Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    What do you call it? (Piggyback)

    Altra replied to applesxoranges's topic in General Nursing

    The difference in practice settings is why you're experiencing this disconnect. I've worked both ICU and ER, and I had to really work to mentally picture what you're describing. If a fluid bolus is...
  2. Altra

    What type of soap do you use?

    Altra replied to TheCommuter's topic in General Nursing

    I use Olay products on my face - cream cleanser and pore-refining scrub. I plan to hoard a lifetime supply of products with exfoliating beads before the ban goes into effect. I use Dove exfoliating...
  3. Altra

    Canadian Triage and Acuity Scale (CTAS) for Triage?

    Altra replied to Lunah's topic in Emergency

    What process led your hospital to using CTAS instead of ESI? Just curious. Any bumps in the road related to
  4. Altra

    Worried That Doctor's Orders Will Hasten A Patient's Death

    Altra replied to PrincessNur's topic in Patient Safety Issues

    This is the key if you intend to pursue a career as a nurse. Good luck with your
  5. Altra

    Has anyone heard of this?

    Altra replied to Palliative Care, DNP's topic in General Nursing

    If the student has been advised of the risk, and been directed to some resources to get a sense of what the BON's likely action is based on similar cases ... then who is being
  6. Altra

    Struggling

    Altra replied to russianbear's topic in Emergency

    Best wishes on your new position - please check in and let us know how it's
  7. Altra

    Filed 2 complaints with Corporate. What is the next step?

    Altra replied to sarabellum1's topic in Patient Safety Issues

    Your state health dept. (or whatever agency licenses facilities in your state) will likely be more responsive, especially if you have specific dates/times/incidents to
  8. Altra

    Please help Hipaa Question

    Altra replied to BLW2000's topic in HIPAA Challenges

    Agree, I don't necessarily see a HIPAA issue here however ... People don't just wander into other health care institutions under the premise of, "oh, I'm curious ... let's go see how they do it at the...
  9. Altra

    Overdose or tbi? What would you do?

    Altra replied to BAP16's topic in Emergency

    CraigB, RN's post above does highlight a true phenomenon: "someone slipped something into my (my friend's) drink" is used to deflect judgement/consequences of experimentation. However, it is also...
  10. Altra

    ED Education Topics

    Altra replied to jgriffRN's topic in Emergency

    Yes! This gets the point across so much more powerfully than vague verbiage about documenting in this flowsheet, and that flowsheet, blah blah
  11. Altra

    Am I allowed to start a donation to help deceased pt funeral funds??

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

    IMO, this oversteps professional bounds and I would not consider it. Speak privately with a charge nurse or manager to see if the sympathy card is something that your unit would do, and don't be...
  12. Altra

    Struggling

    Altra replied to russianbear's topic in Emergency

    Anything specific we can try to help
  13. Altra

    Terminated. Pursue a Lawsuit?

    Altra replied to ERgirlynurse's topic in General Nursing

    No, definitely
  14. Altra

    Terminated. Pursue a Lawsuit?

    Altra replied to ERgirlynurse's topic in General Nursing

    OP has not clarified if the Benadryl was p.o. or IV. If p.o. ... I'm hard pressed to think of a scenario in which a p.o. med with an onset of action of > 30 min. is necessary to keep handy "just...
  15. Altra

    Disposal of Morphine IV Bags

    Altra replied to ncupp10's topic in General Nursing

    Just curious: are you curious about morphine specifically, or opioids in general? Does your question also pertain to, say, bags of Fentanyl and/or
  16. Altra

    Succeeding but feel kind of alone

    Altra replied to Scrubs_n_sirens's topic in Emergency

    A couple of things might be in play here. 1. At some point, it does become apparent when someone is likely to be moving up the chain, and this does separate you from other staff. You have to decide...
  17. Altra

    Terminated. Pursue a Lawsuit?

    Altra replied to ERgirlynurse's topic in General Nursing

    Yes, it does. Have seen a number of Benadryl overdoses, both intentional and unintentional. Additionally, OP does not mention whether the Benadryl she felt compelled to carry in her pocket "just in...
  18. Altra

    Should I SUE?

    Altra replied to hollyday's topic in General Students

    No one here can adequately comment on your specific circumstances. But the "negative" feedback you are receiving is in response to your own presentation of your case: in short, you are not...
  19. Altra

    Terminated. Pursue a Lawsuit?

    Altra replied to ERgirlynurse's topic in General Nursing

    Agree. I strongly suspect the nurses familiar with the OP/OP's work were suggesting that a lawyer may be needed to help deal with further interactions with the BON. I really suggest you examine your...
  20. Altra

    Studying Menopause?

    Altra replied to AmZim's topic in General Nursing

    Just wanted to say I applaud your focus on this important area! There is one GYN practice in my area that I am aware of which focuses on women in mid-life and beyond - no
  21. Altra

    Is age part of HIPAA?

    Altra replied to MNNICU, RN's topic in HIPAA Challenges

    Generally speaking, you don't say anything about any patient to any other patient. But this is way overblown,
  22. Altra

    I have CEN and CCRN, should I just take my CFRN?

    Altra replied to Generic ER Nurse's topic in General Nursing

    In my experience, the ED and flight/transport are not specialties where "certification" without experience is taken seriously. If you want to pursue flight nursing -- go that route. But the initials...
  23. Altra

    Calling the unit with things I forgot...too much?

    Altra replied to laceysrn's topic in General Nursing

    OP, your post is thoughtful and you have some self-awareness of where you are in the development of your clinical judgement. Rest assured - the OCD new grad is far, far preferable to the scary new...
  24. Altra

    Change of shift admissions

    Altra replied to Nurse131382's topic in General Nursing

    I don't want to make it an ED vs. inpatient thing either. So the first thing I want to ask you, OP, is ... when do discharged patients leave your unit? The bulk of them? Is it mid- to...
  25. Altra

    What is the drug of choice in your area?

    Altra replied to Momma1RN's topic in Emergency

    Truth! Summer festival/concert season will bring Molly, other forms of Esctasy, and Spice/synthetic