Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Er predictions

    Altra replied to Sassy5d's topic in Emergency

    Laughing at the Vag Complaint Thursdays. I guess our weekends start a little later here -- Friday late afternoon - mid evening is Prime lady partsl Complaint Time. A coworker says it's about tuneups...
  2. Altra

    ER nurses not calling report anymore...

    Altra replied to plinytheRN's topic in Patient Safety Issues

    Transfer between from one facility to another ... not within the same
  3. Altra

    ER nurses not calling report anymore...

    Altra replied to plinytheRN's topic in Patient Safety Issues

    You are misinterpreting med rec, possibly just for the sole sake of argument. It must be done on admission, and on discharge. Not just because the patient moves between hospital units, for cripes...
  4. Altra

    ER nurses not calling report anymore...

    Altra replied to plinytheRN's topic in Patient Safety Issues

    Then it is a quirk of your state DOH regs and doesn't add much to a discussion among nurses ranging all over the US and beyond. Nonsensical when you think about it. "Different level of care" ... so...
  5. Altra

    Need HELP with matching my personality to a specific nursing area

    Altra replied to brownladyRN's topic in General Nursing

    What do I propose? I propose that, at 6 weeks, you don't know much of anything. Acclimation takes time, and you will likely learn as much in your first six months of actual nursing as you did in all...
  6. Altra

    ER nurses not calling report anymore...

    Altra replied to plinytheRN's topic in Patient Safety Issues

    Muno has spoken before about systems issues where s/he works -- such as all orders entered in the ED being cancelled once the patient is admitted. Regardless of whether the systems were purchased...
  7. Altra

    Family Complaint... Why am I so bothered by this?

    Altra replied to Alex87's topic in Patient, Colleague Relations

    I have worked where policy allowed this to be an option. There was a place on the EMAR to indicate a change in dose from the order with a few acceptable reasons including "professional judgement"....
  8. Altra

    nurse's rights when patients are verbally abusive...do we have any?

    Altra replied to proud nurse's topic in Patient, Colleague Relations

    It's tough - you're only human. But when things escalate to that point, you need to just get out of the room and not stand there and let the behavior continue to escalate. Get your charge nurse...
  9. Altra

    help! boss threatening to charge me w abandonment??

    Altra replied to puzzpiece's topic in General Nursing

    Look up your state's regs on LTC staffing -- it's no use reporting that there are 2 RNs and 2 CNAs for 87 residents ... if that's in compliance with state regs. For starters, google "nursing home...
  10. Altra

    Vanderbilt Medical Center to have nurses cleaning up

    Altra replied to DidiRN's topic in General Nursing

    Only two of the 26 comments present as of right now reflect this view, and they are both from the same
  11. Altra

    Vanderbilt Medical Center to have nurses cleaning up

    Altra replied to DidiRN's topic in General Nursing

    Outrageous. I'm so glad the local media publicized this. And for once, I am encouraged by the comments section that follows the article. Note to Vandy nurses: note the comment from the DOH -- that...
  12. Altra

    Universal Precautions vs. Patient Dignity

    Altra replied to safe>sorry's topic in Patient Safety Issues

  13. Altra

    Universal Precautions vs. Patient Dignity

    Altra replied to safe>sorry's topic in Patient Safety Issues

    I understand what you are saying, that the AIDS patient is at higher risk of contracting an infection with an organism requiring isolation; however, the diagnosis of HIV or AIDS does not in itself...
  14. Altra

    Psychological stresses of RN/ICU

    Altra replied to lostbruin's topic in Critical Care

    I have always believed that to stay in nursing for the long haul and really maximize potential as a nurse does require an above-average ability to adapt, withstand stress, and both compartmentalize...
  15. Altra

    Universal Precautions vs. Patient Dignity

    Altra replied to safe>sorry's topic in Patient Safety Issues

    I appreciate that you want to use caution when describing the situation here on a publicly accessible forum, but it is impossible to really address your question without knowing the suspected pathogen...
  16. Altra

    Do your Charge RNs take patients?

    Altra replied to RNMomma22's topic in General Nursing

    The poll responses are likely to come from nurses working in various types of units, too diverse to really give you meaningful perspective. And even within the category "step-down" ... acuity can...
  17. Altra

    Chart Audits....you have to be kidding me!!!!!

    Altra replied to mcleanl's topic in General Nursing

    Agree -- it is quite the all-inclusive sweeping statement, and definitively inaccurate in the context of mental health patients. I can only assume Muno's comments are intended to convey the "systems"...
  18. Altra

    RN's and pain management/ADA

    Altra replied to ImaNicurn2006's topic in General Nursing

    As you say you have upcoming surgery planned, which presumably intends to alleviate the problem, I would think FMLA is more applicable to your current situation. The ADA is intended to enforce a...
  19. Altra

    ICU visiting hours

    Altra replied to CareBayer's topic in MICU, SICU

    Room sizes and layouts can make a big difference in how this is perceived, and I'm aware there is a fair amount of literature allegedly demonstrating positive effects of liberal visitation. I have to...
  20. Altra

    Transfer to the ED - what should I brush up on?

    Altra replied to EDNurse13's topic in Emergency

    Cardiac rhythms and cardiac s/s. If you don't currently have ACLS they will probably have you take it at the earliest possible opportunity. Also review what you know about pediatric patients,...
  21. Altra

    Stooopid

    Altra replied to Ciale's topic in Emergency

    When in triage - I totally get why you think I hate you, with the patients that end up in your rooms. But if it makes you feel better -- your pod partners likely got different flavors of what you're...
  22. Altra

    Family Complaint... Why am I so bothered by this?

    Altra replied to Alex87's topic in Patient, Colleague Relations

    Total BS ... the patient's family member needs to recognize that if she wants specific orders/doses for the patient she needs to talk with the physician - otherwise back off ... and your manager must...
  23. Altra

    FLACC vs. Wong-Baker FACES

    Altra replied to pyroknight's topic in General Nursing

    Agree with the above posters - the two scales are not interchangeable. FACES is a self-reporting system, whereas FLACC is a metric for your
  24. Altra

    Hand lotion

    Altra replied to nursingismycalling25's topic in General Nursing

    For hands I like Eucerin and Gold Bond hand
  25. Altra

    Online nursing clinical skills on video/streaming

    Altra replied to happyface27's topic in General Nursing

    LOL HouTx -- AN has recently been repeatedly hit by spammers. There may have been one of those "call now to find out how to make $ xxx per hour on the internet" posts here in this thread before it...