Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Ebola... What'cha Gonna Do When It Comes to You

    Altra replied to Music in My Heart's topic in Disaster Preparation

    Good info here from the CDC: Information for Health Care Workers | Ebola Hemorrhagic Fever | CDC I am in no way trying to be flip about the risks ... but the nature of the ED is: by the time I have...
  2. Altra

    Do you have (or are you) a bully queen of the ICU?

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

    Nice. A thread title indicating a junior high atmosphere. An opening post containing pretty much every "harpy" incantation known to western discourse. And a picture to boot. Way to go, AN, way to...
  3. Altra

    first nursing job offer but no benefits?

    Altra replied to loveteenamarie's topic in First Year After Licensure

    Hold the phone ... did no one else catch this? OP -- you cannot begin to do the analysis necessary to make this decision without that GIANT piece of information. Go to the second interview, aka...
  4. Altra

    Pt ages

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

    Realize that the patients you're seeing in their 40s-50s are an overrepresentation of that age group: most middle-aged adults are NOT critically ill in hospitals, so you're not seeing
  5. Altra

    OB ultrasound...foley or no?

    Altra replied to Kalipso's topic in Emergency

  6. Altra

    ER first encounter for patients

    Altra replied to Matt8700's topic in Emergency

    You can review the EMTALA regs that Esme provided above. No, there is not a requirement that "first contact" be with a clinician, nor do I think that it necessarily should be - I think it's fine for...
  7. Altra

    morphine ivp

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

    Are you an NP, who is being told by supervising physicians to order opioid analgesics? I just wanted to clearly understand your situation. And if your facility is still using Demerol IVP commonly ......
  8. Altra

    Staying afloat on a nurse's salary?

    Altra replied to mee9mee9's topic in General Nursing

    What is your local real estate market like? What is your income? What kind of vehicle meets your needs vs. what are you willing/able to spend? What kind of "shopping" are you referring to? What is a...
  9. Altra

    How does leave of absence work? (not talking about paid time off)

    Altra replied to Metalchild's topic in General Nursing

    WORD.
  10. Altra

    NY Med - a great reminder about social media and nursing

    Altra replied to seconddegreebsn's topic in General Students

    HIPAA protects a person's protected health information (PHI). It applies to individuals
  11. Altra

    Catheter Care

    Altra replied to kay-nurse's topic in General Nursing

    I have no idea what you mean by bipassing urine. Could you
  12. Altra

    What is the nursing praxis?

    Altra replied to Littlepeanurse's topic in Nursing Student Assistance

    Google is your friend, if you are interested in learning more about nursing
  13. Altra

    Walkie Talkie

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

    Offendonistas! Now that is a new term, and one I'm very excited about
  14. Altra

    charge nurse drama

    Altra replied to Nurse-84's topic in Patient, Colleague Relations

    You seem to want to be everyone's buddy and be a leader at the same time, and it's not gonna happen. You can be a leader with positive relationships with staff, but you cannot be their
  15. Altra

    Critical Alarms, who answers?

    Altra replied to Emergent's topic in Emergency

    OP, if your department/hospital does not have a policy which covers monitor settings and/or the criteria by which the settings can be modified (including turning off the monitor) ... I urge you to...
  16. Altra

    Hallways

    Altra replied to emtb2rn's topic in Emergency

    I second the question of the OP, because I truly have difficulty wrapping my head around such a concept: whether your ED is 5 beds or 50 beds ... what do you do when you're full and that one more...
  17. Altra

    Hallways

    Altra replied to emtb2rn's topic in Emergency

    Rock ... paper ... scissors ... EMTALA beats HIPAA? OK, I'm being silly, but ... In all seriousness, you do what you gotta do to treat the patient. In my ED if it's between 9:30am and midnight,...
  18. Altra

    Feminism, Nursing, and Gender

    Altra replied to fakenurse's topic in Nursing Professionalism

    "If a nurse demands more from her field intellectually, this must be reaction formation: she or he is only exaggerating an opposition to traits he or she perceives to be embarrassing, unacceptable, or...
  19. Altra

    Post-mortem care

    Altra replied to Gabby-RN's topic in Emergency

    As others said above, nothing gets removed until the medical examiner has been contacted. Family have already been with the patient well before then, possibly even during the
  20. Altra

    What's it like at your ER

    Altra replied to godbless-yute's topic in Emergency

    OP, a suggestion for you: Since you want region-specific information, your best bet is to get involved in your local/regional/state ENA chapter. You'll network with folks and learn a great deal about...
  21. Altra

    Are you allowed toasters?

    Altra replied to Emergent's topic in Emergency

    For you,
  22. Altra

    Insurance claims can be rejected for what?

    Altra replied to Alnitak7's topic in General Students

    See the link I posted, as it contains the actual
  23. Altra

    hiring person inappropriate?

    Altra replied to wolf9653's topic in General Nursing

    Hearing in the normal range, whether natural ability or augmented by hearing aids, is most definitely a reasonable qualification of a nurse. She was well within boundaries to investigate that, though...
  24. Altra

    How do you move on to a leadership position

    Altra replied to sourapril's topic in Nursing Career

    Management is NOT simply being a nurse with longevity. Sufficient experience as a staff nurse that you've really, unquestionably got your clinical chops is a starting point. Management involves...
  25. Altra

    Insurance claims can be rejected for what?

    Altra replied to Alnitak7's topic in General Students

    Here's a link to CMS Form 1500: Form CMS1500 - Centers for Medicare & Medicaid Services It does not ask whether or not the claimant is employed. Nor does it ask if the claimant is a full-time...