Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Let's check everything!

    Altra replied to psu_213's topic in Emergency

    This can be a symptom of newattendingitis, as they adjust to the reality that "this is really all on me now" and feel the weight of the world on their shoulders. Of course, some continue to practice...
  2. Altra

    Mocked by teacher in post conference.

    Altra replied to dmena14's topic in General Students

    Thank you for this post -- I was beginning to wonder, too. Two contributing factors that I think are often in play: 1. People without healthy boundaries, without a firmly established inner locus of...
  3. Altra

    Some of Us Are Trying to Help You...

    Altra replied to Music in My Heart's topic in Nursing Student Assistance

    OG placement in an emergently intubated patient is not for feeding -- it is to prevent airway complications related to vomiting. And, as another poster has pointed out, the OG requires xray...
  4. Altra

    Some of Us Are Trying to Help You...

    Altra replied to Music in My Heart's topic in Nursing Student Assistance

    We must be reading different posts, because I saw no "high pressure tactics" - just an accurate picture painted of the situation as it unfolded. Clinical days are not structured skill labs where...
  5. Altra

    Some of Us Are Trying to Help You...

    Altra replied to Music in My Heart's topic in Nursing Student Assistance

    I'm truly saddened by much of the content of this thread. And as a staff nurse in a large, tertiary-care academic medical center and frequent preceptor to nursing students from six, yes six,...
  6. Altra

    Goodbye...

    Altra replied to Music in My Heart's topic in Patient, Colleague Relations

    Wishing you well ... and hoping that you'll
  7. Altra

    Some of Us Are Trying to Help You...

    Altra replied to Music in My Heart's topic in Nursing Student Assistance

    That would be me. So we were having a discussion of nursing students showing initiative for seeking out opportunities to develop skills vs. being discouraged from doing so by the policies of their...
  8. Altra

    Some of Us Are Trying to Help You...

    Altra replied to Music in My Heart's topic in Nursing Student Assistance

    Nope, I don't feel ya ... as in, I have no idea where you're going with that. OP is male ... is there going to be gender commentary on that, as
  9. Altra

    Definition of "Stereotypic Movement"?

    Altra replied to blaundee's topic in General Nursing

    Google-from-phone failure and so out of resources? I think the world just
  10. Altra

    Physician Extender ???

    Altra replied to Barnstormin' PMHNP's topic in Nurse Practitioners, NP

    Very commonly used term in my
  11. Altra

    Would you do this...? Thoughts....

    Altra replied to amoLucia's topic in General Nursing

    I saw a story on this on one of the morning network news programs a couple of years ago. A major market for the procedure was brides-to-be. The cost may seem daunting, but really is not out of line...
  12. Altra

    L'Shana Tova

    Altra replied to RNsRWe's topic in Spirituality, Religion

    And to you &
  13. Altra

    If I hear this one more time, I'm going to lose it!!

    Altra replied to pixiedu2's topic in Patient, Colleague Relations

    Very well said, llg. And if I can expound a bit further on that theme: while nurses should absolutely be engaged in their own independent learning, reading journals and such ... a reference in...
  14. Altra

    How common is charting ahead in ICU?

    Altra replied to SilleLu's topic in Critical Care

    I'm curious how you know, at the beginning of a shift, whether or not your patient will remain in restraints for the entire shift? Intubated patients in soft wrist restraints may well get extubated...
  15. Altra

    Biox vs. Pulse ox vs. whatever else?!

    Altra replied to AJcardiacRN's topic in General Nursing

    I was curious enough about this to look it up. It is worth noting that in 1980 "Biox" was the first widely available pulse oximeter. Though it seems the company was sold within a few years to...
  16. Altra

    How common is charting ahead in ICU?

    Altra replied to SilleLu's topic in Critical Care

    Charting events from both 4pm and 6pm shortly after 6pm = OK, if patient care demands meant that there was no time to chart in between 4pm and 6pm. Charting ahead for 8pm when it hasn't occurred yet =...
  17. Altra

    Biox vs. Pulse ox vs. whatever else?!

    Altra replied to AJcardiacRN's topic in General Nursing

    I have never heard the term, nor seen equipment of that
  18. Altra

    References and Professional Etiquette

    Altra replied to bsartor's topic in Nursing Professionalism

    3. Even if someone does draft a letter of recommendation for you, make sure to ask if you may edit it for EACH SPECIFIC JOB that you apply for. Yes. that sounds like a lot of work but it is important....
  19. Altra

    CAN WE TALK???

    Altra replied to Esme12's topic in HIPAA Challenges

    So fascinating, the automatic presumption that the physician is male, including name calling using a derogatory term for male
  20. Altra

    Has being a nurse changed your outlook on...

    Altra replied to richardgecko's topic in General Nursing

    Yes, it has. I'm in my 40s with no chronic medical conditions ... but I have a detailed advanced directive which I have discussed at length with my family. And as a poster above mentioned,...
  21. Altra

    morphine ivp

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

    1 gram of Tylenol, you say? Replaced with Dilaudid, Valium and Percocet? Hmm. An *unusual* situation, for
  22. Altra

    Why nurses eat their young?

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

    Hmm. And how'd that work out for
  23. Altra

    Why nurses eat their young?

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

    Then he is not at all a "nurse eater", but a generous person, paying it forward by making YOU a better
  24. Altra

    Mid levels in triage

    Altra replied to turnforthenurse's topic in Emergency

    Sent you a
  25. Altra

    ESI Triage concerns

    Altra replied to Mobeeb's topic in Emergency

    ESI is a well-validated tool to indicate both patient acuity and the amount of "resources" that are likely to be required to care for a patient. However, as always, the devil is in the details: the...