Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Emergency Nursing Mandatory Overtime, On Call

    Altra replied to Triage24's topic in Emergency

    I live in a state which prohibits mandated OT for nurses except in disaster-type situations. Summary of state by state approaches here: Mandatory Overtime: Summary of State
  2. Altra

    Are RNs allowed to arterial stick at your hospital?

    Altra replied to Deetail's topic in General Nursing

    Nurses do where I work, but only for arterial blood gases - radial & brachial sites only. To obtain other labs, a provider will do a fem venous stick if all other options
  3. Altra

    Getting Thrown Under the Bus

    Altra replied to ThePrincessBride's topic in General Nursing

    OP, the job of the manager and the schedulers is to staff the unit. They do not have the luxury of saying, well, there's this hole in the schedule, but we're not going to put PrincessBride in that...
  4. Altra

    Is this common with teaching hospitals?

    Altra replied to liketheairport's topic in General Nursing

    When you are admitted to a hospital, do you not expect to see the physician(s) taking care of you? Well -- that's exactly what happened there. Your "learning on the floor" statement just is not an...
  5. Altra

    Is this common with teaching hospitals?

    Altra replied to liketheairport's topic in General Nursing

    I think you have some misconceptions about care in a teaching hospital, and that's understandable, as you are not yet a nurse and this may have been the first time you were admitted to this particular...
  6. Altra

    What are your pet peeves?

    Altra replied to forgop's topic in Emergency

    Totally stealing the bolded
  7. Altra

    Is this common with teaching hospitals?

    Altra replied to liketheairport's topic in General Nursing

    At a teaching hospital you are cared for by whatever services, or medical specialties, you need. And yes, it is a team approach. It may have been the first time you encountered that attending and...
  8. Altra

    How do you feel about new grads going for their np with little experience?

    Altra replied to garn12's topic in General Nursing

    Not really an apples to apples comparison, as physicians have multi-year residencies before practicing
  9. Altra

    Two Big Questions For Pain Experts

    Altra replied to SocratesJohnson's topic in Pain Management

    IV Tylenol - brand name Ofirmev - is available in the
  10. Altra

    Two Big Questions For Pain Experts

    Altra replied to SocratesJohnson's topic in Pain Management

    Did you not suggest a change of user
  11. Altra

    Two Big Questions For Pain Experts

    Altra replied to SocratesJohnson's topic in Pain Management

    The OP is clearly upset. But seriously ... no one else has ever been faced with the *ahem* "COGNITIVE DISSONANCE" produced by documenting a patient's self report of 10/10 pain and other assessment...
  12. Altra

    Two Big Questions For Pain Experts

    Altra replied to SocratesJohnson's topic in Pain Management

    I'm going to go WAAAY out on a limb here and try and expound on the OP's points. But as I'm just "reading between the lines" and applying my own experience, it's entirely possible I've got the OP all...
  13. Altra

    Good outcomes after prolonged CPR?

    Altra replied to applesxoranges's topic in Emergency

    A couple of thoughts about your post: 25 minutes is not an unusual length of time to run a code. Nor has it been unusual in my ED and ICU experience to code a patient multiple times. And there are a...
  14. Altra

    Violence in the ER

    Altra replied to TLS1's topic in Emergency

    Abso-frickin-lutely. But you might want to think about whether or not your word choices "made bad choices" etc. ... further escalate the
  15. Altra

    Scope of practice in the ER

    Altra replied to Fiona the Bull's topic in Emergency

    Licensed nurses care for patients of all ages -- there is no different licensure or different scope of practice for varying age groups or specific patient populations. Urinary catheterization,...
  16. Altra

    Venting online.

    Altra replied to 8mpg's topic in General Nursing

    Venting about one's day ... how is that
  17. Altra

    Question about blood transfusions and H/H

    Altra replied to Tobygo2's topic in General Nursing

    I'm assuming they have ruled out active bleeding ... (GI,
  18. Altra

    Pain Management Experts Have Caused A Lot Of Addiction

    Altra replied to SocratesJohnson's topic in Pain Management

    We could all argue the terminology, semantics and logistics for the next century ... but I agree with the OP. "Pain is what the patient says it is" is a failure as an approach to acute patient care,...
  19. Altra

    Humor me

    Altra replied to Sassy5d's topic in Emergency

    It is kinda a big deal ... active infection vs. a condition which is chronic ... two different conditions. As a parallel example ... many of us are walking around with cholelithiasis vs. cholecystitis...
  20. Altra

    Humor me

    Altra replied to Sassy5d's topic in Emergency

    Active infection vs. a chronic condition that does not necessarily require
  21. Altra

    I Like It

    Altra replied to OCNRN63's topic in General Nursing

    Thank you.
  22. Altra

    Deltoid IM injection - axillary muscle

    Altra replied to Olga30's topic in Patient Medications

    Google Image Result for http://upload.wikimedia.org/wikipedia/commons/e/e2/Gray818.png Now ... what makes you think you "got" her axillary
  23. Altra

    I Like It

    Altra replied to OCNRN63's topic in General Nursing

    Mmmm .... kkkkk.... Imagine my surprise to see my age included in this new format ... as I do not have it on my profile. Just where is THAT coming
  24. Altra

    Iv mag or k+ which do I hang first?

    Altra replied to JenniferG rN's topic in Emergency

    40mEq KCl mixed in a 250 bag, you say? Hmm.
  25. Altra

    Co-worker asked how much I make an hour

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

    As you repeatedly point out in your post, OP, this has zero to do with pay, "new nurses" or nursing in general. This is about your need to develop some boundaries and some