Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    WE WON! Let us know if you do.

    Altra replied to JDougRN's topic in Emergency

    Wow, clearing the board ... If I could just clear the waiting room I'd probably break down in
  2. Altra

    Giving injections to babies

    Altra replied to Dragonstrike's topic in General Nursing

    If you have no experience doing injections in infants but have accepted this assignment ... have you communicated this to your agency and asked for some
  3. Altra

    Transporting Nsg Notes

    Altra replied to PRNforPain's topic in Home Health

    I do not work in home health so there may be intracacies I'm unaware of but in a very basic sense ... the nursing notes are part of the patient's medical record, which belongs to the agency providing...
  4. Altra

    Experienced preceptors

    Altra replied to MJB2010's topic in General Nursing

    Agree with some comments above ... an "excellent" preceptor is not one who just successfuly trains & acclimates other nurses with whom s/he establishes a natural rapport, but someone who...
  5. Altra

    No cardioversion due to risk of embolism?

    Altra replied to thelema13's topic in Emergency

    Yes, I think the doc's concern was appropriate. And I disagree that it is likely that she had maintained a HR in the 200s for 48 hours ... even a young person is unlikely to tolerate that rate for...
  6. Altra

    When the doctor doesn't respond to their page...

    Altra replied to kate4rn's topic in Patient Safety Issues

    A patient in respiratory distress which is not improving after administration of O2 certainly warrants a rapid response call. And after two pages -- to any physician or anyone -- it's time to go up...
  7. Altra

    Is the cynicism inevitable?

    Altra replied to lvnlrn's topic in Emergency

    It's up to you to judge where the line is between *realism* and
  8. Altra

    VENT: Shock at ER visit cost

    Altra replied to sandyfeet's topic in Emergency

    Then the LA Times apparently missed the whole point of the release of Medicare data which was national news -- the variation in charges for the same/comparable services among different hospitals, even...
  9. Altra

    Nurses week gifts from employer

    Altra replied to floridaRN38's topic in Emergency

    We got two different lunches, one from management and one from the ED docs/residents. We also got some thoughtful food gifts from different EMS
  10. Altra

    It really annoys me when nurses say they are going to go to med school...

    Altra replied to megank5183's topic in General Nursing

    I work with physicians whose undergraduate degrees include biology, biochemistry ... and anthropology and French translation. Med school admission requirements are generally 2 semesters each of bio,...
  11. Altra

    Why do nurses constantly say they don't hire ASN?

    Altra replied to dance4life's topic in Diploma, ADN, BSN

    No, it is not yet 2020. But did you consider that a hospital may be pursuing Magnet status before then, or that if they already are Magnet, they're probably motivated to maintain that accreditation?...
  12. Altra

    Why do nurses constantly say they don't hire ASN?

    Altra replied to dance4life's topic in Diploma, ADN, BSN

    They're not saying that for any personal gain. The requirements for a hospital to obtain and maintain Magnet status are here (it is a lot of reading but I assume you have an interest in the topic):...
  13. Altra

    HELP! GCS/RTS of intubated patients!

    Altra replied to hella_RN's topic in Emergency

    Are you not using the "1T" value in the GCS scoring for patients who are intubated/have an artificial airway in place? And you can ask the EMS providers who are giving report on the patient whether or...
  14. Altra

    How much do new BSN nursing grads make?

    Altra replied to gonnaB37nursedoc's topic in Diploma, ADN, BSN

    Overview of BLS Wage Data by Area and Occupation Data on wages by occupation / geographic
  15. Altra

    No long distance for patients?

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

    I also work at a tertiary care hospital with patients from a 4-state region. By the time those who have arrived unconscious or critically ill/injured are in a condition to make phone calls, generally...
  16. Altra

    out of control.

    Altra replied to mish_RN's topic in Emergency

    This: And this: This too: And last but not least ... this,
  17. Altra

    New triaging system...

    Altra replied to TaylorMaidRn's topic in Emergency

    While that is indeed an unsafe nurse-patient ratio, there is also liability in not having a triage-trained nurse at the front door to immediately triage a patient. I hesitate to ask ... how long were...
  18. Altra

    preg minor

    Altra replied to pm2rn's topic in Emergency

    Really not an area for "debate", as surely your hospital has policies in place to cover this (not uncommon) situation, based on your state
  19. Altra

    street drugs vs. prescribed drugs

    Altra replied to ERRN92's topic in Emergency

    I miss Droperidol. I don't see it used anymore in my neck of the
  20. Altra

    Is it really necessary to learn to read an ekg? anyone really use it?

    Altra replied to northmississippi's topic in General Nursing

    All inpatient units at my hospital are flex/mixed tele & non-tele ... so yes, every nurse needs to be able to interpret rhythms and act on them
  21. Altra

    co worker sharing her concerns

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

    You're questioning whether or not you want to continue in this job on the basis of this one conversation with an asst. manager? And questioning whether or not you want to precept anymore when nothing...
  22. Altra

    Do you tell people where you work?

    Altra replied to psu_213's topic in General Nursing

    It is indeed a personal question, and I don't answer strangers' personal questions. :) A guy/gal at the gym (even if it's a person I see repeatedly) is a
  23. Altra

    Is it okay to tell a patient to not disrespect you

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

    I don't think there's anything wrong with it, but I would probably use different wording because it's vague. In the situation you describe I would give the patient more concrete behavioral
  24. Altra

    bedside nursing, is it really that bad?

    Altra replied to OCRN3's topic in General Nursing

    Bravo!
  25. Altra

    Surgeon On Call Pager concerns

    Altra replied to minchrr's topic in General Nursing

    This is not a hard problem to fix: stop carrying the pager. It will go off, unanswered, and the practice will hear about it. Trust me, the problem will be