Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Petition Obama to remove restrictions on APRN practice!

    Altra replied to chudder's topic in Nurse Practitioners, NP

    Please consider whether the President of the United States has the authority to mandate the actions of the 50 individual state boards of nursing single handedly -- as these are the regulatory agencies...
  2. Altra

    long winter of ER nights

    Altra replied to MassED's topic in Emergency

    Glad to see you back, MassED.
  3. Altra

    Any other nurses have a baby voice?

    Altra replied to BSNbeauty's topic in General Nursing

    Agree with HouTx ... voice coaching is something you might
  4. Altra

    Curious about something...Anyone heard of droperidol given for migraines?

    Altra replied to kclpn2013's topic in Emergency

    Living with migraines can be a bear. This is an effective off-label use of Droperidol -- if Benadryl/Reglan don't work then the other choices include Droperidol or narcotics, which present their own...
  5. Altra

    Nursing Hours

    Altra replied to AshD1990's topic in General Nursing

    Totally depends on the
  6. Altra

    Residencies: doctors have it figured out

    Altra replied to Amistad's topic in Job Search, Interview, Resume

    As others have pointed out ... physicians' residencies are funded by the federal government. "Nurse residency" programs are simply extended orientations of six months or longer ... but the nurse is...
  7. Altra

    *Desperately need some advice - I hate my new job*

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

    Did you work as a nurse while you & your husband had relocated? If so, that was not the *dream* unit with the *dream* manager, right? And yet you got through it. While I cannot possibly know...
  8. Altra

    Frequent flier narc users

    Altra replied to corky1272RN's topic in Emergency

    I'm curious to see how this will play out with our core group of frequent flyers -- those inner city folks who are homeless (continually or intermittently), with psych and substance abuse issues, who...
  9. Altra

    Bite Release Pressure Point

    Altra replied to emma34's topic in General Nursing

    The following release technique is taught in CPI/Nonviolent Crisis Intervention training: lean into the bite®, then apply pressure underneath the septum. I have seen this work. Also taught is that...
  10. Altra

    ER Wasted

    Altra replied to RNFiona's topic in Emergency

    Welcome
  11. Altra

    annoying little thing some of our docs are doing

    Altra replied to psu_213's topic in Emergency

    Completely disagree. SEE THE PATIENT and then use that provider status to decide what's appropriate. The belly pain that hasn't had a BM in 4 days is different than the lower abd pain/vag discharge...
  12. Altra

    Cursing on the job

    Altra replied to Ciale's topic in Emergency

    Truly ... if you didn't curse in this situation I'd worry about about your anger management -- that it would explode at any moment. The ER is often a fast and furious, stimulus-overloaded environment....
  13. Altra

    NEW TO THE ER WORLD

    Altra replied to CaribeRN's topic in Emergency

    Be prepared to feel like a new grad again. Be prepared to "just go with the flow" for a while even if things are happening in such a way that would be frowned upon in the inpatient world. Realize...
  14. Altra

    Call to organ donation center post pt death

    Altra replied to LogCabinMom's topic in General Nursing

    This is a federal requirement, uniform in all states. (H.R. 3926)
  15. Altra

    Call to organ donation center post pt death

    Altra replied to LogCabinMom's topic in General Nursing

    A federal law, the Organ Donation Recovery Improvement Act (2004) requires hospitals to notify their regional organ procurement organization of all deaths for screening for suitability for organ...
  16. Altra

    Frequent flier narc users

    Altra replied to corky1272RN's topic in Emergency

    Pain management contracts generally spell out meds / dosing / refill
  17. Altra

    Triage-How is it done in your ER?

    Altra replied to crb613's topic in Emergency

    ESI triage, and occasionally gut instinct -- that's what determines who gets seen
  18. Altra

    Nursing student lied about me to my manager, and I cannot prove it.

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

    As I read this thread, and others, I am genuinely perplexed at how bent out of shape some get by the *tone* of another nurse. How in the world do some get through a day of patients, visitors,...
  19. Altra

    Anti-intellectual & hyper-sensitive. WHY?

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

    mclennan, I did not assume you had hired this nurse, as it was not indicated by your original post explaining the situation. My first guess would be ... the manager who felt the need to chastise you...
  20. Altra

    Anti-intellectual & hyper-sensitive. WHY?

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

    I'm just wondering who the chucklehead is who hired a nurse who struggles to write in English and is "not good with computers" to be a case manager?
  21. Altra

    Shocked by facial piercings at work

    Altra replied to BSNbeauty's topic in Nursing Professionalism

    OP, you wanted discussion. You chose the thread title "Shocked by facial piercings ..." And you got discussion. Is there something else that you were hoping to get out of this
  22. Altra

    How much should an Assistant patient care nurse manager in the emergency room make?

    Altra replied to pat1581's topic in Emergency

    Without knowing the salary range for that position at your hospital ... no, I don't think we can help. Do keep in mind that salaried first-line managers may indeed make less than their staff...
  23. Altra

    Dreaming of a retirement

    Altra replied to NurseLatteDNP's topic in General Nursing

    I will probably need to work full-time until age 65 to maintain health insurance coverage, unless the federal government/health care marketplace comes up with some other option before then. My spouse...
  24. Altra

    Nicknames unprofessional?

    Altra replied to blackvans1234's topic in Nursing Professionalism

    Full name "Richard" on resume, applications, and more formal correspondence (including more formal emails). "Rich" would be fine otherwise. "Richie" should probably be reserved for your personal...
  25. Altra

    Would wearing a sexy nursing outfit to a party disrespect the profession?

    Altra replied to smartnurse1982's topic in Nursing Professionalism

    Just a question ... Are you sure you're supposed to *wear* your lingerie to the party? Typically, these parties are about buying products, not wearing them in the company of others at the