Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Help reading x-rays

    Altra replied to SubSippi's topic in General Nursing

    You've enlisted some good resources - keep at it! Make sure you're looking at the films after they've been interpreted as well - go look for the findings noted in the
  2. Altra

    How long before the pep in your step?

    Altra replied to Disbdestiny's topic in Emergency

    In a high acuity ED? Realistically - 1-2
  3. Altra

    Pre employment substance testing

    Altra replied to Libby1987's topic in General Nursing

    This is not new - I first heard of a (non-healthcare) employer denying employment to those who tested positive for nicotine about a decade ago. As you said - tobacco users are not a protected group....
  4. Altra

    Protocol for blood pressure?

    Altra replied to hotflashion's topic in Patient Safety Issues

    I'm uncertain exactly what you're asking. The 4 items you listed seem like a very basic part of health history/assessment and I would be surprised to hear of any medical specialty that does not...
  5. Altra

    How to word this?

    Altra replied to IHeartPeds87's topic in General Nursing

    OP - was your employment terminated? As I read the responses offered so far, I think it was unclear in your post whether or not you were terminated because of the inability to fulfill transportation...
  6. Altra

    family members working in the same hospital and exact same unit

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

    As long as neither of you supervises the other, it's generally OK. I've worked with several married couples and pairs of siblings. You family dyamics, however, are another story. It's time for both...
  7. Altra

    Returning to 8 hour shifts from 12 hours

    Altra replied to nurseling's topic in General Nursing

    I too prefer 8s, for pretty much the reasons that you've mentioned. Is 3 8s and a 12 an option in your
  8. Altra

    Epinephrine via ET tube?

    Altra replied to pixiestudent2's topic in Patient Medications

    Think about the larger context: the scenario you describe here is cardiac arrest or nonperfusing rhythm, and lack of vascular access. Your patient is clinically dead at this moment. 10mL of fluid...
  9. Altra

    • initiating & implementing change

    Altra replied to Shekha Alhatemi's topic in Nursing Student Assistance

    I have been highly skeptical of the notion that nursing faculty are encouraging the gathering of internet opinions as academic work - I have assumed that it is an extremely unfortunate student...
  10. Altra

    500 cc of Vanco/Ns over 2 hours via pump via picc line

    Altra replied to lumbarpain's topic in Patient Medications

    I think we could debate all day what typical doses of Vanco we all see typically in our various care settings, but the confusion centers on the OP's concern over 500cc - it is repeated more than once...
  11. Altra

    97% O2 with NRM

    Altra replied to iluvnoodles's topic in Emergency

    I think I must be misunderstanding your question, as I am reading that you had him on the same 2L, via a nasal cannula and a nonrebreather mask. Nonrebreathers are not even functional at that low flow...
  12. Altra

    ER to ICU orders

    Altra replied to amys4304's topic in MICU, SICU

    Nowhere did the OP state this. The 3rd-hand quote from the OP's manager was: I have bolded two descriptors that I consider to be extremely pertinent to the discussion. I've been on both sides of...
  13. Altra

    Who is working under my license?

    Altra replied to spacemonkey's topic in General Nursing

    This is a common myth, and a misinterpretation of the responsibilities of licensed
  14. Altra

    Do you need a tb and an x-ray as part of your physical?

    Altra replied to WE~DO~CARE's topic in General Nursing

    Equally important to nursing, along with compassion, is the ability to take a critical, scientific approach to evaluating information. Some posters have provided some excellent starting points for...
  15. Altra

    Patient Scenario and D/C home

    Altra replied to alm3RN's topic in Emergency

    Was the patient's PCP
  16. Altra

    500 cc of Vanco/Ns over 2 hours via pump via picc line

    Altra replied to lumbarpain's topic in Patient Medications

    Can you explain if your patient had a fluid restriction, or why you were otherwise concerned about an adult patient receiving 500mL over a 2-hour period? And what input did the ordering physician...
  17. Altra

    Doctors vs. Nurses

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

    I'm sorry for your,experience, OP. I also work at a large teaching institution. When it's a day to throw out everyone's drinks ... everyone's drinks get thrown in the trash. A physician sitting idle...
  18. Altra

    4 Point Restraints in the ER. Is that Abuse?

    Altra replied to Vickymay's topic in Emergency

    I'm assuming you are in your orientation period since you stated you just started this position. If you have not yet been over restraint policies and practices with your preceptor, please ask for...
  19. Altra

    I resigned my first poopy nursing job but I have a question?

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

    This is not answerable in an internet forum -- see your employee handbook or refer to your organization's
  20. Altra

    Incorrect medication prep

    Altra replied to ARN1992's topic in Patient Safety Issues

    What is the protocol at your facility - all r/o CVA patients are NPO until a formal speech eval? Or is a dysphagia screening by the bedside RN part of the order set? And please file this away in the...
  21. Altra

    Setting up standing orders in EHR

    Altra replied to Maddie's mommy's topic in General Nursing

    I'm not sure I completely understand your question. Order sets can be built in the EHR so that they are quick and easy for providers to
  22. Altra

    Nurses: You've Been LIED to about your Back and Body Mechanics

    Altra replied to Lynda Lampert, RN's topic in General Nursing

    Sorry, I find this to be unacceptably melodramatic in tone for an AN "article". It seems to be all about the "feels", to use the current vernacular. Phrasing such as LIED to (in all caps, no less),...
  23. Altra

    persistent vomiting despite antiemetics?

    Altra replied to Infofreak411's topic in General Students

    What are your thoughts? What clinical conditions are in the
  24. Altra

    To tell or not to tell!

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

    Thanks for this - I needed a
  25. Altra

    Second career nurses: what if you ended up not liking nursing?

    Altra replied to Infofreak411's topic in General Nursing

    OK, enough. Six pages of a thread discussing the same question you have already asked multiple, multiple times. A question which is not answerable by internet strangers. And you fixate on this...