Anna Flaxis

Anna Flaxis BSN, RN

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All Content by Anna Flaxis

  1. Has this happened to you

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

    Actually, I flew off the handle earlier and my math was faulty. I apologize for the tone of my earlier post. I was really angry when I read about this poor lady. Lovenox 50mg SQ Q12 hours would be...

  2. Has this happened to you

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

    What were the doctor's and NP's rationale for such a high dose of

  3. Has this happened to you

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

    It is the nurse's responsibility to know about the medications they are administering, and to check appropriate labs prior to administration. The NP might have written the orders, but the nurses who...

  4. Tired of it all

    Anna Flaxis replied to DSkelton711's topic in General Nursing

    This is the way acute care/hospital nursing has been since I entered the profession 5 years ago. I can't imagine it any differently, though it is nice to fantasize. This is what really drove me away...

  5. Giving iv meds through running line

    Anna Flaxis replied to fiveoclocksomewhere's topic in Patient Medications

    ...or

  6. Time to throw in the towel...

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

    Bedside nursing was really demoralizing for me a lot of the time. I love the critical thinking of nursing, and the opportunity to apply critical thinking in a caring capacity. However, as a bedside...

  7. Giving iv meds through running line

    Anna Flaxis replied to fiveoclocksomewhere's topic in Patient Medications

    At my facility, we do not give Phenergan IV at all. I'll echo what others have said. If the medication is compatible with the fluid you're running, you can simply do a slow push in at the port...

  8. Cost Cutting/Budgeting --- the patients suffer the most

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

    This is part of the problem. When nurses work off the clock like this, it looks on paper like you are capable of handling the workload that is being asked of you. If just one or a few nurses refuse...

  9. New York Times: Reassessing Flu Shots

    Anna Flaxis replied to Anna Flaxis's topic in Disaster Preparation

    I'm not sure what you

  10. New York Times: Reassessing Flu Shots

    Anna Flaxis posted a topic in Disaster Preparation

    Hi folks, I just ran across this article today and wanted to share it here with you all. I think it's very interesting that even the main stream media is raising legitimate questions, not just...

  11. Resigning...again.

    Anna Flaxis replied to Caffeine_IV's topic in General Nursing

    I think you should take the hospice job if you're really excited about it, but keep in mind your current employer may not be so willing to take you back next time, so you will have to be ready to...

  12. New York Times: Reassessing Flu Shots

    Anna Flaxis replied to Anna Flaxis's topic in Disaster Preparation

    Just skip to page

  13. Question on new grad preceptorship experience

    Anna Flaxis replied to gigglestarsRN's topic in Emergency

    Maybe your NM knows that you're looking elsewhere, and is hesitant to invest any more in you knowing that you're planning on leaving. I'm assuming the NM works Mon-Fri and you won't hear anything...

  14. New York Times: Reassessing Flu Shots

    Anna Flaxis replied to Anna Flaxis's topic in Disaster Preparation

    LOL! Did you read the report? There's a link to it in the

  15. Narrative Teaching Documentation

    Anna Flaxis replied to superplum's topic in Patient Education

    I usually do a narrative similar to yours, but we also have supplemetal teaching sheets that have a checkbox for each category of information, and a check box for any return demonstration by the...

  16. Question on new grad preceptorship experience

    Anna Flaxis replied to gigglestarsRN's topic in Emergency

    Thank you for the update, and I'm glad to hear you got a job offer! Your preceptor's thinking that you should function on own during preceptorship so that you will be ready to function on your own...

  17. Read this email my NM sent to all the nurses.

    Anna Flaxis replied to GummibearsRN's topic in General Nursing

    I think the OP added the bold and underlining for emphasis, but my impression was that the email itself was cut and pasted. What I take issue with is the use of all caps in some places. This is...

  18. Read this email my NM sent to all the nurses.

    Anna Flaxis replied to GummibearsRN's topic in General Nursing

    It sounds histrionic and desperate. I would imagine this is a unit that has had ineffective leadership for a significant period of

  19. Pain control via PRN narcotics

    Anna Flaxis replied to flyingchange's topic in Emergency

    OP, it sounds to me like your ED does not have a pain protocol, is that right? A standardized protocol developed in tandem betweeen your pharmacists and your medical director might be useful. It...

  20. Read this email my NM sent to all the nurses.

    Anna Flaxis replied to GummibearsRN's topic in General Nursing

    Regardless of what behavioral problems are present on the unit on the part of the nursing staff. that email was completely unprofessional. I don't question the need to deal with such issues as...

  21. called in sick, nurse manager calling back (inappropriate tactics?)

    Anna Flaxis replied to jbaggins's topic in General Nursing

    Tell that to my hospital, which uses a hospitalist text-paging system. It actually works quite

  22. Ordering antibiotics!?!

    Anna Flaxis replied to Bec7074's topic in Patient Medications

    Really? Wow. Why is it being presumptuous to know that a patient with a UTI needs antibiotics? Suggesting a specific antibiotic might be sort of presumptuous,

  23. Very high BGL .... thoughts?

    Anna Flaxis replied to KitkatPRN's topic in Diabetes, Endocrine Nursing

    Thank you for the update, and I'm glad he's getting palliative care! It really sounds like the right thing for this

  24. Ordering antibiotics!?!

    Anna Flaxis replied to Bec7074's topic in Patient Medications

    It's not overstepping our bounds at all. We ask doctors for orders that we think are appropriate all the time. If you had a patient with a fever who had no Tylenol ordered, would you feel it's...

  25. Very high BGL .... thoughts?

    Anna Flaxis replied to KitkatPRN's topic in Diabetes, Endocrine Nursing

    I think it's quite possible that there is an underlying cause to his developing diabetes at this late stage in life, and that the doctors don't want to work him up for it because of his advanced age...