Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. Left Nursing After 3 Months and Couldn't Be Happier!

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

    I worked full time as a CNA in the hospital while attending nursing school. Many days I would have clinical, then maybe an hour break before my CNA shift started, lather rinse and repeat the next...

  2. Who actually likes nursing??

    Anna Flaxis replied to mmcnabb3's topic in General Nursing

    I like nursing. I don't like the business model of healthcare delivery, where patient safety takes a back seat to profit. I feel a great responsibility toward the patients who trust me to keep them...

  3. "You've never said you liked nursing." A vent.

    Anna Flaxis replied to dudette10's topic in General Nursing

    Maybe things have changed in the 8 years since you worked at the

  4. Left Nursing After 3 Months and Couldn't Be Happier!

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

    OP, I am happy for you. I can relate a little to your situation. After 5 years at the bedside, I was becoming a very unhappy person. I changed specialties into more of a teaching role with...

  5. What certifications do you have?

    Anna Flaxis replied to confusedstudent_88's topic in General Nursing

    I have BLS, ACLS, PALS, TNCC, and

  6. How does this happen???

    Anna Flaxis replied to snbonbon's topic in Patient Safety Issues

    Sometimes you can have more than one thing going on. Sometimes docs order interventions to rule things out, or to get the problem to declare itself. There are a lot of possible

  7. Best way to get air out of IV tubing for IV antibiotics is ?

    Anna Flaxis replied to Blackcat99's topic in Infusion, Intravenous

    I thought NS flushes were a device, not a medication. If intermittent bags are overfilled with priming volume in mind, which is the case at my facility, then the patient will still receive the full...

  8. Best way to get air out of IV tubing for IV antibiotics is ?

    Anna Flaxis replied to Blackcat99's topic in Infusion, Intravenous

    Yes, saline flushes are a device and flushing and locking procedures are routine/protocol VAD care actions. However, hanging a bag of saline is a different story, and one should be careful to consult...

  9. never been screamed at like this before :(

    Anna Flaxis replied to mmc51264's topic in First Year After Licensure

    No, you're not the only one. I noticed that, too. It's quite possible that the CNA went to report the patient's request to the nurse, saw that the nurse was on break/using her phone, and went back...

  10. Best way to get air out of IV tubing for IV antibiotics is ?

    Anna Flaxis replied to Blackcat99's topic in Infusion, Intravenous

    IV fluids are a medication that requires a physician's order. The practice of hanging a bag of NS to use for flushing/priming or to TKO, without a physician's order, is technically administering a...

  11. Best way to get air out of IV tubing for IV antibiotics is ?

    Anna Flaxis replied to Blackcat99's topic in Infusion, Intravenous

    It's not uncommon for intermittent infusion bags to be overfilled, and if that's the case with your pharmacy, you can simply re-prime the tubing using the medication you're infusing. Just go slow,...

  12. How does this happen???

    Anna Flaxis replied to snbonbon's topic in Patient Safety Issues

    It is not uncommon for diabetics to experience symptoms of hypoglycemia when their CBG is within normal

  13. bruise question

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

    Bruising can happen if someone is a hard stick (I see two attempts as well, so this could be the case), if someone is taking anti-platelet or anti-coagulation medications, or if not enough pressure is...

  14. My Reasons For Avoiding The Acute Care Hospital

    Anna Flaxis replied to TheCommuter's topic in General Nursing

    I like acute care nursing, but I don't like the way the hospital is being run. I don't like the cutting back of resources while simultaneously increasing documentation requirements. I don't like...

  15. BP situation

    Anna Flaxis replied to Standoe3's topic in Medical-Surgical

    Not to hijack the thread, but I have never heard of lisinopril having any effect on HR. Can you explain this

  16. BP situation

    Anna Flaxis replied to Standoe3's topic in Medical-Surgical

    I don't know if this is the norm for LTC, as I have never worked in that environment as an RN. However, at the hospital I worked at, the VS parameters were built into the order sets and protocols....

  17. witnessing a DNR

    Anna Flaxis replied to turnforthenurse's topic in General Nursing

    Agree, this is

  18. Transfusing blood in an emergency situation

    Anna Flaxis replied to Enthused RN's topic in Emergency

    We use a Level 1 rapid infuser with O- blood for actively bleeding trauma

  19. Er triage assessment

    Anna Flaxis replied to karbearfly's topic in Emergency

    I would avoid its use as well. It's too subjective and open to interpretation. One person's "lethargic" might be another person at baseline. Instead, I would describe specific behaviors, such as...

  20. Do you do assessments after a patient is discharged?

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

    I think the OP means that the discharge order was written at 9am, but for whatever reason, the actual discharge process took hours to accomplish. This happens a lot, like if outpatient services are...

  21. BP situation

    Anna Flaxis replied to Standoe3's topic in Medical-Surgical

    I would not have held Digoxin for a HR of 60. For a HR of 50 or less, I would definitely call the physician unless there were written parameters in place that stated otherwise. BP is not so much of...

  22. Patient Picking At Clothing/Bed Linens

    Anna Flaxis replied to 84RN's topic in Home Health

    I found these: floccillation /floc-cil-la-tion/ (flok″sĭ-la´shun) the aimless picking at bedclothes by a patient with delirium, dementia, fever, or exhaustion. Dorland's Medical...

  23. RN discharge advocate?

    Anna Flaxis replied to Good Morning, Gil's topic in General Nursing

    Is this the same thing as a discharge planner, or is it something entirely different? I work with discharge planners frequently, as I am involved with providing outpatient services. One of the...

  24. Patient Picking At Clothing/Bed Linens

    Anna Flaxis replied to 84RN's topic in Home Health

    Agitated patients with dementia or delirium will pull at clothes, bed linens, IV lines, and tubes. I've seen this more times than I care to think about. For a patient who is alert, basically...

  25. Pump rates verification

    Anna Flaxis replied to MissRN7's topic in Infusion, Intravenous

    You can consult your drug