Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    embarrassing situation

    Altra replied to pa715's topic in Patient Medications

    Some ED meds are prescribed to be taken daily. And "prn" could also be
  2. Altra

    Core Measures

    Altra replied to TX_nurse_08's topic in General Nursing

    With some clicking around the Joint Commission site I did find the patient population required for inclusion of reporting on VTE prophylaxis, and it is patients 18 years or older, with hospital stays...
  3. Altra

    Core Measures

    Altra replied to TX_nurse_08's topic in General Nursing

    It helps to understand that healthcare is a highly regulated industry. Demonstration of compliance with standards for VTE prophylaxis and pediatric asthma care is required for Joint Commission...
  4. Altra

    What do you think? Honestly

    Altra replied to LatinRN1's topic in Emergency

    Don't let this stop you. If you've functioned as an EMT ... pre-hospital is much more physically demanding than working in the ER. The ERs where I have worked have been full of folks of all shapes...
  5. Altra

    Whats your biggest pet peeve working in the ED?

    Altra replied to Whts_Ur_Emergency?'s topic in Emergency

    Various versions of: "Fortunately, you are not having a medical emergency
  6. Altra

    Scrubs magazine article/BSN in 10?

    Altra replied to funfunfun550's topic in Diploma, ADN, BSN

    OP, can you provide some reference/link to a state which currently requires a BSN for licensure - either prior to initial licensure or within a certain time frame after
  7. Altra

    No, I'm Not a Beauty Shop!

    Altra replied to mysixlittleones's topic in School

    Boundaries, yes. Hopefully the parent learned not to send the child to school with an accessory that is beyond her capability to manage
  8. Altra

    No, I'm Not a Beauty Shop!

    Altra replied to mysixlittleones's topic in School

    Not a school nurse, but I heartily agree with the OP. And sending the earring home in an envelope *may* impress upon the parent that earrings need to stay at home on PE
  9. Altra

    prioritizing in the ER

    Altra replied to nycClara's topic in Emergency

    Am I understanding you correctly that you have 12+ patients per
  10. Altra

    Another run of the mill "did I violate".

    Altra replied to hhnurse0407's topic in HIPAA Challenges

    You asked whether your comment violated that person's HIPAA rights - and you've received
  11. Altra

    bolus w/o order....yes or no?

    Altra replied to sarahbeth2006's topic in General Nursing

    This is a textbook/NCLEX answer with little relevance in real-world practice. This is a same-day surgery patient recovering from a procedure -- he already has IV access. Take a look at the bottle/cup...
  12. Altra

    Nurse with Disdain

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

    When you're curious about the background of an AN poster, it helps to see what info, if any, s/he has included in his/her profile. 8+ years in the ER here, both a Level I trauma center in the 'hood,...
  13. Altra

    skin test

    Altra replied to ms.greyrn's topic in Patient Medications

    I recall this question being asked once before here - and that poster was also from southeast Asia. It seems to be a practice limited to certain countries. Speaking generally, I would say that in the...
  14. Altra

    Nurse with Disdain

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

    You might prefer a procedural unit or an outpatient setting. Or the ER ... if you can handle the
  15. Altra

    Respiratory Therapists Stingy with o2?

    Altra replied to haji's topic in MICU, SICU

    Why? Because the patient is actively dying, and has expressed a desire to have heroic efforts limited. One more thought: it may very well be acceptable at your hospital for you to change BIPAP and/or...
  16. Altra

    new allnurses logo - feedback wanted

    Altra replied to Brian's topic in General Nursing

    I really like design #203 - with the yellow background. I prefer to leave feedback here, rather than provide name and email address on another site which collects personal data for non-allnurses.com...
  17. Altra

    New Grad Discussion Thread

    Altra replied to %63theend's topic in First Year After Licensure

    See also the new grad forum: First Year After Nursing Licensure
  18. Altra

    doctors repeated rudeness..trouble coping

    Altra replied to sleepdeprived1's topic in Patient, Colleague Relations

    Agree with SaoirseRN's points above. I'm curious why you consulted with "3 RNs on other units I trust". What they do on their unit does not necessarily apply to yours. The game of who-to-call can...
  19. Altra

    Dealing with triage

    Altra replied to canoehead's topic in Emergency

    Ideally, you perfect the art of being extremely nice AND extremely firm at the same time. I never give an estimate of a wait time, and I **confidently** explain that patients are seen not "in order"...
  20. Altra

    I feel like they should change the title of this site to "reasons why my job sucks"

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

    OP, new grads, nursing students, and whoever else may be reading: Two things: I love my job. And nursing is every bit as hard as you read it described
  21. Altra

    What is the ideal steps to become a Trauma Nurse?

    Altra replied to RyanR's topic in Emergency

    RyanR, you'll want to clarify in your own mind what you mean by "trauma nursing". In your post you mention two different fields -- nursing and paramedicine. Being a paramedic means providing...
  22. Altra

    I'm fairly certain ER nursing will make me quit nursing in general.

    Altra replied to Kdids520's topic in Emergency

    Agree with the above posters -- new hires in our ED get a minimum of 4 weeks orientation, and considerably longer than that if they have not worked in an ED before. Are you the first/only LPN in the...
  23. Altra

    How is flu affecting your hospital?

    Altra replied to RNfaster's topic in Disaster Preparation

    What are your hospitals' protocols: Swab all admitted patients? All ED patients too? Only those that are febrile? Above what temperature? Do you isolate swabbed patients until result? Do you have a...
  24. Altra

    Do you give back-rubs and foot baths to your patients?

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

    pollycare, I'm really glad you came back to this thread after making the transition from class/clinicals to
  25. Altra

    Return to trauma after husband's death

    Altra replied to NURSESNUFFLES's topic in Emergency

    I'm so happy to hear of this plan. I will be keeping you in my