Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Who takes the med error hit?

    Altra replied to BuckyBadgerRN's topic in Patient Safety Issues

    Sorry for the misinterpretation. The thread title, and request for opinions on "where fault lies" prompted my
  2. Altra

    Who takes the med error hit?

    Altra replied to BuckyBadgerRN's topic in Patient Safety Issues

    I'm a bit disturbed that the discussion is centering on who is to take blame and possibly suffer disciplinary consequences, and not on fixing a pretty glaring systems
  3. Altra

    Nurse in room for hemorrhoid checks?

    Altra replied to anh06005's topic in Nurse Practitioners, NP

    As this seems to involve intimate personal care, or at least examination of an intimate area ... I'm curious what "tapes"
  4. Altra

    If you wear Danskos.... How often do you replace shoes?

    Altra replied to dannygirl04's topic in Scrubs, Uniforms, Gear

    My Danskos last about 2 years. Other shoes I have worn in my nursing career have only been good for 6 - 8
  5. Altra

    Patient Safety Question/Nurses Conduct

    Altra replied to ChrisMonty's topic in Patient Safety Issues

    OP, you've described here on AN your extensive medical history. And yet despite your frequent hospitalizations, you had no idea where to report hospital staff behavior, and instead came here to...
  6. Altra

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

    Altra replied to Infofreak411's topic in General Nursing

    There is a wealth of information here on nursing. For guidance in decision-making ... you'd be better served by discussion with family, a wise & trusted friend, partner, faculty, clergy, and/or a...
  7. Altra

    What is it with nurses showing up late!

    Altra replied to hppygr8ful's topic in General Nursing

    Employees who have difficulty getting to work on time, for whatever reason, will gravitate toward jobs where technologically efficient timekeeping is not in place, or where the culture makes...
  8. Altra

    An education does not equal a job?

    Altra replied to Infofreak411's topic in General Nursing

    Positive experiences, educational or otherwise, are never inherently wasteful; however, life/time/money are not infinite, and so there is certainly the possibility that one choice of experience...
  9. Altra

    Criminal Charge

    Altra replied to newnurse1986's topic in Licensure: Criminal History

    Suspension/stipulations on your license/fines/revocation are real possibilities. Start planning
  10. Altra

    Patient Safety Question/Nurses Conduct

    Altra replied to ChrisMonty's topic in Patient Safety Issues

    That's quite a statement, considering we are only hearing from a layperson visitor, who states he was eavesdropping. Not exactly a complete picture of the
  11. Altra

    ER to ICU orders

    Altra replied to amys4304's topic in MICU, SICU

    This is not correct - there are 6 CMS/Joint Commission core measures that measure ER throughput. A complete list of core measures currently in effect for federal FY 2015 can be viewed here, by...
  12. Altra

    I am an ER doc. I wrote a short story about a girl having a seizure.

    Altra replied to pg212's topic in General Nursing

    Dr. Green, thank you very much for sharing, and I wish you success with your upcoming
  13. Altra

    Problems with ER

    Altra replied to ReggieN's topic in Patient Safety Issues

    If this is occurring with regularity, and doesn't seem to ruffle the feathers of your unit management, then this was a conscious decision for a change in process that your unit management is fully...
  14. Altra

    Sending Large Groups to Conferences?

    Altra replied to kimshaffer98's topic in General Nursing

    Your unit's staffing probably doesn't allow for more than 2 people to have scheduled time off during any one
  15. Altra

    Bedside reporting as a management tool of humiliation

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

    I think you've hit the nail on the head here. A manager so concerned with sticking to the script (presumably to benefit patient satisfaction scores) that she lays hands on a crying nurse in front of...
  16. Altra

    Bedside reporting as a management tool of humiliation

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

    From the picture painted here, the relationship between staff and manager was straight out of a Dickens novel ... way before the bedside report initiative came along. And yet, professionals have...
  17. Altra

    Need Advice, Pato Nurse Relations

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

    I'm an ER nurse, and I'd like to provide some perspective and pass along some advice that I give to patients with chronic painful conditions. We do not, by definition, "know you" or "know what works...
  18. Altra

    why do nurses need to be licensed?

    Altra replied to Infofreak411's topic in Nursing Professionalism

    I don't dispute your statement, as I have no way of knowing, but this is definitely not the norm. Reason: Clinical sites which the schools contract with generally require this. As part of the...
  19. Altra

    Where is the innovation??

    Altra replied to bnizi's topic in Nursing Informatics

    Have you considered the impact of the multiple layers of regulatory oversight present in healthcare? Having to produce on demand documentation that demonstrates X, to the satisfaction of the...
  20. Altra

    Bedside reporting as a management tool of humiliation

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

    A 30-year nurse, described by peers as "stoic" ... suddenly had a tearful breakdown in front of a patient? Dramatic,
  21. Altra

    back to work after 4 weeks off

    Altra replied to MassED's topic in Emergency

    Great to hear that you've had a smooth
  22. Altra

    Deliberate sabotage?

    Altra replied to greenerpastures's topic in General Nursing

    I'm going to give her the benefit of the doubt and assume that she is doing this in response to an actual incident in which there was some deficiency in stocking/setting up rooms/ensuring that...
  23. Altra

    New to ER

    Altra replied to kward6's topic in Emergency

    It is absolutely normal to feel like a new grad again when changing specialties. And studying all over again, just like a new grad, also comes with the territory. I love that you're committed to...
  24. Altra

    I was dreaming when I wrote this, forgive me if it goes astray

    Altra replied to trinitymaster's topic in General Nursing

    "Lenny Bruce is not
  25. Altra

    Student Certifications ACLS, PALS, TNCC

    Altra replied to melanieleighanne's topic in Emergency

    I do not ever recommend that students or brand new grads take these on their own and pay for them out of pocket. 1. ACLS and PALS, as advanced courses, build on assessment skills gained from...