Anna Flaxis

Anna Flaxis BSN, RN

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All Content by Anna Flaxis

  1. Odd ER visit

    Anna Flaxis replied to inshallamiami's topic in Emergency

    The more I read, the more I agree this truly was an odd ER visit. The evaluation of syncope is pretty straightforward. This part is especially confusing: This makes zero sense to me. I don't...

  2. Everything is our responsibility. Rant.

    Anna Flaxis replied to dudette10's topic in Patient, Colleague Relations

    Role stress was a huge factor in my decision to leave the bedside. It does seem like the bedside nurse is All Things To All

  3. Odd ER visit

    Anna Flaxis replied to inshallamiami's topic in Emergency

    Since syncope can have life threatening causes, plus he is on chemotherapy, it's really possible that his PCP does not have the resources readily at hand nor the clinical expertise to rapidly diagnose...

  4. Getting kids to take premed

    Anna Flaxis replied to onthejourney's topic in General Nursing

    Without a word, place a bottle of "Wonder Bubbles" on the edge of your desk. The brightly colored bottle will get the kid's attention. When the child shows interest, explain that they can blow some...

  5. Registration Typos

    Anna Flaxis posted a topic in Emergency

    Okay, this is a spin off on the triage complaint thread. You know how sometimes when the registration clerks enter the chief complaint or diagnosis into the EMR, they sometimes goof up? What are...

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

    Anna Flaxis replied to canoehead's topic in Emergency

    OkayOkay, I'll try to get back on track here. Had a guy drive himself in in V Tach. Drove across town, walked into the lobby, cool as a cucumber. He'd had it before and knew what it was. Had another...

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

    Anna Flaxis replied to canoehead's topic in Emergency

    See post

  8. clogged picc line

    Anna Flaxis replied to bellcollector's topic in General Nursing

    I'm sorry to hear about your son. I hope things turn around for him real soon. Per the TOS, we cannot give medical

  9. Brain Sheet

    Anna Flaxis replied to porkey2's topic in Emergency

    The closest thing to a brain sheet I used in the ED was the back of the medic slip, where I would take notes of the EMT's report, add my own observations, and then transcribe it to the chart in an...

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

    Anna Flaxis replied to canoehead's topic in Emergency

    Person with schizophrenia and an abscess "Down

  11. Critical Thinking: you have it or you don't. Agree or disagree?

    Anna Flaxis replied to LTCnurse11's topic in Nursing Professionalism

    I think that critical thinking is about problem solving, and that problem solving skills can be learned. I think the ideal time to teach problem solving is in early childhood, and that parents and...

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

    Anna Flaxis replied to canoehead's topic in Emergency

    "Midgets are fighting in my

  13. Brain Sheet

    Anna Flaxis replied to porkey2's topic in Emergency

    I don't know of any ED nurses who use brain sheets. I designed my own brain sheet when I was a floor nurse. I'm not sure how useful a typical med-surg brain sheet would be for an obs unit. I'd just...

  14. Needing Advise

    Anna Flaxis replied to Brianrn's topic in General Nursing

    There could be many compelling reasons to delay discharge until the morning that are not related to a change in condition. Maybe the patient is frail and debilitated from their 20 day hospital stay,...

  15. Going to ER from ICU. Help!

    Anna Flaxis replied to OnlybyHisgraceRN's topic in Emergency

    I think that is a fine thing to document. It indicates a basic assessment of neurological, respiratory, and circulatory status. Had your basic assessment revealed anything outside of normal limits,...

  16. Needing Advise

    Anna Flaxis replied to Brianrn's topic in General Nursing

    I am very confused by the details, but reading between the lines it sounds like the OP is being called on the carpet for delaying the discharge until the next day. To the OP, my opinion here is of...

  17. Tips please :)

    Anna Flaxis replied to N1colina's topic in Emergency

    It's true, you won't know until you try. You may very well be cut out for the ED. There is no way to know based upon some words on the computer screen! Good luck in your quest, and thank you for...

  18. Corticosteroids and CBGM

    Anna Flaxis replied to Anna-s's topic in Patient Medications

    I think this is a difficult question to answer, and it may vary with the setting as well as individual institutional protocols. People take short courses of corticosteroid therapy in the outpatient...

  19. Tips please :)

    Anna Flaxis replied to N1colina's topic in Emergency

    I was expecting a different kind of thread, about gratuities in the ED. But seriously, I feel compelled to remind you that the kind of folks you're complaining about come in through the ED. Sure, you...

  20. People think I am stupid

    Anna Flaxis replied to nikkole318's topic in First Year After Licensure

    12.5mL/hr would be an appropriate rate for 4.5gm of Zosyn in 50mL to run in over 4 hours, or for a med in a 25mL mini bag to run in over 2 hours, so without knowing the details, I can't comment on...

  21. Cant believe the nurse did.....

    Anna Flaxis replied to Daisy_08's topic in General Nursing

    I don't have any funny stories to add, but I just wanted to comment that I have appreciated many of BrandonLPN's posts over time, and he strikes me as a conscientious nurse that I would be happy to...

  22. nurse coming to work drunk

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

    How did she get to work in the first place? Yikes! Why would the NM be risking jail time? Disciplinary action I can see, but jail

  23. I am struggling with patient families lately.

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

    The idea that my point of view differs from yours really seems to bother you, as is evidenced by the increasingly supercilious and pedantic tone of your posts. Personally, I find such behavior...

  24. I am struggling with patient families lately.

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

    No, it is not the same. People have different developmental tasks across the lifespan. Taking care of a 2 year old little girl with cancer and taking care of a 25 year old man who just had a lap appy...

  25. I am struggling with patient families lately.

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

    I don't think anyone is throwing the baby out with the bathwater. I would venture to say that most who have participated in this thread see PCC/FCC as a good, neccessary thing. Speaking for myself,...