Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. They may not be disclosing the details of why you left, but simply that you are ineligible for rehire. And that may well give your new prospective employers doubt about hiring
  2. Given the number of very earnest posts here at AN from members with some kind of past experience that does indeed hamper their ability to practice nursing (and the two AN forums devoted to that area -...
  3. Altra

    Any luck fighting PA BON?

    Just asking a question here ... did this really come as a surprise? I went to nursing school with an individual who had a related conviction that was more than a decade old ... but did so with the...
  4. Altra

    Pain management ;)

    Take a little time to step back from this and examine it without emotion. Assuming that you assess appropriately and document well, including reports from a patient that s/he is still having pain and...
  5. What I'm not seeing in this thread is recognition of what could have been happening with the patient, and the importance of timely response to it. If I had been that charge nurse, I too would have...
  6. Altra

    Gaining experience other than volunteering!

    Have you started clinicals yet? If so, I'm surprised to hear you question the value of a part-time PCT job. If you have spent any time in the hospital at all as a student and/or volunteer, surely...
  7. The survey tool is all open-ended and does not address nurses who feel positive about interpersonal interactions in their workplace. And I'm not sure what useful information can be extrapolated from...
  8. Altra

    Attitudes of New Nurses

    OP, you clearly had a bad shift. But I have really no idea what you're saying here. I hope that venting helped, even if the rest of us are perplexed about what you mean. But if you're going to vent...
  9. Just so we're clear ... it was that you heard her assessment, that she didn't feel your dyspnea and fatigue were related to asthma, that has made you unhappy with your
  10. So you feel like vindicated that a "mistake" was averted because you refused to draw blood from a dizzy, dyspneic patient having chest pain. Hmm. OP, if I am ever your patient and I suddenly develop...
  11. Altra

    Nursing in the Third World

    I strongly agree with the post above -- spend at least a year in a more structured setting, solidifying your skills and knowledge base. This will not only make you far more valuable in a "Third...
  12. Altra

    Per-diem nurses

    I've often been embarrassed by the way that nursing sometimes focuses on putting itself out as day labor, rather than committed professionals. I meant no disrespect toward the OP, but I don't think...
  13. Short answer, no. Any responsible physician will want to see that the prescribed treatment plan is being carried out, and will want to see evidence of good nursing care for his/her patients. But in a...
  14. You would do well to set some boundaries at work, in a hurry. Re-read your job description -- I bet it doesn't say, "do whatever you think will make the staff like you, or the opposite of whatever...
  15. Altra

    Per-diem nurses

    Then don't work per diem -- get a job as regular staff, full- or part-time, as meets your needs. There is no injustice here that I
  16. This situation does differ from you, as an adult, staying with your husband. As an adult you are responsible for yourself -- your meals, your self care, etc. This is not the case with a child. The...
  17. Altra

    Nursing Policy and procedure manuals

    For clinical nursing procedures your policies can reference a widely accepted nursing textbook, as dansamy noted in the post above. However, your policies are going to need to reflect the mental...
  18. Altra

    Constant Vein Blowing?

    Thank you. Invasive procedures is the line in the sand, IMO, for CAM
  19. I totally agree that the patient's 13-year old son needs to go home. How is he eating, bathing, etc. during his mother's multi-day hospital stay? I also agree that it would be totally inappropriate...
  20. "WHAT DO YOU MEAN YOU HAVE THAT DOCUMENTED?" Me: "Of course we document all the education we provide to patients & families, and their understanding of that education. It's a very important part...
  21. Altra

    Constant Vein Blowing?

    It is a growing medical problem -- patients whose habitus, anatomy, medical and social histories and/or disease processes mean they have very poor venous access. You may recall recent state execution...
  22. Altra

    Constant Vein Blowing?

    My goodness, this patient needs a midline, a PICC or a port - STAT. Have these been
  23. Altra

    latex allergy holding me back

    I'm having a hard time following this. They "tested" for a latex allergy? As in ... subjected you to contact/exposure with latex? And to deny employment based on a latex allergy? Let me ask a...
  24. Yes, it does, in the opinion of this confirmed
  25. Sternum ..... intramuscular injection .... Never mind. OD stories have one common theme -- seriously warped