Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    Patients who "cheat" and drive home

    Altra replied to Lilme04's topic in Gastroenterology

    Both of your posts recount this recent experience you had with your colonoscopy, which appears to have been *exceptional*. Your endo doc and his group personally undergo colonoscopy and then return to...
  2. Altra

    Things I wish I could say to my doctor...

    Altra replied to Art_Vandelay's topic in General Nursing

    Just as we nurses get frustrated with additional requirements placed on us by the organizations we work for -- so do
  3. Altra

    Just a question to understand the ER better

    Altra replied to sheilahdee's topic in Emergency

    What part of the triage decision - this patient needs to go back - is it that you have a problem with? I've lost
  4. Altra

    Doctor tells patients he will quit if President Obama is re-elected

    Altra replied to chicarn's topic in Activism, Healthcare

    No, I don't think it's unprofessional. It is a professional, letting his/her clients know the difficulties of the environment in which s/he is practicing, allowing for an educated, meaningful...
  5. Altra

    Just a question to understand the ER better

    Altra replied to sheilahdee's topic in Emergency

    Given a choice between getting the patient out of the waiting room and adhering to some author's printed statement that a head to toe assessment needs to be completed in triage ... I will get the...
  6. Altra

    Just a question to understand the ER better

    Altra replied to sheilahdee's topic in Emergency

    I, too, doubt that this was a MASS CASUALTY situation. The reality is ... ERs are filled beyond capacity daily with people with concerning symptoms/presentation like the OP's dad. I gave the example...
  7. Altra

    Just a question to understand the ER better

    Altra replied to sheilahdee's topic in Emergency

    Great news sheilahdee -- thanks for the update!
  8. Altra

    Just a question to understand the ER better

    Altra replied to sheilahdee's topic in Emergency

    samadams8, I'm sorry for your troubles. Put the patient in hall? OMG, what a breakthrough you've given us! Never would have thought of that. Oh wait ... all hallway spots in my ER are typically...
  9. Altra

    So...you've had a bad day?

    Altra replied to Been there,done that's topic in Patient, Colleague Relations

    Feel better
  10. Altra

    Just a question to understand the ER better

    Altra replied to sheilahdee's topic in Emergency

    Completely agree -- the OP describes, at some length, treatment for her father that seems appropriate. The motivation for the post, as best I can interpret, is her perception of one triage nurse's...
  11. Altra

    Feeling awful

    Altra replied to mikala3's topic in General Nursing

    I do not think this requires a comment from you to your manager. You've been given a valuable opportunity to observe just how much we have to be vigilant -- take it a lesson. From your description...
  12. Altra

    I don't think I want to be a nurse anymore...how about RT?

    Altra replied to mamaxmaria's topic in General Nursing

    Advancement opportunities will be more limited with respiratory therapy ... if that is important to you. (and consier that you might not think it's important now ... but you might feel differently 5,...
  13. Altra

    Could really use some calming down right now

    Altra replied to proud nurse's topic in First Year After Licensure

    You need to take the long view on this one ... You have likely been working as a nurse for 27 days (9 weeks x 3) -- assuming that there has been no interruption for class time/competency...
  14. Altra

    Liability of teaching an outside nurse

    Altra replied to Blindsided's topic in General Nursing

    For
  15. Altra

    Fevers in adults

    Altra replied to muzikluvr83's topic in General Nursing

    When I work in the ICU - 38.5. More flexibility in the ER, but we are unlikely to medicate below
  16. Altra

    Immediate bedding

    Altra replied to emtb2rn's topic in Emergency

    Interesting - do you know why they hate
  17. Altra

    Liability of teaching an outside nurse

    Altra replied to Blindsided's topic in General Nursing

    So if I understand correctly, your discomfort lies with the patient's perceptions of her
  18. Altra

    Going Backwards

    Altra replied to HarStarr's topic in General Nursing

    I think it's commendable that you have the insight to recognize this in yourself. However, I am curious what your decision process was that made you pursue nursing, given this
  19. Altra

    Can I include my parents in my health benefits at the hospital?

    Altra replied to chariot's topic in General Nursing

    To return to the OP's original question, no you cannot claim your parents as dependents. The concept of a "dependent" will be important for you to understand and keep in mind as you continue to make...
  20. Altra

    Just curious, What do they teach in Nursing School these days?

    Altra replied to AMN74's topic in General Nursing

    OP, what you are describing IS a change in the culture in the last 20 years or so. Our ability to *cope* is becoming a lost art. Your description of what happened with the student reminded me so much...
  21. Altra

    New to ER - tips, tricks, recommendations & prioritization?

    Altra replied to acuariaRN's topic in Emergency

    If getting the patient seen by a provider is dependent on getting the triage done ... get the triage done. And relax -- you're in a whole new environment -- you're going to flounder a
  22. Altra

    What is it with nurses and cell phones? Just a vent.

    Altra replied to fakebee's topic in Nursing Professionalism

    Then you might want to rethink employment outside the home at this time in your
  23. Altra

    Pregnancy Discrimination - Interview

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

    Those considering simultaneous job-seeking and pregnancy, who are responsible for their own employer-provided health insurance, should carefully investigate the possibility that their new employer's...
  24. Altra

    What is it with nurses and cell phones? Just a vent.

    Altra replied to fakebee's topic in Nursing Professionalism

    Can you explain what this means,
  25. Altra

    "Loosing" my license

    Altra replied to Ruby Vee's topic in General Nursing

    Agree ... licensure disciplinary actions related to substance abuse outnumber those related to clinical practice by a margin of easily 20 to