Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. IV pain meds standards??????

    Anna Flaxis replied to jbluehorseh's topic in Patient Medications

    No, not end of story. The nurse is responsible for providing safe care to those with whose care s/he has been entrusted. I have had patients literally slurring their speech, nodding and snoring...

  2. We have a long way to go as health care providers

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

    I don't think you understood my statement. Clearly, NAMI is referring to mental illness itself, not people with mental health diagnoses as "the mental ill". Do you not see the

  3. We have a long way to go as health care providers

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

    As you are likely aware, it is the Virginia Board of Pharmacy (none of the board members are nurses) who denied the OP her credential to work as a pharmacy tech, not the VBON. The VBON (the majority...

  4. We have a long way to go as health care providers

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

    Members of the Virginia Board of Pharmacy are nurses? I find that odd, especially when the list of board members contains nobody with L.P.N., R.N., or N.P. after their name. And, referring to those...

  5. Can I vent? Just a little... you can vent too if you want, I won't tell...

    Anna Flaxis replied to GonnaAmazeYou's topic in General Nursing

    I'm glad I'm not a new grad nurse at this time. When I graduated NS, I had no problem finding a job right away, and it was a job I wanted. Things sure have changed, but I am wholeheartedly convinced...

  6. IV vesicants and pain management

    Anna Flaxis replied to mandaaRN's topic in Patient Medications

    An irritant medication will cause local irritation during the infusion that will resolve upon completion of the infusion, while a vesicant will cause tissue damage if it escapes from the intravascular...

  7. IV pain meds standards??????

    Anna Flaxis replied to jbluehorseh's topic in Patient Medications

    We have an Acute Pain Protocol that follows the framework of the WHO analgesic ladder. With a few exceptions (peds, ICU, oncology for example), nearly everybody admitted to the hospital gets the...

  8. Would you do this?

    Anna Flaxis replied to TX.RN.Shannon's topic in General Nursing

    I've been wondering the same thing. Aside from anaphylaxis, which is rare and if it were going to occur, would occur even if the APAP were given PR, what kind of scenario are people imagining when...

  9. need legal info: NEW to IV infusion Home Health

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

    If you are an RN, then infusion therapy is within your scope. Whether you are a BSN is irrelevant. It is the RN license that defines your scope, not your degree. Even so, having an RN license does...

  10. Going Backwards

    Anna Flaxis replied to HarStarr's topic in General Nursing

    I get that you are lacking in experience and confidence, but I don't think that giving up your RN license to become a CNA is the answer. It sounds to me like you need a more "entry level" nursing job...

  11. Would you do this?

    Anna Flaxis replied to TX.RN.Shannon's topic in General Nursing

    I think that failing to change the route of the APAP was clearly an oversight by the surgeon, and I would have written "May give medications PO" as a verbal order by the surgeon, timed at the time (as...

  12. Ooops, I told off a doctor

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

    Even patients with low GI motility can become septic from inadequately treated infections. Again, what antibiotic that is effective against MRSA would you have

  13. What patients/behaviors/illnesses/injuries do you HATE the most?

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

    This. And, I like the crusty old men, too. I seem to get along with them pretty

  14. What are you really good at?

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

    Sticking tubes in people, and my calm bedside

  15. does anyone regret this career?

    Anna Flaxis replied to cantdoit's topic in General Nursing

    Me

  16. does anyone regret this career?

    Anna Flaxis replied to cantdoit's topic in General Nursing

    Most places around here have online

  17. does anyone regret this career?

    Anna Flaxis replied to cantdoit's topic in General Nursing

    I feel like I can really relate to your situation. My current job is a good fit for me at this time, but I know I will eventually be ready to move on. However, it has been really good for my health...

  18. does anyone regret this career?

    Anna Flaxis replied to cantdoit's topic in General Nursing

    THIS!!!

  19. does anyone regret this career?

    Anna Flaxis replied to cantdoit's topic in General Nursing

    I have had days where I regretted my decision to become a nurse, but over all in the big scheme of things, I do not. For me, a big part of maintaining my desire to do this work was finding a job that...

  20. Soooo, I quit

    Anna Flaxis replied to TX911's topic in General Nursing

    Thank you for your service,

  21. Soooo, I quit

    Anna Flaxis replied to TX911's topic in General Nursing

    I applaud you for standing up for yourself and for patient safety. Standing ovation over

  22. Ooops, I told off a doctor

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

    I don't see that you did that. The doctor's plan of care was

  23. Ooops, I told off a doctor

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

    That really *is* funny, since vancomycin, which she was already on, has GI side effects similar to those of Bactrim. What antibiotic do YOU think the patient should be on, that she can take PO, that...

  24. Central line protocols

    Anna Flaxis replied to brainkandy87's topic in Emergency

    No, we don't have this protocol. If there is time in the ED to place a central line, one of our ED docs will do it. If not, it has to be done in the ICU by the intensivist. "I don't do central...

  25. Why is it always the patient with the worst situation? geez

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

    OP, I haven't noticed a correlation between severity/chronicity of illness and the type of behavior you describe. As human beings, we all respond to loss and grief in some pretty predictable ways,...