Anna Flaxis

Anna Flaxis BSN, RN

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All Content by Anna Flaxis

  1. Ordering antibiotics!?!

    Anna Flaxis replied to Bec7074's topic in Patient Medications

    Ugh, how frustrating. Have you heard of the SBAR format for communicating with others about the condition of the patient? S=Situation B=Background A=Assessment R=Recommendation Following this...

  2. Need Advice

    Anna Flaxis replied to pinetree88's topic in Emergency

    Maybe your manager is required to review this case with you as some sort of formal process because the patient came in through the ED and died in the ICU. Just go in with a good attitude and be open...

  3. nurses and EMT's

    Anna Flaxis replied to phieud's topic in Emergency

    I love EMTs, and I treat them like colleagues. Love

  4. Sucide lies: is it CYA or blaming?

    Anna Flaxis replied to Tiffanybaybay's topic in Emergency

    This might seem like splitting hairs, but I never chart that someone else is "aware". You can't really say for certainty what anyone is aware of. I chart "Charge Nurse notified" or "MD informed" or...

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

    Anna Flaxis replied to jbaggins's topic in General Nursing

    Totally inappropriate. He called in sick, end of story. On cell phones, I don't have a land line either. Gave it up years ago when it didn't make sense to pay for two phone bills. Also, I like...

  6. My seven month journey in ICU has ended.

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

    I'm sorry that you had such a rough experience, and sadly, I don't think it's unique. Those who find themselves working in a supportive environment where asking for help is not regarded as weakness...

  7. Is there something wrong with me?

    Anna Flaxis replied to nursedanny614's topic in First Year After Licensure

    I don't know if there is anything wrong with you, but a lot of new grads are finding it difficult to obtain employment. If you dig around at this site, you will find many, many threads on this very...

  8. Very high BGL .... thoughts?

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

    Has he been worked up for pancreatic

  9. leaving in iv needle

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

    I'm trying to imagine how that is even possible. That would explain why the infusion was going so slowly, though. I don't understand this. What does "went para" mean? It sounds like the fluids...

  10. Complication with accessing a porta cath

    Anna Flaxis replied to RN-BSN2006's topic in Infusion, Intravenous

    Can you describe how your are finding your landmarks and what you are feeling when you access? Are you going straight in or do you "rock" the needle (like some people do, but you're not supposed

  11. I think I made a mistake

    Anna Flaxis replied to RNikkiF's topic in General Nursing

    In a patient with hypertension r/t TBI, I'm guessing that finding the right medication at the right dose is a time consuming process. I'm guessing that this is part of why this patient is in an...

  12. I think I made a mistake

    Anna Flaxis replied to RNikkiF's topic in General Nursing

    Can you elaborate on this? I get that you might be concerned about hemhorragic CVA with a sustained high BP, but I'm not connecting the dots as to what any of this would have to do with a clot or...

  13. Certified Registered Nurse Infusion (CRNI)

    Anna Flaxis replied to susy67's topic in Infusion, Intravenous

    Thanks, I thought that was probably what you meant, but I wasn't

  14. Certified Registered Nurse Infusion (CRNI)

    Anna Flaxis replied to susy67's topic in Infusion, Intravenous

    NAVAN?

  15. My first PICC!

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

    Congratulations!!!

  16. Question on new grad preceptorship experience

    Anna Flaxis replied to gigglestarsRN's topic in Emergency

    You already know the answer. Best of luck to you in your future

  17. D5 water and Cerebral Edema

    Anna Flaxis replied to hodgieRN's topic in Neuro Intensive Care, ICU

    I can see your dilemma, but even in CHI patients, you still want to treat hypernatremia once it reaches a certain point (>155 according to your facility's protocols). Water replacement using D5W...

  18. Question on new grad preceptorship experience

    Anna Flaxis replied to gigglestarsRN's topic in Emergency

    The only new grad programs in my area are in the ICU, and those are six month preceptorships where at the end of the six months, you must apply for an open position on the unit. In the ED, new grads...

  19. Question on new grad preceptorship experience

    Anna Flaxis replied to gigglestarsRN's topic in Emergency

    Nursing is trial by fire. You would be experiencing this no matter what unit you were on. I'm just amazed you got sixteen weeks' orientation! That is simply astounding! Patient safety first? Don't...

  20. New Fluzone Intradermal vaccine - what do you all think?

    Anna Flaxis replied to beeker's topic in Disaster Preparation

    The IM route is not live virus either. The nice thing about the ID vaccine is that it takes less antigen and is just as effective. I've had the IM and the intranasal, and I must admit I liked the...

  21. D5 water and Cerebral Edema

    Anna Flaxis replied to hodgieRN's topic in Neuro Intensive Care, ICU

    I'm going to echo GrnTea's post and say that you should be checking labs frequently and making appropriate adjustments. It is a fine balancing act. We are often called upon to do things that seem...

  22. Nursing errors? Charting inconsistencies?

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

    It could be that he is not on a statin because of a potential drug interaction. For example, if his CCB is verapamil, both simvastatin and lovastatin are to be avoided. The risks vs. benefits of...

  23. Is my husband being unreasonable?

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

    Last I checked, 18 is an adult, and I disagree that it is unfair to have the 18 year old looking after their younger siblings, if said 18 year old is still living under your roof. Yes, I think your...

  24. The Disrespect Of Nurses

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

    When I worked in the hospital, I certainly found this to be true. While I was priveleged to care for many nice, respectful people, a significant proportion of patients and their family members...

  25. what will actually happen?

    Anna Flaxis replied to 7feetunder's topic in Emergency

    Thought this was interesting: Stability of amiodarone hydrochloride in adm... [Am J Hosp Pharm. 1986] - PubMed -