Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. DO NOT pass on the poop

    Anna Flaxis replied to durantetodalanoche's topic in General Nursing

    Sadly, it is indeed a word. Anyway, sounds like the OP gets the

  2. Pain management ;)

    Anna Flaxis replied to Sassy5d's topic in Emergency

    I think there are some very good reasons why there is so much emphasis on addressing pain. That being said, this kind of situation can be so very difficult for the nurse. Prescribers are obligated...

  3. GIVING REPORT!!!!!

    Anna Flaxis replied to friendlylark's topic in Emergency

    I use the SBAR format: Situation: Mr. Smith is a 60yo male who presented to the ED for a chief complaint of chest discomfort, onset at about 2pm today while mowing the lawn. Background: Mr. Smith...

  4. ED Cheat sheet?

    Anna Flaxis replied to MILOBRI's topic in Emergency

    I, too, ditched the trusty "Brain Sheet" when I made the switch to the ED. Paper towels work great for jotting down a set of vitals or some pertinent assessment data that I don't want to forget when...

  5. Standing up to my charge nurse prevented a mistake

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

    I think a simple phone call to get an order for a one time lab draw from the "midline" would have saved everybody a lot of aggravation. I'm guessing that the rationale behind the order to not draw...

  6. Pain management ;)

    Anna Flaxis replied to Sassy5d's topic in Emergency

    I'm sure the patient really was experiencing pain, but in the absence of any clinical diagnosis warranting the use of IV meds, I can understand the prescriber's hesitance to order IV narcs. It sounds...

  7. Abdominal IV

    Anna Flaxis replied to dmurph615's topic in General Nursing

    I would think the risk of complications would be higher in an abdominal site due to the inability to adequately stabilize the catheter, making the abdomen a less desirable site. In the immediate, life...

  8. long winter of ER nights

    Anna Flaxis replied to MassED's topic in Emergency

    Funny, I took a long hiatus from AN, too. I've been focusing on other aspects of my life. Not sure what brought me back, but here I

  9. "Fake" or Nonprescriptive Eyeglasses

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

    I need readers to be able to see close up, but they are such a pain in the behind that I avoid them if I can. I can't imagine opting to wear glasses if you don't need them. It's just another thing...

  10. Constant Vein Blowing?

    Anna Flaxis replied to JVoEDrn's topic in General Nursing

    ANYWAY.....I'll bet if the OP used a 24g. angiocath and give the infusion as a gtt rather than using a butterfly to administer an IVP, s/he wouldn't have this

  11. "I don't want him as my nurse"

    Anna Flaxis replied to libran1984's topic in LPN, LVN Corner

    I think it's completely reasonable to tell the patient that's telling me their pain is >10 that 10 is the highest it can be, so I will document 10. No need to get into an argument about it at all...

  12. cardiac cath nurses

    Anna Flaxis replied to baju's topic in General Nursing

    The patient undergoing PCI is at risk for an embolic event r/t the invasive nature of the PCI and the body's natural response to it, i.e. wanting to clot. It's been a while since I worked tele, but...

  13. "I don't want him as my nurse"

    Anna Flaxis replied to libran1984's topic in LPN, LVN Corner

    When I was a new nurse, I thought the 0-10 scale was just some gimmicky thing forced on nurses for documentation purposes, and I frequently felt badly as if I had to badger the patient for a number....

  14. Being directed to get a patients son a ride home

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

    Well, I'm a parent too, and when my kids were 13, they used public transportation and were responsible enough to be home alone overnight. This does not an abuse/neglect situation make, and for those...

  15. Applying to 'no experience necessary' jobs and being rejected for lack of experience?

    Anna Flaxis replied to moodyred01's topic in Job Search, Interview, Resume

    I remember when I first started working as a nurse, being in hospital orientation with an RN who had received a sign on bonus plus her moving expenses from out of state paid. I have not heard of that...

  16. Do physicians have authority over nurses in the hospital?

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

    No, physicians do not directly supervise

  17. Manifesting job offer by ordering new scrubs.

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

    Yes, dust off those scrubs, throw a coin in a wishing well, bust out your lucky rabbit's foot, etc. Good

  18. Constant Vein Blowing?

    Anna Flaxis replied to JVoEDrn's topic in General Nursing

    You guys crack me

  19. Old nurse, New BSN, MED ERROR

    Anna Flaxis replied to marace's topic in General Nursing

    Just think of how many mistakes people don't fess up to. It's frightening,

  20. Esophageal Temperature Probes

    Anna Flaxis replied to dolanra's topic in General Nursing

    Interesting. We inserted temp probe foleys in the ED when we started therapeutic

  21. Being directed to get a patients son a ride home

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

    First, there are too many nuances to this specific situation that are missing for me to not be making assumptions, so bear that in mind when you read the following. Personally, I have a bit of an...

  22. Constant Vein Blowing?

    Anna Flaxis replied to JVoEDrn's topic in General Nursing

    NDs can and do order "injectable nutrients" by IV route. I would imagine this varies from state to state, but in California it is

  23. Being directed to get a patients son a ride home

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

    Does your hospital have social workers on staff? While I agree that it's not technically your job to actually find transportation for the family member, I don't think it's okay to just say "It's not...

  24. Confused. Dont want to burn bridges.

    Anna Flaxis replied to mommynurse25's topic in Emergency

    When you accepted the ED job offer, you made a commitment. My advice is to honor your commitment and stay for at least one

  25. Constant Vein Blowing?

    Anna Flaxis replied to JVoEDrn's topic in General Nursing

    It's a fact of life that CAM is becoming part of the health care landscape, like it or not. I think as health care providers, we have an obligation to provide factual information with which our...