Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Shocked by facial piercings at work

    Yes, fairly common where I
  2. Now you know why the hospital is being staffed with travelers and newbies. I am certainly not knocking travel nursing ... but if a hospital is hiring lots of travelers ... by definition, something is...
  3. Altra

    Respiratory Therapists Stingy with o2?

    Haji, I assure you ... my post was not about nursing theory. It was never really my thing at all. I am an ICU nurse, in an academic tertiary care hospital. There is as much dying as there is...
  4. Altra

    Young, Thin, and Cute New Hires

    With all due respect ... this thread, and its placement on the home page ... contributes what, exactly? Does it promote professionalism, camaraderie within the nursing community, or a positive image...
  5. Altra

    DDD/numbness/pain

    I don't necessarily think it's callous to note that DDD is not a problem we're going to solve in the ED. Neither are ovarian cysts, for that matter. For both these dx ... the ED's role is to...
  6. Altra

    Vital Signs Taking at ER

    I'm pretty sure that you're not in the USA. So that makes it really difficult for me to judge the situation and the behavior of the patient's family member, because I would be judging it by US...
  7. Well, states will certainly not be convinced of this by the droves of people in and heading to NP programs ... apparently willing to practice under current licensure
  8. Altra

    Seriously?!?!

    The ED doesn't see everyone who rolls in the door solely out of the goodness of their hearts -- it's required by federal law. Emergency Medical Treatment & Labor Act (EMTALA) | Centers for...
  9. Altra

    Respiratory Therapists Stingy with o2?

    Turn the question around: what IS going to be accomplished by going up to 100% FiO2? I'd suggest discussing this with a nurse on your unit who has preceptored or mentored you, your unit educator, or...
  10. Altra

    Whats your biggest pet peeve working in the ED?

    Can you share
  11. Altra

    Seriously?!?!

    Yep -- what's been said above. The "it still hurts/itches/annoys me" chief complaint is, in my experience, 90% of the time from otherwise functional human beings. Calls that functionality into...
  12. Altra

    Help me! ( very long)

    You say you "wish" you could walk out, but you have twice submitted notice of resignation, indicating your willingness/desire to do just that. Your current manager is sharing that fact with hiring...
  13. Just so the OP and others reading know ... it doesn't have to be this way. Some places do have organized orientations planned with
  14. I do not respect this as a technique of inquiry, nor am I convinced that you have gained much beyond individuals' opinions and
  15. Altra

    Please be prepared for your interview...

    Just thinking out loud here ... if I were interviewing one of these "great resume nurses" who couldn't be bothered to be prepared to give me examples and sell me on his/her greatness ... how am I to...
  16. Altra

    Give it to me straight

    As long as the ED you're interested in doesn't have a policy/practice of hiring only those with prior pre-hospital or ED experience, you should be a competitive candidate when the time is right. Good...
  17. Altra

    Incident Reports...aarrggghhh!!!

    So your manager wants reports completed for med errors made for the fourth/fifth/ninetieth time. But is there follow-up to fix the system problem that created the error, or discipline for lack of...
  18. Yesterday I walked a 50-ish patient from the ED waiting room to a treatment room. She ambulated steadily and had come to the ED from work for an urgent-care type complaint. As I was getting her a...
  19. Masks don't work? Interesting -- the CDC seems to feel otherwise. CDC - Seasonal Influenza (Flu) - Prevention Strategies for Seasonal Influenza in Healthcare Settings And I'm not seeing the...
  20. Altra

    Hypothermic protocol patient

    Several hours post-arrest until cooling was initiated? Yikes - it sounds like this was mismanaged by your docs all the way
  21. Altra

    Question for my fellow nurses!

    Unfortunately, yes, it's possible this could come back to bite you. It's hard to play the proverbial "both ends against the middle" when you're job hunting within the organization. Hope everything...
  22. Wow, thanks for that video ... dang, I think it brought a tear to my
  23. Altra

    Please be prepared for your interview...

    Not sure what you're looking to gain with "bogus" acting ... if selected on the basis of an inaccurate presentation of yourself, you're only asking to be in an environment which is potentially a very...
  24. Altra

    Hourly vs. Benefits

    Benefits from governmental agencies are rarely matched in the private sector. For comparison: I have never had more than 6 paid holidays, and 2 weeks vacation annually is the standard until you reach...
  25. Altra

    Please be prepared for your interview...

    Hiring a resume without assessing the person and their potential fit in your unit is a recipe for disaster, IMO. As for the smoking/fat comment ... well, we all have our turnoffs, and some discretion...