Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Propofol and NS

    Altra replied to ezgreazin's topic in Emergency

    From the drug insert: (DIPRIVAN INJECTION, EMULSION [GENERAL INJECTABLES & VACCINES, INC]) Administration with Other Fluids Compatibility of DIPRIVAN Injectable Emulsion with the...
  2. Altra

    Clinical vs non-clinical job responsibilities

    Altra replied to livingonadream's topic in Nursing Professionalism

    Agree with the posters above -- you're attempting to make an apples - oranges comparison, and it just doesn't work. You don't say in your post what the job responsibilities are. Are you to run a...
  3. Altra

    seek advice on proficiency and time mgt from senior nurses

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

    The things you're describing are totally normal for a brand new nurse -- with conscious effort you'll improve each day. Tons of good info for you here at allnurses.com with some simple searching. But...
  4. Altra

    Seeing the big picture

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

    Like any other new skill set ... at first you have to consciously think about step 1, step 2, etc. With time ... you'll get smoother and the steps will be more intuitive, freeing up your brain to...
  5. Altra

    Length of orientation or preceptorship for new RN grad

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

    No, this is not normal. I would resign. And remind me not to be a patient at this hospital ... it's clearly not
  6. Altra

    Supplies a new grad ER Nurse should carry

    Altra replied to Belle2013's topic in Emergency

    This depends somewhat on what is stocked in the rooms or otherwise easily accessible in your ER. I'd recommend a small notepad, 2-4 pens, stethoscope & trauma shears to carry with you, and a...
  7. Altra

    Propofol and NS

    Altra replied to ezgreazin's topic in Emergency

    The bottom line skinny is that you're going to need to follow the policies of your hospital, not the "opinions" of others, unless you can make a case through clinical literature that the policy needs...
  8. Altra

    What Is The Deal With All The Highly Educated & Professionals Becoming RNs?

    Altra replied to PMFB-RN's topic in General Nursing

    Guess what, wishmeluck ... I came into nursing after a (relatively) satisfying decade in another field followed by some time out of the workforce entirely to raise my children. I had the luxury of...
  9. Altra

    What Is The Deal With All The Highly Educated & Professionals Becoming RNs?

    Altra replied to PMFB-RN's topic in General Nursing

    Since you feel free to ask questions *in the hope that you don't ruffle feathers* I will do the same here and expect you to be able to process it in a mature fashion. This post is reveals the crux of...
  10. Altra

    Reporting meds to the Police when a patient dies....HIPAA?

    Altra replied to tewdles's topic in HIPAA Challenges

    Thank
  11. Altra

    Resignation & New-Grad Internship Contract Question

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

    Read your contract, as it probably specifies exactly what happens in this
  12. Altra

    Patient safety

    Altra replied to Magjr's topic in Patient Safety Issues

    No need for sterility. Lots of nurses carry hemostats - it's not like you were carrying a nuclear device in your pocket. And BLS teaches to sweep the mouth of a choking victim if the foreign body...
  13. Altra

    case manager taught me a gem about families

    Altra replied to SNB1014's topic in Patient, Colleague Relations

    I understand the point. However ... it does not take a medical professional to understand that when a person is sick they're not going to be doing the same things that they normally do at baseline....
  14. Altra

    What Is The Deal With All The Highly Educated & Professionals Becoming RNs?

    Altra replied to PMFB-RN's topic in General Nursing

    Agree -- the generalization that "older" nurses are techno-illiterate needs to stop, as it is not based in
  15. Altra

    To stay or Go?

    Altra replied to djones4033's topic in Emergency

    Yes, the stress will lessen with time, and yes, the vast majority of new nurses feel this way. I consider myself fortunate to have started as a new grad in an ER in which it was said often, it will...
  16. Altra

    Sodium Phos with a filter?

    Altra replied to msjack's topic in Patient Medications

    There are a number of fairly widely given IV infusions that should utilize a filter -- amiodarone and phenytoin are two examples. Many resources out there -- start with your hospital's
  17. Altra

    What Is The Deal With All The Highly Educated & Professionals Becoming RNs?

    Altra replied to PMFB-RN's topic in General Nursing

    I'm surprised at the underlying lack of recognition in many of these posts that career-changing IN GENERAL is much more the rule than the exception over the course of working lifetimes these days. In...
  18. Altra

    Er nurse vs icu nurse

    Altra replied to Mshealthness's topic in Nursing Career

    Can you define "toxic
  19. Altra

    Charting"No s/s of infection noted" when pt comatose?

    Altra replied to smartnurse1982's topic in General Nursing

    The phrase is poor because it doesn't specify what is being described. No erythema, warmth, edema, excessive drainage ... these are all identifiable
  20. Altra

    I need some advice, new to the medical field.

    Altra replied to lexi0789's topic in General Nursing

    Yes, it is probably too early. Most employers limit transfers unless you have been in your current position for at least six months, if not one
  21. Altra

    How do you know if your meant to work in the ER?

    Altra replied to FutureNurseGrad2016's topic in Emergency

    I generally agree with what's been posted above, but I'll add a longer term perspective. Lots of folks burn out around the 2-year mark ... when they think they've seen/heard it all ... and all...
  22. Altra

    How many hospitals do you have?

    Altra replied to green34's topic in General Nursing

    Just because services are duplicated doesn't mean that there are excess services being offered. From a patient perspective -- choice is good. Competition fosters development. And tertiary care...
  23. Altra

    The way we ask for someone's pain level?

    Altra replied to cmav8's topic in General Nursing

    I would be very cautious about this, because you are introducing a scored scale other than what is likely named in your institution's policies and order sets. In other words, if your hospital is like...
  24. Altra

    Grateful for grateful patients....Tears and Thank yous.

    Altra replied to NO50FRANNY's topic in Patient, Colleague Relations

    Thanks for sharing. :) I recently took care of an older gentleman with a traumatic injury that was, even to our experienced eyes, horrible to look at. The surgical/rehab course would be long and...
  25. Altra

    "When Was the Last Time I Wow'ed a Patient?"

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

    One can only hope this management fad passes. It is endemic across so many industries. I recently placed a call to my cable company to fix a technical issue. The tech on the phone was courteous,...