Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Permanent documentation... "Please advise"?

    Altra replied to BiohazardBetty's topic in General Nursing

    I think the charting itself was fine, although the addition of "please advise" is unusual. Anyone reviewing that chart would conclude that that was the "official" means of communication between nurse...
  2. Altra

    Ever had a Dr. mad at you?

    Altra replied to KBLOWE831's topic in Patient, Colleague Relations

    Patients are in the hospital for a reason, no? There are going to be orders ... Now you know
  3. Altra

    Speaking of... Getting to work early

    Altra replied to jrsmrs's topic in Nursing Professionalism

    If I am precepting I arrive 5-10 minutes early to scope out what patients are there and what might be the best assignment for my orientee that day. Otherwise, I arrive exactly on time, ready to
  4. Altra

    leaving my job gave a 2 weeks manager very rude.

    Altra replied to purpleRN6163's topic in Patient, Colleague Relations

    Employers have policies about the manner in which separations from employment are to be handled. This is not unique to nursing. If the policy states that 2 weeks, 4 weeks, or some other time period...
  5. Altra

    Read this email my NM sent to all the nurses.

    Altra replied to GummibearsRN's topic in General Nursing

    OP, I'm curious what laws you feel are being broken by an employer delegating responsibility to determine which employees are fit for duty, as it were, to the charge nurse present on the
  6. Altra

    called in sick, nurse manager calling back (inappropriate tactics?)

    Altra replied to jbaggins's topic in General Nursing

    Kooky Korky, I know you are a nurse with many years' experience, and it saddens me that you continue to work in environments driven by a culture of
  7. Altra

    Shared Governance

    Altra replied to CVCURN's topic in General Nursing

    Be sure that you're clear on what you want to do at the "pre-meeting" that is different than the staff
  8. Altra

    Please tell me Im not being Dramatic!

    Altra replied to RN_by_day's topic in General Nursing

    For future reference -- you might have considered asking for a written job description, or if the job description had even been developed yet, and pointing out that you can't consider a job offer...
  9. Altra

    So I get a call from the lab.....

    Altra replied to mindlor's topic in General Nursing

    The two examples you cite, OP, seriously warrant some communication with your manager regarding this. This is either a new lab med tech who is misunderstanding normal ranges, or a glitch in a...
  10. Altra

    Please tell me Im not being Dramatic!

    Altra replied to RN_by_day's topic in General Nursing

    Lesson learned -- did you clarify with your supervisor whether/how your job duties would change once you were licensed as an RN, and what your new rate of pay would be? Did the practice clearly...
  11. Altra

    called in sick, nurse manager calling back (inappropriate tactics?)

    Altra replied to jbaggins's topic in General Nursing

    Completely inappropriate. I've never worked anywhere where that would happen ... but if I were to get such a call, MY next calls would be to human resources and to my manager's
  12. Altra

    What to do about refusing Dr. orders?

    Altra replied to nancynurse0828's topic in General Nursing

    Word. Thanks for your
  13. Altra

    What to do about refusing Dr. orders?

    Altra replied to nancynurse0828's topic in General Nursing

    I respectfully
  14. Altra

    masters degrees without ever working at the bedside?!

    Altra replied to nightengalegoddess's topic in Post Graduate Students

    I think you are confusing academic degree, professional licensure, and suitability for a particular position/employment. These are 3 different
  15. Altra

    What to do about refusing Dr. orders?

    Altra replied to nancynurse0828's topic in General Nursing

    In this particular scenario, the OP is in the somewhat more complicated position of being the *provider* asked to perform a more advanced invasive procedure (which will be directly billed by the way,...
  16. Altra

    Bad Dreams ---- What does this mean?

    Altra replied to abbaking's topic in General Nursing

    Vivid nightmares are not uncommon when stress levels are high, particularly if there are multiple stressors in different areas of your life. As an aside, I believe nurses would do well to eliminate...
  17. Altra

    A quick question. Thanks everybody.

    Altra replied to sharonlee941's topic in General Nursing

    If you are already a licensed RN, there is no action to be taken with your state board of
  18. Altra

    Not getting report/hand off on patients

    Altra replied to sleepdeprived1's topic in Patient Safety Issues

    I'm sorry but this sounds grossly inefficient -- notes are typed in the appropriate place within the computerized documentation system and then printed, cut and pasted into a
  19. Altra

    nursing retirement

    Altra replied to kristen312's topic in General Nursing

    Nursing is my second career, and I have seen no significant across-the-board differences in retirement benefits in healthcare vs. the nonhealthcare industry in which I previously worked. All 3...
  20. Altra

    ACLS CEU's?

    Altra replied to muchachada_16's topic in General Nursing

    AHA certification of an approved ACLS class is separate from whether or not that particular provider is approved by that state board of nursing as a provider of CEUs. EMS continuing education is also...
  21. Altra

    call backs

    Altra replied to pm2rn's topic in Emergency

    Why would it be a HIPAA violation, for XYZ institution who has just cared for the patient (with the patient's full knowledge and consent) to check on the patient 24 or 48 hours
  22. Altra

    Question on new grad preceptorship experience

    Altra replied to gigglestarsRN's topic in Emergency

    Orientation for new grads has been 16 weeks in 2 of the 3 emergency departments where I have worked. That time frame is also, I believe, recommended by the ENA (will try to find a link
  23. Altra

    Lab work question

    Altra replied to Racer15's topic in General Nursing

    Every single hospital is different. Call back and ask if you want to know before
  24. Altra

    Ambulance law

    Altra replied to adamsmom2's topic in General Nursing

    Sounds like a misinterpretation of the Medicare requirement to demonstrate "medical necessity" to utilize ambulance services for nonemergency transports. Sending someone to be evaluated in the ER is...
  25. Altra

    Is My Nursing License At Risk?

    Altra replied to TheCommuter's topic in Nursing Professionalism

    Browsing the disciplinary actions of my state BON yields the same results. I would say greater than 90% are related to substance