replied to Sassy5d's topic in Emergency

    Patient Hog Lite and the Special Snowflake. I'm really fortunate to be working with a great bunch where this type of stuff doesn't happen. Everybody pitches in, and if you're not busy at the moment,...