Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Nonsedated Pt's equal self extubations

    Altra replied to RunninOnCoffee's topic in General Nursing

    The one piece of the puzzle I see missing from this discussion is that a patient whose sedation is d/c'd may well be ready to come off of the vent. That is the point of the daily morning weaning...
  2. Altra

    Non-FIT Nurses and FIT Nurses

    Altra replied to trinitymaster's topic in General Nursing

    So difficult, choosing between poll choices #3 &
  3. Altra

    Wow. Just wow

    Altra replied to BSNbeauty's topic in General Nursing

    As you wish. When you're vomiting in my ER, I will not medicate you until I get an order from the doc. What's that - he's with a critical patient? No matter - I'll get the order 20 minutes from now....
  4. Altra

    Wow. Just wow

    Altra replied to BSNbeauty's topic in General Nursing

    You may not want to post the details here, but I'm wary of the "deliberate error" characterization. Unless you are in a position to positively say that there had been no verbal discussion with the...
  5. Altra

    “Your privacy is important to us� so how did patients’ medical exams get on Youtube?

    Altra replied to Alnitak7's topic in General Nursing

    Agree w/JustBeachyNurse - OP has a lengthy posting history, and many posts contribute to a picture of an unlicensed caregiver, with English as a second language, and a plethora of interpersonal...
  6. Altra

    Reopro Kit

    Altra replied to Nurse_Ratched's topic in Emergency

    I admittedly have limited familiarity with Abciximab administration as I have worked mostly in hospitals with in-house PCI capability. But the bolus dosing here ReoPro (Abciximab) Drug Information:...
  7. Altra

    Endotracheal Intubation Tube-Redesigned??

    Altra replied to luisf31's topic in Nurse Entrepreneurs, Innovators

    In what setting does your nurse friend work? This is hugely important to any discussion of intubation, as equipment, meds, and staff/expertise available, as well as the patient's condition and reason...
  8. Altra

    Questions Regarding Endotracheal Intubations

    Altra replied to luisf31's topic in Emergency

    As stated above, your questions need context to prompt meaningful discussion. What is your area of graduate study? In what setting(s) are you seeking to investigate intubation - prehospital, ED,...
  9. Altra

    Gift to nurse?

    Altra replied to Djprepan's topic in Emergency

    I agree with the posts above, but I love that you thought of a t-shirt from your dept. I'm proud of my EMS, FD, and PD t-shirts. Glad you are on the
  10. Altra

    Prioritization in the ER

    Altra replied to Lev's topic in Emergency

    The ER is NOT the place to skip documentation until later, because, with any luck, the patient will not be there later. Chart as you
  11. Altra

    Subservience to the docs

    Altra replied to amarilla's topic in Emergency

    Been there, done that, still have the t-shirt. It was a big disappointment, particularly in an ER environment. The harsh reality is that you will not single-handedly change the culture. Congrats and...
  12. Altra

    codes in the ER?

    Altra replied to aroRNBrooke's topic in Emergency

    I've worked in 3 hospitals - ER staff have been required to be up-to-date in PALS and NRP in all three, and I've never seen PICU or NICU called during a pedi or neonatal
  13. Altra

    Just Melted Away

    Altra replied to NurseOnAMotorcycle's topic in Emergency

    The ones that come in talking can be really hard. Wishing both of you
  14. Altra

    Is it where I work at, or is it just me?

    Altra replied to ThinkerBelleRN's topic in General Nursing

    Agree with the above poster -- relocating to another part of the world with a significantly different culture is a stressor, no matter how much you may like the work that you do. I know nothing of...
  15. Altra

    Fired for "sounding like I'm high"....

    Altra replied to Knuckles31's topic in LPN, LVN Corner

    Life lesson learned: unless you are covered by a collective bargaining agreement, or have a specific employment contract, employment is generally "at will". If you are not familiar with what this...
  16. Altra

    Lead the Way for Nurse Now and Join the ANA!

    Altra replied to RN.BSN's topic in Activism, Healthcare

    If you wanted to advocate for an organization, some basic fact checking would have been in order. The ANA has traditionally operated via constituent membership from state nursing associations;...
  17. Altra

    Will NCLEX ever REQUIRE BSN???

    Altra replied to butterflykissesxo's topic in NCLEX Exam, Programs

    You would have to ask this hypothetical question x 50 states ... as state boards of nursing are the licensing bodies. It is conceivable that State A would legislate requiring a BSN to be eligible to...
  18. Altra

    I received this email from a professor. I was a little shocked. Opinon?

    Altra replied to kdflet's topic in General Students

    Your prof was trying to "break it down" for those who apparently insist on flaunting the school's written dress code and "don't get" what the consequences are, other than disciplinary action. That was...
  19. Altra

    so confused about applying for license by endorsement ..please help!!

    Altra replied to CrystalCanary's topic in General Nursing

    If I *needed* to be working by a drop dead certain date, I would apply now. Definitely plan on the process taking longer than 30 days. Yes, you can continue to work in Kentucky. As explained above,...
  20. Altra

    Educating patients on ER use

    Altra replied to anh06005's topic in Patient Education

    There is Thought Process A: If I go to the ER, the bill will probably be expensive. What might the total be? If I can't pay it over a couple of months, they'll refer me to collections. My credit...
  21. Altra

    Practicum in the ER

    Altra replied to hockey24's topic in Emergency

    I have worked with many nursing students doing their final practicum in the ED -- they universally are appreciative of the experience for the high volume/variety of exposure to patients and immersion...
  22. Altra

    Can I lose my license???

    Altra replied to Staceyface65's topic in Nursing Professionalism

    Yes, I am personally aware of 3 individuals who have had licenses suspended and/or revoked. Read your state BON newsletter/website: disciplinary actions of a licensing board are public record....
  23. Altra

    What do you do if a patient needs to call 911 but they are refusing

    Altra replied to raquelfrida's topic in Critical Care

    Are you saying that a person was a patient at a hospital, but (you?) wanted to call EMS? *IF* this is what you are saying ... what was the goal? The individual is already hospitalized. The 911 / EMS...
  24. Altra

    Frequency of Being Cursed At or Threatened

    Altra replied to Music in My Heart's topic in Emergency

    Urban ED in the 'hood ... I responded to the poll with "occasionally", though I have trouble quantifying just how often this occurs. We have physical security measures in place, physically capable...
  25. Altra

    Do you carry around your stethoscope?

    Altra replied to tarotale's topic in General Nursing

    So wishing I could speak with OP's ED preceptor ... To answer your question, OP: I don't just "carry around" my stethoscope ... I use it,