Anna Flaxis

Anna Flaxis BSN, RN

Member

All Content by Anna Flaxis

  1. Was there an extension set attached to the catheter, or was the port connected directly to the hub? Edited to add: I think you did just
  2. Are we doing good for our patients?

    Moral distress is the reason I do not work in the
  3. Modest or Over-Sensitive

    Does Charlie have any upper extremity impairment that would prevent him from pulling the gown back
  4. Succs vs Roc for RSI

    Remember that Roc is not a sedative, it is a paralytic. The reason it would be concerning to use in the setting of severe neurological injury is that it provides motor paralysis for about 45 minutes,...
  5. Never wanna take students again.

    Okay, so this particular student was frustrating. But don't let it spoil you on all students. Many, many students are respectful and grateful for the learning opportunity and will be more than happy...
  6. Nurses thrown under the bus

    They're giving your unit education on chest tube dressing changes, and this is being thrown under the bus? I don't think "being thrown under the bus" means what you think it means. It's true that the...
  7. This is concerning behavior, and I think you handled it appropriately. To play a little Devil's Advocate here, I will say that often, I am the one who triages the patient that I end up being the...
  8. Night shift for new grads.

    A few things that help me when I work nights: Blackout curtains on my bedroom window, a white noise app on my tablet, don't consume any caffeine within an hour of end of shift, and go to bed right...
  9. Calling all charge nurses!

    Our charges are not supposed to have a patient load, but sometimes it is simply unavoidable, when we have a sick call or are understaffed and cannot get anyone to come
  10. POTS and Psych

    What do you mean by "psych problems"? Do you mean things like schizophrenia or personality disorders, or anxiety and depression? I have cared for POTS patients and have noticed a correlation between...
  11. BAD Reference

    Per the TOS, we can't give legal advice. Do you know what the reference said about you that was
  12. BAD Reference

    While it's true that you can refer to the person providing a reference as a "referee", this is not common practice. You can still call the person a "reference", which is more common, and is therefore...
  13. Today's cringeworthy event..

    Wait a minute....she was doing the right thing by disposing of the full container and this proves what, exactly? Safety is everyone's responsibility, so if the lid wasn't attached to the base, I...
  14. ACLS should always be 2 days and in person!

    I really have mixed feelings about this. With my PALS recert coming up soon, I'm really glad I only have to go for one day. I've done the live classes and the computer classes, and I think they both...
  15. RANT, sick of certain nurses

    I've been a CNA, LPN, and RN, and I've worked in Home Health, Skilled Nursing, and Acute Care. Across this entire spectrum, communication is what it frequently boils down to. HOW you communicate,...
  16. Safe to take new admit at shift change

    I don't understand. What is unsafe about this? Getting report on your assignment shouldn't take more than a few minutes per patient, and it only takes a few minutes to look up your new admit. The...
  17. Is it possible to get the holidays off?

    Per
  18. I work in the ED. Our triage screenings include questions about domestic violence, alcohol and substance abuse, suicidal ideation, and yes, weapons. I get all kinds of reactions to all of these...
  19. When a patient signs out AMA...

    Aside from explaining the risks in layman's terms, ascertaining their reason for not wanting to stay is a good idea. It could be something you or a social worker (if your facility has one available)...
  20. A sobering story-------

    The order was for 140mg. The drug is supplied in 1gm/10mL vials. The ordered amount would have been 1.4mL. The amount given was 1.4gm, or 14mL. The nurse would have had to open 2 vials to draw up...
  21. A sobering story-------

    I agree wholeheartedly with this. I have not lost a family member, but someone who was very dear to me was overdosed on Dilaudid, because the new grad nurse was used to giving morphine, and gave 10mg...
  22. Help with dressing!

    I'm unfamiliar with gluten wounds. You must mean "gluteal"? Our wound care nurses are fond of foam dressings for wounds with moderate to heavy exudate. For wounds with little to no exudate, they...
  23. A sobering story-------

    There is usually more to the
  24. A sobering story-------

    This article is so poorly written that I couldn't force myself to read the entire thing. Much better article here: Nurse's suicide highlights twin tragedies of errors - Health - Health care | NBC
  25. Reporting Asperger's Syndrome to Manager/Preceptors

    My thoughts are that, as mentioned above, this has the potential to go either way. Whether or not her supervisors provide reasonable accommodation, or see her divulging this info as making...