Altra BSN, RN

Emergency & Trauma/Adult ICU

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All Content by Altra

  1. Altra

    What patients/behaviors/illnesses/injuries do you HATE the most?

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

    Manipulators who attempt to intimidate by using my name at least twice in each sentence. They are often, but not always, the male significant others of female patients with minor or vague...
  2. Altra

    Why would you do this?

    Altra replied to wish_me_luck's topic in NCLEX Exam, Programs

    Goggles -- gown -- gloves -- mask -- hand hygiene. In the real world you will not remove your mask until you are outside the room and have shut the
  3. Altra

    Nurses Calling Patients "Jerks"

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

    Consider this: so far in your life, have you noticed that some percentage of the general population are jerks? The same percentage applies to your patient
  4. Altra

    Are women are less satisfied with their care than men?

    Altra replied to DichloroacetateAl's topic in General Nursing

    Gender Differences in Patients' Perceptions of Inpatient Care - Elliott - 2012 - Health Services Research - Wiley Online Library This is the study referenced in the NYT
  5. Altra

    "Organ donor" on driver's license

    Altra replied to psu_213's topic in General Nursing

    Those of you who live in states where the drivers license identification of the patient's intentions are not always enforced ... are you required to report all deaths to your regional OPN (organ...
  6. Altra

    2 glove technique? HUHH?

    Altra replied to RN1822's topic in Patient Safety Issues

    pagaaruga, your post was the only reference to an OR environment in the entire thread ... and the only reference to the concept of multiple gloving and moving from patient to patient with the same...
  7. Altra

    Energy drinks and teens coming to ER with chest pain

    Altra replied to mt3's topic in Emergency

    Yep, been seeing this for several years, in teens and
  8. Altra

    "Organ donor" on driver's license

    Altra replied to psu_213's topic in General Nursing

    It is enforced in my
  9. Altra

    "Organ donor" on driver's license

    Altra replied to psu_213's topic in General Nursing

    State specific. In my state, it is binding - family cannot
  10. Altra

    2 glove technique? HUHH?

    Altra replied to RN1822's topic in Patient Safety Issues

    ??? Assuming that gloves are removed and disposed of properly, and normal handwashing occurs between patients ... how is double-gloving an infection
  11. Altra

    2 glove technique? HUHH?

    Altra replied to RN1822's topic in Patient Safety Issues

    I put sterile gloves over regular gloves for sterile procedures all the time, and I double glove for all sorts of situations. As long as your coworker's technique was proper while donning and wearing...
  12. Altra

    You're Hired!: The New World Of Hiring Nurses??

    Altra replied to All4NursingRN's topic in Job Search, Interview, Resume

    I'm really trying to understand this. When you say that you've never before had an interview in which questions were scored ... are you saying that you believe that questions were just random? Or...
  13. Altra

    Central line protocols

    Altra replied to brainkandy87's topic in Emergency

    I work in a teaching hospital -- lots of residents willing to put in lines. And ... if someone in the unit really *had their thinking cap on* ... they might have been more concerned with the lack of...
  14. Altra

    Does this nurse totally not like me??

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

    Yes, you're taking this way too personally. Maybe she stepped into the utility room to check her phone or fix a wedgie or collect herself for a minute. Think about it: are you there to work or...
  15. Altra

    Nursing is Not a Science

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

    I think the OP may be reading too much into the weighting of undergrad classes for the med school application. I just polled 8 residents I know (2 are DOs, 6 are MDs) ... their undergrad majors range...
  16. Altra

    School starting again

    Altra replied to NurseOnAMotorcycle's topic in Emergency

    If parents are present and vital signs are stable ... it's time for discharge. Intoxication is not necessarily a medical emergency. signed, Altra, who is already mentally preparing for the first...
  17. Altra

    Narcotics administration

    Altra replied to schoolmack's topic in Patient Medications

    I have worked almost my entire career in settings with a large number of patients who are not ... *opiate naive*. I have worked through the intellectual, emotional, and philosophic difficulties you...
  18. Altra

    Who's ready for a hospital hurricane party!?!

    Altra replied to RunninOnCoffee's topic in General Nursing

    Accomodations and contingencies made by your hospital for your family members will be specific to your workplace. Good luck to you. p.s. -- if your husband is on duty as well, who will be watching...
  19. Altra

    Communication with patients and families

    Altra posted a topic in Patient, Colleague Relations

    I enounter a significant mismatch between an actual medical situation/diagnosis and the patient/family perception of it ... almost daily. This phenomenon is very aptly described here:...
  20. Altra

    Asked to start a new graduate discussion group

    Altra replied to mikala3's topic in General Nursing

    This is a great idea, if the group is facilitated by a department educator, staff nurse who frequently precepts, department supervisor or someone similar. This is probably not designed to be a...
  21. Altra

    Primary Nursing is for the BIRDS

    Altra replied to mindlor's topic in General Nursing

    mindlor, I thought you had quit that LTAC job, I really did. What you are describing sounds pretty typical for LTAC. Trached, total care is the bulk of the LTAC patient
  22. Altra

    Do you feel bothered by new training CNAs?

    Altra replied to chariot's topic in General Nursing

    Try not to take it personally -- it takes time to get to know people. And personally, I'm thrilled when I see new CNA orientees.
  23. Altra

    Mentioning past disciplinary actions for job applications

    Altra replied to twista's topic in General Nursing

    Because you are still working there, and will have to list that company as your current employer, it would be best to mention it. Be prepared to briefly explain the circumstances and how you...
  24. Altra

    Suggest "certifications"

    Altra replied to texasmum's topic in General Nursing

    To me, specialty certification implies and is designed to demonstrate expertise in a certain area. If not accompanied by experience, it is
  25. Altra

    Why are Nurses so mean to each other?

    Altra replied to Dixon, future NP's topic in Patient, Colleague Relations

    Very true ... but on a nursing forum you get the added kick that anything less than blind cheerleading is somehow *un-nurse-like* because it's not positive or supportive