Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. First shift of preceptorship: told that my IV priming is wrong

    Anna Flaxis replied to seks's topic in General Nursing

    This makes a lot of sense. I work with primarily infectious disease patients in an outpatient setting, and I find it very interesting how in so many instances, even the most brilliant ID doctors...

  2. Is your Facility 'forcing' you to get the Flu Vaccine?

    Anna Flaxis replied to madwife2002's topic in Disaster Preparation

    Also, most states do not require immunizations for hospital workers. Check your individual state here: NCIRD: Immunization Laws Additionally, and I hope I'm not overstepping the TOS regarding legal...

  3. Is your Facility 'forcing' you to get the Flu Vaccine?

    Anna Flaxis replied to madwife2002's topic in Disaster Preparation

    Unless there is a collective bargaining agreement in place. Then they can't. Yet another mark in the "plus" column for unions. Nobody here is advocating for taking away your right to receive a flu...

  4. EnteraLite Infinity - How accurate are these things?

    Anna Flaxis replied to CloudySue's topic in General Nursing

    We use the same pump for our peds patients (and mobile adults), and it's true that the accuracy is +/-5%. 5% of 510mL is 25.5mL. 510-25.5=484.5. So if you include your priming volume, it's...

  5. Is your Facility 'forcing' you to get the Flu Vaccine?

    Anna Flaxis replied to madwife2002's topic in Disaster Preparation

    I was referring to HIPAA's Privacy Rule. Oh really? From the CDC: I don't think those are my only

  6. Is your Facility 'forcing' you to get the Flu Vaccine?

    Anna Flaxis replied to madwife2002's topic in Disaster Preparation

    Actually, you can be exempted from mandatory vaccines for religious or medical reasons. You could work shoulder to shoulder with someone who has never had any vaccines. You just wouldn't know it...

  7. Is your Facility 'forcing' you to get the Flu Vaccine?

    Anna Flaxis replied to madwife2002's topic in Disaster Preparation

    Whether you receive the flu vaccine or not is protected health information. It could be argued that by requiring you to mask if you have not had the vaccine, your employer is violating your

  8. Y-site versus Piggyback

    Anna Flaxis replied to cgreer1's topic in Patient Medications

    Maybe in your practice, this is true. However, I was taught both in nursing school and have learned in practice that piggybacking and Y-siting are specific, distinct procedures. From Intravenous...

  9. Mandatory Flu Vaccines- How do you feel?

    Anna Flaxis replied to Snowbird17's topic in Disaster Preparation

    Ah, but you're contradicting yourself. You first define "force" as physical compulsion to argue that nobody is being forced to be vaccinated, then in the next breath state that HCWs are being forced...

  10. Y-site versus Piggyback

    Anna Flaxis replied to cgreer1's topic in Patient Medications

    Yes. This is one of the advantages of a multi lumen

  11. Y-site versus Piggyback

    Anna Flaxis replied to cgreer1's topic in Patient Medications

    With a Y site, both drugs are infusing at the same time. With a piggyback, the primary drip stops while the secondary drug infuses, then resumes again when the secondary is finished, so even though...

  12. Out of Scope of Practice?

    Anna Flaxis replied to ladytopaz's topic in Geriatric, LTC

    Everyone else has already done a wonderful job of addressing your question. What concerns me beyond that is this when you said: How do you know this is what the day nurse said to the family? Were you...

  13. TNCC Study Guide ~ Please help!!!!

    Anna Flaxis replied to jsgero's topic in Emergency

    I wouldn't go too in depth reading the book. I'd suggest skimming the chapters and hitting the main points. If the book is yours to keep, use a highlighter to highlight the major points. Anything...

  14. Mandatory Flu Vaccines- How do you feel?

    Anna Flaxis replied to Snowbird17's topic in Disaster Preparation

    There is a national nurses' union. In fact, there are two. About NNU | National Nurses United About Our Union | National Federation of

  15. Roc

    Anna Flaxis replied to ERSL's topic in Emergency

    I had a doc order the paralytic first once. His rationale was that the onset of the paralytic was longer than that of the sedative, so that if we gave the paralytic first and then the sedative, they...

  16. How do you treat an allergic reaction to Dilaudid?

    Anna Flaxis replied to art71372's topic in Patient Medications

    We do this at my facility. We identify "Allergies/Intolerances", and next to each medication, identify the reaction, so if it's "Dilaudid-itching", or "Lisinopril-cough", we know it's not a true...

  17. Mandatory Flu Vaccines- How do you feel?

    Anna Flaxis replied to Snowbird17's topic in Disaster Preparation

    I am certainly no vaccine-o-phobe, and it's clear to me how much good vaccines have done in the world to date. However, I oppose mandatory vaccination policies on principle. I think I ought to be...

  18. Mandatory Flu Vaccines- How do you feel?

    Anna Flaxis replied to Snowbird17's topic in Disaster Preparation

    According to this article, MRSA colonization prevalence in healthcare workers in North America are 4%, and 4.6% world wide....

  19. Mandatory Flu Vaccines- How do you feel?

    Anna Flaxis replied to Snowbird17's topic in Disaster Preparation

    The Feds *are* employers. Making a distinction of private sector employers vs. public sector employers being relevant to this topic is splitting hairs. The overall topic is *mandated* vaccination....

  20. Mandatory Flu Vaccines- How do you feel?

    Anna Flaxis replied to Snowbird17's topic in Disaster Preparation

    OP, you are not alone. Letter to Colorado Public Health Officials on Mandatory Influenza Vaccine for Health Care Workers Largest National Nurses Union Opposes Mandatory Flu Vaccination as Condition of...

  21. Is it normal to go from straight As in prereqs to b- grades in nursing classes

    Anna Flaxis replied to SarahBean87's topic in General Students

    samadams8, I appreciate what you are trying to say. I really do. And I think that we both agree that the best nurses are both caring and knowledgeable, and that ideally, it is not either/or....

  22. PICC Line access

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

    Not to appear argumentative, but we don't know that the thrombus was totally ignored. The OP's question was whether or not the line could continue to be used. My assumption, perhaps incorrect, was...

  23. Dropped pills

    Anna Flaxis replied to mandaaRN's topic in Patient Medications

    The patient can complain that the nurse made her lick the doorknob or some equally silly thing. Should the nurse document in order to prevent every potential complaint? The answer is no. That is...

  24. Dropped pills

    Anna Flaxis replied to mandaaRN's topic in Patient Medications

    Why would you document it? How is it pertinent to the patient's nursing diagnosis, plan of care, or response to treatment? I suppose if the patient was admitted for a spinal cord injury and was...

  25. Is it normal to go from straight As in prereqs to b- grades in nursing classes

    Anna Flaxis replied to SarahBean87's topic in General Students

    I'm not sure where I said it's either/or, or that caring is not important. In fact, I specifically stated "the best nurses possess both a higher than average intelligence and better than average...