Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Desating and Suctioning

    Altra replied to SterlingArcher's topic in MICU, SICU

    True. We were strongly encouraged to discontinue this practice about 2 years
  2. Altra

    Desating and Suctioning

    Altra replied to SterlingArcher's topic in MICU, SICU

    The presence of cough/gag reflexes is encouraging from a neurological standpoint. Keep that in mind. If you're so inclined and you have an empty ICU room and a few minutes, connect yourself to a...
  3. Altra

    How can we make the process of report from ER to floor better?

    Altra replied to nrsang97's topic in Emergency

    You know that this is a bed control problem, right? I've said this before in this forum ... just about every day my ED tracking board lights up with assigned beds like magic at about 5 - 6pm. So yes,...
  4. Altra

    Considering ER but not good at starting IV's

    Altra replied to srleslie's topic in Emergency

    We do not expect nurses to necessarily come to the ED proficient at starting IVs. At hospitals where I have worked, a new ED nurse will spend a full day with IV team for one-on-one instruction. And...
  5. Altra

    Deficiency from a surveyor

    Altra replied to eve5483's topic in General Nursing

    The surveyor is representing an accrediting/regulatory agency whose resonsibility is facilities, not individual nurses. The site visit is to accredit/inspect the facility. Disciplinary action...
  6. Altra

    What exactly is the EDCU?

    Altra replied to NOLAnewbie's topic in Emergency

    Esme12 provided some good info. The Clinical Decision Unit where I work houses admitted patients for whom there is not expected to be an inpatient bed for at least 4 hours and those patients whose...
  7. Altra

    Tips for volunteer in Neuro ICU for communicating with family

    Altra replied to kiki617's topic in General Nursing

    I applaud your enthusiasm and apparent willingness to make the most of this volunteer position for the benefit of patients and their families. What training have you been given? What kind of job...
  8. Altra

    Small Claims Court?

    Altra replied to royaso's topic in General Nursing

    I would go in and complete what was necessary. You may have very legitimate reasons for not trusting this employer, but at least they are (correctly) not allowing medical records to leave the office....
  9. Altra

    NP...to keep my job?

    Altra replied to VICEDRN's topic in Emergency

    The impetus behind having a midlevel in triage is twofold: 1) to shorten the door-to-provider time (although this is generally mostly smoke & mirrors, rather than meaningfully shortening the...
  10. Altra

    unfair assignment

    Altra replied to treeye's topic in General Nursing

    Was the assignment considered "unfair" when your coworker was assigned those same two
  11. Altra

    NP...to keep my job?

    Altra replied to VICEDRN's topic in Emergency

    Charting of a trauma is generally not exactly taxing for an RN ... but your administration wants to pay an NP to do it? Makes no sense to me whatsoever. But who is going to give needed meds and so...
  12. Altra

    Does Obamacare 2014 allow only BSRN to sit for NCLEX-RN?

    Altra replied to Streamline2010's topic in Activism, Healthcare

    Let's use those critical thinking skills, shall we? If you want to independently verify this person's statements: 1. Find the (federal?) legislation titled, "Obamacare 2014" >. 2. Read it ... or...
  13. Altra

    New Customer Service Initiative

    Altra replied to Guest219794's topic in Emergency

    As an avowed lover of baseball stats ... no, it wasn't that metaphor. Filing this thread away in the Classic ER Humor file, along with the CRAP score,( Scalpel or Sword?: The CRAP Score ), the...
  14. Altra

    What was the MOST ridiculous thing a patient came to the ER for?

    Altra replied to JUSTYSMOM's topic in Emergency

    There was a better way to get a new JP bulb ... And that would have been for your surgeon to have appropriately addressed it in the office/clinic
  15. Altra

    New Customer Service Initiative

    Altra replied to Guest219794's topic in Emergency

    I'm really having trouble wrapping my brain around this. Maybe I worked too late last night and have not yet had enough sleep to pick up on some intended
  16. Altra

    Help!!! Caught btw rock and hard place--Instructor sending students home early...

    Altra replied to meatballgirl's topic in General Students

    Whistleblowing? OP is discussing the actions of one member of the institution (the clinical instructor) with the appropriate more senior member of the same institution (the dean). The presumption that...
  17. Altra

    starting a nursing career in late 30's

    Altra replied to kkroczek1976's topic in Nursing Career

    Been there, done that, still wearing the t-shirt. Good luck to
  18. Altra

    Help!!! Caught btw rock and hard place--Instructor sending students home early...

    Altra replied to meatballgirl's topic in General Students

    Now that humor ... is appreciated. I have to agree with BlueDevil, DNP -- I'm seeing more and more hyperbole and energy expended on creative wit and less and less actual backbone / approriate...
  19. Altra

    Rate of sexual harassment occurrences at a hospital?

    Altra replied to lis4b's topic in Patient, Colleague Relations

    I've worked in 3 different hospitals and have never experienced nor seen the environment your fiance describes. What I do note in your post, however, is a sense of powerlessness and a preoccupation...
  20. Altra

    Cooler weather and homeless "patients"

    Altra replied to NurseOnAMotorcycle's topic in Emergency

    Your providers can more selectively prescribe opioids. Trust me, it
  21. Altra

    State RN job question

    Altra replied to honiblk's topic in General Nursing

    If by "state insurance fund" you mean Medicaid/CHIP programs ... these are administered by the individual states, so organizational structure of the department and job duties for any particular...
  22. Altra

    What are great fields in nursing for a shy/quiet person?

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

    Love this post -- would give it a thousand "likes" if I could. Thanks, CASTLEGATES.
  23. Altra

    First shift of preceptorship: told that my IV priming is wrong

    Altra replied to seks's topic in General Nursing

    I'm curious about your thought process on this. You've already had one experience on this and received feedback that you found negative, and had your preceptor indicate to you that you should change...
  24. Altra

    First shift of preceptorship: told that my IV priming is wrong

    Altra replied to seks's topic in General Nursing

    Agree with the previous poster ... if you are going to judge your preceptor based on the precious little clinical experience you gained in school, you will have a very hard road ahead of
  25. Altra

    Rough Day

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

    Consider whether your preceptor's questions were an appropriate attempt to keep you thinking, prioritizing, and on track ... instead of "spinning" in a circle without focus when things get really...