Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Help from the nursing community for a recent medical graduate.

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

    Life is not always a linear path. Keep pursuing residency opportunities in all areas of the country and maybe consider a specialty that you haven't considered as yet. There have been unmatched...
  2. Altra

    NETY - Not A Myth

    Altra replied to emtb2rn's topic in Patient, Colleague Relations

    Love, love, LOVE
  3. Altra

    Esme Needs Your Prayers and Well Wishes

    Altra replied to tnbutterfly - Mary's topic in General Nursing

    Prayers and well wishes coming your way, Esme. Hope to see you here at AN
  4. Altra

    Nurse manager who yells at people

    Altra replied to happygrandma3's topic in Patient, Colleague Relations

    Can't recommend replicating this approach: it is rife with liability for the individuals who did the recording and the organization
  5. Altra

    shotgun knowledge from emergency geniuses

    Altra replied to tarotale's topic in Emergency

    If you are working in an ED that sees trauma patients (and so performs FAST exams) and is on board with current Surviving Sepsis guidelines, you probably have a nurse educator, or at least some annual...
  6. Altra

    Dallas Presbyterian Nurse Interview

    Altra replied to annie.rn's topic in Disaster Preparation

    I watched the whole interview. It brought tears to my eyes. Prayers said,
  7. Altra

    VRE

    Altra replied to tjarvis's topic in General Nursing

    CDC - VRE in Healthcare Settings - HAI CDC recommendations in link above. What does your facility policy
  8. Altra

    Does anybody else feel guilty about calling off?

    Altra replied to Codeblue1982's topic in Patient, Colleague Relations

    This says it all. Guilt? No. The underlying "not fair to coworkers" mentality stems from an exaggerated sense of responsibility for staffing a unit, or a wishy-washy lack of healthy boundaries and...
  9. Altra

    Do you go to work with vomiting/diarrhea?

    Altra replied to designer-mommy's topic in General Nursing

    Vomiting and/or diarrhea? That's a firm
  10. Altra

    Suicide by antibotics ?

    Altra replied to ohmeowzer RN's topic in Patient, Colleague Relations

    Even if the patient survives with any intact neuro status, he has probably blown out his kidneys. If I were going to appropriate meds prescribed for another species, I wouldn't pick one with a body...
  11. Altra

    Does the company you keep work in health care??

    Altra replied to Nola009's topic in General Nursing

    It is definitely true that most of my family and much of the rest of my social circle will never, ever in a million years understand my work in the ER in da hood. I don't talk about it much with...
  12. Altra

    ER nurses not calling report anymore...

    Altra replied to plinytheRN's topic in Patient Safety Issues

    I regret that I can only *like* this post
  13. Altra

    Nurses Who Don't Want to be Nurses

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

    No complaining around the OP ... noted. Oh, OP ... when you become employed as a nurse, make sure you don't stay at a job too long, or ever, ever let off a bit of frustration ... you could find...
  14. Altra

    grandchildren signing consent

    Altra replied to ANEESAHM's topic in Patient Safety Issues

    That the family member is a hospital employee has no relevance. Nor is there any HIPAA issue -- a family member named by the patient as a contact person was appropriately contacted in the course of...
  15. Altra

    Thomas Eric Duncan and Hipaa

    Altra replied to smartnurse1982's topic in HIPAA Challenges

    Once your family starts being publicly photographed with a recognizable figure such as Jesse Jackson ... you've pretty much lost any claims to
  16. Altra

    Emergency room RN minimums in Texas

    Altra replied to starsky3501's topic in Emergency

    If your facility has recently been surveyed, you should have a contact for further questions/clarification. Send them written communication, email or actual letter, requesting direction regarding the...
  17. Altra

    Bladder Cocktails?

    Altra replied to guest744967's topic in Emergency

    Well, I just learned something new ... I had never heard of this. OP - I hope that there was some discussion/clarification/education about this order from the physician, before you performed an...
  18. Altra

    Emergency room RN minimums in Texas

    Altra replied to starsky3501's topic in Emergency

    I think what other posters are getting at, OP, is that the basis of any regulation that a certain minimum of nurses must be staffed is usually an underlying principle of nurse:patient ratio. However,...
  19. Altra

    "Two-yearitis"

    Altra replied to Ruby Vee's topic in General Nursing

    This is very much a real phenomenon, in my experience. In the ER it is those around the 2-year mark who are usually most disgusted with anyone who walks in the door not on the verge of death, most...
  20. Altra

    Let's check everything!

    Altra replied to psu_213's topic in Emergency

    This would push me over the
  21. Altra

    Sepsis

    Altra replied to Anna Flaxis's topic in Emergency

    Agree with MunoRN's post above: treatment is not necessarily a linear path from BP ---> fluid ---> pressors. Good info here: Surviving Sepsis Campaign | Guidelines, and in many widely used...
  22. Altra

    Charge Charting: Correcting charts after discharge for billing

    Altra replied to Kalipso's topic in Emergency

    It's interesting that you view charting "for billing" as somehow secondary and not a crucial part of the job. And interesting that you don't feel that that charting certain things, like infusion stop...
  23. Altra

    Nurses Who Don't Want to be Nurses

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

    In principle I agree with you -- life is much too short to be miserable. But I wonder if you also question the motives of a bored accountant, or a bus driver who gets irritated with traffic, etc. Just...
  24. Altra

    Charge Charting: Correcting charts after discharge for billing

    Altra replied to Kalipso's topic in Emergency

    Hypothetical situation: You run Business X selling widgets. Employee A routinely does not charge 10% of customers for their widgets. They are the same great widgets and customers are happy ... but...
  25. Altra

    on Getting Fired

    Altra replied to Julie Reyes's topic in Patient, Colleague Relations

    Sometimes interactions with patients and/or their families spin out of control, and upon reflection a nurse can see where s/he could have directed things better. And sometimes, there are...