Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    PO vs IV Medication Question

    Altra replied to smithma5's topic in General Nursing

    I'm not sure of the underlying concept of this (homework) question. Though a specific med formulation may be unavailable in IV form, the action of the med can generally be accomplished somehow, some...
  2. Altra

    Charting

    Altra replied to floridaRN38's topic in General Nursing

    Agree with the post above - this is exactly the dividing line that I use. I avoid filling up a chart with expletives (though sometimes they are so creatively worded, it's tempting ...) until a direct...
  3. Altra

    Patient privacy and pelvic exams

    Altra replied to cphillipslpn's topic in General Nursing

    I do not work in a physician office, so my setting is different, but I do assist with pelvic exams. Sometimes I'm in view, sometimes not. The first consideration is the reason for the exam. If the...
  4. Altra

    Am I violating HIPAA

    Altra replied to TNNurse95's topic in HIPAA Challenges

    One of these two scenarios applies here: This is a serious question, with serious implications. But rather than go to a definitive source of information, you have chosen to ask a random bunch of...
  5. Altra

    CEO with nursing background?

    Altra replied to southshore2014's topic in Nurse Management

    Yes. Several hospital CEOs within my health system have been
  6. Altra

    Verbal Hand-off Reports - Are they no longer necessary?

    Altra replied to yr.pedsnurse's topic in General Nursing

    Thank
  7. Altra

    The sloppy image of nurses today

    Altra replied to RNdynamic's topic in Nursing Professionalism

    Can we make this an AN rule? When you see a post that makes you think, "is this for real?" ... check the poster's history before indulging in the game. Sincere
  8. Altra

    Could be pregnant. Gap year?

    Altra replied to Nursingstudent2017's topic in General Nursing

    She may not have asked that question directly, but is asking for input on formulating a life plan for an educational and career path. Reproduction is relevant. OP - no one can give you any advice...
  9. Altra

    how would a nurse assess acute exacerbation of asthma?

    Altra replied to CNS2b11's topic in General Nursing

    Physical assessment including auscultation, reviewing past history and current meds, and obtaining a peak flow reading as additional assessment data are all within the nursing scope of practice. OP,...
  10. Altra

    Ethics: Brain bleed sign out AMA

    Altra replied to Kbig2's topic in General Nursing

    OP, please do the following on your next shift at work: Go to whatever educational/policy resources your department has. Online, in a binder ... whatever. Read your policies and procedures re:...
  11. Altra

    New ER Nurse - Feel Like Quitting Job

    Altra replied to xxMichelleJxx's topic in Emergency

    Hi MichelleJ ... hope you're able to take a breather today. From reading your post, it seems you believe you were promised 12 weeks of orientation, but possibly only got (from my calendar guesstimate)...
  12. Altra

    Why are nurses so backbiting?

    Altra replied to RNBSN1591's topic in Patient, Colleague Relations

    Your experiences, while unfortunate, have zero to do with nursing. They have zero to do with female-female interactions. They are the result of a management problem. Your management has hired...
  13. Altra

    Med/Surg to ER: General work flow in ER at night

    Altra replied to ArrowRN's topic in Emergency

    Hitting the big 5-0 soon. Some days are punishing on the body, but that would still be the case if I were doing the frequent lifting of med-surg. No routine, no control. If this sounds like your...
  14. Altra

    could get fired!

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

    My own young adult child is beginning a career in healthcare. I would want him to be terminated for this. Yes, for real. If one cannot figure out the multiple reasons not to do this, nor have the...
  15. Altra

    Brian Short News

    Altra replied to tnbutterfly - Mary's topic in General Nursing

    Terribly shocking news - I have no adequate words. Wishing peace for Brian, his family and community, and all those touched by the enterprise he
  16. Altra

    Why does everyone say that they "consigned" a drug waste.....

    Altra replied to roser13's topic in General Nursing

    Adding to the list: "med surge" A surge of meds? If describing a type of nursing unit commonly found in hospitals, let's stick to med-surg. No "e". A shortened version of
  17. Altra

    Food Pressure: Coworker Edition

    Altra replied to OhioMary's topic in General Nursing

    I'm not quite sure I'm understanding this "food pressure" ... and the term itself is not something I have ever heard until now. Coworker: "Hey Altra, there's pizza in the breakroom." Me: "OK,...
  18. Altra

    Fired during orientation/7 weeks in

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

    Were the actions you were asked to take on that particular day different than the prior 7 weeks of your
  19. Altra

    Limited access for managers

    Altra replied to clarity74's topic in General Nursing

    OP, could you provide some context for your question? Or give an example of your definition of "clinical manager" and the healthcare setting you are curious about? In my experience, yes, clinical...
  20. Altra

    From exuberant passion to fringing on defeat.

    Altra replied to Shaska's topic in General Nursing

    If I am counting correctly, you have had 4 jobs in less than 2 years (you indicate you spent several months applying after the move). That may be affecting whether or not you get called for...
  21. Altra

    Are too many certifications a bad thing?

    Altra replied to Ruger8mm's topic in Nursing Professionalism

    Oh, good. I feel better now, that I know that Mr. Awesome is pursuing a job in which he will work unsupervised, as he continues on the path to
  22. Altra

    Tough point in my life

    Altra replied to BearFeet's topic in General Nursing

    I completely echo the sage advice given above - please get help now. The punching walls and "starting IVs on yourself" is self-harm akin to cutting. Please let us know how you're doing, when you can....
  23. Altra

    Report me???

    Altra replied to MendedHeart's topic in General Nursing

    "Report you" to
  24. Altra

    Would you wait for Dr orders?

    Altra replied to AcuteCare4Life's topic in General Nursing

    Yes, our RRT has protocol orders. But the actions being discussed here , the way that OP has described her scenario, are those of the bedside nurse taking care of the
  25. Altra

    You're Not Dehydrated.

    Altra replied to Anna Flaxis's topic in Emergency

    Good grief. I'm not sure I've ever heard someone state it so clearly (and without any trace of irony, I'm sure) ... though we can all name frequent flyers who devote a great deal of time to just...