Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. Tasks that are left for the floor

    Anna Flaxis replied to friendlylark's topic in Emergency

    I would not punt a heparin gtt to the floor. No way. The Vanco, though, I agree with the others that it was not critical since you had already hung the other two abx. There is no reason the floor...

  2. Over order or minimalist?

    Anna Flaxis replied to chrisktrauma's topic in Emergency

    In my experience it seems like the gray hairs tend to rely more upon their physical exam and the patient's story to help guide their diagnostic decision making than the newer, younger docs do. It...

  3. Vital sign Documentation In ER

    Anna Flaxis replied to jollymon16's topic in Emergency

    If I'm doing q5 vitals, there's typically a reason and I don't have time to chart everything manually, unless we have a scribe present, which isn't always the case. That's when I will print out the...

  4. Vital sign Documentation In ER

    Anna Flaxis replied to jollymon16's topic in Emergency

    Ours

  5. Vital sign Documentation In ER

    Anna Flaxis replied to jollymon16's topic in Emergency

    Most of the time, I record vitals manually on the flow sheet, but every once in a while, when you have a critical patient and you're doing vitals every five minutes for two hours, it's a heck of a lot...

  6. Vent! PEG tube replacement

    Anna Flaxis replied to LongislandRN23's topic in General Nursing

    If it's an established tube, air insufflation has a margin of error comparable to x ray confirmation. It's new tubes that you have to worry

  7. Abdominal IV

    Anna Flaxis replied to dmurph615's topic in General Nursing

    Wow. At any rate, the fact is that whether a central line or a PIV is indicated is contextual. It is not a black and white "one is always safer" than the other kind of thing. Studies on infection...

  8. Manifesting job offer by ordering new scrubs.

    Anna Flaxis replied to Anna Flaxis's topic in General Nursing

    Okay, interview #3 down, still no scrubs, one tentative job offer but nothing

  9. Interviews, offers, decision...Oh My!!

    Anna Flaxis replied to HeatherGurl84's topic in Nursing Career

    Is there any way you can tell the public health job that you are currently in negotiations with another agency, and you need to move the interview date

  10. Lidocaine with Rocephin?

    Anna Flaxis replied to HikingEDRN's topic in Emergency

    Off topic, but my Son in Law is in Afghanistan, FOB Shanara! Thank you for being there for our

  11. Vent! PEG tube replacement

    Anna Flaxis replied to LongislandRN23's topic in General Nursing

    "G-Tube" just means "Gastric Tube", as in placed in the stomach. A PEG (Percutaneous Endoscopic Gastric) tube is just a G Tube. PEG tubes have an internal and external bumper that secures them into...

  12. Lidocaine with Rocephin?

    Anna Flaxis replied to HikingEDRN's topic in Emergency

    Oh, Lunah, I was NOT referring in any way, shape, or form to SA victims, nor was I referring to the idea of intentionally inflicting pain in order to teach someone a lesson. I just think there are...

  13. I don't need a PCP- I have the ER.

    Anna Flaxis replied to Guest219794's topic in Emergency

    I wonder if it's tricky to send patients to the Urgent Care next door because of EMTALA? The triage process is not a substitute for a medical screening exam, so when you triage someone low acuity and...

  14. Vent! PEG tube replacement

    Anna Flaxis replied to LongislandRN23's topic in General Nursing

    In the ICU they can at least get dextrose containing fluids intravenously until the G Tube is replaced. I could be wrong, but I'm guessing that most LTC facilities do not have standing orders for...

  15. Vent! PEG tube replacement

    Anna Flaxis replied to LongislandRN23's topic in General Nursing

    If enteral feedings are the patient's only source of fluids and nutrition, then they need that tube to be replaced ASAP. They can't wait overnight or through the weekend. Many of these folks are...

  16. first patient died on me

    Anna Flaxis replied to Nurse-84's topic in Patient, Colleague Relations

    I'm really sorry. That sounds terrible. It sounds like the patient was "Comfort Care Only", is that right? I would think that if antiemetics were ineffective, that an NGT would be indicated. I'm...

  17. How to work effectively with others

    Anna Flaxis replied to tnguy31's topic in Patient, Colleague Relations

    Hmm. Well, I think if they speak English when communicating with you and English speaking patients, then it's fine if they want to speak their native tongue when communicating with each other....

  18. Triage complaints- the good, the bad, and the shocking.

    Anna Flaxis replied to canoehead's topic in Emergency

    You see, doc, I was in the shower, and I had just finished soaping up, when the doorbell

  19. working where you get your own medical care?

    Anna Flaxis replied to OrangeSN's topic in General Nursing

    I would never go to my ED for a GYN complaint, as it's too personal and I'd rather have some distance from the folks treating me. Otherwise, I feel that for emergency care, my hospital is excellent...

  20. suppositories in colostomys?

    Anna Flaxis replied to nursesara23's topic in Patient Medications

    I would think

  21. Sick employees in the workplace

    Anna Flaxis replied to KDSkyy44's topic in General Nursing

    Agreed. Don't be a martyr. Stay home if you're

  22. ETOH and OD Census

    Anna Flaxis replied to Kidrn911's topic in Emergency

    Fortunately we have three EDs in the area, and most of the college age ODers go elsewhere. Occasionally we'll get a professional ETOHer, but typically they're known at our other ED, so we don't even...

  23. Manifesting job offer by ordering new scrubs.

    Anna Flaxis replied to Anna Flaxis's topic in General Nursing

    Augh!!!!! Been on the phone with the nurse recruiter....choices to make. What a wonderful dilemma! And no, the scrubs have not arrived

  24. Manifesting job offer by ordering new scrubs.

    Anna Flaxis replied to Anna Flaxis's topic in General Nursing

    Good

  25. GIVING REPORT!!!!!

    Anna Flaxis replied to friendlylark's topic in Emergency

    I've never forgotten a lesson I learned as a new nurse: You should be able to take your own assessment to the bank. Period. I don't care what the ED told you. I don't care what Cath Prep &...