Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Patients who can do ADLs but want nurses to

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

    If I am absolutely sure it isn't pain, fear of falling or some other obstacle that we can potentially alleviate ... I am fairly direct in my approach. (yes, as you know, these patients are out there...
  2. Altra

    Nurses: Why do many of you do this?

    Altra replied to terina66's topic in Patient, Colleague Relations

    I agree that what this nurse is doing is highly inappropriate. But before you take on an (older than you?) member of your social circle in what may be viewed as a confrontational way, consider that...
  3. Altra

    What Are The Rationales for these two treatments?

    Altra replied to All4NursingRN's topic in General Nursing

    Agree with the above: I do not see IVF automatically ordered or given to chest pain patients unless they're tachycardic and fluid deficit is suspected to be partly responsible ... or if their BP is...
  4. Altra

    POE

    Altra replied to RainMom's topic in General Nursing

    Not sure what type of unit you're on ... in the ICU the RN is generally part of MD rounds. Do your docs still write a written progress note during/after rounding? If so, then they are still accessing...
  5. Altra

    New grad career change and reentering the workforce after 10 years -

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

    Blue Cat -- you can, and probably should, cut your resume down to one page. My work history as a new grad nurse was not unlike yours -- more than a decade in another field, followed by a gap of time...
  6. Altra

    Patient dilema

    Altra replied to Anggelica's topic in General Nursing

    If the patient is oriented to self only, she cannot direct her care at this time. I agree with the posters above - this situation would have me consulting
  7. Altra

    precepting new grads in ER

    Altra replied to kweaverRN's topic in Emergency

    Agree with the post above. I'm pleased to see that your orientation is 20 weeks, and I feel that's enough time, even for a new grad. I also suggest you take some time weekly for your new grad to...
  8. Altra

    Nurses: Why do many of you do this?

    Altra replied to terina66's topic in Patient, Colleague Relations

    I fully understand that this has been your experience ... but it is not universally true in nursing. Maybe the ED is a different breed, but in every ED I have worked in, frequent socializing of both...
  9. Altra

    Unit Design Blamed for Increase in Falls

    Altra replied to abundantgrace's topic in Patient Safety Issues

    The problem is probably not the design itself -- it's the 1:7-8 nurse-patient ratio on a unit where a large portion of the patient population is
  10. Altra

    Hypothermic protocol patient

    Altra replied to andi.w's topic in Neuro Intensive Care, ICU

    It sounds like either your rewarming order set needs to be fleshed out a bit, or the MD elected not to use it. Our order set/algorithm addresses which interventions to use at which time points to...
  11. Altra

    how to fix discharge teaching?

    Altra replied to dancingostrich's topic in Patient Education

    Consider that you are talking with a subset of maternity patients who have experienced a certain complication, and the subset of those who have experienced emotional distress as a result of that...
  12. Altra

    Losing to gain?...

    Altra replied to exit96's topic in General Nursing

    Yep, have done it. It was worth
  13. Altra

    What can I do locally if I am against the mandatory flu vaccine?

    Altra replied to lolakbolak's topic in Disaster Preparation

    Influenza-Associated Pediatric Mortality Pediatric influenza mortality statistics from CDC
  14. Altra

    Concealed Carry...as a nurse?

    Altra replied to mcknis's topic in Activism, Healthcare

    Ah ... you mean it's not the
  15. Altra

    What can I do locally if I am against the mandatory flu vaccine?

    Altra replied to lolakbolak's topic in Disaster Preparation

    One state health department has attempted to mandate the flu vaccine for healthcare workers. The mandate is being contested in court. RI.gov: HEALTH Adopts Regulations to Require Flu Shots for...
  16. Altra

    Should Respiratory Care get its own mid-level provider credential?

    Altra replied to incrediblehulk2016's topic in General Nursing

    Perfusionists are different from respiratory therapists - different curriculum. Could you share which state has legislated that only doctorally-prepared NPs will be licensed after a certain
  17. Altra

    Looking for some feedback: was I too pushy, or not pushy enough?

    Altra replied to Guest688994's topic in Patient, Colleague Relations

    1. You were right to drop it. 2. You were right to attempt to educate the patient. 3. Hubster was a jerk. 4. I remember my grandma's old saying ... "people marry what they need" ... so I wouldn't...
  18. Altra

    Retirement in the nursing field.

    Altra replied to A.B.123's topic in Nursing Student Assistance

    Retirement Planner: Benefits By Year Of Birth This table on the social security website is easy to read and there is no ambiguity to figure out what your "full" retirement age is based on your year of...
  19. Altra

    IV Benadryl

    Altra replied to kmrn1737's topic in Emergency

    Allergy to Benadryl is not common but it is out
  20. Altra

    Brain Sheet

    Altra replied to porkey2's topic in Emergency

    Esme, I have to say ... in my experience in multiple EDs -- where I am often guiding emergency, medicine and other specialty residents through the admission decision process ... if a patient was...
  21. Altra

    Concealed Carry...as a nurse?

    Altra replied to mcknis's topic in Activism, Healthcare

    Population differences between Alaska and DC ... Alaska has approx. 100,000 more people. 710,231 vs. 601,723 (2010 US census data) American FactFinder - Community Facts American FactFinder -...
  22. Altra

    Retirement in the nursing field.

    Altra replied to A.B.123's topic in Nursing Student Assistance

    You are correct -- my error was that it incrementally increased beyond the traditional age of 65 years 0 months ... for those born in 1938 ... and is age 67 years 0 months for those born in 1959 or...
  23. Altra

    Is this considered a burn out?

    Altra replied to bTRUE's topic in General Nursing

    Hope you submit that Joint Commission complaint ASAP. Your state health dept.
  24. Altra

    Speaking About Nurses Who Moonlight As Dancers

    Altra replied to DoGoodThenGo's topic in Nursing News

    Applause for this post - I'd give it a thousand likes if I could. It is genuinely distressing to me to see so many seemingly unaware of the ways in which they hurt their own
  25. Altra

    Retirement in the nursing field.

    Altra replied to A.B.123's topic in Nursing Student Assistance

    As this is the OP's only post here at AN, I'm not going to get my feathers too ruffled. Everyone, particularly students not yet in the professional workplace, would do well to remember that adult...