Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Can I lose my license???

    I can neither confirm nor deny that back in the days before meds in the Pyxis and supplies in the Omnicell ... that Coworker A ever assisted Coworker B to be fit for duty by the start of shift ......
  2. Altra

    RN supervising a pdn

    Agree with the previous poster -- any clients of the agency you currently work for will likely be off limits to your new organization for some period of time. As you have applied for provider status,...
  3. Altra

    Intubation necessary?

    I'm glad to hear of the good health of your fiancée and your son. Enjoy the beauty of your new family during this holiday
  4. In my hospital system, unit managers are *expected* to be responsive via cell phone/text instantaneously pretty much 24/7. Don't sweat
  5. Altra

    Curious to know why Jahi thread was closed?

    Clarification: For those who may have come on board recently -- be aware that the first video shown in this link is from last year, during the initial legal dispute over whether or not UCSF Benioff...
  6. I'm hoping that your personal relationship preceded the professional one. But putting that aside, and without going into detail about the level of animosity involved in the breakup ... maybe you could...
  7. Altra

    Key lanyards around neck

    Put the lanyard in your pocket. Make transfer of it a "checklist" item at shift change. Poo or no poo ... there is no reason to have items dangling in front of patients every time you lean across a...
  8. Altra

    Job Interview/Talent Review

    Behavioral interview questions have been common for many years now, in recognition of the fact that personalities and personal styles contribute as least as much to productivity and workplace...
  9. Altra

    why do nurses hate medics?

    Sorry to hear that this is your experience, OP. I feel fortunate that I have not worked where there has been that kind of friction. In all the EDs in which I've worked there have been medics on...
  10. Altra

    How long was your initial orientation to the ER?

    In 2 of the 3 hospitals where I've worked, ED orientation is 8 weeks for experienced ED nurses, 12 weeks for experienced nurses who have not worked in the ED before, and 16 weeks for new
  11. The screening question is absolutely appropriate for anyone presenting for care with fever, vomiting, diarrhea, or other s/s consistent with EVD. The CDC's recommendations for ambulatory settings are...
  12. Altra

    Curious to know why Jahi thread was closed?

    Thank
  13. Altra

    application problem

    Agree with the above poster who pointed out that the question on the application was very likely referring to disciplinary actions on your license, not internal employer corrective
  14. https://www.google.com/search?btnG=1&pws=0&q=clep&gws_rd=ssl
  15. Altra

    Question about uniform

    Yes, you're overthinking this. And possibly, you're overlooking the cross-disciplinary team/camaraderie atmosphere that is often a prominent feature of the ED, which is what makes it such a great...
  16. I agree that school nursing, or any other setting in which you are out there on your own with no back up is not at all ideal for a new grad. Assessment skills and clinical judgement take time to...
  17. In my experience this is a group effort by 2-3 staff -- simultaneous rolling, linen change, obtaining vital signs, basic assessment, and drawing labs & cultures within 10 - 15 minutes of arrival....
  18. Altra

    TRIAGE

    The 6-hour mark in the penalty box is indeed about where patience wears thin and sensory overload creeps in, so I'm glad to hear that your department is willing to try this. Triage craziness certainly...
  19. This is on the plus side for you. Job hunting with BON baggage is a much, much tougher road. People in all professions get fired, and it is always more difficult to obtain the next job in that...
  20. OP, unless you (have time to) analyze the finances, educational history, and work history of all your patients ... is it possible that patients of "lower education" or "lower socioeconomic status"...
  21. I don't discount your experiences, OP, but your paramedic friends clearly work in different affluent service areas than my paramedic friends ... because mine have endless calls for "dad doesn't want...
  22. The lesson I remember, from waaaay before nursing school, is that you don't lie to cover your
  23. Altra

    Third Part Observing and Possibly Filming

  24. Congratulations - your first committee assignment. If your hospital has a well-developed shared governance structure you will probably attend some kind of orientation session that will explain the...
  25. Altra

    Scoliosis Screening

    If I were going to target a particular screening or diagnostic test ... it sure wouldn't be one which is noninvasive, requires no equipment, and costs only a trained provider's time. OP, can you...