Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. What are the rules of what we can tell patients?

    Yes, you are allowed to disclose laboratory values to patients. As a licensed nurse, you should have a basic understanding of common lab values and what they mean, and keeping the patient informed of...
  2. How do you scan insulin?

    We have insulin pens and just scan the barcode on the
  3. If I'm the one who connected the tubing initially, I don't swab because I know I did it before I connected the tubing. I only swab between pushes if my no-touch technique has been compromised...
  4. New grad program dilemma

    I've never had a problem getting time off for previous commitments when accepting a new job. You probably won't have enough vacation time saved up to take a month off by then (unless you already have...
  5. anxious grad, I desperately need help!!

    Your feelings of inadequacy and fear of inadvertently harming a patient are completely normal for a new nurse. These feelings can be useful, as they can make you vigilant and careful in your...
  6. Nursing student frustrated by CNAs...

    You're welcome. :-) Navigating workplace politics can be hard, but it's not something that's going to magically go away once you become a nurse! Good luck with your future endeavors. As long as you...
  7. Nursing student frustrated by CNAs...

    You keep coming back to this. I think this may be part of your difficulty. The reality is that no matter what you do for a living, there are always going to be people who just want to punch the...
  8. Nursing student frustrated by CNAs...

    This is a really good point, but the OP is just starting a two year program, and if she plans on working at this facility for that two year period, two years can be A.Really.Long.Time. Getting along...
  9. Nursing student frustrated by CNAs...

    I suggest you do some serious damage control here. When you are at work, you are NOT a nursing student. You are a CNA. Stop acting like you are better than they are, and make an effort to fit in...
  10. Pulling meds early?

    I don't work in recovery, but I think that so long as you are pulling meds in advance for one patient at a time, you have orders for the meds, this practice is not prohibited by facility policy, and...
  11. Pediatric RSI Trauma Atropine?

    Source: Rapid Sequence Intubation Pharmacology - Page 6 of 6 - ACEP Now | Page
  12. IV Insertion in School?

    We practiced on plastic arms and were checked off in the skills lab, and once checked off, could practice in clinical on real patients. We did not practice on one
  13. Pre-Saved Quick Notes

    Yeah, for a standard DC, I don't see a need for a note, but there are a lot of situations where the click boxes don't paint the full picture. For a couple of repeat customers who "lose" something...
  14. Pre-Saved Quick Notes

    A lot of my coworkers use quick notes. I don't. I'm a fast keyboarder and it only takes me a moment to type up a note if I feel the need to do
  15. Maybe in your head you're thinking about this specific situation, but your written verbiage contains a lot of generalizations that read pretty absolute to me. I don't want to argue with you. I like...
  16. By "scanning", I was referring to scanning the barcode with a barcode scanner. And yes, it is true that the wrong information can be on the wrist band, which is why we confirm that the information is...
  17. Nurses thrown under the bus

    I don't believe that a large facility with a unit that routinely admits patients with chest tubes does not have P&P for chest tube care in place. "I don't have an order" is a pretty lame...
  18. I never said it was. Not true. No, it's not. But you made a statement that was an absolute, so I was simply pointing out that it's not so black and white. 1) Not every facility is surveyed by...
  19. Not really. Two patient identifiers can be name and DOB or name and MRN. Barcoded wrist bands have patient identifiers tied to the EMR encoded in them. Scanning the wrist band with the barcode...
  20. Would you have told management?

    Unless I had solid knowledge that someone was working while impaired, I would stay out of
  21. Would you have told management?

    What I want to know is how you moved the TP out of the way? Ick! I would make a mental note, but probably wouldn't say anything just yet. A needle in the toilet doesn't prove anything. People use...
  22. Succs vs Roc for RSI

    Sometimes they go to the OR first. I was just pointing out some reasons clinicians may choose one over the other. A situation where it might make a difference is if the neuro intensivist wants to...
  23. Succs vs Roc for RSI

    The ER setting is a little different, with a focus on rapid stabilization and transfer, so faster and shorter acting NMB in the initial stages may be more
  24. The open end of the catheter that the loop of tubing attaches to is the hub. The loop of tubing is an extension set (there are some angiocaths that are closed systems with the catheter and extension...
  25. Are we doing good for our patients?

    What worked for me was trying different settings. I've worked in long term, outpatient, and acute settings, and I've found that ER is the most tolerable. Your mileage may