Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. It wasn't too difficult to find the original post with a little digging. While she does make a valid point about the pressure dressing being left in place for too long, and the BP cuff covering it (BP...
  2. New ER Nurse - Feel Like Quitting Job

    I find that often, especially for new grads, it's not a "safety" issue so much as a confidence issue. You just don't THINK you can handle what you really CAN handle. At the same time, new grads do...
  3. I feel like I need ER experience.

    Why is ED nursing the litmus test of nursing (coming from an ED nurse here)? I love ED nursing, for my own personal reasons- but that doesn't mean that other types of nursing don't have as much value....
  4. I have been out of compassion for years.

    Yup, I've worked with migraines, ovarian cysts, URIs, held my bladder for 8+hours, gone without food or drink for 8+ hours, all while expected to provide service with a smile. Kinda hard to smile when...
  5. How to Avoid Becoming Cynical

    I'm having a hard time understanding your post, so I'm going to break it up into chunks and address each chunk. Can you elaborate on what "cynical" means to you? The admitting MD has a legitimate...
  6. I have been out of compassion for years.

    I felt exactly as you describe after working in a busy Level 2 regional trauma center for a couple of years. I took a break and did a complete 180 and did outpatient nursing for a while. It really...
  7. I've been suspended

    The original post contains so little information that it's difficult to give a meaningful response, and I'd like to avoid the trap of filling in the missing information with my imagination. If the...
  8. Lacking compassion?

    I think that quite often (not always) in LTC, death is the expected outcome, and it's not as if this is your own Grammy or Popop. Like TheCommuter, I'm not much of a crier either. It's what allows...
  9. What happened to the "Emergency" in "Emergency Room?"

    Which is fine, so long as you understand that emergencies will always be the highest priority, and that if you have an appointment, have to go pick up the kids, need to get home to let the dog out or...
  10. junctional vs sinus bradycardia

    I don't think anybody is questioning that the OP did fine, but keep in mind that criteria for ICU admission does vary from facility to facility. A patient that qualifies for ICU at my facility may be...
  11. What happened to the "Emergency" in "Emergency Room?"

    Exactly. Having worked in an outpatient setting, I have seen the hoops people have to jump through to get their needs met. I don't blame people for coming to the ER for things that seemingly could...
  12. Embarrassing Problem

    I'm pretty good at them, and still I have my bad
  13. junctional vs sinus bradycardia

    Did the patient have a history of AMI? ETOH? On BBs or CCBs? What was the doctor looking at when he said it looked sinus? Was he reviewing your rhythm strips, a 12 lead, or the rhythm on the ICU...
  14. Approriate PCA use

    ...aw, shucks. Don't tell anybody, okay? Reputation and all
  15. Approriate PCA use

    When the primary RN asked for your assistance, did you go in and speak with the family personally? When the primary RN decided not to set up the PCA, did she discuss this decision with the family? The...
  16. Rules for Per Diems

    When you took the per diem job, you agreed to the conditions of that job. They're not changing the conditions, so I'm pretty sure you don't have a leg to stand on. If you can't meet the conditions,...
  17. What are the rules of what we can tell patients?

    Do the job of what,
  18. What are the rules of what we can tell patients?

    I'm not sure where you get that impression. If the patient is being worked up for a PE, they already know that. Of *course* I will explain why I am hanging the heparin gtt. That does NOT excuse the...
  19. What are the rules of what we can tell patients?

    Under my state's Nurse Practice Act, I am not authorized to diagnose medical conditions. The radiologist's impression and the assigned provider's diagnosis may differ because the radiologist simply...
  20. Modest or Over-Sensitive

    No, it was just a
  21. Would you have told management?

    I don't know if I would use the word "interrogating", but I do agree that calling coworkers to question them about their personal health issues is crossing the
  22. There is so much truth to this. If you are well-liked by patients, peers, and supervisors, often you will be given many opportunities for remediation, as opposed to someone who makes the same...
  23. Nurses thrown under the bus

    No, it's not. Source:
  24. It sounds to me like your preceptor does take a lot of shortcuts (except the dressing change-as others have mentioned, dressing changes on chronic wounds do not need to be sterile), but while you are...
  25. Is this harassment by a family member?

    As you've described the situation, not only was the granddaughter's behavior inappropriate, it was downright creepy and menacing. I would report this to your