Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    ER nurses not calling report anymore...

    Altra replied to plinytheRN's topic in Patient Safety Issues

    The hospital went through a JCAHO site visit while I worked there - no citations regarding
  2. Altra

    IV push and wearing gloves

    Altra replied to Katniss88's topic in Patient Medications

    So ... you are never in a patient's room without gloves?
  3. Altra

    IV push and wearing gloves

    Altra replied to Katniss88's topic in Patient Medications

    Seriously? You concluded that the poster you quoted doesn't know
  4. Altra

    ER nurses not calling report anymore...

    Altra replied to plinytheRN's topic in Patient Safety Issues

    Not so. I've worked in a hospital where report on a non-ICU patient consisted of just the electronic documentation from the ED -- no Joint Commission
  5. Altra

    ACA Timeline: Key Dates for Providers and Patients

    Altra replied to NRSKarenRN's topic in Activism, Healthcare

    Well, this is where we differ. I in no way, shape, or form interpreted those comments as being LITERALLY what is said to patients. Nor would I derail a thread on discussion of the ACA with a treatise...
  6. Altra

    Hypothermic Treatment post arrest

    Altra replied to lnaumu's topic in Emergency

    I love learning about what others do in situations different from my own, but I'm alternately getting the heebie jeebies and just shaking my head over administration of hypertonic saline pre-hospital....
  7. Altra

    ACA Timeline: Key Dates for Providers and Patients

    Altra replied to NRSKarenRN's topic in Activism, Healthcare

    I think the thread has veered far off course from the information the OP shared; however, I will chime in on the MSE point. Firstly, although I certainly cannot speak for Blue Devil, DNP -- I strongly...
  8. Altra

    IV push and wearing gloves

    Altra replied to Katniss88's topic in Patient Medications

    Scott's response was to the OP's question about giving IV meds through an already established IV site -- not starting an
  9. Altra

    Interview for a 1000 bed hospital, going there a day earlier to know where to go

    Altra replied to max3333's topic in Diploma, ADN, BSN

    Please understand that walking around a hospital in scrubs but without employee identification can be viewed as highly suspicious. There are numerous security concerns not apparent to the average...
  10. Altra

    I dont understand the nursing process when it comes to pharmacology

    Altra replied to mcclot1993's topic in Patient Medications

    If I understand your question correctly, you are saying that you don't believe you are observing nurses where you work consciously and outwardly performing the 5 steps of the nursing process for each...
  11. Altra

    Fluid bolus for patient with end stage renal disease?

    Altra replied to lovin's topic in Dialysis, Renal, Urology

    If you're worried about fluid overloading this patient remember - this patient can always be
  12. Altra

    Would u find this bullying

    Altra replied to ayla2004's topic in Patient, Colleague Relations

    This does not sound like
  13. Altra

    Documentation of EKG in ED for reimbursement purposes

    Altra replied to Jennifer Boston's topic in Emergency

    I can't "like" Esme's posts above enough -- the ED is one of the few places where documented nursing care translates into actual dollars. Use that
  14. Altra

    emergency prepared

    Altra replied to rayea's topic in Emergency

    Agree with the above posts -- you don't need to and probably SHOULDN'T do anything other than be a supportive presence, keep the patient as immobile as possible, and please --
  15. Altra

    Management hate

    Altra replied to beckster_01's topic in General Nursing

    Thank you for this post - it is
  16. Altra

    If You Can't Handle the Heat, Get Out of the Kitchen!

    Altra replied to GreenApplesauce's topic in General Nursing

    What you're describing now, including run-ins with the dept. of health and the state board of nursing, appears quite different from your initial posts describing a difficult med-surg environment and...
  17. Altra

    Need help. 12th day on the floor, feeling bullied....

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

    I'm sorry that you are in this situation. Let me add some perspective. If your shifts are all 8 hours and you have 6 weeks of orientation, that is 30 shifts. If you have completed 12, you are nearly...
  18. Altra

    If You Can't Handle the Heat, Get Out of the Kitchen!

    Altra replied to GreenApplesauce's topic in General Nursing

    Completely agree with llg's points. Another thing that stands out to me is the running theme of posts from newish nurses who are "devastated" by some form of correction/discipline. This seems to...
  19. Altra

    Compassion, easily lost?

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

    What a fantastic
  20. Altra

    Elderly coworkers becoming a burden.

    Altra replied to o3lissao's topic in Patient, Colleague Relations

    I feel like I have read posts here that complained about coworkers of every stripe. But the "too old" jab stands out to me ... because EVERY SINGLE ONE OF US will be old someday, unless we are...
  21. Altra

    Documentation of EKG in ED for reimbursement purposes

    Altra replied to Jennifer Boston's topic in Emergency

    Yes - either electronically or on paper, there must be some evidence that it was ordered, and that it was performed. Issues like this make apparent the byzantine world of chart review / coding. Not a...
  22. Altra

    ACLS help please my work just sprung this on me

    Altra replied to abells's topic in General Nursing

    For the sake of your patients and your development as a nurse: please focus on learning the material and incorporating that knowledge into your daily practice ... not the written
  23. Altra

    Have I done all my research?

    Altra replied to neon puppy's topic in Student Nurse Practitioner

    When you say "direct entry" -- are you talking about MSN direct entry programs for those with no prior nursing education, or accelerated BSN
  24. Altra

    ACLS help please my work just sprung this on me

    Altra replied to abells's topic in General Nursing

    If you do not have current ACLS provider status, your class should be the 2-day course, not one day. Assuming you get in the right course: go to class, be an active participant, study the book -...
  25. Altra

    Employee Health nurse tells me MANY nurses have Hep. C....

    Altra replied to nervousnurse's topic in General Nursing

    As a healthcare professional, the appropriate response is not to "freak out" or be "scared", but to educate yourself. Good info available from reliable, easily accessible sources such as the CDC, and...