Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    How important is your 'look' as a nurse

    Altra replied to Nola009's topic in Nursing Professionalism

    I sit in on interviews with management, and I can tell you that anyone who shows up to an interview in scrubs has fundamentally failed to grasp the business meeting nature of an interview. It does...
  2. Altra

    Blacklisted by your Nursing School?

    Altra replied to PolishGirlRN's topic in Nursing Professionalism

    I'm also stunned to find myself in vehement disagreement with llg's position. This is another example of the lack of understanding that every individual is free to have whatever opinions s/he wishes,...
  3. Altra

    Sharing cardiac rhythm tracing without any evidence of pt identification...violation?

    Altra replied to heather in ohio's topic in HIPAA Challenges

    Oh for cripes sake ... most ER/EMS/cardiology folks I know (myself included) have a personal collection of
  4. Altra

    First time fired by a patient

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

    I'm glad you are working on shaking off this unfortunate incident. It will likely recur, more than once. Do yourself a favor and shed the phrase "fired by a patient" from your vocabulary as it is...
  5. Altra

    Is this common with nurses and doctors?

    Altra replied to usetimewisely's topic in Patient Medications

    Consider, too ... what's the worst thing that this change in assessment might indicate? And ask for the diagnostic that would rule in/rule out that worst case
  6. Altra

    IV sites for Abd CT

    Altra replied to Louerrn's topic in Emergency

    EJs have a higher risk of infiltration -- I have not seen a radiology protocol that allowed administration of contrast through an EJ. The tech was simply pointing out that a central line (IJ) would...
  7. Altra

    CCAC Allegheny Evening ICU clinical opportunities?

    Altra replied to wmr5's topic in Pennsylvania Nursing

    You cannot do actual patient care (and get the experience you say you desire) as an ED volunteer. Your several friends, ED attending physician etc., might have mentioned that to you. Regardless of...
  8. Altra

    APPENDICITIS

    Altra replied to KYARNP's topic in Emergency

    Then aren't the surgeons ordering it ... you know, after they see the patient, confirm that it is a surgical case, and accept the patient? This is not making a whole lot of sense to me, coming from a...
  9. Altra

    Parents!!!

    Altra replied to sandyfeet's topic in Emergency

    Now that's a win, right
  10. Altra

    APPENDICITIS

    Altra replied to KYARNP's topic in Emergency

    What is your rationale for going straight to Vanco as an abx
  11. Altra

    Difference in NP & PA roles in the ED

    Altra replied to danielletardio's topic in Emergency

    Both nurses (RNs) and PA-Cs are educated as generalists. If you go the nurse route, NP graduate education is somewhat specialized (acute care vs. psych/mental health vs. women's health). Both of...
  12. Altra

    Disaster preparedness

    Altra replied to hmcdonaldrn's topic in Emergency

    Agree with the points made above. The disaster/mass casualty mentality is tough for administrators to wrap theirs heads around. And quite frankly ... this cannot just be an ED thing. All of your ED...
  13. Altra

    Question on filling out FMLA papers

    Altra replied to Manda2426's topic in General Nursing

    Then you are aware, because you complete the forms, that you are filling out a US Dept. of Labor form ... because that's at the top of the form. So yes, there are applicable laws. The sections are...
  14. Altra

    It is my dream!

    Altra replied to NurseEric81's topic in Emergency

    Congratulations on your upcoming graduation! Your prehospital experience will make you a competitive candidate for an ER nursing position. However, if the departments in your local hospitals have a...
  15. Altra

    What does it means "Practice Alerts"? m m

    Altra replied to Patriciaab's topic in General Nursing

    I am sorry I cannot translate to Portuguese. But this term "practice alert" in a journal article is usually just a heading to draw attention to a topic that has implications for clinical nursing...
  16. Altra

    Ethics

    Altra replied to mstere's topic in Patient Safety Issues

    In terms of the physician's treatment plan, it accomplishes nothing to consult, make referrals, or otherwise suggest things that the patient does not have the ability to do. In simple terms: "go see...
  17. Altra

    The experience of an ER nurse?

    Altra replied to Cpf9's topic in Emergency

    Travel/agency nurses receive minimal orientation. I can't stress that enough -- minimal. The entire point of utilizing temporary nurses is that the employer is solving a short-term immediate need....
  18. Altra

    Did I violate HIPAA?

    Altra replied to nursing_student93's topic in HIPAA Challenges

    Think less about whether or not the result of this will be being "kicked out of clinical" and more about the larger picture. You picked a doozy of a patient population for sampling. Many states have...
  19. Altra

    Rant

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

    If the phrasing indicated by the OP was actually used, it was clearly inappropriate. However, a patient's occupation has not been routinely listed anywhere in the chart that is accessible to clinical...
  20. Altra

    Assertive with your providers.

    Altra replied to Sassy5d's topic in Emergency

    Agree with the post above in terms of taking the opportunity to speak with the doc privately. However, I am leery of focusing the conversation on "how it made me feel". How you feel ... is kinda...
  21. Altra

    Late nurse notes

    Altra replied to Harley0708's topic in Home Health

    Is this in home health? I'm not sure I understand the circumstances. Speaking generally, willful noncompliance with documentation standards can certainly be addressed within a...
  22. Altra

    Unsafe ED

    Altra replied to HeartRN13's topic in Patient Safety Issues

    > It is my experience that inpatient nurses tend to have No. Freaking. Clue. how bed control at their own facility works. It is also my experience that inpatient nurses have no idea how the ER...
  23. Altra

    Unprofessional Remark by Manager

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

    Bottom line - you'll need to decide whether or not you believe it is your place to critique your manager directly. And it wouldn't hurt to acknowledge that your opinion on that point is not the one...
  24. Altra

    Accused Of Not Being A Team Player-Have You?

    Altra replied to All4NursingRN's topic in Patient, Colleague Relations

    I'm sorry that you're finding yourself in this bind, but I recall you posting about issues when you worked before in this ER. Hoping you find a position that is everything that you
  25. Altra

    Specialize in Pediatric AND Adult emergency care?

    Altra replied to Juniper248's topic in Emergency

    I would strongly discourage this for a new grad. You need a solid orientation of at least 12 weeks, 16 is better (16 weeks is the ENA recommendation). And you will not get that at a per diem