Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Why so reluctant to give pain meds?

    Altra replied to Baubo516's topic in Patient Medications

    Lots of variables, and we're not going to be able to speak for that nurse specifically. I do think I agree with avoidance of IV narcotics for rehab patients. In my experience, ortho post-op patients...
  2. Altra

    will HR shot me down for no WV license?

    Altra replied to treeye's topic in Job Search, Interview, Resume

    PA is not a compact state. Read the job description carefully, OP. HR practices vary: some will proceed with screening an otherwise qualified applicant with the understanding that in-state licensure...
  3. Altra

    advice on being written up when I dont think I should have been...

    Altra replied to anniegirl1988's topic in Patient Safety Issues

    As I see it, you are not being disciplined for calling a rapid response ... you are being disciplined for failing to inform a physician of a significant change in a patient's status. I have worked in...
  4. Altra

    Fired Out of the Blue

    Altra replied to RNOracle's topic in Nursing Career

    What did the "exit papers" you completed say? Do you have a copy? To whom in the company do you report? Who completed the performance evaluation 10 days ago? Is the provider who phoned you your...
  5. Altra

    Help me list MPH/MSN and PHNL/NP programs

    Altra replied to alloteysn's topic in General Nursing

    OP, from a practical standpoint ... even if posters chimed in naming schools ... how would you know that your list is correct and/or complete? Think about other ways to get the information that you...
  6. Altra

    Invega Sustenna Initial loading and booster

    Altra replied to 123_y_321's topic in Patient Medications

    Monthly maintenance doses may be given in either the deltoid or gluteal muscle, per the information contained in the reference supplied by the previous
  7. Altra

    pt received the wrong blood

    Altra replied to ohmeowzer RN's topic in Patient Safety Issues

    I wonder about this too - an adverse event, nearly immediate determination that the patient received the "wrong blood", immediate termination of 2 employees, notification to the BON -- all on a...
  8. Altra

    Stroke vs overdose

    Altra replied to joe007's topic in Emergency

    Though we all know how difficult neuro assessment can be on an intoxicated patient, marked unilateral deficits are hard to miss. Consent ... now that's another issue. Hope family was able to be...
  9. Altra

    Fix me NOW (but on my terms or I'll leave AMA)

    Altra replied to HikingEDRN's topic in Emergency

    Wait - you know my favorite patient,
  10. Altra

    No Patient To Staff Ratio In State of Indiana

    Altra replied to NancyHamptonKing's topic in Activism, Healthcare

    http://theconsumervoice.org/uploads/files/issues/Harrington-state-staffing-table-2010.pdf Nursing home staffing legislation by
  11. Altra

    First week of work down as a GN and I am struggling!

    Altra replied to 1Jessie86's topic in First Year After Licensure

    You are exactly where a new grad would be expected to be after one week. Some awareness of where you're struggling is even a
  12. Altra

    Don't Call Them Nurses!

    Altra replied to Lark Pogue's topic in LPN, LVN Corner

    Well there's a grand idea. Would it drive home the point? That's debatable
  13. Altra

    Article about Joan Rivers doctor - many patients identified

    Altra replied to Semolina's topic in HIPAA Challenges

    What is the HIPAA issue that you are surprised was not
  14. Altra

    Conscious Sedation in ED

    Altra replied to foragreatergood's topic in Emergency

    I have worked where opioid + benzo has been defined in policy as conscious sedation. As well as where any IVP benzo meant that the patient could not leave the unit for a period of time (e.g., go for...
  15. Altra

    What's the appropriate response?

    Altra replied to thekrazykook's topic in Emergency

    Absolutely, he was baiting you, and trying to gain some control over his situation by shocking/insulting you. I've found the best response is usually no reponse at all. One additional thought though...
  16. Altra

    Support Kaci Hickox

    Altra replied to nurse2033's topic in Disaster Preparation

    I'm too uncomfortable with the supposition that every infected person will perceive his/her symptoms and remove him/herself from contact with others before any viral shedding can occur. A 21-day...
  17. Altra

    Curious to know why Jahi thread was closed?

    Altra replied to RNIBCLC's topic in Nursing News

    Allyson Scerri is a former hairdresser who now runs a "facility" which expressed interest in caring for Jahi McMath. Whether or not she was ever in fact moved there, I'm not sure. But Ms. Scerri had...
  18. Altra

    Why is NNU National Nurses United ignored on ANA and AACN websites?

    Altra replied to the nites's topic in Activism, Healthcare

    elkpark and MunoRN are correct - I did not consider the individual state affiliates of the the ANA, just the parent
  19. Altra

    D-dimer very high

    Altra replied to benti's topic in Emergency

    As a critical care nurse I assume that you have access at work to various medical reference portals. Here is one available to the general public via a google search. D-dimer: The Test Wishing your...
  20. Altra

    Is it normal to quit a job because the culture isn't welcoming?

    Altra replied to Naturally Brilliant's topic in Patient, Colleague Relations

    Then by all means, quit. Immediately. Another aspiring nursing student or other health care professional will gladly take your place. And after you've quit jobs 4 or 5 times, because you have "too...
  21. Altra

    Is it normal to quit a job because the culture isn't welcoming?

    Altra replied to Naturally Brilliant's topic in Patient, Colleague Relations

    1. Thicker skin 2. Less focus on *feelings* 3. Realization that the purpose of going to work every day is to provide care for patients - in other words, complete the mission of the organization 4....
  22. Altra

    Why is NNU National Nurses United ignored on ANA and AACN websites?

    Altra replied to the nites's topic in Activism, Healthcare

    Neither the American Nurses Association (ANA) nor the American Association of Critical Care Nurses (AACN) are
  23. Altra

    Help! stay or go?

    Altra replied to takeiteasynyc's topic in Emergency

    As noted by several here, 10 ER patients of mixed acuity is dangerous ... but it is known to be the norm in NYC EDs. What is not the norm is the way that OP describes trauma staffing. That is...
  24. Altra

    Knitting during class: ok or not?

    Altra replied to BusyBee91's topic in General Students

    You're going to have to choose to be 100% engaged in your lectures -- or not. Whether you can acclimate to the typical lecture/classroom environment -- or
  25. Altra

    Therapeutic abortion clinic

    Altra replied to Cgul's topic in General Nursing

    Therapeutic abortion is the term for elective abortion. Given the regulatory environment, the ongoing legal uncertainties, the prospect of protest activities and even the risk of violence, it is not a...