Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. GIVING REPORT!!!!!

    Anna Flaxis replied to friendlylark's topic in Emergency

    The thing is, that on the floor you expect to have all the knowledge about the patient as possible, and you have to have a doctor's order to sneeze. In the ED, you get what you get and you go with the...

  2. suppositories in colostomys?

    Anna Flaxis replied to nursesara23's topic in Patient Medications

    When I was a staff nurse, we had a quad who was frequently admitted to our floor. Now, this guy was well educated and had actually gone through law school and passed the bar as a quad. I never gave...

  3. Vent! PEG tube replacement

    Anna Flaxis replied to LongislandRN23's topic in General Nursing

    I work for an agency in which we do not have orders to replace dislodged tubes. If the parent of the pediatric patient has been trained to replace an NGT, then they do. Otherwise, if the tube...

  4. Lidocaine with Rocephin?

    Anna Flaxis replied to HikingEDRN's topic in Emergency

    I've never given Rocephin IM. I guess it's just not that common in my neck of the woods. I've given it lots IV, though. I volunteer for an organization who, with a few exceptions, believes that "If...

  5. Changing dressing on Groshong

    Anna Flaxis replied to cm8816's topic in Infusion, Intravenous

    For the purposes of the original question, Groshong PICCs are valved at the distal end, making clamping unnecessary. I do not clamp Groshongs for routine cap changes, and I flush with 10m before and...

  6. Vent! PEG tube replacement

    Anna Flaxis replied to LongislandRN23's topic in General Nursing

    Think about it. The Foley is a two way valve. When used as a urinary catheter, the fluid comes out by gravity into the bag which is placed below the level of the bladder. When used as an enteral...

  7. Abdominal IV

    Anna Flaxis replied to dmurph615's topic in General Nursing

    Just as an aside, "the doctor said it was okay" is never a defensible rationale. You are responsible for your actions as an RN. If you know something is unsafe, you have an obligation to advocate...

  8. Patient's Sudden Severe Hyperglycemia

    Anna Flaxis replied to wifewillis's topic in General Nursing

    My first thought was cancer as well. It would not be inappropriate to suggest a cancer workup to her care team. Good

  9. Abdominal IV

    Anna Flaxis replied to dmurph615's topic in General Nursing

    What's the

  10. Abdominal IV

    Anna Flaxis replied to dmurph615's topic in General Nursing

    The IV site in the abdomen is less stable than one in a forearm, so more likely to extravasate. A patient like this needs a central

  11. Vent! PEG tube replacement

    Anna Flaxis replied to LongislandRN23's topic in General Nursing

    Most likely the ED does not stock

  12. Abdominal IV

    Anna Flaxis replied to dmurph615's topic in General Nursing

    Boy, some of you are really making us infusion specialists cringe! I do understand using what you can get in an emergency situation, but please do bear in mind that in a court of law (defending...

  13. Vent! PEG tube replacement

    Anna Flaxis replied to LongislandRN23's topic in General Nursing

    Not necessarily. We would do this in the

  14. Standing up to my charge nurse prevented a mistake

    Anna Flaxis replied to 002rn05's topic in Patient Safety Issues

    It's true, we don't really know the whole story, and we never will. We can only make a best guess as to what really happened by taking the information provided at face value. Some facilities are...

  15. Vent! PEG tube replacement

    Anna Flaxis replied to LongislandRN23's topic in General Nursing

    @ chrisrn24, It depends upon the situation. If the person has an established PEG tube, it can often just be replaced by the MD and then confirmed

  16. Feeling Guilty

    Anna Flaxis replied to kwaziness's topic in Health, Stress Management

    I understand your feelings, but I don't share them. I view stopping the tube feedings and allowing natural death to be a kindness, in this situation. Does your employer offer an EAP (Employee...

  17. GIVING REPORT!!!!!

    Anna Flaxis replied to friendlylark's topic in Emergency

    I've worked both sides of the fence, and I have to admit when I worked the floor, most ED reports really drove me nuts. For one thing, they seemed to have a knack for calling me while I was elbow...

  18. Sick employees in the workplace

    Anna Flaxis replied to KDSkyy44's topic in General Nursing

    If you work in LTC, then you are most likely working with frail elderly and immune compromised residents! It is totally inappropriate for you to work

  19. Vent! PEG tube replacement

    Anna Flaxis replied to LongislandRN23's topic in General Nursing

    It's totally fine to replace a PEG tube with a Foley catheter. They even use red rubber catheters for J-Tubes sometimes (in this case it's important to tape it down because there is nothing holding...

  20. GIVING REPORT!!!!!

    Anna Flaxis replied to friendlylark's topic in Emergency

    I might have told a joke or

  21. GIVING REPORT!!!!!

    Anna Flaxis replied to friendlylark's topic in Emergency

    For meds given prior to arrival, I'd include it in the Background section. For meds given in the ED, I'd include it in the Assessment section followed by the most recent vitals and pertinent lab...

  22. GIVING REPORT!!!!!

    Anna Flaxis replied to friendlylark's topic in Emergency

    Actually, when I say I'm using SBAR, it's because I'm using

  23. Pain management ;)

    Anna Flaxis replied to Sassy5d's topic in Emergency

    ...or improving patient satisfaction

  24. Manifesting job offer by ordering new scrubs.

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

    Well, I've had two interviews and have been told I have at least one job offer coming down the pike. And my new scrubs shipped today. Wonder if they'll arrive the same day as the job

  25. Free time/vacation time while being a nurse?

    Anna Flaxis replied to nurse_sharon's topic in General Nursing

    The reason I will never work full time again unless I am forced to, is that I prefer the freedom that goes along with a part time schedule. I work 24 hours/week, and my work is clustered so that I...