Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Who establishes the rules

    Altra replied to quizzical's topic in General Nursing

    Common strategies to maintain the boundaries of both patient and caregiver when placing EKG leads include 1. using the back of the hand to move breast tissue, as you have noted 2. wearing gloves to...
  2. Altra

    I'm in a Quandary

    Altra replied to Hooligan's topic in General Nursing

    I'm struck by your expression of some of the intangibles in this job - your sense of belonging in the community, etc. Please consider carefully before giving up those things. While you still have...
  3. Altra

    IVP pain med safety

    Altra replied to Swellz's topic in Patient Medications

    Wouldn't she be surprised to visit a med-surg floor with no tele and find that IVP opioids are pretty routine? I'm really having a hard time seeing the logic behind "well, you can give opioids IVP...
  4. Altra

    Nurse Abuse & What's the policy Kenneth?

    Altra replied to 3degreeRN's topic in General Nursing

    We are supported where I work. We also have a capable, responsive security staff, and a good working relationship with the police. I have worked where this was not the case, and to say "it sucked"...
  5. Altra

    Who establishes the rules

    Altra replied to quizzical's topic in General Nursing

    I suspect you're looking for a reference to a "rule" established by some governing body, and there is none. Firstly, the American Medical Assn. is a professional association for physicians. It would...
  6. Altra

    Evolving practice of nursing

    Altra replied to jloyloe's topic in Nursing Student Assistance

    Aaarrgh! Nursing faculty who give assignments to gather opinions on social media for academic credit: for the love ... PLEASE
  7. Altra

    Patients allowed to go outside and smoke???

    Altra replied to JackiRN's topic in Patient, Colleague Relations

    Clearly, the ketamine dosing was
  8. Altra

    Can we just agree, being honest is not akin to being "rude"?

    Altra replied to SmilingBluEyes's topic in General Nursing

    To *refocus* the thread ... Yes! I agree that being honest is not akin to being rude. But then again, I have worked with some who would complain about my bluntness if I failed to pad an answer to a...
  9. Altra

    How to Recruit talented nurses

    Altra replied to IoraRecruiter's topic in General Nursing

    Is the compensation package you are offering competitive in your region? Is your practice affiliated with a larger health system? If so, can you post your position on their job board? Local newspaper...
  10. Altra

    Patients allowed to go outside and smoke???

    Altra replied to JackiRN's topic in Patient, Colleague Relations

    The bane of my existence, some days
  11. Altra

    Versus / Cisco phone does anyone use these need advice asap

    Altra replied to Luckylindy1960's topic in General Nursing

    Do you have a question about
  12. Altra

    Question about disclosure

    Altra replied to nurse4550's topic in General Nursing

    In some states, all terminations of nurses' employment for cause (meaning for performance reasons) are reported to the state BON. Any BON discipline against your license, for any reason, is public...
  13. Altra

    vestex scrubs

    Altra replied to 1326luck's topic in Scrubs, Uniforms, Gear

    An internet search can take you to
  14. Altra

    That nagging feeling...

    Altra replied to dudette10's topic in Patient Safety Issues

    How true this
  15. Altra

    patient complaints

    Altra replied to psmithlove's topic in General Nursing

    Yes, patients will complain, and yes, hospitals have no choice but to care about patient satisfaction on non-clinical aspects of care. Welcome to
  16. Altra

    About paying off student loans

    Altra replied to Libby1987's topic in General Nursing

    This is nonsense, unless you are suggesting expatriating to another country. Student loans (unless a strictly private loan from a financial institution) are administered by the state educational...
  17. Altra

    Dilute Urine Question

    Altra replied to michelledandersen's topic in General Nursing

    In some testing settings, the lab tech/person collecting the specimen will perform a point of care test to immediately test the specific gravity, and will inform an applicant if too dilute. Some do...
  18. Altra

    Is applying for multiple jobs at the same facility "annoying"?

    Altra replied to blah_blah_blah's topic in General Nursing

    I think that's fine for a new grad - it should be clearly understood that you're willing to consider multiple care settings/types of units as you have not yet gained any specialized experience or...
  19. Altra

    can RN order another RN to bring medicine for a client prescribed by physician

    Altra replied to d123456789's topic in Nursing Professionalism

    Oddly worded question, but let's try to break it down. 1. Medication ordered, but not physically available on unit. 2. RN 1 asks RN 2 (length of time employed is irrelevant) "hey, can you call...
  20. Altra

    Protocol for blood pressure?

    Altra replied to hotflashion's topic in Patient Safety Issues

    Agree - OP's question is really not answerable without some clarification. OP did note this is a specialty provider's office, not a PCP. From the wording, I wonder if they did not routinely obtain...
  21. Altra

    triage and family

    Altra replied to canoehead's topic in Emergency

    (Addressing "head" family member directly - they like that): "I'm going to ask Sue some questions now and in order to move things along (place hand on or gesture towards computer) I need to record...
  22. Altra

    ESI Triage Question

    Altra replied to widi96's topic in Emergency

    You should be basing your own education and that which you are planning for your staff on the actual ESI handbook - it's dowloadable for free. Short answer: ESI is based on s/s upon presentation to...
  23. Altra

    ER New Grad RN - Previously Paramedic

    Altra replied to MR-RN15's topic in Emergency

    ER nurses and managers are well-versed in prehospital provider roles, and yes, your previous experience will be an
  24. Altra

    benefits vs. work environment

    Altra replied to ThePrincessBride's topic in First Year After Licensure

    Take the state
  25. Altra

    What type of role do you take as a preceptor with non GN nurses?

    Altra replied to Codeblue1982's topic in MICU, SICU

    Agree with the post above. The issues you have identified do not bode well for her independent management of